Edaravone is a low-molecular-weight antioxidant drug targeting peroxyl radicals among many types of reactive oxygen species. Because of its amphiphilicity, it scavenges both lipid- and water-soluble peroxyl radicals by donating an electron to the radical. Thus, it inhibits the oxidation of lipids by scavenging chain-initiating water-soluble peroxyl radicals and chain-carrying lipid peroxyl radicals. In 2001, it was approved in Japan as a drug to treat acute-phase cerebral infarction, and then in 2015 it was approved for amyotrophic lateral sclerosis (ALS). In 2017, the U.S. Food and Drug Administration also approved edaravone for treatment of patients with ALS. Its mechanism of action was inferred to be scavenging of peroxynitrite. In this review, we focus on the radical-scavenging characteristics of edaravone in comparison with some other antioxidants that have been studied in clinical trials, and we summarize its pharmacological action and clinical efficacy in patients with acute cerebral infarction and ALS.
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Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679650036609","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000378128265"}],"foaf:name":[{"@language":"en","@value":"Hirai Manabu"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Ikuyaku. Integrated Value Development Division, Mitsubishi Tanabe Pharma Corporation"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679650036611","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000378128266"}],"foaf:name":[{"@language":"en","@value":"Yamamoto Yorihiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"School of Bioscience and Biotechnology, Tokyo University of Technology"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09120009"},{"@type":"EISSN","@value":"18805086"}],"prism:publicationName":[{"@language":"en","@value":"Journal of Clinical Biochemistry and Nutrition"},{"@language":"ja","@value":"Ｊｏｕｒｎａｌ ｏｆ Ｃｌｉｎｉｃａｌ Ｂｉｏｃｈｅｍｉｓｔｒｙ ａｎｄ Ｎｕｔｒｉｔｉｏｎ"},{"@language":"en","@value":"J. Clin. Biochem. Nutr."},{"@language":"ja","@value":"Ｊ． Ｃｌｉｎ． Ｂｉｏｃｈｅｍ． Ｎｕｔｒ．"}],"dc:publisher":[{"@language":"en","@value":"SOCIETY FOR FREE RADICAL RESEARCH JAPAN"},{"@language":"ja","@value":"一般社団法人 日本酸化ストレス学会"}],"prism:publicationDate":"2018","prism:volume":"62","prism:number":"1","prism:startingPage":"20","prism:endingPage":"38"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://www.jstage.jst.go.jp/article/jcbn/62/1/62_17-62/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2019133066"}],"availableAt":"2018","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=edaravone","dc:title":"edaravone"},{"@id":"https://cir.nii.ac.jp/all?q=radical%20scavenger","dc:title":"radical scavenger"},{"@id":"https://cir.nii.ac.jp/all?q=antioxidant","dc:title":"antioxidant"},{"@id":"https://cir.nii.ac.jp/all?q=acute%20ischemic%20stroke","dc:title":"acute ischemic 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