Effect of prednisolone and ketotifen on beta 2-adrenoceptors in asthmatic patients receiving beta 2-bronchodilators

Eur J Clin Pharmacol. 1988;34(2):145-50. doi: 10.1007/BF00614551.

Abstract

In 13 patients with bronchial asthma, who were on beta 2-adrenergic bronchodilator therapy, the effects of prednisolone and ketotifen on lymphocyte beta 2-adrenoceptor density and -responsiveness were investigated. The mean lymphocyte beta 2-adrenoceptor density and -responsiveness was significantly lower than in healthy controls, presumably due to the long-term beta 2-adrenergic bronchodilator treatment. Both prednisolone 100 mg i.v. and ketotifen 1 mg b.d.p.o. for 6 days rapidly improved lymphocyte beta 2-adrenoceptor function. 16 h after prednisolone and about 6 days after the first dose of ketotifen lymphocyte beta 2-adrenoceptor density and -responsiveness had risen to values within the range in normal volunteers. The improvement of lymphocyte beta 2-adrenoceptor function was accompanied by a significant increase in peak expiratory flow rate before and after inhalation of salbutamol. It is concluded that prednisolone and ketotifen may act beneficially on the recovery of beta 2-adrenoceptor responsiveness to beta 2-adrenergic bronchodilators in tolerant asthmatic patients.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology*
  • Adrenergic beta-Antagonists / therapeutic use
  • Adult
  • Albuterol / pharmacology
  • Albuterol / therapeutic use
  • Asthma / drug therapy
  • Asthma / metabolism*
  • Asthma / physiopathology
  • Bronchodilator Agents / pharmacology*
  • Bronchodilator Agents / therapeutic use
  • Cyclic AMP / metabolism
  • Female
  • Humans
  • Isoproterenol / pharmacology
  • Ketotifen / pharmacology*
  • Lymphocytes / drug effects
  • Lymphocytes / metabolism
  • Male
  • Middle Aged
  • Peak Expiratory Flow Rate
  • Prednisolone / pharmacology*
  • Receptors, Adrenergic, beta / drug effects*
  • Respiratory Function Tests

Substances

  • Adrenergic beta-Antagonists
  • Bronchodilator Agents
  • Receptors, Adrenergic, beta
  • Prednisolone
  • Cyclic AMP
  • Isoproterenol
  • Albuterol
  • Ketotifen