Key result
The β₂-adrenoceptor antagonist ICI 118551 prevented epinephrine-induced decreases in mean arterial pressure across intranasal, intravenous, and intra-arterial administration routes in rats.
Why the study?
Does ICI 118551 prevent epinephrine-induced blood pressure reduction in rats?
RCT (n=144)
equally randomized
Does ICI 118551 prevent epinephrine-induced blood pressure reduction in rats?
Epinephrine-induced hypotension in rats is mediated by β₂-adrenoceptor activation and can be prevented by the antagonist ICI 118551.
No immediate change to epinephrine use; leaves open whether β₂ blockade modulates human vasopressor responses.
BACKGROUND: Epinephrine was recently shown to induce a hypotension episode. Activation of β₂-adrenoceptors with smooth muscle relaxation may be the underlying mechanism. This study investigated the effects of ICI 118551, a β₂-adrenoceptors antagonist, on epinephrine-induced blood pressure reduction via different administration routes in rats. METHODS: A total of 144 Sprague Dawley rats were equally randomized into 3 groups (intranasal, intravenous, and intra-arterial administration), each with 4 subgroups: saline + saline, ICI 118551 + saline, saline + epinephrine, and ICI 118551 + epinephrine. All rats were anesthetized while spontaneously breathing. Epinephrine was administered at doses of 5 μg/kg via nose, 0.25 μg/kg via femoral vein, and 0.1 μg/kg via aorta. Mean arterial pressure and heart rate were monitored. RESULTS: Mean arterial pressure decreased in all 3 saline + epinephrine subgroups after administration (P < 0.05), whereas it did not in other subgroups. Heart rate had no significant change in all subgroups. CONCLUSIONS: Epinephrine-induced blood pressure reduction can be prevented by ICI 118551 in rats, suggesting that the activation of β₂-adrenoceptors contributes to blood pressure reduction.
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Wu et al. (2013) reported an RCT. ICI 118551 vs. saline was evaluated on Mean arterial pressure (p=<0.05). The β₂-adrenoceptor antagonist ICI 118551 prevented epinephrine-induced decreases in mean arterial pressure across intranasal, intravenous, and intra-arterial administration routes in rats.
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