School of Ophthalmology and Optometry and Eye Hospital, Wenzhou Medical University, Wenzhou, Zhejiang, China.
State Key Laboratory of Optometry, Ophthalmology and Vision Science, Wenzhou, Zhejiang, China.
Basic Clin Pharmacol Toxicol. 2018 Sep;123(3):263-270. doi: 10.1111/bcpt.13017. Epub 2018 May 29.
Retinal arachidonic acid (ARA) levels in form-deprived eyes decline in guinea pigs. As prostaglandin F2α (PGF2α) is an ARA metabolite and endogenous agonist of prostaglandin F receptor (FP), we have been suggested that down-regulation of PGF2α-FP receptor signalling pathway contributes to myopia onset. To test this hypothesis, this study determines whether: (i) retinal PGF2α levels decline during the development of form deprivation myopia (FDM) in guinea pigs; (ii) FP receptor agonism and antagonism alter emmetropization and myopia development. Pigmented guinea pigs were randomly assigned to normal vision and form-deprived groups. Ultraperformance liquid chromatography coupled with a mass spectrometer (UPLC-MS) measured retinal PGF2α levels 2 weeks after form deprivation (FD). The selective FP agonist, latanoprost acid (LAT) and its corresponding antagonist, AL8810, were peribulbarly injected into each group. An eccentric infrared photorefractor (EIR) monitored refraction. A-scan ultrasonography measured axial elongation (AL) and vitreous chamber depth (VCD). Tonometry measured the intraocular pressure (IOP). Retinal PGF2α levels declined in form-deprived eyes compared to those in normal eyes. Neither LAT nor AL8810 affected IOP with or without FD. On the other hand, after 4 weeks of daily 0.5 μg AL8810 treatment, a myopia of -1.99 ± 0.34 dioptre (D) developed, but LAT had no effect on emmetropization in a normal visual environment. Nevertheless, daily 30 μg LAT treatment for 4 weeks inhibited FDM development by 41% (vehicle control: -8.39 ± 0.45 D; LAT: -4.95 ± 0.39 D; two-way anova with repeated measures, p < 0.05). Down-regulation of PGF2α-FP receptor signalling pathway may contribute to myopia onset as retinal PGF2α declined in myopic eyes and antagonism of FP receptor by AL8810 induced a myopic shift in normal vision environment. Meanwhile, up-regulation of this pathway by LAT inhibited FDM development. However, the mechanism underlying LAT-induced FDM inhibition needs further clarification. This uncertainty exists because its inhibition of FDM suggests that LAT strengthens the scleral framework which reduces axial elongation. On the other hand, its IOP-lowering effect is attributed to thinning and weakening the scleral framework in glaucoma treatment.
视网膜花生四烯酸(ARA)水平在剥夺形状的眼睛中下降豚鼠。由于前列腺素 F2α(PGF2α)是 ARA 的代谢产物和前列腺素 F 受体(FP)的内源性激动剂,我们认为下调 PGF2α-FP 受体信号通路有助于近视的发生。为了验证这一假说,本研究确定了以下两种情况:(i)在豚鼠形剥夺性近视(FDM)发育过程中,视网膜 PGF2α 水平是否下降;(ii)FP 受体激动剂和拮抗剂是否改变正视化和近视发展。色素豚鼠被随机分配到正常视力和形剥夺组。超高效液相色谱-质谱联用(UPLC-MS)在形剥夺 2 周后测量视网膜 PGF2α 水平(FD)。选择性 FP 激动剂拉坦前列素酸(LAT)及其相应的拮抗剂 AL8810 被眶周注射到各组。偏心红外屈光仪(EIR)监测屈光。A 扫描超声测量眼轴伸长(AL)和玻璃体腔深度(VCD)。眼压计测量眼压(IOP)。与正常眼相比,形剥夺眼的视网膜 PGF2α 水平下降。无论是否存在 FD,LAT 或 AL8810 均不影响 IOP。另一方面,在每天 0.5μg AL8810 治疗 4 周后,发展为-1.99±0.34 屈光度(D)的近视,但在正常视觉环境中,LAT 对正视化没有影响。然而,每天 30μg LAT 治疗 4 周可抑制 FDM 发展 41%(载体对照:-8.39±0.45D;LAT:-4.95±0.39D;重复测量双向方差分析,p<0.05)。PGF2α-FP 受体信号通路的下调可能导致近视的发生,因为近视眼中的视网膜 PGF2α 下降,而 FP 受体拮抗剂 AL8810 在正常视觉环境中引起近视移位。同时,LAT 上调该通路抑制 FDM 发展。然而,LAT 抑制 FDM 发展的机制仍需进一步阐明。这种不确定性的存在是因为它抑制 FDM 表明 LAT 增强了巩膜框架,从而减少了眼轴伸长。另一方面,其降眼压作用归因于青光眼治疗中巩膜框架的变薄和减弱。