Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota, USA.
Curr Eye Res. 2021 Oct;46(10):1525-1530. doi: 10.1080/02713683.2021.1899246. Epub 2021 Mar 24.
: Glaucomatous optic neuropathy (GON) remains the world's leading cause of irreversible blindness. Treatments including topical medications are directed at reducing intraocular pressure (IOP), the most significant risk factor for GON. Current medications, while generally effective, are limited by insufficient response and side-effects in some patients. In search of a more targeted therapy that acts downstream of existing medications that has a potential for a lower side effect profile, our laboratory has identified Stanniocalcin-1 (STC-1), a multifunctional hormone, as an effector molecule in latanoprost-mediated IOP reduction with similar IOP-lowering efficacy as latanoprost in normotensive mice.: To investigate whether STC-1 can also reduce IOP in ocular hypertensive mice, we used a steroid-induced ocular hypertensive mouse model characterized by trabecular meshwork dysfunction as well as the DBA/2J mouse as an inherited model of pigment dispersion and secondary angle closure. Steroid-induced ocular hypertension was induced by weekly injections of dexamethasone into the conjunctival fornix of wild-type C57BL/6J mice (6-8 months old). After confirmation of the steroid response, mice were administered STC-1 or phosphate buffered saline (PBS) topically once daily for six weeks. For DBA/2J mice (14 months old), after baseline IOP measurements, mice were treated topically once daily with STC-1 or PBS for 5 days and IOP was assessed twice daily.: In steroid-induced ocular hypertensive mice, STC-1 lowered IOP by 26% ( < .001, week three) and maintained this level of IOP reduction throughout the remainder of the treatment period ( < .001, week six). In DBA/2J mice, STC-1 lowered IOP by 37% ( < .001).: Together, these data show that STC-1 reduced IOP in two models of ocular hypertension with different mechanisms of outflow obstruction.
青光眼视神经病变(GON)仍然是全球不可逆转失明的主要原因。治疗方法包括局部药物治疗,旨在降低眼压(IOP),这是 GON 的最重要危险因素。虽然目前的药物通常有效,但在一些患者中,其疗效有限且存在副作用。为了寻找一种更具针对性的治疗方法,该方法作用于现有药物的下游,且副作用较低,我们的实验室已经确定 Stanniocalcin-1(STC-1),一种多功能激素,作为拉坦前列素介导的 IOP 降低的效应分子,其在正常眼压小鼠中的降眼压作用与拉坦前列素相似。
为了研究 STC-1 是否也可以降低高眼压小鼠的眼压,我们使用类固醇诱导的高眼压小鼠模型,该模型的小梁网功能障碍以及 DBA/2J 小鼠作为色素播散和继发性房角关闭的遗传模型。通过每周向野生型 C57BL/6J 小鼠(6-8 个月大)的结膜穹窿注射地塞米松来诱导类固醇诱导的高眼压。在确认类固醇反应后,每天一次给小鼠施用 STC-1 或磷酸盐缓冲盐水(PBS),持续 6 周。对于 DBA/2J 小鼠(14 个月大),在基线眼压测量后,每天一次用 STC-1 或 PBS 治疗 5 天,并每天两次评估眼压。
在类固醇诱导的高眼压小鼠中,STC-1 降低眼压 26%(<0.001,第 3 周),并在整个治疗期间维持这种眼压降低水平(<0.001,第 6 周)。在 DBA/2J 小鼠中,STC-1 降低眼压 37%(<0.001)。
总之,这些数据表明,STC-1 降低了两种具有不同流出道阻塞机制的高眼压模型的眼压。