The effect of desmethylimipramine on reserpine and insulin-induced release of gastric histamine and adrenal catecholamines

The effect of desmethylimipramine on reserpine and insulin-induced release of gastric histamine and adrenal catecholamines

Life Sciences Vol. 3, pp. 381-388, 1984. Pergamon Press, Inc. Printed in the United States . THE EFFECT OF DESNiETIiYLII4IPRAMINE ON RESERPINE AND IN...

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Life Sciences Vol. 3, pp. 381-388, 1984. Pergamon Press, Inc. Printed in the United States .

THE EFFECT OF DESNiETIiYLII4IPRAMINE ON RESERPINE AND INS[TLIN-INDIICED RELEASE OF GASTRIC HISTAMINE AND ADRIIZAh CATECHCLAMINFS~ Parkhorst A . Shore and Dorothy Buafield2 Department of Pharmacology IIniveraity of Texas Southwestern Medical School, Dansa, Texas

(Received 12 March 1984) The administration of insulin or reserpi.ne is known to cause gastric acid secretion and lesions in the gastric mucosa (1-4) . It has been demonstrated recently that these same agents induce a lowering of gastric histamine levels in the rat (5) .

The action

of either reaerpine or insulin in promoting gastric acid secretion or in lowering gastric histamine levels can be abolished or largely blocked by vagotomy or by pretreatment with a gsnglionic blocking agent, thus demonstrating that the histamine-lowering effect of both agents is associated with vagal activity (5) . Reserpine and insulin are also known to effect a lowering of the adrenal catecholamine content in various species (6-9) .

The

mechanism is associated with sympathetic activity, as the catecholamine lowering induced by either of these agents can be in}, i bited by ganglionic blockade or surgical interruption of the

sympathetic pathway to the adrenal gland (7,$) . The antidepressant drug, imipramiae, has been shown to possess "anti-reaerpine" properties including antagonism of reserpine-induced CNS depression sad inhibition of peripheral manifestations of reserpine actions such as salivation sad Supported by PHS Research Grant MH-05$31 . 2 Guest Worker from Gleao Laboratories, Middlesex, England .

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EFFECT OF DMI ON AMIIdE RELEASE blepheroapasm (10,11) .

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Imipramine has also been shown to inhibit

reserpine-induced gastric lesions and adrenal catecholamine lowering (11,12) . Studies of the metabolic fate of imiprami.n e have revealed that these anti-reaerpine actions of imipramine reside in its metabolic product, de~ethylimipramine ( 10-1 2 ), which has been reported to exert an antidepressant effect in man more rapidly than the parent drug (13) . In the present paper, the action of desmethylimipramine (IMI) on reserpine and insulin induced gastric histamine and adrenal catecholamine lowering has been studied in the rat .

It will be

demonstrated that IIü is capable of inhibiting each of these effects . Methods Fasted fe~ma7.e Holtzman rata (]1t0-180 g) were treated with insulin (5 II/100 g) or reserpine (5 mg/kg) as described in a previous publication (5) .

For assessment of drug-induced effects

on gastric histamine content, rats were killed 5 hours after insulin or reaerpine .

For assessment of effects on catecholemine

content of the adrenals, rats were killed 5 hours after insulin or 16 hours after reaerpiae administration .

Histamine content of

whole washed stomach, and catecholamine content (epinephrine and norepinephrine) of whole left adrenal gland were measured fluorometrically ea described elsewhere (].L,.,15) .

IMI (20 mg/kg) was

administered intraperitoaeally 30 min before insulin or reaerpine . RQaulta Administration of reaerpine or insulin markedlry reduced the gastric histamine content (Fig . 1) and the adrenal catecholamine content (Fig . 2) .

Pretreatment of the animals with IIrII blocked

or greatly inhibited the action of insulin and reserpine oa both

EFFECT OF DMI ON AMII~TE RELEASE

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gastric histamine and adrenal catecholamine content (Figs . 1 and

so

s

0

fenfref

OMI

~wpirr

OMI + ~r

Irnufin

DMI + Irwutin

FIG . 1 Effect of desmethylimipramine on reserpine and insulin-induced Experimental details are gastric histamine lowering in the rat . described tinder METHOAS . Vertical columns denote mean histamine concentration t standard error . Figures within coltmlna denote ntmtber of experiments . Effect of DMI on reaerpine or insulin responses is highly significant (P z 0 .001) .

fo

5

O

FIG . 2 Effect of desmethylimipramine on reaerpine end insulin-induced Experimental details adrenal catecholamine lowering in the rat . are described under METHODS . Vertical columns denote mean catecholemine content t standard error per left e.drenal gland . Figures within cohlmna denote number of ezperimenta . Effect of DMI oa reaerpine or insulin responses is highly significant (P ~ 0 .001) .

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l?~acuasion The action of insulin and reaerpine in lowering gastric histamine content and adrenal catecholamine content confirms the earlier work cited above .

The action of II~II in inhibiting

reaerpine-induced catecholamine lowering in the adrenals is also in accord with previous reports .

The present work shows that II~II

is capable of inhibiting yet another action of reaerpine, release of gastric histamine .

Of more significance, however, is the

ability of IMI to antagonize the catecholamine and histamine lowering induced~by insulin .

This finding demonstrates that II~II

is not specifically an anti-reserpine agent insofar as peripheral amine lowering i§ concerned . The actions of imipremine and its active metabolic product, LMI, are complez .

Thus, in low doses, imipremine has been

reported to potentiàte, while higher doses inhibit, the autonomic responses following administration of a ganglionic stimulant (16) . The drug has a similar biphasic action on the carotid occlusion reflex and decreases the response of the cat's nictitating membrane to pre- or poatganglionic electrical stimulation of the cervical sympathetic nerve .

Oaborae end Sigg (16) conclude that

the action of imipramine in "potentiating or decreasing peripheral adrenergic sad cholinergic responses is dus to changes in transmission of impulses along nerve fibers and/or at synapses ." The action of IMI in decreasing the effects of both reaerpine and insulin on gastric histamine and adrenal catecholeminea is perhaps most simply ezplained by this mechanism as similar inhibition of reserpine or insulin effects on tissue amines can be elicited by geaglionic blocking agents or nerve transaction . possibility remains, however, that at least a portion of these

The

effects of IIü might reside in a central action of the drug in

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