Summary
In the present study the effects of pindolol [nonselective β-adrenoceptor antagonist with strong partial agonistic activity (PAA)] on β2-adrenoceptor density in lymphocytes (assessed by (-)-[125I]iodocyanopindolol (ICYP) binding) were compared with those of the β1-selective antagonists celiprolol (with PAA) and bisoprolol (no PAA) in normotensive young volunteers to get further insights into the nature of PAA.
-
1)
Administration of pindolol (2×5 mg/day) caused an about 25% decrease in lymphocyte β2-adrenoceptor density after 2 days; during treatment β2-adrenoceptor density declined further (maximum decrease after 7 days: 50%). After withdrawal of pindolol lymphocyte β2-adrenoceptor density recovered very slowly being still after 4 days significantly reduced, although no pindolol was detectable in plasma after 36 h. The K D-values for ICYP, however, did not change during or after pindolol treatment. The decrease in lymphocyte β2-adrenoceptor density induced by pindolol could be completely prevented by simultaneous administration of propranolol (3×40 mg/day) indicating that the PAA of pindolol is the cause of its β-adrenoceptor decreasing effect.
-
2)
Administration of the non-selective β-adrenoceptor antagonist bopindolol (1×2 mg/day) with PAA caused decreases in lymphocyte β2-adrenoceptor density (maximum decrease after 7 days: 40%); concomitantly the 10 μmol/l (-)-isoprenaline evoked increases in the intracellular level of lymphocyte cyclic AMP were attenuated to a similar extent indicating that the β-adrenoceptor antagonist-induced decrease in β-adrenoceptor density is accompanied by a loss in β-adrenoceptor function.
-
3)
Administration of the β1-selective antagonist celiprolol (1×200 mg/day) with PAA produced effects comparable to those of pindolol and bopindolol: during celiprolol treatment lymphocyte β2-adrenoceptor density and 10 μmol/l (-)-isoprenaline evoked cyclic AMP increases decreased significantly (maximum effect after 7 days: 35%). On the other hand, the β1-selective antagonist bisoprolol (1×10 mg/day) without PAA did not affect lymphocyte β2-adrenoceptor density which strongly supports the view that drug-induced changes in lymphocyte β-adrenoceptors are subtype-selective changes in β2-adrenoceptors.
-
4)
The celiprolol evoked reduction in lymphocyte β2-adrenoceptor density and 10 μmol/l (-)-isoprenaline evoked cyclic AMP increases were abolished by simultaneous administration of propranolol (3×40 mg/day), but not by concomitant application of the β1-adrenoceptor antagonist bisoprolol (1×10 mg/day).
-
5)
It is concluded that the PAA of β-adrenoceptor antagonists possesses a β2-agonistic component since all β-adrenoceptor antagonists with relatively strong PAA-irrespective of to whether they are non-selective (pindolol, bopindolol) or β1-selective (celiprolol)-decrease lymphocyte β2-adrenoceptor density. Whether the PAA of β-adrenoceptor antagonists is solely a β2-effect or tissuedependently a β1- or β2-effect, remains to be elucidated
Similar content being viewed by others
References
Aarons RD, Nies AS, Gal J, Hegstrand LR, Molinoff PB (1980) Elevation of β-adrenergic receptor density in human lymphocytes after propranolol administration. J Clin Invest 65:949–957
Borchard U, Hafner D, Hirth C (1985) In vitro studies on the pharmacological properties of diacetolol, the major metabolite of acebutolol in man. Arch Int Pharmacodyn Ther 273:4–17
Böyum A (1968) Isolation of mononuclear cells and granulocytes from human blood. Scand J Clin Lab Invest 21:Suppl 97:77–89
Brodde O-E, Daul A, Bock KD (1985a) The intrinsic sympathomimetic activity of β-adrenoceptor antagonists is not β-adrenoceptor subtype selective (Abstract). Naunyn-Schmiedeberg's Arch Pharmacol 329 Suppl R 322
Brodde O-E, Daul A, Stuka N, O'Hara N, Borchard U (1985b) Effects of β-adrenoceptor antagonist administration on β2-adrenoceptor density in human lymphocytes. The role of the “intrinsic sympathomimetic activity”. Naunyn-Schmiedeberg's Arch Pharmacol 328:417–422
Brodde O-E, Engel G, Hoyer D, Bock KD, Weber F (1981) The β-adrenergic receptor in human lymphocytes: Subclassification by the use of a new radio-ligand, (±)-125iodocyanopindolol. Life Sci 29:2189–2198
Bryan LJ, Cole JJ, O'Donnell SR, Wanstall JC (1981) A study designed to explore the hypothesis that beta-1 adrenoceptors are “innervated” receptors and beta-2 adrenoceptors are “hormonal” receptors. J Pharmacol Exp Ther 216:395–400
Cook N, Richardson A, Barnett DB (1984) Comparison of the β1-selective affinity of prenalterol and corwin demonstrated by radioligand binding. Eur J Pharmacol 98:407–412
Freyss-Beguin M, Griffaton G, Lechat P, Picken D, Quennedey MC, Rouot B, Schwarzt J (1983) Comparison of the chronotropic effect and the cyclic AMP accumulation induced by β2-agonist in rat heart cell culture. Br J Pharmacol 78:717–723
Galeazzi RL, Pirovino M, Weidmann P (1983) Constant kinetics and constant concentration-effect relationship during long-term β-blockade with pindolol. Clin Pharmacol Ther 33:733–740
Gilman AG (1970) A protein binding assay for adenosine 3′,5′-cyclic monophosphate. Proc Natl Acad Sci USA 67:305–312
Giudicelli Y, Lacasa D, Agli B, Leneveu A (1984) Comparison of changes in the characteristics of β-adrenoceptors and responsiveness of human circulating lymphocytes during chronic and after chronic administration of pindolol and propranolol. Eur J Clin Pharmacol 26:7–12
Jones CR, White KF, Reid JL (1985) Haemodynamic, metabolic and lymphocyte β2-adrenoceptor changes following chronic β-adrenoceptor antagonism (Abstract). Br J Clin Pharmacol 19:Suppl 534P
Juberg EN, Minneman KP, Abel PW (1985) 138-3 binding and functional response in right and left atria of rat heart. Naunyn-Schmiedeberg's Arch Pharmacol 330:193–202
Kenakin TP, Beek D (1984) Relative efficacy of prenalterol and pirbuterol for beta-1 adrenoceptors. Measurements of agonist affinity by alteration of receptor number. J Pharmacol Exp Ther 229:340–345
Man in't Veld AJ, Schalekamp MADH (1983) Effects of 10 different beta-adrenoceptor antagonists on hemodynamics, plasma renin activity and plasma norepinephrine in hypertension: the key role of vascular resistance changes in relation to partial agonist activity. J Cardiovasc Pharmacol 5: (Suppl 1) S30-S45
McDevitt DG (1979) Adrenoceptor blocking drugs: clinical pharmacology and therapeutic use. Drugs 17:267–288
Molinoff PB, Aarons RD (1983) Effects of drugs on β-adrenergic receptors on human lymphocytes. J Cardiovasc Pharmacol 5:(Suppl 1) S63-S67
Motulsky HJ, Insel PA (1982) Adrenergic receptors in man. Direct identification, physiologic regulation and clinical alterations. N Engl J Med 307:18–29
Nahorski SR, Howlett DR, Redgrave R (1979) Loss of β-adrenoceptor binding sites in rat striatum following kainic acid lesions. Eur J Pharmacol 60:249–252
Nerme V, Severne Y, Abrahamsson T, Vauquelin G (1985) Endogenous noradrenaline masks beta-adrenergic receptors in rat heart membranes via tight agonist binding. Biochem Pharmacol 34:2917–2922
Platzer R, Galeazzi RL, Niederberger W, Rosenthaler J (1984) Simultaneous modeling of bopindolol kinetics and dynamics. Clin Pharmacol Ther 36:5–13
Prichard BNC (1978) Beta-adrenergic receptor blockade in hypertension, past, present and future. Br J Clin Pharmacol 5:379–399
Prichard BNC, Tomlinson B, Walden RJ, Bhattacharjee P (1983) The β-adrenergic blockade withdrawal phenomenon. J Cardiovasc Pharmacol 5: (Suppl 1) S56-S62
Scatchard G (1949) The attraction of proteins for small molecules and ions. Ann NY Acad Sci 51:660–672
Schiess W, Welzel D, Gugler R (1984) Double-blind comparison of once-daily bopindolol, pindolol and atenolol in essential hypertension. Eur J Clin Pharmacol 27:529–534
Schliep H-J, Harting J (1984) 138-4 of bisoprolol, a new β-adrenoceptor antagonist, in anesthetized dogs and guinea pigs. J Cardiovasc Pharmacol 6:1156–1160
Schwabe U, Ebert R (1972) Different effects of lipolytic hormones and phosphodiesterase inhibitors on cyclic 3′,5′-AMP levels in isolated fat cells. Naunyn-Schmiedeberg's Arch Pharmacol 274:287–298
Scriabine A (1979) β-Adrenoceptor blocking drugs in hypertension. Annu Rev Pharmacol Toxicol 19:269–284
Smith RD, Wolf PS (1984) Celiprolol. In: Scriabine A (ed) New drugs annual: Cardiovascular drugs, vol 2. Raven Press, New York, pp 19–35
Stiles GL, Caron MG, Lefkowitz RJ (1984) β-Adrenergic receptors: biochemical mechanisms of physiological regulation. Physiol Rev 64:661–743
Szecsi E, Kohlschütter S, Schiess W, Lang E (1982) Abrupt withdrawal of pindolol or metoprolol after chronic therapy. Br J Clin Pharmacol 13:Suppl 2, 353S-357S
Van Baak MA, Struyker Boudier AJ, Smits JFM (1985). Antihypertensive mechanisms of beta-adrenoceptor blockade: a review. Clin Exp Hypertension A 7:1–72
Vanhees L, Fagard R, Hespel P, Lijnen P, Amery A (1985) Renin release: β1- or β2-receptro mediated? N Engl J Med 312:123–124
Van Inwegen RG, Khandwala A, Weinryb I, Pruss TP, Neiss E, Sutherland CA (1984). Effects of celiprolol (REV 5320), a new cardioselective beta-adrenoceptor antagonist, on in vitro adenylate cyclase, alpha-and beta-adrenergic receptor binding and lipolysis. Arch Int Pharmacodyn Ther 272:40–55
Walden RJ, Bhattacharjee P, Tomlinson B, Cashin J, Graham BR, Prichard BNC (1982) The effect of intrinsic sympathomimetic activity on β-receptor responsiveness after β-adrenoceptor blockade withdrawal. Br J Clin Pharmacol 13:Suppl 2, 259S-364S
Wang XL, Brinkmann M, Brodde O-E (1985) Selective labelling of β1-adrenoceptor in rabbit lung membranes by (-)-3H-bisoprolol. Eur J Pharmacol 114:157–165
Weber F, Brodde O-E, Anlauf M, Bock KD (1983) Subclassification of human beta-adrenergic receptors mediating renin release. Clin Exp Hypertension A 5:225–238
Wilson C, Lincoln C (1984) β-Adrenoceptor subtypes in human, rat, guinea-pig and rabbit atria. J Cardiovasc Pharmacol 6:1216–1221
Wood AJJ, Feldman R, Nadeau J (1982) Physiological regulation of beta-receptors in man. Clin Exp Hypertension A 4:807–817
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Brodde, OE., Schemuth, R., Brinkmann, M. et al. β-Adrenoceptor antagonists (non-selective as well as β 1-selectiveβ 2-adrenoceptor density in human lymphocytes. Naunyn-Schmiedeberg's Arch. Pharmacol. 333, 130–138 (1986). https://doi.org/10.1007/BF00506515
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00506515