Nagata A, Mishima H K, Kiuchi Y, Hirota A, Kurokawa T, Ishibashi S
Department of Ophthalmology, Hiroshima University School of Medicine, Japan.
Jpn J Ophthalmol. 1993;37(1):32-8.
The binding of ocular hypotensive drugs to synthetic melanin was studied spectrophotometrically in vitro. The ocular hypotensive effects of the drugs, namely, timolol, befunolol, carteolol, pilocarpine, epinephrine, prostaglandin A2, F2 alpha and E2, also were compared in vivo on eyes of pigmented and albino rabbits. At an initial concentration of 10(-4) M, each of the three beta-blockers exhibited a binding rate of 80-85% as compared to only 40% for pilocarpine and 50% for epinephrine. Almost none of the prostaglandins were found to bind to synthetic melanin. Topically applied, 0.5% timolol and 3% pilocarpine significantly lowered the intraocular pressure in albino but not in pigmented rabbits. Epinephrine (1%) caused a significant reduction in the intraocular pressure both in albino and pigmented rabbits; however, the maximum reduction was greater in albino than in pigmented rabbits. Intraocular pressure was reduced to the same extent and with a similar time-course in both albino and pigmented rabbits by 0.02% prostaglandin A2, F2 alpha and E2. These findings show that several ocular hypotensive drugs bind to melanin and suggest that this process can modify the extent of their pharmacological effects when tested in a single dose, or the time-course of their effects when used to treat chronic conditions.
采用分光光度法在体外研究了降眼压药物与合成黑色素的结合情况。还在有色和白化病兔的眼睛上对这些药物(即噻吗洛尔、倍他洛尔、卡替洛尔、毛果芸香碱、肾上腺素、前列腺素A2、F2α和E2)的降眼压效果进行了体内比较。在初始浓度为10^(-4) M时,三种β受体阻滞剂中的每一种的结合率均为80 - 85%,而毛果芸香碱仅为40%,肾上腺素为50%。几乎未发现前列腺素与合成黑色素结合。局部应用0.5%噻吗洛尔和3%毛果芸香碱可使白化病兔的眼压显著降低,但对有色兔则无此效果。1%肾上腺素可使白化病兔和有色兔的眼压均显著降低;然而,白化病兔的最大降幅大于有色兔。0.02%前列腺素A2、F2α和E2可使白化病兔和有色兔的眼压降低程度相同,且时间进程相似。这些发现表明,几种降眼压药物可与黑色素结合,并提示在单剂量测试时,这一过程可改变其药理作用的程度,或在用于治疗慢性病时改变其作用的时间进程。