30DEC

Libyan International Conference for Health Sciences

The First Libyan International Conference for Health Sciences (2024): Open University, Tripoli, Libya
Mediterranean Journal of Pharmacy and Pharmaceutical Sciences
https://ppj.org.ly/article/doi/10.5281/zenodo.7479798

Mediterranean Journal of Pharmacy and Pharmaceutical Sciences

Original article

Propranolol effect on behaviour of mice in the presence of phenytoin using elevated plus maze

Suhera M. Aburawi, Medeha T. El Ghedamsi, Omima I. Almerhag , Sarah F. Aposaeda

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Abstract

Drug-drug interaction is an important issue for the development of safe pharmaceutical drugs. Propranolol is a non-selective, competitive antagonist at beta-adrenergic receptors. Propranolol is used to control hypertension, pheochromocytoma, myocardial infarction, cardiac arrhythmias, angina pectoris and hypertrophic cardiomyopathy. Also, it is used to control symptoms of sympathetic overactivity in the management of hyperthyroidism, anxiety disorders and tremor. Phenytoin is a voltage-gated sodium channel blocker; it is a major anti-convulsant drug that is very effective in controlling a wide variety of seizure disorders. In this study, the elevated plus maze test was applied using five groups of male Albino mice, where each group consisting of six mice. The first group is control and given 1.0% tween 80 with a dose of 5.0 ml/kg, the second group received propranolol 10 mg/kg, the third group received phenytoin 20 mg/kg, the fourth group received a combination of propranolol and phenytoin and the fifth group received diazepam (1.0 mg/kg) as a standard. It was found that propranolol alone produces anti-anxiety effect which is abolished when administered with phenytoin. Thus, the combined treatment of propranolol and phenytoin showed no significant difference compared to phenytoin alone or propranolol alone. It can be concluded that propranolol has an anti-anxiety-like effect phenytoin antagonizes the propranolol anxiolytic effect when administered together. Propranolol, phenytoin and the combination of both decrease the spontaneous motor activity of mice. Propranolol and phenytoin partially antagonize each other in spontaneous motor activity.

Keywords

Anxiety, mouse, locomotor activity, phenytoin, plus maze test, propranolol

References

  1. Becker ML, Kallewaard M, Caspers PW, Visser LE, Leufkens HG, Stricker BH (2007) Hospitalisations and emergency department visits due to drug-drug interactions: A literature review. Pharmacoepidemiology and Drug Safety. 16: 641-651. doi: 10.1002/pds.1351
  2. Askari M, Eslami S, Louws M, Dongelmans D, Wierenga P, Kuiper R, Abu-Hanna A (2012) Relevance of drug-drug interaction in the ICU - perceptions of intensivists and pharmacists. Studies in Health Technology and Informatics.180: 716-720. PMID: 22874285.
  3. Makiani MJ, Nasirippour S, Hosseini M, Mahbubi A (2017) Drug-drug interactions: The importance of medication reconciliation. Journal of Research in Pharmacy Practice. 6 (1): 61-62. doi: 10.4103/2279-042X. 200992
  4. Lu Y, Figler B, Huang H, Tu YC, Wang J, Cheng F (2017) Characterization of the mechanism of drug-drug interactions from PubMed using MeSH terms. PLoS ONE 12 (4): e0173548. doi: 10.1371/journal.pone.0173548
  5. Bista D, Palaian S, Shankar PR, Prabhu MM, Paudel R, Mishra P (2007) Understanding the essentials of drug interactions: A potential need for safe and effective use of drugs. Kathmandu University Medical Journal. 5 (3): 421-430. PMID: 18604069.
  6. Bylund DB (2015) Propranolol. Reference Module in Biomedical Sciences, 1-9. Elsevier.
  7. Donovan R, Tabackman L (2021) Everything to know about beta-blockers. Medically reviewed by Alan Carter. Updated on November 16, 2021.
  8. Warren SG, Brewer DL, Orgain ES (1976) Long-term propranolol therapy for angina pectoris. The American Journal of Cardiology. 37 (3): 331-460. doi: 10.1016/0002-9149(76)90293-9
  9. Brotons M (1994) Effects of performance conditions on music performance anxiety and performance quality. Journal of Music Therapy. 31 (1): 63-81. doi: 10.1093/jmt/31.1.63
  10. Hussar DA (1996) Modell's drugs in current use and new drugs. 42nd ed. New York, NY: Springer Publishing Co., p. 140. ISBN-13:978-0826176554.
  11. Rogawski M, Löscher W (2004) The neurobiology of antiepileptic drugs. Nature Reviews, Neuroscience, 5: 553-564. doi: 10.1038/nrn1430
  12. Borowicz-Reutt KK (2022) Effects of antiarrhythmic drugs on antiepileptic drug action-a critical review of experimental findings. International Journal of Molecular Sciences. 23 (5): 2891. doi: 10.3390/ijms23052891
  13. Boiteux C, Vorobyov I, French RJ, French C, Yarov-Yarovoy V, Allen TW (2014) Local anaesthetic and antiepileptic drug access and binding to a bacterial voltage-gated sodium channel. Proceedings of the National Academy of Sciences. 111 (36): 13057-13062. doi: 10.1073/pnas.1408710111
  14. Roberson DP, Binshtok AM, Blasl F, Bean BP, Woolf CJ (2011) Targeting of sodium channel blockers into nociceptors to produce long-duration analgesia: a systematic study and review. British Journal of Pharmacology. 164 (1): 48-58. doi: 10.1111/j.1476-5381.2011.01391.x
  15. Yaari Y, Selzer ME, Pincus JH (1986) Phenytoin: mechanisms of its anticonvulsant action. Annals of Neurology. 20 (2): 171-184. doi: 10.1002/ana.410200202
  16. Fauci GS, Kasper DL, Longo DL, Braunwald E, Hauser SL, Jameson JL, Loscalzo J (2008) Harrison’s Internal Medicine, 17th edition. Internal Medicine Journal. 38 (12): 932-932. doi: 10.1111/j.1445-5994.2008.01837.x
  17. Goldenberg MM (2010) Overview of drugs used for epilepsy and seizures: aetiology, diagnosis, and treatment. Pharmacy and Therapeutics. 35 (7): 392-415. PMID: 20689626.
  18. Yager N, Wang K, Keshwani N, Torosoff M (2015) Phenytoin as an effective treatment for polymorphic ventricular tachycardia due to QT prolongation in a patient with multiple drug intolerances. British Medical Journal Case Reports. 2015: bcr2015209521. doi: 10.1136/bcr-2015-209521
  19. Karthikeyan M, Saquib A, Karthikeyan D (2009) Therapeutic applications of phenytoin. Asian Journal of Pharmaceutical and Clinical Research. 2 (3): 1-14. doi: Nil.
  20. Lobez M, Colnaghi L, Clemenza K, Groleau SE, Weiss S, Snyder AM, Levine AA (2017) Social involvement modulates the response to novel and adverse life events in mice. PLoS One. 11 (9): e0163077. doi: 10.1371/ journal.pone.0163077
  21. Aburawi SM, Elhwuegi AS, Ahmed SS, Saad SF, Attia AS (2003) Behavioural effects of acute and chronic triazolam treatments in albino rats. Life Sci. 73 (24): 3095-3107. doi: 10.1016/s0024-3205(03)00612-x
  22. AlSwayeh OA, Futter LE, Clifford RH, Moore PK (2000) Nitroparacetamol exhibits anti‐inflammatory and anti‐nociceptive activity. British Journal of Pharmacology. 130 (7): 1453-1456. doi: 10.1038/sj.bjp.0703509
  23. Afify EA, Andijani NM (2017) Potentiation of morphine-induced antinociception by propranolol: the involvement of dopamine and GABA systems. Frontiers in Pharmacology. 8: 794. doi: 10.3389/fphar.2017. 00794
  24. Akula KK, Dhir A, Kulkarni SK (2009) Effect of various antiepileptic drugs in a pentylenetetrazol-induced seizure model in mice. Methods and Findings in Experimental and Clinical Pharmacology. 31 (7): 423-32. doi: 10.1358/mf.2009.31.7.1393610
  25. Salomons AR, Pinzon NE, Boleij H, Kirchhoff S, Arndt SS, Nordquist RE, Lindemann L, Jaeschke G, Spooren W, Ohl F (2012) Differential effects of diazepam and MPEP on habituation and neuro-behavioural processes in inbred mice. Behavioral and Brain Functions. 8: 30. doi: 10.1186/1744-9081-8-30
  26. Komada M, Takao K, Miyakawa T (2008) Elevated plus maze for mice. Journal of Visualized Experiments. (22): 1088. doi: 10.3791/1088
  27. Walf AA, Frye CA (2007) The use of the elevated plus maze as an assay of anxiety-related behaviour in rodents. Nature Protocols. 2 (2): 322-328. doi: 10.1038/nprot.2007.44
  28. Rahman H, Muralidharan P, Sivaraman D, Kartika B, Saha D (2010) Evaluation of anxiolytic activity of ethanolic extracts from the leaves of Trichosanthes cucumerina L. in mice. Der Pharmacia Sinica. 1 (3): 86-94. doi: Nil.
  29. Aburawi SM (1999) Study of neurochemical mechanisms involved intolerance and physical dependence to traizolam in experimental animals. A thesis submitted to Cairo University for the degree of doctor of philosophy.
  30. Biedermann SV, Biedermann DG, Wenzlaff F, Kurjak T, Nouri S, Auer MK, Wiedemann K, Briken P, Haaker J, Lonsdorf TB, Fuss J (2017) An elevated plus-maze in mixed reality for studying human anxiety-related behaviour. BMC Biology. 15: 125. doi: 10.1186/s12915-017-0463-6
  31. Andrews G, Sanderson K, Slade T, Issakidis C (2000) Why does the burden of disease persist? Relating the burden of anxiety and depression to effectiveness of treatment. Bulletin of the World Health Organization. 78 (4): 446-454. doi: Nil.
  32. Hodges RE, Minich DM (2015) Modulation of metabolic detoxification pathways using foods and food-derived components: a scientific review with clinical application. Journal of Nutrition and Metabolism. 2015: 760689. doi: 10.1155/2015/760689
  33. Villines Z (2019) Beta-blockers for anxiety. Medically reviewed by Zara Risoldi Cochrane, Sept., 2019.
  34. Frishman WH (2003) Beta-adrenergic blockers. Circulation. 107: e117-e119. Doi: 10.1161/01.CIR.00000709 83.15903.A2
  35. Berg T (2014) β1-blockers lower norepinephrine release by inhibiting presynaptic, facilitating β1-adrenoceptors in normotensive and hypertensive rats. Frontiers in Neurology. 5: 51. doi: 10.3389/fneur.2014.00051
  36. Ayada C, Toru U, Korkut Y (2015) The relationship of stress and blood pressure effectors. Hippokratia. 19 (2): 99-108. doi: Nil.
  37. Nakamura K, Murakami M, Miura D, Yunoki K, Enko K, Tanaka M, Saito Y, Nishii N, Miyoshi T, Yoshida M, Oe H, Toh N, Nagase S, Kohno K, Morita H, Matsubara H, Kusano KF, Ohe T, Ito H (2011) Beta-blockers and oxidative stress in patients with heart failure. Pharmaceuticals (Basel). 4 (8): 1088-100. doi: 10.3390/ph408 1088
  38. Biaggioni I, Robertson D (2012) Adrenoceptor agonists and sympathomimetic drugs. 9, 129. In: Basic & Clinical Pharmacology. Editor: Katzung BG., Masters SB., Trevor AJ. 12th Edition. ISBN: 0-83-85-0565-1.
  39. Gamil NM, Maklad YA, Ahmed MAE, Nofalc S, Ahmed AAE (2016) Modulatory effect of cilostazol on tramadol induced behavioral and neurochemical alterations in rats challenged across the forced swim despair test. Beni-Suef University Journal of Basic and Applied Sciences. 5 (2): 193-201. doi: 10.1016/j.bjbas.2016.03. 002
  40. Masubuchi Y, Hosokawa S, Horie T, Suzuki T, Ohmori S, Kitada M, Narimatsu S (1994) Cytochrome P450 isozymes involved in propranolol metabolism in human liver microsomes. The role of CYP2D6 as ring-hydroxylase and CYP1A2 as N-desisopropylase. Drug Metabolism and Disposition. 22 (6): 909-915. doi: Nil.
  41. Tolledo EC, Miksys S, Gonzalez FJ, Tyndale RF (2020) Propranolol is a mechanism-based inhibitor of CYP2D and CYP2D6 in humanized CYP2D6-transgenic mice: Effects on activity and drug responses. British Journal of Pharmacology. 177 (3): 701-712. doi: 10.1111/bph.14884
  42. Kastelova A, Yanev S (2002) Propranolol as an inhibitor of some cytochrome P450-dependent monooxygenase activities in native and induced rat liver microsomes. Methods Find Experimental and Clinical Pharmacology. 24 (4): 189-94. doi: 10.1358/mf.2002.24.4.678449
  43. Zhang T, Zhou Z, Wang Y, Xia J (2022) An in-silico modeling for the prediction of propranolol-omniscan interaction. International Journal of Pharmacology. 18: 96-103. doi: 10.3923/ijp.2022.96.103
  44. Abdelsayed M, Sokolov S (2013) Voltage-gated sodium channels: pharmaceutical targets via anticonvulsants to treat epileptic syndromes. Channels (Austin). 7 (3): 146-52. doi: 10.4161/chan.24380
  45. Abida MD, Alam T, Asif M (2020) Study of some hyndantion derivatives as anticonvulsant agents. Progress in Chemical and Biochemical Research. 3 (2): 93-104. doi: 10.33945/SAMI/PCBR.2020.2.2
  46. Hesselink KJM (2017) Phenytoin: a step-by-step insight into its multiple mechanisms of action-80 years of mechanistic studies in neuropharmacology. Journal of Neurology. 264 (9): 2043-2047. doi: 10.1007/s00415-017-8465-4
  47. Gupta M, Tripp J (2022) Phenytoin. In: Treasure Island (FL): StatPearls Publishing. PMID: 31855364.
  48. bou-Khalil BW (2009) The far-reaching influence of hepatic enzyme-inducing antiepileptic drugs. Epilepsy Currents. 9 (6): 158-159. doi: 10.1111/j.1535-7511.2009. 01327.x
  49. Chhun S, Verstuyft C, Rizzo-Padoin N, Simoneau G, Becquemont L, Peretti I, Swaisland A, Wortelboer R, Bergmann JF, Mouly S (2009) Gefitinib-phenytoin interaction is not correlated with the C-erythromycin breath test in healthy male volunteers. British Journal of Clinical Pharmacology. 68 (2): 226-237. doi: 10.1111/j.1365-2125.2009.03438.x
  50. Hole K, Wollmann BM, Nguyen C, Haslemo T, Molden E (2018) Comparison of CYP3A4-inducing capacity of enzyme-inducing antiepileptic drugs using 4β-hydroxycholesterol as biomarker. Therapeutic Drug Monitoring. 40 (4): 463-468. doi: 10.1097/FTD.0000000000000518
  51. Bertilsson L, Dahl ML, Dalén P, Al-Shurbaji A (2002) Molecular genetics of CYP2D6: clinical relevance with focus on psychotropic drugs. British Journal of Clinical Pharmacology. 53 (2): 111-122. doi: 10.1046/j.0306-5251.2001.01548.x
  52. Perucca E (2006) Clinically relevant drug interactions with antiepileptic drugs. British Journal of Clinical Pharmacology. 61 (3): 246-255. doi: Nil.
  53. Videnovic A (2013) Treatment of Huntington disease (Movement Disorders). Current Treatment Options in Neurology. Springer link. 15 (4): 424-438. doi: 10.1007/s11940-013-0219-8
  54. Koella WP (1985) CNS-related (side-) effects of β-blockers with special reference to mechanisms of action. European Journal of Clinical Pharmacology. 28 (1): 55-63. doi: 10.1007/BF00543711
  55. Ofualagba O, Ezenwanne EB (2017) The effect of ascorbic acid and propranolol on normal sleep and open field locomotor activity in wistar rats. Journal of African Association of Physiological Sciences. 5 (2): 101-105. doi: Nil.
  56. Snackers MC (1985) Effects of propranolol, oxprenolol and atenolol on rat behaviour within the open field and emergence test. A thesis submitted in partial fulfilment of the requirements for the Degree of Master of Science in Psychology in the University of Canterbury.
  57. McCuistion L, Vuljoin-DiMaggio K, Winton M, Yeager J (2018) Pharmacology: A patient-centered nursing process approach. 227-305. Elsevier.
  58. Wright PMC (2008) Anticonvulsants, Chapter 11. In: Essentials of Neuroanesthesia and Neurointensive Care. Editor(s): Arun K. Gupta, Adrian W. Gelb. W.B. Saunders. 64-67. doi: 10.1016/B978-141604653-0.10011-1
  59. Saraswathy GR, Maheswari E, Santhrani T (2015) Protective effect of alpha lipoic acid against phenytoin induced behavioral abnormalities in rats. Journal of Molecular Biomarkers and Diagnosis. 5: 241. doi: 10.4172/2155-9929.1000241
  60. Dantzer R, O’Connor JC, Freund GG, Johnson RW, Kelley KW (2008) From inflammation to sickness and depression: When the immune system subjugates the brain. Nature Reviews, Neuroscience. 9: 46-56. doi: 10.1038 /nrn2297
  61. Nakagawasai O, Yamada K, Nemoto W, Sato S, Ogata Y, Miya K, Sakurai H, Tan-No K (2015) Liver hydrolysate attenuates the sickness behavior induced by concanavalin a in mice. Journal of Pharmacological Sciences. 127 (4): 489-492. doi: 10.1016/j.jphs.2015.03.007
  62. Besedovsky HO, Del Rey A (1996) Immune-neuro-endocrine interactions: facts and hypotheses. Endocrine Reviews. 17 (1): 64-102. doi: 10.1210/edrv-17-1-64.
  63. Yucel-Lindberg T, Lerner UH, Modéer T (1995) Effects and interactions of tumour necrosis factor alpha and bradykinin on interleukin-1 production in gingival fibroblasts. Journal of Periodontal Research. 30 (3): 186-91. doi: 10.1111/j.1600-0765.1995.tb01272.x
  64. Modéer T, Brunius G, Iinuma M, Lerner UH (1992) Phenytoin potentiates interleukin-1-induced prostaglandin biosynthesis in human gingival fibroblasts. British Journal of Pharmacology. 106 (3): 574-578. doi: 10.1111/j. 1476-5381.1992.tb14377.x
  65. ndrzejczak DP (2011) A cytokiny prozapalne. Immunomodulujące właściwości leków przeciwpadaczkowych [Epilepsy and pro-inflammatory cytokines. Immunomodulating properties of antiepileptic drugs. Neurologia i Neurochirurgia Polska. 45 (3): 275-85. doi: 10.1016/s0028-3843(14)60080-3
  66. Himmerich H, Bartsch S, Hamer H, Mergl R, Schönherr J, Petersein C, Munzer A, Kirkby KC, Bauer K, Sack U (2014) Modulation of cytokine production by drugs with antiepileptic or mood stabilizer properties in anti-CD3- and anti-CD40-stimulated blood in vitro. Oxidative Medicine and Cellular Longevity. 2014: 806162. doi: 10.1155 /2014/806162
  67. Hajighasemi F, Mirshafiey A (2016) Regulation of inflammatory cytokines in human immunocompetent cells by propranolol in vitro. European Respiratory Journal. 48 (S60) PA1083; doi: 10.1183/13993003.congress-2016.PA1083

Submitted date:
12/01/2022

Reviewed date:
12/18/2022

Accepted date:
12/22/2022

Publication date:
11/08/2024

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