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Zotero
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-
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Albillos A , Bañares R , González M , Ripoll C , Gonzalez R , Catalina MV , Molinero LM , 2007. Value of the hepatic venous pressure gradient to monitor drug therapy for portal hypertension: a meta-analysis. Am J Gastroenterol 102: 1116–1126.
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Koshimizu TA , Tsujimoto G , Hirasawa A , Kitagawa Y , Tanoue A , 2004. Carvedilol selectively inhibits oscillatory intracellular calcium changes evoked by human alpha1D- and alpha1B-adrenergic receptors. Cardiovasc Res 63: 662–672.
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Gehr TW , Tenero DM , Boyle DA , Qian Y , Sica DA , Shusterman NH , 1999. The pharmacokinetics of carvedilol and its metabolites after single and multiple dose oral administration in patients with hypertension and renal insufficiency. Eur J Clin Pharmacol 55: 269–277.
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β-Blockers in Hepatosplenic Schistosomiasis: A Narrative Review
Fernanda Alves Gelape
Fernanda Alves Gelape
Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;
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Claudia Alves Couto
Claudia Alves Couto
Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;
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Guilherme Grossi Lopes Cançado
Guilherme Grossi Lopes Cançado
Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil;
Hospital da Polícia Militar de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Hospital da Polícia Militar de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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ABSTRACT.
Hepatosplenic schistosomiasis (HSS) is a serious complication of chronic schistosomiasis that can result in portal hypertension and variceal bleeding. β-blockers, a class of medications commonly used to treat hypertension and other cardiovascular conditions, have been investigated for their potential use in preventing variceal bleeding in HSS. Several studies have shown that β-blockers can reduce portal pressure and prevent variceal bleeding effectively in these patients. However, there are limited data on the long-term efficacy and safety of β-blockers in this setting, and further research is needed to determine the optimal use of these medications. This review summarizes the evidence supporting current recommendations of β-blocker use in patients with HSS.
Author Notes
Financial support: We acknowledge the financial support of the Pró-Reitoria de Pesquisa da Universidade Federal de Minas Gerais.
Authors’ addresses: Fernanda Gelape, Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, E-mail: fernandagelape@hotmail.com. Claudia Alves Couto, Hospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, E-mail: clalcouto@gmail.com. Guilherme Grossi Lopes Cançado, Hospital das Clínicas da Universidade Federal de Minas Gerais, and Hospital da Polícia Militar de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil, E-mail: guilhermegrossi@terra.com.br.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
World Health Organization , 2021. Ending the Neglect to Attain the Sustainable Development Goals: A Road Map for Neglected Tropical Diseases 2021–2030. Available at: https://www.who.int/publications/i/item/9789240010352. Accessed May 12, 2023.
-
2.
World Health Organization , 2013. Schistosomiasis: Progress Report 2001–2011, Strategic Plan 2012–2020. Available at: https://apps.who.int/iris/handle/10665/78074. Accessed May 12, 2023.
-
3.
Institute for Health Metrics and Evaluation , 2019. Schistosomiasis: Level 3 Cause. Available at: https://www.healthdata.org/results/gbd_summaries/2019/schistosomiasis-level-3-cause. Accessed March 31, 2023.
-
4.
Montresor A , Mwinzi P , Mupfasoni D , Garba A , 2022. Reduction in DALYs lost due to soil-transmitted helminthiases and schistosomiasis from 2000 to 2019 is parallel to the increase in coverage of the global control programmes. PLoS Negl Trop Dis 16: e0010575.
-
5.
Gunda DW , Kilonzo SB , Manyiri PM , Peck RN , Mazigo HD , 2020. Morbidity and mortality due to Schistosoma mansoni related periportal fibrosis: could early diagnosis of varices improve the outcome following available treatment modalities in sub Saharan Africa? A scoping review. Trop Med Infect Dis 5: 20.
-
6.
Petroianu A , De Oliveira AE , Alberti LR , 2005. Hypersplenism in schistosomatic portal hypertension. Arch Med Res 36: 496–501.
-
7.
Abebe N , Erko B , Medhin G , Berhe N , 2014. Clinico-epidemiological study of Schistosomiasis mansoni in Waja-Timuga, District of Alamata, northern Ethiopia. Parasit Vectors 7: 158.
-
8.
Ruiz-Guevara R , Noya BAD , Valero SK , Lecuna P , Garassini M , Noya O , 2007. Clinical and ultrasound findings before and after praziquantel treatment among Venezuelan schistosomiasis patients. Rev Soc Bras Med Trop 40: 505–511.
-
9.
Richter J , 2000. Evolution of schistosomiasis-induced pathology after therapy and interruption of exposure to schistosomes: a review of ultrasonographic studies. Acta Trop 77: 111–131.
-
10.
Tamarozzi F , Fittipaldo VA , Orth HM , Richter J , Buonfrate D , Riccardi N , Gobbi FG , 2021. Diagnosis and clinical management of hepatosplenic schistosomiasis: a scoping review of the literature. PLoS Negl Trop Dis 15: e0009191.
-
11.
Rodrigues SG , Mendoza YP , Bosch J , 2019. Beta blockers in cirrhosis: evidence-based indications and limitations. JHEP Rep 2: 100063.
-
12.
do Vale GT , Ceron CS , Gonzaga NA , Simplicio JA , Padovan JC , 2019. Three generations of β-blockers: history, class differences and clinical applicability. Curr Hypertens Rev 15: 22–31.
-
13.
Reiter MJ , 2004. Cardiovascular drug class specificity: beta-blockers. Prog Cardiovasc Dis 47: 11–33.
-
14.
Prichard BN , 1964. Hypotensive action of pronethalol. BMJ 1: 1227–1228.
-
15.
Frishman WH , 2016. Beta-adrenergic receptor blockers in hypertension: alive and well. Prog Cardiovasc Dis 59: 247–252.
-
16.
Sauerbruch T , Hennenberg M , Trebicka J , Schierwagen R , 2022. Beta-blockers in patients with liver cirrhosis: pragmatism or perfection? Front Med (Lausanne) 9: 1100966.
-
17.
Jothimani D , Rela M , Kamath PS , 2023. Liver cirrhosis and portal hypertension: how to deal with esophageal varices? Med Clin North Am 107: 491–504.
-
18.
Razafindrazoto CI , Razafindrabekoto LDE , Hasina Laingonirina DH , Raveloson R , Rasolonjatovo AS , Rakotozafindrabe ALR , Rabenjanahary TH , Razafimahefa SH , Ramanampamonjy RM , 2022. Carvedilol versus propranolol in the prevention of variceal rebleeding in hepatosplenic schistosomiasis: efficacy and safety. JGH Open 6: 213–218.
-
19.
Garcia-Tsao G , Bosch J , 2010. Management of varices and variceal hemorrhage in cirrhosis. N Engl J Med 362: 823–832.
-
20.
Pascal JP , Cales P , 1987. Propranolol in the prevention of first upper gastrointestinal tract hemorrhage in patients with cirrhosis of the liver and esophageal varices. N Engl J Med 317: 856–861.
-
21.
Lebrec D , Poynard T , Hillon P , Benhamou JP , 1981. Propranolol for prevention of recurrent gastrointestinal bleeding in patients with cirrhosis: a controlled study. N Engl J Med 305: 1371–1374.
-
22.
Gauthier C , Langin D , Balligand JL , 2000. Beta3-adrenoceptors in the cardiovascular system. Trends Pharmacol Sci 21: 426–431.
-
23.
Lebrec D , Nouel O , Corbic M , Benhamou JP , 1980. Propranolol: a medical treatment for portal hypertension? Lancet 2: 180–182.
-
24.
Villanueva C et al., 2009. Acute hemodynamic response to beta-blockers and prediction of long-term outcome in primary prophylaxis of variceal bleeding. Gastroenterol 137: 119–128.
-
25.
Abraldes JG , Tarantino I , Turnes J , Garcia-Pagan JC , Rodes J , Bosch J , 2003. Hemodynamic response to pharmacological treatment of portal hypertension and long-term prognosis of cirrhosis. Hepatol 37: 902–908.
-
26.
D’Amico G , Garcia-Pagan JC , Luca A , Bosch J , 2006. Hepatic vein pressure gradient reduction and prevention of variceal bleeding in cirrhosis: a systematic review. Gastroenterol 131: 1611–1624.
-
27.
Reiberger T et al., 2013. Carvedilol for primary prophylaxis of variceal bleeding in cirrhotic patients with haemodynamic non-response to propranolol. Gut 62: 1634–1641.
-
28.
Turnes J , Garcia-Pagan JC , Abraldes JG , Hernandez-Guerra M , Dell’Era A , Bosch J , 2006. Pharmacological reduction of portal pressure and long-term risk of first variceal bleeding in patients with cirrhosis. Am J Gastroenterol 101: 506–512.
-
29.
Albillos A , Bañares R , González M , Ripoll C , Gonzalez R , Catalina MV , Molinero LM , 2007. Value of the hepatic venous pressure gradient to monitor drug therapy for portal hypertension: a meta-analysis. Am J Gastroenterol 102: 1116–1126.
-
30.
Michel MC , 2020. α(1)-Adrenoceptor activity of β-adrenoceptor ligands: an expected drug property with limited clinical relevance. Eur J Pharmacol 889: 173632.
-
31.
Koshimizu TA , Tsujimoto G , Hirasawa A , Kitagawa Y , Tanoue A , 2004. Carvedilol selectively inhibits oscillatory intracellular calcium changes evoked by human alpha1D- and alpha1B-adrenergic receptors. Cardiovasc Res 63: 662–672.
-
32.
Gehr TW , Tenero DM , Boyle DA , Qian Y , Sica DA , Shusterman NH , 1999. The pharmacokinetics of carvedilol and its metabolites after single and multiple dose oral administration in patients with hypertension and renal insufficiency. Eur J Clin Pharmacol 55: 269–277.
-
33.
Villanueva C et al., 2019. β Blockers to prevent decompensation of cirrhosis in patients with clinically significant portal hypertension (PREDESCI): a randomised, double-blind, placebo-controlled, multicentre trial. Lancet 393: 1597–1608.
-
34.
Rasool MF , Khalil F , Läer S , 2017. Optimizing the clinical use of carvedilol in liver cirrhosis using a physiologically based pharmacokinetic modeling approach. Eur J Drug Metab Pharmacokinet 42: 383–396.
-
35.
Kim IM , Tilley DG , Chen J , Salazar NC , Whalen EJ , Violin JD , Rockman HA , 2008. Beta-blockers alprenolol and carvedilol stimulate beta-arrestin-mediated EGFR transactivation. Proc Natl Acad Sci USA 105: 14555–14560.
-
36.
Carr R 3rd et al., 2016. β-Arrestin-biased signaling through the β2-adrenergic receptor promotes cardiomyocyte contraction. Proc Natl Acad Sci USA 113: E4107–E4116.
-
37.
Ryba DM , Li J , Cowan CL , Russell B , Wolska BM , Solaro RJ , 2017. Long-term biased β-arrestin signaling improves cardiac structure and function in dilated cardiomyopathy. Circulation 135: 1056–1070.
-
38.
Bond RA , Lucero Garcia-Rojas EY , Hegde A , Walker JKL , 2019. Therapeutic potential of targeting β-arrestin. Front Pharmacol 10: 124.
-
39.
Lefkowitz RJ , Shenoy SK , 2005. Transduction of receptor signals by beta-arrestins. Science 308: 512–517.
-
40.
Hennenberg M , Trebicka J , Sauerbruch T , Heller J , 2008. Mechanisms of extrahepatic vasodilation in portal hypertension. Gut 57: 1300–1314.
-
41.
Lovgren AK et al., 2011. β-Arrestin deficiency protects against pulmonary fibrosis in mice and prevents fibroblast invasion of extracellular matrix. Sci Transl Med 3: 74ra23.
-
42.
Gu YJ , Sun WY , Zhang S , Wu JJ , Wei W , 2015. The emerging roles of β-arrestins in fibrotic diseases. Acta Pharmacol Sin 36: 1277–1287.
-
43.
Wisler JW , Dewire SM , Whalen EJ , Violin JD , Drake MT , Ahn S , Shenoy SK , Lefkowitz RJ , 2007. A unique mechanism of β-blocker action: carvedilol stimulates β-arrestin signaling. Proc Natl Acad Sci USA 104: 16657–16662.
-
44.
Alexander SPH et al., 2021. The concise guide to pharmacology 2021/22: G protein‐coupled receptors. Br J Pharmacol 178: S27–S156.
-
45.
Lashen SA , Shamseya MM , Madkour MA , Abdel Salam RM , Mostafa SS , 2022. β-Arrestin-2 predicts the clinical response to β-blockers in cirrhotic portal hypertension patients: a prospective study. World J Hepatol 14: 429–441.
-
46.
Groszmann RJ et al., for the Portal Hypertension Collaborative Group , 2005. Beta-blockers to prevent gastroesophageal varices in patients with cirrhosis. N Engl J Med 353: 2254–2261.
-
47.
de Franchis R , Bosch J , Garcia-Tsao G , Reiberger T , Ripoll C , for the Baveno VII Faculty , 2022. Baveno VII: renewing consensus in portal hypertension. J Hepatol 76: 959–974.
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