“…It is true that /5-stimulants have a definite effect on skin reactions, e.g., reagin-mediated passive cutaneous anaphy laxis in the rat [1,11,23], human immedi ate hypersensitivity skin reactions [25,37,38] and allergic rhinitis [17], It is not clear, however, whether this in vivo protection is brought about at the level of mediator re lease from the mast cells or on the level of the small blood vessels, or both. Evidence suggests that /5-stimulants have a direct action on the vascular system itself [2,13,32,43]; mediators may cause intercellular gaps by contraction of endothelial cells [22], and relaxation of the cells might be the mecha nism for the inhibitory effect of /5-stimulants [41]Unlike the situation with the 'over-all' assessment of anaphylaxis mentioned above (without discriminating between cellular and vascular effects), there are to our knowledge only very few in vivo investigations which substantiate the specific anti-anaphylactic component in question: the inhibiting effect of two ^»-receptor stimulants, fenoterol and salbutamol, on antigen-induced [10,11] and dextran-induced [11] mast cell degranula tion has been demonstrated. Similar results are available with aminophylline [33], which inhibits breakdown of cAMP.…”