Preclinical evidence 12
11 studies reported at therapy level; 12 evidence entries itemised.
MouseTBIUnspecifiedmalen = Seven groups of mice; numbers per group not statedPretreatment before trauma
Model: Controlled fatal head trauma
Transudative ascites occurred in 87 to 100 per cent of untreated traumatised mice and in no controls. Propranolol pretreatment significantly reduced the prevalence of ascites compared with trauma alone (p less than 0.001), whereas phentolamine had no effect. The beta-agonist isoetharine caused asci…
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RatRadiationAlbinoMalePropranolol 10 mg/kg body weight; hydrocortisone 10 mg/kg b…30 minutes before irradiation
Model: Single-dose 6000 rad gamma irradiation to the precordial area causing acute myocardial injury
The abstract reports beneficial effects of propranolol and hydrocortisone pretreatment on biochemical and histological indices of radiation-induced acute myocardial injury, but provides no quantitative results.
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MouseTBIControlled cortical impactC57BLMalen = 20 male mice, 10 per groupIntraperitoneal4 mg/kgFirst dose two hours after traumatic brain injury
Model: Controlled cortical impact producing moderate traumatic brain injury
Propranolol-treated mice had significantly higher novel object recognition scores than placebo at day 2 and completed the maze test faster from day 4 onwards. Serum IL-1beta, IL-6 and TNF-alpha did not differ. Treated animals had lower brain UCHL-1, higher Hsp-70 and fewer apoptotic neurons in the…
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RatHaemorrhage/shockControlledSprague-DawleyMalen = 8 per group across 5 groups (40 rats)Intraperitoneal10 mg/kgFirst dose 10 minutes after lung contusion and haemorrhagic shock; in chronic s…
Model: Unilateral lung contusion by percussive nail gun followed by haemorrhagic shock (mean arterial pressure 30 to 35 mmHg for 45 min with reinfusion of shed blood), with or without daily 2 h restraint chronic stress for six days
Daily propranolol after lung contusion, haemorrhagic shock and chronic stress raised haemoglobin by about 20 per cent (13.7 plus or minus 0.4 versus 10.8 plus or minus 0.8 g/dL), restored bone marrow cellularity to naive levels, improved CFU-GEMM, BFU-E and CFU-E colony growth by 9 to 39 per cent,…
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RatHaemorrhage/shockControlledSprague-DawleyMalen = 5-8 rats per group across seven groupsIntraperitoneal injection10 mg/kgGiven each day after the daily period of restraint stress, during the six days…
Model: Unilateral lung contusion created with a percussive nail gun, alone or followed by haemorrhagic shock (blood withdrawal to a mean arterial pressure of 30-35 mmHg maintained for 45 min then reinfusion of shed blood), combined with six days of chronic restraint stress (daily 2 h restraint interrupted every 30 min by alarms and repositioning)
Adding chronic restraint stress to lung contusion and lung contusion with haemorrhagic shock significantly prolonged HPC mobilisation at day 7 with persistently raised G-CSF and worse lung injury scores. Daily propranolol reduced peripheral HPC to near naive levels (LC/CRS+Prop 0.7 +/- 0.2 % vs LC/…
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RatHaemorrhage/shockControlledSprague-DawleyMalen = n=10 per group in ATCB and ATCC and n=5 in sham at each tim…Intraperitoneal7.5 mg/kgAt baseline, before trauma and haemorrhagic shock (pre-treatment)
Model: Acute traumatic coagulopathy induced by 6 cm laparotomy plus bilateral femur fractures and haemorrhagic shock to a mean arterial pressure of 35 to 40 mmHg (about 40% blood volume removed) maintained for 1 h
Propranolol preserved heart rate variability and reduced TNF-alpha, IL-6, plasmin-antiplasmin complex, tissue plasminogen activator, soluble thrombomodulin, syndecan-1 and hepatic NF-kappaB expression, but did not alter prothrombin time, activated partial thromboplastin time, thrombin-antithrombin…
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MouseIschaemia-reperfusionOther / unspecifiedMaleTreatment began one day before pressure ulcer induction and continued until eut…
Model: Pressure ulcer induced by two cycles of ischaemia-reperfusion created by external application of two magnetic plates to the skin
Propranolol reduced keratinocyte migration, transforming growth factor-beta expression, re-epithelialisation and necrotic tissue loss, increased neutrophil number and neutrophil elastase, delayed macrophage mobilisation, myofibroblastic differentiation, angiogenesis and wound closure, and produced…
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RatHaemorrhage/shockControlledSprague-DawleyMalen = n = 6 per group across 3 groups (unmanipulated control, LCH…Intraperitoneal10 mg/kgImmediately after resuscitation with shed blood, once mean arterial pressure wa…
Model: Unilateral lung contusion induced by percussive nail gun blast wave to the right axilla followed by 45 minutes of haemorrhagic shock (mean arterial pressure 30-35 mm Hg) and resuscitation with shed blood
LCHS increased gut permeability (plasma FD4 2.8 [0.4] vs 0.8 [0.2] microg/mL in controls) and lung injury score (8.5 [0.3] vs 4.0 [0.4]); propranolol reduced FD4 to 1.3 [0.3] microg/mL and lung injury score to 4.4 [1.3] (both p < 0.05 vs LCHS), lowered gut injury score to 1.5 [0.3] versus 2.4 [0.5]…
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MouseTBIUnspecifiedC57BL/6, with beta1/beta2-adrenergic receptor knockout (BARKO) miceMaleTail vein injection4 mg/kgAfter traumatic brain injury
Model: Traumatic brain injury in mice, with sham injury controls
Cerebral glucose metabolism fell after injury (mean SUV 1.63 versus sham 1.97, p less than 0.01) and propranolol attenuated this reduction (1.89 versus 1.63, p less than 0.01). Propranolol and receptor knockout both reduced motor deficits at 24 h, with rotarod 44 versus 23 seconds and rearing 338 v…
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RatTBIUnspecifiedSprague-DawleyMaleAcute propranolol dose followed by a delayed dose of mesenchymal stromal cells;…
Model: Moderate to severe traumatic brain injury in a rodent model; impact parameters not stated in the available text
Mesenchymal stromal cells reduced blood-brain barrier permeability at 96 h, limited thalamic microglial and macrophage activation short and long term and increased short-term neurogenesis, while propranolol reduced oedema and activated microglia. The sequential combination was well tolerated and im…
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RatTBIFluid percussionSprague-DawleyMalen = 53 rats: propranolol n = 16, propranolol plus clonidine n =…InfusionEarly after trauma, continued for 24 hours
Model: Lateral fluid percussion traumatic brain injury
Brain water content did not differ between propranolol (80.8 plus or minus 0.3 per cent), propranolol plus clonidine (80.8 plus or minus 0.3 per cent) and vehicle (81.1 plus or minus 0.6 per cent). No effect was seen on blood-brain barrier permeability or motor scores. Unexpectedly, both treatments…
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RatWound
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