Pharmacological evaluation of selective α2c-adrenergic agonists in experimental animal models of nasal congestion

J Pharmacol Exp Ther. 2014 Apr;349(1):75-84. doi: 10.1124/jpet.113.210666. Epub 2014 Feb 3.

Abstract

Nasal congestion is one of the most troublesome symptoms of many upper airways diseases. We characterized the effect of selective α2c-adrenergic agonists in animal models of nasal congestion. In porcine mucosa tissue, compound A and compound B contracted nasal veins with only modest effects on arteries. In in vivo experiments, we examined the nasal decongestant dose-response characteristics, pharmacokinetic/pharmacodynamic relationship, duration of action, potential development of tolerance, and topical efficacy of α2c-adrenergic agonists. Acoustic rhinometry was used to determine nasal cavity dimensions following intranasal compound 48/80 (1%, 75 µl). In feline experiments, compound 48/80 decreased nasal cavity volume and minimum cross-sectional areas by 77% and 40%, respectively. Oral administration of compound A (0.1-3.0 mg/kg), compound B (0.3-5.0 mg/kg), and d-pseudoephedrine (0.3 and 1.0 mg/kg) produced dose-dependent decongestion. Unlike d-pseudoephedrine, compounds A and B did not alter systolic blood pressure. The plasma exposure of compound A to produce a robust decongestion (EC(80)) was 500 nM, which related well to the duration of action of approximately 4.0 hours. No tolerance to the decongestant effect of compound A (1.0 mg/kg p.o.) was observed. To study the topical efficacies of compounds A and B, the drugs were given topically 30 minutes after compound 48/80 (a therapeutic paradigm) where both agents reversed nasal congestion. Finally, nasal-decongestive activity was confirmed in the dog. We demonstrate that α2c-adrenergic agonists behave as nasal decongestants without cardiovascular actions in animal models of upper airway congestion.

MeSH terms

  • Administration, Intranasal
  • Administration, Oral
  • Adrenergic alpha-2 Receptor Agonists / administration & dosage
  • Adrenergic alpha-2 Receptor Agonists / pharmacokinetics
  • Adrenergic alpha-2 Receptor Agonists / pharmacology*
  • Adrenergic alpha-2 Receptor Agonists / therapeutic use
  • Adrenergic alpha-2 Receptor Antagonists / pharmacology
  • Animals
  • Cats
  • Disease Models, Animal
  • Dogs
  • Dose-Response Relationship, Drug
  • In Vitro Techniques
  • Male
  • Nasal Decongestants / administration & dosage
  • Nasal Decongestants / pharmacokinetics
  • Nasal Decongestants / pharmacology*
  • Nasal Decongestants / therapeutic use
  • Nasal Mucosa / blood supply
  • Nasal Mucosa / drug effects
  • Nasal Mucosa / metabolism
  • Receptors, Adrenergic, alpha-2 / metabolism*
  • Rhinitis, Vasomotor / drug therapy*
  • Rhinitis, Vasomotor / metabolism
  • Swine
  • Vasoconstriction / drug effects

Substances

  • Adrenergic alpha-2 Receptor Agonists
  • Adrenergic alpha-2 Receptor Antagonists
  • Nasal Decongestants
  • Receptors, Adrenergic, alpha-2