Summary
Changes in blood pressure, heart rate, hematocrit, O2 consumption, blood glucose, lactate, pyruvate and FFA during intravenous adrenaline infusion alone and after pre-treatment with alprenolol (Aptin®), a beta-adrenergic receptor blocker, were studied in four healthy fasting male subjects according to double-blind technique with saline infusions as control. Adrenaline alone caused increases in heart rate, hematocrit and systolic blood pressure and a decrease in diastolic pressure. After alprenolol, adrenaline infusion gave a decrease in heart rate with an increase in both systolic and diastolic blood pressure, while the hematocrit was unchanged. The adrenaline infusion caused significant rises in all the metabolic variables studied. Pre-treatment with alprenolol abolished all these rises with the exception of blood glucose.
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Åblad, B., M. Brogård, and L. Ek: Pharmacological properties of H 56/28 — a β-adrenergic receptor antagonist. Acta pharmacol. (Kbh.) 25, suppl. 2, 9–40 (1967).
G. Johnsson, A. Norrby, and L. Sölvell: Potency and time-effect relationship in man of propranolol and H 56/28 - comparative studies after oral administration. Acta pharmacol. (Kbh.) 25, suppl. 2, 85–94 (1967b).
Abramson, E. A., R. A. Arky, and K. A. Woeber: Effects of propranolol on the hormonal and metabolic responses to insulin-induced hypoglycaemia. Lancet 1966 II, 1386–1388.
Bauer, H.: Die Brentztraubensäurekonzentration im Blut von multiplen Sklerosen und Kontrollfällen; vergleichende Studien zur Methodik und klinischen Bedeutung der Brentztraubensäurebestimmung im Blut. Biochem. Z. 327, 491–501 (1956).
Bertler, Å., A. Carlsson, and E. Rosengren: A method for the fluorimetric determination of adrenaline and noradrenaline in tissues. Acta physiol. scand. 44, 273–292 (1958).
Björntorp, P.: The treatment of angina pectoris with a new beta-receptor blocking agent (H 56/28). Acta med. scand. 182, 285–291 (1967).
L. Ex, S. Olsson, and G. Schröder: The effect of a β-adrenergic receptor antagonist (H 56/28) on lipid mobilization. Acta pharmacol. (Kbh.) 25, suppl. 2, 51–62 (1967).
Carlsson, A., B. Folkow, and J. Häggendal: Some factors influencing the release of noradrenaline into the blood following sympathetic stimulation. Life Sci. 3, 1335–1341 (1964).
Celander,O.: The range of control exercised by the ‘sympatho-adrenal system’. Acta physiol. scand. 32, suppl. 116 (1954).
Chaplin, H., and P.L. Mollison: Correction for plasma trapped in the red cell column of the hematocrit. Blood 7, 1227–1238 (1952).
Eggstein, M., W. Knodel, H. Krämer, and P. Baetzner: Substrat- und Metabolitverschiebungen im Blut nach Adrenalin und β-Rezeptoren-Blockern. Klin. Wschr. 45, 943–950 (1967).
von Eiff, A. W., A. Czernik, and K. Zanders: Zur medikamenösen Beeinflussung der Sympatikushyperaktivität. Parasympathomimeticum und Beta-Rezeptorenblocker im kurzdauernden pharmakologischen Experiment am Menschen. Klin. Wschr. In print.
Eliasch, H., C. G. Lager, C. Norrbeck, A. Rosen, and H. Scott: The beta-adrenergic receptor blockade modification of the systemic haemodynamic effects of Link trainer simulated flight. Försvarsmedicin 3, suppl. 2, 120 (1967).
Ellis, S.: The effects of sympathomimetic amines and adrenergic blocking agents on metabolism. Ed. Root W.S. and F.G. Hofman. In: Physiological Pharmacology 4, 179–213 (1967).
Epstein, S. E., B. F. Robinson, R. L. Kahler, and E. Braunwald: Effects of β-adrenergic blockade on the cardiac response to maximal and submaximal exercise in man. J. clin. Invest. 44, 1745–1753 (1965).
Folkow, B., J. Häggendal, and B. Lisander: Extent of release and elimination of noradrenaline at peripheral adrenergic nerve terminals. Acta physiol. scand. suppl. 307 (1967).
B. Löfving, and S. Mellander: Quantitative aspects of the sympathetic neuro-hormonal control of the heart rate. Acta physiol. scand. 36, 363–369 (1956).
Forsberg, S.A., and G. Johnsson: Hemodynamic effects of propranolol and H 56/28 in man — a comparative study of two β-adrenergic receptor antagonists. Acta pharmacol. (Kbh.) 25, suppl. 2, 75–83 (1967).
Furberg, C., and G. Michaelson: Beta-adrenergic blocking therapy with Aptin in arterial hypertension. Acta med. scand. In print.
Häggendal, J.: An improved method for fluorimetric determination of small amounts of adrenaline and noradrenaline in plasma and tissues. Acta physiol. scand. 59, 242–254 (1963).
Harris, W. S., G. D. Schoenfeld, R. H. Brooks, and A.M. Weissler: Receptor mechanisms for the metabolic and circulatory actions of epinephrine in man. J. clin. Invest. 44, 1058 (1965).
,, , and A.M. Weissler Effect of β-adrenergic blockade on the hemodynamic responses to epinephrine in man. Amer. J. Cardiol. 17, 484–492 (1966).
Himms-Hagen, J.: Sympathetic regulation of metabolism. Pharmacol. Rev. 19, 367–461 (1967).
Johnsson, G.: Humanfarmakologiska studier över adrenerga mekanismers inverkan på hemodynamiken. Dissert. Göteborg (1967). — M. De Guzman, H. Bergman, and R. Sannerstedt: Hemodynamic effects of alprenolol and propranolol at rest and during exercise in hypertensive patients. Pharmacol. Clin., in print (1969).
Levin, K., and S. Linde: Bestämning av glykos i bled, liquor och urin mod ett nytt glykosoxidas-reagens. Svenska Läk.-Tidn. 59, 3016–3036 (1962).
Lundholm, L., E. Mohme-Lundholm, and N. Svedmyr: Metabolic effects of catecholamines. Chapter in Biological Bases of Medicine. London: Academic Press, in print (1968).
Mellander, S.: Comparative studies on the adrenergic neurohormonal control of resistance and capacitance blood vessels in the cat. Acta physiol. scand. 50, suppl. 176, 1–86 (1960).
Pilkington, T.R.E., R. D. Lowe, BF. Robinson, and E. Titterington: Effect of adrenergic blockade on glucose and fatty-acid mobilisation in man. Lancet 1962 II, 316–317.
Porte, D.: Mechanism for the regulation of serum insulin levels by catecholamines in man. J. clin. Invest. 45, 1057–1058 (1966).
A receptor mechanism for the inhibition of insulin release by epinephrine in man. J. clin. Invest. 46, 8694 (1967).
Prichard, B.N.C., and E. J. Ross: Use of propranolol in conjunction with alpha-receptor blocking drugs in pheochromocytoma. Amer. J. Cardiol. 18, 394–398 (1966).
Scholz, R., H. Schmitz, Th. Bücher, and J. O. Lampen: Effect of nystatin on yeast. Biochem. Z. 331, 71–86 (1959).
Sonnenblick, E. H., J. ROSS Jr., J. W. Cowell, G. A. Kaiser, and E. Braunwald: Velocity of contraction as a determinant of myocardial oxygen consumption. Amer. J. Physiol. 209, 919–927 (1965).
Svedmyr, N., and L. Lundholm: The influence of an adrenergic β-receptor blocking agent (DL-4(2-isopropylamino-1-hydroxylethyl)methane-sulphonanilide, M J 1999) on some of the metabolic effects of adrenaline in man. Life Sci. 6, 21–29 (1967).
Trout, D.L., E.H. Estes Jr., and S.J. Friedberg: Titration of free fatty acids of plasma; a study of current methods and a new modification. J. Lipid. Res. 1, 199–202 (1960).
Vendsalu, A.: Studies on adrenaline and noradrenaline in human plasma. Acta physiol. scand. 49, suppl. 173 (1960).
Wenke, M.: In: Advances in Lipid Research. Ed.: R. Paoletti and D. Kritchevsky 69–105 (1966).
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Kral, J.G., Åblad, B., Björntorp, P. et al. Metabolic and cardiovascular effects of adrenaline and alprenolol (Aptin®) in human subjects. Pharmacol. Clin. 2, 40–45 (1969). https://doi.org/10.1007/BF00404185
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DOI: https://doi.org/10.1007/BF00404185