Various drugs used in the treatment of either allergy or inflammation have been studied in the rat. Prausnitz-Küstner (PK) type reactions, passive cutaneous anaphylaxis (PCA) and peritoneal mast cell degranulation (MCD) were used as models of type I anaphylactic hypersensitivity. In the PK test, the rank order of potency of the drugs tested was isoprenaline > PGF > disodium cromoglycate (DSCG) > indomethacin > theophylline. In the PCA test, the rank order was similar, although the difference between the potencies of DSCG and indomethacin was greater here than in the PK reaction. Dibutyryl cyclic AMP was inactive in both forms of cutaneous anaphylaxis. Noradrenaline, imidazole and propranolol induced MCD. Marked inhibition of phospholipase-A-induced degranulation occurred in the presence of DSCG, theophylline, indomethacin, dibutyryl cyclic AMP, aspirin, propranolol and phentolamine. Isoprenaline and prostaglandins E1; E2 and A1 all slightly inhibited MCD over a wide range of concentrations. Isoprenaline was synergistic with DSCG and theophylline in both PCA and MCD, and PGE1 was synergistic with both DSCG and theophylline in MCD. However, there was no synergism between DSCG and theophylline or between isoprenaline and PGE1. The role of cyclic AMP in allergic reactions of the rat is discussed as is the mode of action of DSCG.

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