Vasoactive properties of phenylpropanolamine (d, I-norephedrine) and its enantiomers in isolated rat caudal artery

Stereoconfiguration of antiallergic and immunologic drugs

OBJECTIVE

To review the concept of chirality and its current role in the pharmacology of antiallergic, antiasthmatic, and immunologic agents.

DATA SOURCES

Ovid MEDLINE and PubMed databases from 1950 to the present time were searched.

STUDY SELECTION

Articles that described the pharmacology of chiral antiallergic, antiasthmatic, and immunologic medications were used for this review.

RESULTS

Stereoselectivity affects the pharmacologic profiles of medications in different ways from class to class and within the classes. This summary illustrates that enantiomers differ not only in potency in receptor binding and physiologic effects but also in pharmacokinetic parameters such as volume of distribution, plasma protein binding, metabolism, and clearance. Different enantiomers may produce unrelated pharmacologic effects as well. This review summarizes the variety of possible effects that different stereoisomers may produce and further underlines the importance of the purification and in-depth analysis of chiral compounds.

CONCLUSION

Chirality plays an important role in pharmacokinetics and pharmacodynamics of various pharmaceutical agents. The importance of stereoisomeric purity in the pharmacologic industry has increased during the past decade as demonstrated by the increased number of studies that examined the in vivo and in vitro effects produced by changes in stereoconfiguration of pharmaceutical agents. This review highlights such effects in certain frequently used medications used in the treatment of asthma and various allergic and immunologic disorders.

Effects of dl-norephedrine and its enantiomers on norepinephrine uptake and release in isolated rat caudal artery

Racemic norephedrine (dl-NOR), is a phenylethylamine derivative that is pharmacologically classified as a mixed-acting sympathomimetic amine. It is the active ingredient in many over-the-counter nasal decongestants and diet aid products. This research project was performed to examine the effects of dl-NOR and constituent enantiomers on the uptake and release of tritiated norepinephrine (3H-NE) in vascular tissue. All three NOR species significantly inhibited the uptake of 3H-NE into the isolated caudal artery of male Sprague-Dawley rats (p < 0.01). There was no significant difference in potency between either d- or l-NOR for this effect. There was, however, no effect of any NOR species on 3H-NE release, not even at concentrations which effectively inhibited uptake. These results indicate that inhibition of NE reuptake may be a component of the mechanism of action of NOR, but that a displacement of NE from neuronal storage sites is not. However, because the vasoactive effects of NOR have been shown to be mediated almost exclusively through the l-enantiomer, the lack of stereoselectivity in the current study indicates that the blockade of NE uptake by NOR is only a minor component of its vasoactive properties.

Comparison between phenylpropanolamine and structurally related compounds on gastric transit in the rat

Our laboratory previously reported several pharmacological differences between phenylpropanolamine [PPA; (+/-)-norephedrine] and its structurally related compounds in regard to their activity on cardiovascular and appetite-suppressant parameters. The present study investigates the pharmacological differences between PPA, [1R,2R]-(-)-norephedrine [(-)-NOR], [1S,2S]-(+)-norephedrine [(+)-NOR], [1R,2S]-(-)-ephedrine [(-)-EPH], [1S,2R]-(+)-ephedrine [(+)-EPH], [1R,2S]-(-)-norpseudoephedrine [(-)-NORP], [1S,2R]-(+)-norpseudoephedrine [(+)-NORP], [1R,2R]-(-)-pseudoephedrine [(-)-PSE], and [1S,2S]-(+)-pseudoephedrine [(+)-PSE], as determined by their ability to inhibit gastric transit in the rat. (-)-Norephedrine was approximately three times more potent in inhibiting gastric transit than (+)-NOR (p < 0.01). As anticipated, the racemic mixture, PPA, demonstrated an ED50 (25.1 mg/kg) of approximately the mean of the ED50s from the component enantiomers (14.7 and 47.0 mg/kg, respectively). Similarly, administration of 20 mg/kg of either (-)-EPH, (+)-EPH, (-)-PSE, or (+)-PSE significantly decreased gastric transit by 26% (p < 0.001), 12% (p < 0.01), 10% (p < 0.01), and 11% (p < 0.01), respectively. Administration of (-)-NORP and (+)-NORP were without effect. These data confirm and extend previous findings demonstrating pharmacological differences between PPA and its structurally related compounds.

Effects of L-tyrosine on mixed-acting sympathomimetic-induced pressor actions

We previously reported the ability of L-tyrosine (L-TYR) to potentiate the anorectic activity of various mixed-acting sympathomimetics including [R*S*]-(+/-)-norephedrine [phenylpropanolamine (PPA)], [1R,2S]-(-)-ephedrine (EPH), and [S]-(+)-amphetamine (AMPH) in hyperphagic rats. Included in those studies was the attenuation of L-TYR's effect when coadministered with L-valine, a large neutral amino acid that competes with L-TYR for uptake into the brain, suggesting a central locus for the action of L-TYR. Additional studies demonstrated the inability of L-TYR to alter the peripherally mediated PPA-, EPH-, and AMPH-induced increases in gastrointestinal transit time and retention and intrascapular brown adipose tissue thermogenesis. Because the mixed-acting sympathomimetics are known to increase blood pressure, these studies examined the ability of L-TYR to influence the pressor responses to PPA, EPH, and AMPH (0.03-1 mg/kg) in urethane-anesthetized rats. Each of the mixed-acting sympathomimetics significantly increased mean arterial, systolic, and diastolic blood pressures when administered alone, but no potentiation by L-TYR was observed. These results demonstrate the inability of L-TYR to potentiate the peripheral vasopressor effects of PPA, EPH, and AMPH. These data, in conjunction with our previous findings, suggest that the potentiation by L-TYR of the mixed-acting sympathomimetics is largely restricted to centrally mediated responses.