2-Bromo-(+)-lysergic acid diethylarmide kBOL 148) is a specific antagonist of the constrictor response of the forearm and hand blood vessels to intra-arterial infusions of 5-hydroxytryptamine. This has been shown to be a direct action in the tissue concerned, since the antagonism was as effective when the drug was given by local arterial injection as when given intravenously. Sodium salicylate is also a specific antagonist oi 5-hydroxytryptamine, but its action is indirect, occurring only when the general serum level was raised above 10 or 20 mg.%,!; local limb concentrations of 30 to 40 mg.% had no antagonistic effect. The mechanism of the antagonistic effect of salicylate is not known. It is not related to the associated hyperventilation but is possibly due to the secondary release of, or synergism with, some other substance, probably a hormone.A number of substances including lysergic acid derivatives have been shown by Gaddum and Hameed (1954) and other workers to antagonize the action of 5-hydroxytryptamine (5-HT) on isolated smooth muscle preparations. The effect of some of these substances on the response of the blood pressure to intravenous 5-HT has also been studied in animals (Page and McCubbin, 1953;Salmoiraghi, McCubbin, and Page, 1957) and in man (Spies and Stone, 1952).The vascular responses in the upper limbs of normal human subjects to intra-arterial injections of 5-HT have been described (Roddie, Shepherd, and Whelan, 1955). In the present paper a comparison is made of the antagonistic effect on these responses of 2-bromo-( + )-lysergic acid diethylamide bitartrate (BOL 148) with that of sodium salicylate, which has been shown by Kelemen (1957) to diminish the oedema of the paw of the rat produced by locally injected 5-HT.
MATERIALS AND METHODSThe investigations were carried out on ourselves, our colleagues, and medical students. The subject rested on a couch for at least 30 min. before the first observation was made. The room temperature was kept at a constant level in the range 22 to 25'. An indwelling needle was inserted into the left brachial artery in the antecubital fossa and through it either 0.9% saline or a solution of the drug was infused at *Present address: Department of Human Physiology and Pharmacology, University of Adelaide, S. Australia. a rate of 4 ml. /min. using a mechanically driven syringe and a length of polythene tubing. Measurements of forearm blood flow were made by venous occlusion plethysmography using the water-filled, mechanically stirred plethysmographs described by Greenfield (1954), the water temperature being 34 to 350.Changes in the circulation through the skin of the finger were followed using the heat flow discs described by Hatfield (1950). These were applied to the finger pulp using Nobecutane (Evans) and the whole hand inserted into a plethysmograph, the temperature of which was carefully maintained at 29'. In most experiments control observations were made on the opposite limb.5-Hydroxytryptamine creatinine sulphate (Sandoz) was infused intra-arterially f...