Kiel Jeffrey W, Kopczynski Casey C
1 Department of Ophthalmology, University of Texas Health Science Center at San Antonio , San Antonio, Texas.
J Ocul Pharmacol Ther. 2015 Apr;31(3):146-51. doi: 10.1089/jop.2014.0146. Epub 2015 Mar 10.
AR-13324 is a potential new drug for the treatment of patients with glaucoma that has been shown to lower intraocular pressure (IOP) by increasing trabecular outflow facility and decreasing aqueous production. The present study tested the hypothesis that AR-13324 also lowers IOP by reducing episcleral venous pressure (EVP).
In Dutch Belted (DB) rabbits (n=11), arterial pressure (AP), IOP, carotid blood flow (BFcar), heart rate (HR), and EVP were measured invasively. Animals were dosed with AR-13324 (0.04%, topical, n=6) once daily for 3 days. On day 3, the animals were anesthetized, and then, measurements were obtained before dosing with AR-13324 or vehicle (n=5) and for 3 h after dosing. The data (mean±standard error of the mean) were analyzed by repeated measures ANOVA with post hoc testing. Retrospective baseline data from prior similar studies in New Zealand White rabbits were also compiled.
Baseline values were as follows: AP, 101±3 mmHg; IOP; 33±3 mmHg; EVP, 16±1 mmHg; BFcar, 41±4 mL/min; and HR, 330±6 bpm. Three hours after AR-13324 dosing, IOP was reduced by 39%±7% (P<0.001) and EVP decreased by 35%±4% (P<0.05); after vehicle dosing, IOP was reduced by 24%±4% (P<0.05) and EVP increased by 25%±5% (P<0.05). AP, BFcar, and HR were unchanged.
AR-13324 produces statistically significant lowering of EVP in DB rabbits. In addition, the baseline values for AP, IOP, EVP, BFcar, and HR in the DB rabbit are higher than those previously reported in the New Zealand rabbit.
AR-13324是一种潜在的用于治疗青光眼患者的新药,已证明其可通过增加小梁网房水流出易度和减少房水生成来降低眼压(IOP)。本研究检验了AR-13324还可通过降低巩膜静脉压(EVP)来降低眼压这一假设。
对11只荷兰带兔(DB兔)进行有创测量动脉压(AP)、眼压、颈动脉血流量(BFcar)、心率(HR)和EVP。动物每天一次给予AR-13324(0.04%,局部用药,n = 6),持续3天。在第3天,将动物麻醉,然后在给予AR-13324或赋形剂(n = 5)前以及给药后3小时进行测量。数据(均值±均值标准误差)采用重复测量方差分析及事后检验进行分析。还收集了先前在新西兰白兔中进行的类似研究的回顾性基线数据。
基线值如下:AP为101±3 mmHg;眼压为33±3 mmHg;EVP为16±1 mmHg;BFcar为41±4 mL/min;HR为330±6次/分钟。给予AR-13324 3小时后,眼压降低了39%±7%(P<0.001),EVP降低了35%±4%(P<0.05);给予赋形剂后,眼压降低了24%±4%(P<0.05),EVP升高了25%±5%(P<0.05)。AP、BFcar和HR未改变。
AR-13324可使DB兔的EVP出现具有统计学意义的降低。此外,DB兔的AP、眼压、EVP、BFcar和HR的基线值高于先前在新西兰兔中报道的值。