BACKGROUND AND PURPOSEPropranolol is a vasoactive drug that shows antiangiogenic and antitumour activities in melanoma. However, it is unknown whether these activities are dose-dependent and whether there is a relationship between systemic vascular effects of propranolol and anti-melanoma activity.
EXPERIMENTAL APPROACHEffects of increasing doses of propranolol (10, 20, 30 and 40 mg·kg À1 ·day À1 ) on tumour growth were studied in B16F10 melanoma-bearing mice. Histological and biochemical analyses were used to assess propranolol effects on angiogenesis and cancer cell proliferation. Systemic vascular resistance (SVR) was evaluated by measuring cardiac output and arterial BP.
KEY RESULTSIn vitro analyses revealed that B16F10 cells expressed β-adrenoceptors, but neither isoprenaline, a β-adrenoceptor agonist, nor the β-blocker propranolol affected cancer cell proliferation. In vivo studies showed that the antitumour efficacy of propranolol follows a U-shaped biphasic dose-response curve. Low doses (10 and 20 mg·kg À1 ·day À1 ) significantly inhibit tumour growth, whereas higher doses are progressively less effective. We also found that high-dose propranolol stimulates tumour arteriogenesis whereas no effect on angiogenesis was observed at any dose. Based on these data and considering that propranolol is a vasoactive drug, we hypothesized that it causes systemic vasoconstriction or vasodilation depending on the dose and thus alters tumour perfusion and growth. Consistent with this hypothesis, we found that propranolol has a biphasic effect on SVR with low and high doses producing vasoconstriction and vasodilation respectively.
CONCLUSIONS AND IMPLICATIONSPropranolol inhibits melanoma growth in a U-shaped biphasic manner. A direct relationship exists between SVR and antimelanoma activity.Abbreviations α-SMA, α-smooth muscle actin; CO, cardiac output; GAPDH, Glyceraldehyde-3-phosphate dehydrogenase; HR, heart rate; IB4, isolectin B4; SV, stroke volume; SVR, systemic vascular resistance; vWF, Von Willebrand Factor Introduction β-Adrenoceptors are a family of G-protein coupled receptors comprising three subtypes, β 1 , β 2 and β 3 , which act by activating a Gs protein. These receptors play a role in the regulation of peripheral vascular resistance, heart function and airway reactivity, as well as a variety of metabolic and CNS functions. β-Adrenoceptors also regulate cellular processes involved in cancer and angiogenesis and are the molecular target of β-blockers, a class of drugs which inhibits the interaction of catecholamines with β-adrenoceptors.In vitro studies indicate that propranolol, the prototype of β-blockers, reduces melanoma cell proliferation in human and murine melanoma cell lines (Dal Monte et al., 2013;Moretti et al., 2013;Calvani et al., 2015;Wrobel and Le Gal, 2015). Furthermore, the systemic administration of propranolol slows down tumour development in immunodeficient mice transplanted with human melanoma cells (Wrobel and Le Gal, 2015) and inhibits the effects of stress on the growth and metast...