Literature DB >> 26493129

Mirabegron relaxes urethral smooth muscle by a dual mechanism involving β3 -adrenoceptor activation and α1 -adrenoceptor blockade.

E C Alexandre1, L R Kiguti2, F B Calmasini1, F H Silva1, K P da Silva2, R Ferreira3, C A Ribeiro2, F Z Mónica1, A S Pupo2, E Antunes1.   

Abstract

LINKED ARTICLE: This article is commented on by Michel, M. C., pp. 429-430 of this issue. To view this commentary visit http://dx.doi.org/10.1111/bph.13379. BACKGROUND AND
PURPOSE: Mirabegron is the first β3 -adrenoceptor agonist approved for treatment of overactive bladder syndrome. This study aimed to investigate the effects of β3 -adrenoceptor agonist mirabegron in mouse urethra. The possibility that mirabegron also exerts α1 -adrenoceptor antagonism was also tested in rat smooth muscle preparations presenting α1A - (vas deferens and prostate), α1D - (aorta) and α1B -adrenoceptors (spleen). EXPERIMENTAL APPROACH: Functional assays were carried out in mouse and rat isolated tissues. Competition assays for the specific binding of [(3) H]prazosin to membrane preparations of HEK-293 cells expressing each of the human α1 -adrenoceptors, as well as β-adrenoceptor mRNA expression and cyclic AMP measurements in mouse urethra, were performed. KEY
RESULTS: Mirabegron produced concentration-dependent urethral relaxations that were shifted to the right by the selective β3 -adrenoceptor antagonist L-748,337 but unaffected by β1 - and β2 -adrenoceptor antagonists (atenolol and ICI-118,551 respectively). Mirabegron-induced relaxations were enhanced by the PDE4 inhibitor rolipram, and the agonist stimulated cAMP synthesis. Mirabegron also produced rightward shifts in urethral contractions induced by the α1 -adrenoceptor agonist phenylephrine. Schild regression analysis revealed that mirabegron behaves as a competitive antagonist of α1 -adrenoceptors in urethra, vas deferens and prostate (α1A -adrenoceptor, pA2  ≅ 5.6) and aorta (α1D -adrenoceptor, pA2  ≅ 5.4) but not in spleen (α1B -adrenoceptor). The affinities estimated for mirabegron in functional assays were consistent with those estimated in radioligand binding with human recombinant α1A - and α1D -adrenoceptors (pKi  ≅ 6.0). CONCLUSION AND IMPLICATIONS: The effects of mirabegron in urethral smooth muscle are the result of β3 -adrenoceptor agonism together with α1A and α1D -adrenoceptor antagonism.
© 2015 The British Pharmacological Society.

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Year:  2016        PMID: 26493129      PMCID: PMC4728418          DOI: 10.1111/bph.13367

Source DB:  PubMed          Journal:  Br J Pharmacol        ISSN: 0007-1188            Impact factor:   8.739


  61 in total

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2.  Update on AUA guideline on the management of benign prostatic hyperplasia.

Authors:  Kevin T McVary; Claus G Roehrborn; Andrew L Avins; Michael J Barry; Reginald C Bruskewitz; Robert F Donnell; Harris E Foster; Chris M Gonzalez; Steven A Kaplan; David F Penson; James C Ulchaker; John T Wei
Journal:  J Urol       Date:  2011-03-21       Impact factor: 7.450

3.  The beta-3 adrenoceptor agonist, mirabegron relaxes isolated prostate from human and rabbit: new therapeutic indication?

Authors:  Fabiano B Calmasini; Tuany Z Candido; Eduardo C Alexandre; Carlos A D'Ancona; Daniel Silva; Marco Antonio de Oliveira; Gilberto De Nucci; Edson Antunes; Fabíola Z Mónica
Journal:  Prostate       Date:  2014-11-21       Impact factor: 4.104

4.  Does cyclic AMP mediate rat urinary bladder relaxation by isoproterenol?

Authors:  Elfaridah P Frazier; Marie-Jeanne Mathy; Stephan L M Peters; Martin C Michel
Journal:  J Pharmacol Exp Ther       Date:  2004-12-02       Impact factor: 4.030

5.  The novel β3-adrenoceptor agonist mirabegron reduces carbachol-induced contractile activity in detrusor tissue from patients with bladder outflow obstruction with or without detrusor overactivity.

Authors:  Julie Svalø; Jørgen Nordling; Kirsten Bouchelouche; Karl-Erik Andersson; Cees Korstanje; Pierre Bouchelouche
Journal:  Eur J Pharmacol       Date:  2012-12-12       Impact factor: 4.432

6.  Autonomic receptors in urinary tract: sex and age differences.

Authors:  J Latifpour; S Kondo; B O'Hollaren; T Morita; R M Weiss
Journal:  J Pharmacol Exp Ther       Date:  1990-05       Impact factor: 4.030

7.  Species differences in the distribution of beta-adrenoceptor subtypes in bladder smooth muscle.

Authors:  Y Yamazaki; H Takeda; M Akahane; Y Igawa; O Nishizawa; Y Ajisawa
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Review 8.  The odd sibling: features of β3-adrenoceptor pharmacology.

Authors:  Hana Cernecka; Carsten Sand; Martin C Michel
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10.  Expression and possible functional role of the beta3-adrenoceptor in human and rat detrusor muscle.

Authors:  T Fujimura; K Tamura; T Tsutsumi; T Yamamoto; K Nakamura; Y Koibuchi; M Kobayashi; O Yamaguchi
Journal:  J Urol       Date:  1999-02       Impact factor: 7.450

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  17 in total

1.  Pharmacology: On the mode of action of mirabegron.

Authors:  Karl-Erik Andersson
Journal:  Nat Rev Urol       Date:  2015-12-15       Impact factor: 14.432

2.  How β3 -adrenoceptor-selective is mirabegron?

Authors:  Martin C Michel
Journal:  Br J Pharmacol       Date:  2016-02       Impact factor: 8.739

Review 3.  β3 -Adrenoceptors in the normal and diseased urinary bladder-What are the open questions?

Authors:  Yasuhiko Igawa; Naoki Aizawa; Martin C Michel
Journal:  Br J Pharmacol       Date:  2019-05-03       Impact factor: 8.739

Review 4.  Mirabegron: potential off target effects and uses beyond the bladder.

Authors:  Nodi Dehvari; Edilson Dantas da Silva Junior; Tore Bengtsson; Dana Sabine Hutchinson
Journal:  Br J Pharmacol       Date:  2018-01-18       Impact factor: 8.739

5.  The β3 -adrenoceptor agonist mirabegron increases human atrial force through β1 -adrenoceptors: an indirect mechanism?

Authors:  Weilan Mo; Martin C Michel; Xiang Wen Lee; Alberto J Kaumann; Peter Molenaar
Journal:  Br J Pharmacol       Date:  2017-07-07       Impact factor: 8.739

6.  Ca2+ signalling in mouse urethral smooth muscle in situ: role of Ca2+ stores and Ca2+ influx mechanisms.

Authors:  Bernard T Drumm; Benjamin E Rembetski; Caroline A Cobine; Salah A Baker; Gerard P Sergeant; Mark A Hollywood; Keith D Thornbury; Kenton M Sanders
Journal:  J Physiol       Date:  2018-04-15       Impact factor: 5.182

7.  Medications used to treat bladder disorders may alter effects of neuromodulation.

Authors:  Timothy J Ness; Jamie McNaught; Buffie Clodfelder-Miller; Xin Su
Journal:  Neurourol Urodyn       Date:  2020-04-24       Impact factor: 2.696

Review 8.  Mirabegron: A Review in Overactive Bladder Syndrome.

Authors:  Emma D Deeks
Journal:  Drugs       Date:  2018-06       Impact factor: 9.546

Review 9.  Efficacy and Safety of Mirabegron in Men with Overactive Bladder Symptoms and Benign Prostatic Hyperplasia.

Authors:  Gregory R Mullen; Steven A Kaplan
Journal:  Curr Urol Rep       Date:  2021-01-07       Impact factor: 3.092

10.  Concentration-dependent alpha1-Adrenoceptor Antagonism and Inhibition of Neurogenic Smooth Muscle Contraction by Mirabegron in the Human Prostate.

Authors:  Ru Huang; Yuhan Liu; Anna Ciotkowska; Alexander Tamalunas; Raphaela Waidelich; Frank Strittmatter; Christian G Stief; Martin Hennenberg
Journal:  Front Pharmacol       Date:  2021-06-24       Impact factor: 5.810

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