Abstract
Though 5-hydroxytryptamine (5-HT) exerts powerful pharmacological effects on the heart and blood vessels [1, 2], the physiological role of 5-HT in cardiovascular regulation is not clear. The effect of 5-HT on arterial blood pressure is triphasic [3] and consists mainly of an initial short-lasting depressor phase due to the Von Bezold-Jarisch reflex mediated by 5-HT3 receptors [4–7], followed by a 5-HT2 receptor-mediated hypertensive phase [5, 6, 8], and a late, long-lasting, hypotensive phase mediated by 5-HT1like receptor stimulation [see 9]. It is, therefore, obvious that only antagonists at 5-HT2 receptors may be expected to have an antihypertensive effect in the event that these receptors are involved in the pathophysiology of hypertension.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Saxena PR (1986): Nature of the 5-hydroxytryptamine receptors in mammalian heart. Prog Pharmacol 6: 173–185.
Cohen ML (1989): Receptors for 5-hydroxytryptamine in the cardiovascular system. Ch. XXII, This book.
Page IH (1957): Cardiovascular actions of serotonin (5-hydroxytryptamine), pp. 93–108 in: Lewis GP (ed), 5-Hydroxytryptamine. London: Pergamon Press.
Fozard JR (1984): MDL 72222: a potent and highly selective antagonist at neuronal 5-HT receptors. Naunyn Schmiedebergs Arch Pharmacol 326: 36–44.
Kalkman HO, Engel G, Hoyer D (1984): Three distinct types of serotonergic receptors mediate the triphasic blood pressure response to serotonin in rats. J Hypertens 6 (suppl. 2): S421–S428.
Saxena PR, Lawang A (1985): A comparison of cardiovascular and smooth muscle effects of 5-hydroxytryptamine and 5-carboxamidotryptamine, a selective agonist of 5-HT1-like receptors. Arc Int Pharmacodyn Ther 227: 235–252.
Saxena PR, Mylecharane EJ, Heiligers J (1985): Analysis of the heart rate effects of 5-hydroxytryptamine in the cat; mediation by 5-HT1-like receptors. Naunyn Schmiedebergs Arch Pharmacol 330: 121–129.
Leysen JE, De Chaffoy De Courcelles D, De Clerck F, Niemegeers CJE, Van Nueten JM (1984): Serotonin-S2 receptor binding sites and functional correlates. Neuropharmacology 23: 1493–1501.
Saxena PR, Bolt GR, Dhasmana KM (1987): Serotonin agonists and antagonists in experimental hypertension. J Cardiovasc Pharmacol 10 (suppl. 3): S12–S18.
Bolt GR, Saxena PR (1985): Cardiovascular profile and hypotensive mechanism of ketanserin in the rabbit. Hypertension 7: 499–506.
Vanhoutte PM, Ball SG, Berdeaux A, Cohen ML, Hedner T, McCall R, Ramage AG, Reimann IH, Richer C, Saxena PR, Schalekamp MADH, Struyker-Boudier HAJ, Symoens J, Van Nueten JM, Van Zwieten PA (1986): Mechanism of action of ketanserin in hypertension. Trends Pharmacol Sci 7: 58–59.
Vanhoutte PM, Amery A, Birkenhäger W, Breckenridge A, Bühler F, Distler A, Dormandy J, Doyle A, Frohlich E, Hansson L, Hedner T, Hollenberg N, Jensen H-E, Lund-Johansen P, Meyer P, Opie L, Robertson I, Safar M, Schalekamp M, Symoens J, Trap-Jensen J, Zanchetti A (1988): Serotonergic mechanisms in hypertension: Focus on the effects of ketanserin. Hypertension 11: 111–133.
Van Nueten JM, Schuurkes JAJ, De Ridder WJE, Kuyps JJMD, Janssens WJ (1986): Comparative pharmacological profile of ritanserin and ketanserin. Drug Dev Res 8: 187–195.
Van Nueten JM, Xhonneux R, Janssens WJ, Schuurkes JAJ, Janssen PAJ (1988): Interaction between S2-serotonergic and alpha1-adrenergic receptors and control of blood pressure, (in press) in: Vanhoutte PM (ed), Mechanism of Vasodilatation. New York: Raven Press.
Blauw GJ, van Brummelen P, Chang PC, Van Zwieten PA (1988): Regional vascular effects of serotonin and ketanserin in young, healthy subjects. Hypertension 11: 256–263.
Wenting GJ, Manin’t Veld AJ, Woittiez AJJ, Boomsma F, Schalekamp MADH (1982): Haemodynamic effects of ketanserin, a selective 5-hydroxytryptamine (serotonin) receptor antagonist, in essential hypertension. Clin Sci 63:435S–438S.
Janssen PAJ (1985): Pharmacology of potent and selective S2-serotonergic antagonists. J Cardiovasc Pharmacol 1 (suppl. 7): S2–S11.
Symoens J, Vanhoutte PM (1985): The role of serotonin in blood pressure regulation, pp. 141–164 in: Smith JAR, Watkins J (eds), Care of the postoperative patient. London: Butterworth.
Cohen ML, Fuller RW, Kurz KD (1983): LY 53857, a selective new potent serotonergic (5-HT2) receptor antagonist, does not lower blood pressure in the spontaneously hypertensive rat. J Pharmacol Exp Ther 221 : 327–332.
Kalkman HO, Harms YM, Van Gelderen EM, Batink HD, Timmermans PBMWM, Van Zwieten PA (1983) Hypotensive activity of serotonin antagonists; correlation with α1-adrenoceptor and serotonin receptor blockade. Life Sci 32: 1499–1505.
Hosie J, Stott DJ, Robertson JIS, Ball SG (1987): Does acute serotenergic type-2 antagonism reduce blood pressure? Comparative effects of single doses of ritanserin and ketanserin in essential hypertension. J Cardiovasc Pharmacol 10 (suppl. 3): S86–S88.
Van Zwieten PA, Mathy MJ, Boddeke HWGM, Doods HN (1987): Central hypotensive activity of ketanserin in cats. J Cardiovasc Pharmacol 10 (suppl 3): S54–S58.
Blackburn TP, Haworth SJ, Jessup CL, Morton PB, Williams C (1989): ICI 170809, A selective 5-hydroxytryptamine antagonist, inhibits human platelet aggregation in vitro and exvivo. Ch. XXXX, This book.
Fozard JR (1982): Mechanism of the hypotensive effect of ketanserin. J Cardiovasc Pharmacol 4: 829–838.
Kalkman HO, Timmermans PBMWM, Van Zwieten PA (1982): Characterization of the antihypertensive properties of ketanserin (R41468) in rats. J Pharmacol Exp Ther 222: 227–231.
Wright CE, Angus JA (1983): Haemodynamic response to ketanserin in rabbits with page hypertension: Comparison with prazosin J Hypertension 1: 183–190.
Reimann IW, Frohlich JC (1983): Mechanism of antihypertensive action of ketanserin in man. Br Med J 287: 381–383.
Fagard R, Fioli R, Lijnen P, Staessen J, Moeman E, De Schaepdryver A, Amery A (1984): Haemodynamic and humoral responses to chronic ketanserin treatment in essential hypertension. Br Heart J 51: 149–156.
Casiglia E, Gava R, Semplicini A, Nicolin P, Pessina AC (1986): The mechanism of the antihypertensive effects of ketanserin: a comparison with metoprolol. Br J Clin Pharmacol 22: 751–752.
Berdeaux A, Edouard A, Samii K, Giudicelli JF (1987): Ketanserin and the arterial baroreceptor reflex in normotensive subjects. Eur J Clin Pharmacol 32: 27–33.
Wenting GJ, Woittiez AJJ, Manin’t Veld AJ, Schalekamp MADH (1984): 5-HT, alpha- adrenoceptors, and blood pressure; effects of ketanserin in essential hypertension and autonomic insufficiency. Hypertension 6:100–109.
Dragsted N, Boeck V (1988): Cardiovascular effects of irindalone, a novel 5-HT2 antagonist with antihypertensive activity (Abstr P43). International Congress on Cardiovascular Pharmacology of 5-HT, Oct 4–7, Amsterdam.
Schröder G, Beckmann R, Müller B, Schulz BG, Stock G (1988): Pharmacological profile of ZK 33.839, a new 5-HT2/a1 -antagonist (Abstr P38). International Congress on Cardiovascular Pharmacology of 5-HT, Oct 4–7, Amsterdam.
Van der Starre PJA (1988): Ketanserin and hypertension in cardiac surgery. Thesis, State University of Limburg, Maastricht, The Netherlands.
Herrmann WM, Baumgartner P (1986): Combined pharmaco-EEG and pharmacopsy- chological study to estimate CNS effects of ketanserin in hypertensive patients. Neuropsychobiology 16: 47–56.
McCall RB, Schuette MR (1984): Evidence for an alpha-1 receptor-mediated central sympathoinhibitory action of ketanserin. J Pharmacol Exp Ther 228: 704–710.
Ramage AG (1985): The effects of ketanserin, methysergide and LY 53857 on sympathetic nerve activity. Eur J Pharmacol 113: 295–303.
Hedner T, Pettersson A, Gradin K, Persson B (1986): Peripheral serotonergic mecha- nsims in cardiovascular regulation in the spontaneously hypertensive rat. J Hypertension 4 (suppl. 3): S223–S225.
Copeland IW, Bentley GA (1985): A possible central action of prazosin and ketanserin to cause hypotension. J Cardiovasc Pharmacol 7: 822–825.
Dhasmana KM, Banerjee AK, Saxena PR (1989): The effects of intrathecal ketanserin and phentolamine on heart rate and arterial blood pressure in the rat. Ch. XXX, This book.
Phillips CA, Mylecharane EJ, Markus JK, Shaw J (1985): Hypotensive actions of ketanserin in dogs: involvement of a centrally mediated inhibition of sympathetic vascular tone. Eur J Pharmacol 111: 319–327.
Woittiez AJJ, Wenting GJ, Van der Meiracker AH, Ritsma Van Eck HJ, Manin’t Veld AJ, Zantvoort FA, Schalekamp MADH (1986): Chronic effect of ketanserin in mild to moderate essential hypertension. Hypertension 8: 167–173.
Bradley PB, Engel G, Feniuk W, Fozard JR, Humphrey PPA, Middlemiss DN, Mylecharane EJ, Richardson B, Saxena PR (1986): Proposals for the classification and nomenclature of functional receptors for 5-hydroxytryptamine. Neuropharmacology 25: 563–575.
Antonaccio MJ, Taylor DJ (1977): Reduction in blood pressure, sympathetic nerve discharge and centrally evoked pressor responses by methysergide in anaesthetized cats. Eur J Pharmacol 42: 331–338.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Saxena, P.R. (1990). 5-Hydroxytryptamine receptor antagonists as antihypertensive drugs. In: Saxena, P.R., Wallis, D.I., Wouters, W., Bevan, P. (eds) Cardiovascular Pharmacology of 5-Hydroxytryptamine. Developments in CardioCardiovascular Pharmacology of 5-Hydroxytryptamine, vol 106. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-0479-8_24
Download citation
DOI: https://doi.org/10.1007/978-94-009-0479-8_24
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-6701-0
Online ISBN: 978-94-009-0479-8
eBook Packages: Springer Book Archive