A mechanistic study of beta-adrenoceptor antagonists on ethanol-induced gastric damage

S K Kaan1, Q B Mei, C H Cho

  • 1Department of Pharmacology, Faculty of Medicine, University of Hong Kong.

Insights

Beta-2 adrenoceptor antagonists, like butoxamine, reduce gastric ulcers by inhibiting neutrophil infiltration and increasing prostaglandin E2 levels. Propranolol also showed anti-ulcer effects, while metoprolol did not.

Area of Science:

  • Pharmacology
  • Gastroenterology
  • Inflammation research

Background:

  • Beta-adrenoceptor antagonists are used clinically, but their specific roles in anti-ulcer effects require elucidation.
  • Myeloperoxidase (MPO) and prostaglandin E2 (PGE2) are implicated in gastric mucosal injury and protection.

Purpose of the Study:

  • To investigate the roles of beta-adrenoceptor subtypes, MPO, and PGE2 in the anti-ulcer effects of beta-adrenoceptor antagonists.
  • To determine the specific beta-adrenoceptor subtype responsible for the anti-ulcer activity.

Main Methods:

  • Administration of non-selective (propranolol) and selective (metoprolol - beta 1, butoxamine - beta 2) beta-adrenoceptor antagonists.
  • Induction of gastric mucosal damage using ethanol.
  • Assessment of mucosal damage, MPO activity, neutrophil count, and PGE2 levels.

Main Results:

  • Propranolol and butoxamine (oral/intraperitoneal) reduced ethanol-induced gastric mucosal damage and MPO activity.
  • Butoxamine and propranolol reversed ethanol-induced increases in blood neutrophil count.
  • Metoprolol did not significantly affect MPO activity, neutrophil count, or mucosal damage.
  • Oral propranolol and butoxamine increased mucosal PGE2 levels.

Conclusions:

  • Beta-2 adrenoceptor blockade specifically inhibits inflammatory responses, such as neutrophil infiltration, in gastric mucosa.
  • This beta-2 mediated inhibition contributes to the anti-ulcer effects of propranolol and butoxamine.
  • Increased mucosal PGE2 levels by propranolol and butoxamine may also contribute to their gastroprotective actions.

Related Concept Videos

Adrenergic Receptors: ɑ Subtype01:31

Adrenergic Receptors: ɑ Subtype

Adrenoceptors are classified into α and ꞵ classes based on their potencies to catecholamine agonists. α-adrenoceptors show the following order of catecholamine potency:
Adrenaline ≥ Noradrenaline >> Isoprenaline
α-adrenoceptors are further divided into α1 and α2-adrenoceptors.
α1-Adrenoceptors: These receptors are located postsynaptically on the effector organs and cause constriction of smooth muscle mediated by activation of phospholipase C—inositol-1,4,5-trisphosphate...
Adrenergic Receptors: β Subtype01:26

Adrenergic Receptors: β Subtype

β-adrenoceptors have varied sensitivities towards adrenaline, noradrenaline, and isoprenaline. The order of agonist potency is as follows:
Isoprenaline > Adrenaline > Noradrenaline
Neurotransmitter binding to these receptors causes activation of adenylyl cyclase resulting in increased concentrations of cAMP and modulation of calcium ion channels within the cell. They are further classified into β1, β2, and β3 subtypes.
β1-adrenoceptors: β1-adrenoceptors have equal affinities for...
Adrenergic Antagonists: Chemistry and Classification of ɑ-Receptor Blockers01:17

Adrenergic Antagonists: Chemistry and Classification of ɑ-Receptor Blockers

Adrenergic antagonists, or sympatholytics, inhibit adrenoceptor activation driven by catecholamines or agonists. Based on their adrenoceptor specificity, adrenergic blockers can be categorized into two primary groups: α-adrenergic blockers (α-blockers) and β-adrenergic blockers (β-blockers). α-blockers interact with α1 and α2 subtypes of α-adrenoceptors.
Nonselective α-blockers: Nonselective α-blockers contain haloalkylamine or imidazoline moieties. Phenoxybenzamine, with a haloalkylamine...
Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers01:22

Adrenergic Antagonists: Pharmacological Actions of ɑ-Receptor Blockers

α-Adrenergic antagonists, known as α-blockers, exert their effects by inhibiting α-adrenoceptors, leading to specific physiological actions. α1-blockers and α2-blockers have distinct pharmacological actions and therapeutic applications.
α1-blockers: These drugs inhibit α1-adrenoceptors on smooth muscle cells, resulting in vasodilation. This vasodilation lowers blood pressure, making α1-blockers valuable in treating hypertension. Additionally, α1-blockers effectively address urinary obstruction...
Adrenergic Antagonists: ɑ and β-Receptor Blockers01:31

Adrenergic Antagonists: ɑ and β-Receptor Blockers

Third-generation β-blockers, such as labetalol and carvedilol, represent a significant advancement in managing cardiovascular conditions. Unlike conventional β-blockers, which can induce peripheral vasoconstriction, third-generation drugs block α1 adrenoceptors. This promotes vasodilation through several mechanisms, such as increased nitric oxide production, inhibition of calcium ion entry, opening of potassium ion channels, and antioxidant action. Labetalol, for instance, is clinically...
CNS Depressants: Alcohol and Nicotine01:27

CNS Depressants: Alcohol and Nicotine

Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...