Mechanism-based modeling of rebound tachycardia after chronic l-propranolol infusion in spontaneous hypertensive rats

J Pharmacol Exp Ther. 1999 Aug;290(2):664-71.

Abstract

The aims of the study were to characterize the rate and extent of the rebound effect after abrupt cessation of a chronic exposure of l-propranolol in spontaneous hypertensive rats, using exercise-induced tachycardia as a pharmacodynamic endpoint. Thirty-two spontaneous hypertensive rats were randomized to receive either placebo or 4 or 8 mg/kg/day s.c. infusion of l-propranolol for 11 days using osmotic minipumps. The heart rate was measured after standardized physical exercise before and during drug exposure and over 12 days after cessation, using a computerized tail-cuff method. Blood samples were collected after each effect measurement during the infusion. A similar reduction in exercise tachycardia was registered for the two doses. No apparent tolerance development was found, but both doses showed a clear rebound effect of similar extent and intensity. The maximal rebound effect was observed on the second day after cessation and was found to have a duration of about 6 days. A mechanism-based model was developed to describe the rate and extent of changes in beta-adrenoceptor up- and down-regulation with increased sensitivity of the transducer complex. The half-life of disappearance of up-regulated beta-adrenoceptors was estimated to be 2.0 days (1.0-3.9 days). The effect-versus-time data was analyzed by nonlinear mixed-effect modeling with the program NONMEM. A dose-dependent reduction in the growth of body weight was observed during drug treatment, which was reversible. A dose- and time-dependent increase in the alpha(1)-acid glycoprotein concentration was also observed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Antagonists / adverse effects*
  • Adrenergic beta-Antagonists / pharmacokinetics
  • Algorithms
  • Animals
  • Chromatography, High Pressure Liquid
  • Half-Life
  • Heart Rate / drug effects
  • Hypertension / genetics
  • Hypertension / physiopathology*
  • Injections, Subcutaneous
  • Male
  • Models, Biological
  • Physical Conditioning, Animal
  • Physical Exertion / physiology
  • Propranolol / pharmacokinetics
  • Propranolol / toxicity*
  • Random Allocation
  • Rats
  • Rats, Inbred SHR
  • Substance Withdrawal Syndrome / physiopathology*
  • Tachycardia / chemically induced*
  • Tachycardia / physiopathology

Substances

  • Adrenergic beta-Antagonists
  • Propranolol