Receptor occupancy in lumbar CSF as a measure of the antagonist activity of atenolol, metoprolol and propranolol in the CNS

Br J Clin Pharmacol. 1993 May;35(5):507-15. doi: 10.1111/j.1365-2125.1993.tb04177.x.

Abstract

1. The antagonist activity of atenolol, metoprolol and propranolol in the CNS was estimated by determining the extent to which the drugs occupy animal beta 1- and beta 2-receptors in CSF ex vivo at the time of lumbar puncture. 2. Five CSF and plasma samples were obtained 4 h after drug intake from subjects treated for hypertension with atenolol, 100 mg once daily and five from subjects treated with metoprolol, 50 mg three times daily. Twenty-four samples were obtained 1, 2, 4 or 12 h after drug intake from subjects receiving a single 40 mg dose of propranolol. 3. The receptor occupancy in the samples was determined by adding beta 1-receptors of rabbit lung and beta 2-receptors of rat reticulocytes into the samples and labeling the receptors with a nonselective beta-adrenoceptor antagonist, (-)-[3H]-CGP-12177. 4. Atenolol and metoprolol occupied, as expected, larger fractions of beta 1- than beta 2-receptors in CSF and plasma samples. The receptor fraction occupied by atenolol in CSF was significantly (P < 0.05) lower than that occupied by metoprolol. The differences in occupancy between the drugs in plasma, however, were not statistically significant. 5. Propranolol occupied larger fractions of beta 2- than beta 1-receptors in the samples. Although propranolol concentrations in CSF were only 1/20-1/40 of those in plasma, the receptor occupancy of propranolol in CSF was similar to that in plasma.(ABSTRACT TRUNCATED AT 250 WORDS)

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adrenergic alpha-Antagonists / cerebrospinal fluid*
  • Adrenergic alpha-Antagonists / pharmacology
  • Adult
  • Animals
  • Atenolol / cerebrospinal fluid
  • Atenolol / pharmacology
  • Central Nervous System / drug effects*
  • Female
  • Humans
  • In Vitro Techniques
  • Male
  • Metoprolol / cerebrospinal fluid
  • Metoprolol / pharmacology
  • Middle Aged
  • Propanolamines / pharmacology
  • Propranolol / cerebrospinal fluid
  • Propranolol / pharmacology
  • Rabbits
  • Rats
  • Receptors, Adrenergic, alpha / drug effects*

Substances

  • Adrenergic alpha-Antagonists
  • Propanolamines
  • Receptors, Adrenergic, alpha
  • Atenolol
  • Propranolol
  • Metoprolol
  • CGP 12177