Skip to main content

Abstract

Drug allergies which result in urticaria, angioedema, circulatory insufficiency, or shock are characterized by the fact that some individuals exhibit abnormal reactions without warning, often after the drug has been in widespread clinical use. The reaction can be mediated through an antigen-antibody reaction or through an anaphylactoid reaction probably without involving antibodies in some cases. Certain histamine liberators also produce erythema, pruritus and oedema, symptoms which closely resemble the allergic forms of urticaria and angioedema. Other drugs form complexes with proteins and these then may act as antigens stimulating the host to produce antibodies. However, the reactivity of the host may also be related to its genetical background. For example, the ability of mice to form antibodies to certain polypeptides is controlled by a dominant factor as not all mice are able to respond to these compounds, yet all the mice make antibodies to polypeptides of slightly higher molecular weight [1]. Furthermore, guinea-pigs can be bred selectively to show differences in susceptibility of their skin to dinitrochloro-benzene and to hapten-polylysine conjugates [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. H. O. McDevitt and M. Sela, Genetic control of the antibody response, J. exp. Med. 122, 517–532 (1965).

    Article  Google Scholar 

  2. B. B. Levine, A. Ojeda and B. Benacerraf, The genetic control of the immune response to haptenpoly-L-lysine conjugates in guinea-pigs, J. exp. Med. 118, 953–960 (1963).

    Article  Google Scholar 

  3. H. Selye, Studies on adaptation, Endocrinology 21, 169–188 (1937).

    Article  Google Scholar 

  4. E. Hanhart, Die Idiosyncrasien gegen Nahrungsmittel, Dt. med. Wschr. 63, 1753–1756 (1937).

    Article  Google Scholar 

  5. J.M.Harris and G.B.West, Anaphylacioid reaction in rats, Nature, [London] 191, 399–400 (1961).

    Article  Google Scholar 

  6. J. M. Harris, H. Kalmus and G. B. West, Genetical control of the anaphylactoid reaction in rats, Genet. Res. 4, 346–355 (1963).

    Google Scholar 

  7. S. I. Ankier, G. B. West, J. M. Harris and D. K. Luscombe, The reactivity of Wistar rats to dextran, J. Pharm. Pharmac. 17, 118–119 (1965).

    Article  Google Scholar 

  8. S. I. Ankier and G. B. West, Further studies on the inflammatory anaphylactoid reaction in rats, Int. Archs Allergy appl. Immun 25, 114–126 (1964).

    Article  Google Scholar 

  9. J. R. Parratt and G. B. West, 5-Hydroxytryptamine and the anaphylactoid reaction in the rat, J. Physiol. [London] 139, 27–41 (1957).

    Google Scholar 

  10. A. Gecse, S. Karady, M. S. Starr and G. B. West, Release of bradykinin in shock, J. Physiol. [London] 178, 8–9 P (1965).

    Google Scholar 

  11. W. Dawson, M. S. Starr and G. B. West, Inhibition of anaphylactic shock in the rat by antihistamines and ascorbic acid, Br. J. Pharmac. Chemother. 27, 249–255 (1966).

    Google Scholar 

  12. M. J. Allwood and G. P. Lewis, Bradykinin and forearm blood flow, J. Physiol. [London] 170, 571–581 (1964).

    Google Scholar 

  13. C. R. Diniz, I. F. Carvalho, J. Ryan and M. Rocha e Silva, A micromethod for the determination of bradykininogen in blood plasma, Nature [London] 192, 1194–1195 (1961).

    Article  Google Scholar 

  14. E. Amundsen, K. Nustad and B. Waaler, A stable substrate for the assay of plasma kinin-forming enzymes, Br. J. Pharmac. Chemother. 21, 500–508 (1963).

    Google Scholar 

  15. V. Eisen, Observations on intrinsic kinin-forming factors in human plasma: the effect of acid, acetone, chloroform, heat and euglobulin separation on kinin formation, J. Physiol. [London] 166, 496–513 (1963).

    Google Scholar 

  16. H. Edery and G. P. Lewis, Inhibition of plasma kininase activity at slightly acid pH, Br. J. Pharmac. Chemother. 19, 299–305 (1962).

    Google Scholar 

  17. M. Rocha e Silva and A. Antonio, Release of bradykinin and the mechanism of production of a thermic oedema in the rat’s paw, Medna exp. 3, 371–382 (1960).

    Google Scholar 

  18. L. G. Goodwin, C. R. Jones, W. H. G. Richards and J. Kohn, Pharmacologically active substances in the urine of burned patients, Br. J. exp. Path. 44, 551–560 (1963).

    Google Scholar 

  19. H. Edery and G. P. Lewis, Kinin-forming activity and histamine in lymph after tissue injury, J. Physiol. [London] 169, 568–583 (1963).

    Google Scholar 

  20. R. L. Noble and J. B. Collip, A quantitative method for the production of experimental traumatic shock without haemorrhage in unanaesthetized animals, Q. J. exp. Physiol. 31, 187–199 (1942).

    Google Scholar 

  21. H. Wilson and N. W. Roome, The effects of constriction and release of an extremity, Archs Surg. [Chicago] 32, 334–345 (1936).

    Google Scholar 

  22. W. T. Beraldo, Formation of bradykinin in anaphylactic and peptone shock, Am. J. Physiol. 163, 283–289 (1950).

    Google Scholar 

  23. W. E. Brocklehurst and S. C. Lahiri, The production of bradykinin in anaphylaxis, J. Physiol. [London] 160, 15–16 (1962).

    Google Scholar 

  24. M. S. Starr and G. B. West, Effect of bradykinin and anti-inflammatory agents on isolated arteries, J. Pharm. Pharmac. 18, 838–840 (1966).

    Article  Google Scholar 

  25. B. Gözsy and L. Kato, Changes in permeability of the skin capillaries of rats after histamine depletion with 48/80, dextran or egg-white, J. Physiol. [London] 139, 1–9 (1957).

    Google Scholar 

  26. J. R. Parratt and G. B. West, Inhibition by various substances of oedema formation in the hindpaw of the rat induced by 5-hydroxytryptamine, histamine, dextran, egg-white and compound 48/80, Br. J. Pharmac. Chemother. 13, 65–70 (1958).

    Google Scholar 

  27. H. J. Fearn, S. Karady and G. B. West, Histamine and rat blood pressure, J. Pharm. Pharmac. 18, 407–408 (1966).

    Article  Google Scholar 

  28. W. S. Spector and D. A. Willoughby, Vasoactive amines in acute inflammation, Ann. N.Y. Acad. Sci. 116, 839–846 (1964).

    Article  Google Scholar 

  29. H. Möller, The catechol amines of the skin in chloroform inflammation, Acta derm.-vener. [Stockholm] 42, 458–62 (1962).

    Google Scholar 

  30. J. Raekallio, Histochemical demonstration of monoamine oxidase in the earliest phase of wound healing, Nature [London] 199, 496–497 (1963).

    Article  Google Scholar 

  31. P. K. Lahiri and R. K. Sanyal, Tissue histamine and catecholamines in the reparative process, J. Pharm. Pharmac. 19, 272 (1967).

    Article  Google Scholar 

  32. M. S. Deol, H. Grüneberg, A. G. Searle and G. M. Truslove, How pure are inbred strains of mice? Genet. Res. 7, 50–58 (1960).

    Google Scholar 

  33. H. O. J. Collier and P. G. Shorley, Antagonism by mefenamic and flufenamic acids of the bronchoconstrictor action of kinins in the guinea-pig. Br. J. Pharmac. Chemother. 20, 345–351 (1963).

    Google Scholar 

  34. M. S. Starr and G. B. West, Further evidence for the involvement of kinin in anaphylactic shock in the rat, Br. J. Pharmac. Chemother. 37, 178–184 (1969).

    Google Scholar 

  35. S. I. Ankier, W. Dawson, S. Karady and G. B. West, Seasonal variation in the resistance of rats, J. Pharm. Pharmac. 17, 187–188 (1965).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1970 Birkhäuser Verlag Basel

About this chapter

Cite this chapter

West, G.B., Starr, M.S. (1970). A new Approach to the Medical Interpretation of Shock. In: Jucker, E. (eds) Progress in Drug Research / Fortschritte der Arzneimittelforschung / Progrès des recherches pharmaceutiques. Progress in Drug Research / Fortschritte der Arzneimittelforschung / Progrès des Recherches Pharmaceutiques, vol 14. Birkhäuser Basel. https://doi.org/10.1007/978-3-0348-7075-7_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-0348-7075-7_4

  • Publisher Name: Birkhäuser Basel

  • Print ISBN: 978-3-0348-7077-1

  • Online ISBN: 978-3-0348-7075-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics