Skip to main content
Log in

Metabolic and cardiovascular effects of adrenaline and alprenolol (Aptin®) in human subjects

  • Originals
  • Published:
Pharmacologia Clinica Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • 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).

    Google Scholar 

  • 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).

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • Björntorp, P.: The treatment of angina pectoris with a new beta-receptor blocking agent (H 56/28). Acta med. scand. 182, 285–291 (1967).

    PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • 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).

    Article  Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • 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).

    Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • 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).

    Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • ,, , and A.M. Weissler Effect of β-adrenergic blockade on the hemodynamic responses to epinephrine in man. Amer. J. Cardiol. 17, 484–492 (1966).

    Article  PubMed  Google Scholar 

  • Himms-Hagen, J.: Sympathetic regulation of metabolism. Pharmacol. Rev. 19, 367–461 (1967).

    PubMed  Google Scholar 

  • 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).

    Google Scholar 

  • Lundholm, L., E. Mohme-Lundholm, and N. Svedmyr: Metabolic effects of catecholamines. Chapter in Biological Bases of Medicine. London: Academic Press, in print (1968).

    Google Scholar 

  • 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).

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Porte, D.: Mechanism for the regulation of serum insulin levels by catecholamines in man. J. clin. Invest. 45, 1057–1058 (1966).

    Google Scholar 

  • A receptor mechanism for the inhibition of insulin release by epinephrine in man. J. clin. Invest. 46, 8694 (1967).

    Google Scholar 

  • 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).

    Article  PubMed  Google Scholar 

  • Scholz, R., H. Schmitz, Th. Bücher, and J. O. Lampen: Effect of nystatin on yeast. Biochem. Z. 331, 71–86 (1959).

    Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

    Article  Google Scholar 

  • 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).

    PubMed  Google Scholar 

  • 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).

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00404185

Keywords

Navigation