Coman Ioana-Cristina, Al Hammoud Mohammad, Tudosescu Ruxandra, Iancu Raluca, Barac Cosmina, Popa Cherecheanu Alina
Ophthalmology Department, University Emergency Hospital, Bucharest, Romania.
Faculty of Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Rom J Ophthalmol. 2019 Apr-Jun;63(2):135-141.
The iris vascular supply originates in the anterior and long posterior ciliary arteries. The endothelium influences local blood flow by releasing endothelium relaxing and contracting substances. From a functional perspective, the ocular vascular tonus adjustment is humoral and neural dependent. The present article aims to evaluate the possible implications of topical administration of selective COX2 and nonselective COX inhibitors generically named nonsteroidal anti-inflammatory drugs (NSAIDs) and their possible interactions with the endocannabinoid system and the way they could interfere with the vascular tone at the level of ocular iris territory in Wistar rats. Experimental protocol on Wistar rats was performed in accordance with present laws regarding animal welfare and ethics in animal experiments (Directive 86/ 609EEC/ 1986; Romanian Law 205/ 2004; Romanian Laws 206/ 2004, 471/ 2002 and 9/ 2008; Romanian Order 143/ 400). The studied substances were instilled topically under general anesthesia, and images of the rat iris vessels were captured over a period of 10 minutes. The obtained images were further analyzed using an appropriate hardware and software program. The nonselective NSAIDs induced vascular dilation in the iris vessels, while the selective COX2 inhibitors determined a variable degree of vasoconstriction. In view of the results of this experiment and the added evidence found in literature, we consider that further research will show the potential benefits for the additional use of NSAIDs in ocular pathology, otherwise unaffected by this medication until the present time (for example, glaucoma treatment).
虹膜的血管供应起源于睫状前动脉和睫状后长动脉。内皮细胞通过释放内皮舒张和收缩物质来影响局部血流。从功能角度来看,眼部血管张力的调节依赖于体液和神经。本文旨在评估局部应用选择性COX2抑制剂和非选择性COX抑制剂(统称为非甾体抗炎药,NSAIDs)的潜在影响,以及它们与内源性大麻素系统的可能相互作用,以及它们在Wistar大鼠眼虹膜区域干扰血管张力的方式。关于Wistar大鼠的实验方案是根据当前有关动物实验中动物福利和伦理的法律进行的(指令86/609EEC/1986;罗马尼亚法律205/2004;罗马尼亚法律206/2004、471/2002和9/2008;罗马尼亚法令143/400)。在全身麻醉下将研究的物质局部滴注,并在10分钟内采集大鼠虹膜血管的图像。使用适当的硬件和软件程序对获得的图像进行进一步分析。非选择性NSAIDs导致虹膜血管扩张,而选择性COX2抑制剂则导致不同程度的血管收缩。鉴于该实验的结果以及文献中发现的其他证据,我们认为进一步的研究将表明NSAIDs在眼部病理学中额外使用的潜在益处,而目前这种药物对其并无影响(例如青光眼治疗)。