The physiological and pharmacological role of presynaptic alpha- and beta-adrenoceptors in man

Br J Clin Pharmacol. 1985 Dec;20(6):649-58. doi: 10.1111/j.1365-2125.1985.tb05124.x.

Abstract

Two studies were performed each in six normal volunteers in order to find evidence of either a physiological or pharmacological role of presynaptic alpha- and presynaptic beta-adrenoceptors in man. In Study 1 subjects received a 60 min infusion of guanfacine 3 mg (alpha 2-adrenoceptor agonist) preceded by either idazoxan (alpha 2-adrenoceptor antagonist) or vehicle. Guanfacine reduced plasma noradrenaline concentration by approximately 30% and this fall was not antagonised by the alpha 2-receptor antagonist. The 30-fold increase in plasma growth hormone, measured as a marker of the central action of guanfacine, was almost completely blocked by idazoxan. A comparison of the drug concentrations of idazoxan and guanfacine, together with their relative affinities for alpha 2-adrenoceptors, suggested that the idazoxan could not block the peripheral actions of guanfacine and that these were responsible for the fall in plasma noradrenaline concentration. In Study 2 adrenaline 0.05 micrograms kg-1 min-1 was infused for 80 min preceded by either idazoxan or vehicle. After vehicle, adrenaline caused no change in plasma noradrenaline concentration whereas it rose approximately 25% after administration of idazoxan. This was probably due to unmasking of presynaptic beta-adrenoceptor stimulation by adrenaline when the opposing inhibitory autoreceptor was blocked.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology
  • Adult
  • Blood Pressure / drug effects
  • Dioxanes / pharmacology
  • Guanfacine
  • Guanidines / pharmacology
  • Heart Rate / drug effects
  • Humans
  • Idazoxan
  • Insulin / blood
  • Male
  • Norepinephrine / blood
  • Phenylacetates / pharmacology
  • Propanolamines / pharmacology
  • Receptors, Adrenergic, alpha / drug effects*
  • Receptors, Adrenergic, alpha / physiology
  • Receptors, Adrenergic, beta / drug effects*
  • Receptors, Adrenergic, beta / physiology
  • Receptors, Neurotransmitter / drug effects*

Substances

  • Adrenergic beta-Antagonists
  • Dioxanes
  • Guanidines
  • Insulin
  • Phenylacetates
  • Propanolamines
  • Receptors, Adrenergic, alpha
  • Receptors, Adrenergic, beta
  • Receptors, Neurotransmitter
  • Guanfacine
  • ICI 118551
  • Norepinephrine
  • Idazoxan