Krauss A H, Wiederholt M, Sturm A, Woodward D F
Allergan, Inc., Irvine, CA 92612, USA.
Exp Eye Res. 1997 Mar;64(3):447-53. doi: 10.1006/exer.1996.0224.
The ocular hypotensive activity of prostaglandins (PGs) has previously been demonstrated in various species including man. The underlying mechanism of action of prostanoids other than PGF2 alpha remains contentious. Because the trabecular meshwork and ciliary muscle are believed to have a role in the regulation of aqueous humor outflow, the aim of this study was to identify the PG-receptor subtypes present in these tissues using receptor-selective agonists. Contractions of isolated strips of bovine trabecular meshwork and ciliary muscle were recorded isometrically in continuously perfused tissue chambers. Contractile activity of PGs was determined relative to a maximally effective concentration of carbachol (1 microM) as a standard agonist. The following prostanoids were employed: PGF2 alpha, 17-phenyl PGF2 alpha (FP-receptor agonists), sulprostone (EP3 > EP1-agonist), AH13205 (EP2-agonist), 11-deoxy PGE1 (non-selective EP-agonist), and U-46619 (TP-agonist). The thromboxane-mimetic U-46619 elicited a strong contraction of the trabecular meshwork with the highest concentration (1 microM) being almost twice as efficacious (186.6%) as the maximal carbachol concentration, whereas the effect on the ciliary muscle was small. The U-46619 induced trabecular meshwork contraction could be blocked with a potent and selective TP-receptor antagonist, 1 microM SQ29548, indicating the involvement of TP-receptors. The other PG-analogs studied had either no or a small but statistically significant effect. Thus, 17-phenyl PGF2 alpha (1 microM) weakly contracted the ciliary muscle (4.8%), sulprostone (1 microM) the trabecular meshwork (10.1%), 11-deoxy PGE1 (1 microM) and AH13205 (10 microM) elicited relaxations in both tissue precontracted with carbachol (1 microM). The relaxant effects were more pronounced in trabecular meshwork (15.6% for 11-deoxy PG1 and 21.4% for AH13205) than ciliary muscle (6.8 and 7.4% respectively). PGF2 alpha did not elicit a significant response in either tissue. Our studies suggest the existence of TP- and EP2-receptors in the bovine trabecular meshwork and potentially FP- and EP2-receptors in the ciliary muscle. In conclusion, thromboxane-mimetics and EP2-agonists have opposing activities on contractile elements in the meshwork and may modulate trabecular outflow in a functionally antagonistic manner. Prostanoid effects on ciliary muscle appear rather modest compared to parasympathomimetic drugs. It is conceivable that TP-agonists may substantially affect trabecular outflow.
前列腺素(PGs)的降眼压活性先前已在包括人类在内的多种物种中得到证实。除前列腺素F2α(PGF2α)外,其他前列腺素类药物的潜在作用机制仍存在争议。由于小梁网和睫状肌被认为在房水流出调节中起作用,本研究的目的是使用受体选择性激动剂来鉴定这些组织中存在的PG受体亚型。在连续灌注的组织腔室中,等长记录牛小梁网和睫状肌分离条带的收缩情况。相对于卡巴胆碱(1 microM)的最大有效浓度作为标准激动剂,测定PGs的收缩活性。使用了以下前列腺素类药物:PGF2α、17-苯基PGF2α(FP受体激动剂)、舒前列素(EP3>EP1激动剂)、AH13205(EP2激动剂)、11-脱氧PGE1(非选择性EP激动剂)和U-46619(TP激动剂)。血栓素模拟物U-46619引起小梁网强烈收缩,最高浓度(1 microM)的效力几乎是卡巴胆碱最大浓度的两倍(186.6%),而对睫状肌的作用较小。U-46619诱导的小梁网收缩可被强效选择性TP受体拮抗剂1 microM SQ29548阻断,表明TP受体参与其中。所研究的其他PG类似物要么没有作用,要么有较小但具有统计学意义的作用。因此,17-苯基PGF2α(1 microM)使睫状肌轻微收缩(4.8%),舒前列素(1 microM)使小梁网收缩(10.1%),11-脱氧PGE1(1 microM)和AH13205(10 microM)在预先用卡巴胆碱(1 microM)预收缩的两种组织中均引起松弛。小梁网中的松弛作用(11-脱氧PG1为15.6%,AH13205为21.4%)比睫状肌(分别为6.8%和7.4%)更明显。PGF2α在两种组织中均未引起显著反应。我们的研究表明,牛小梁网中存在TP和EP2受体,睫状肌中可能存在FP和EP2受体。总之,血栓素模拟物和EP2激动剂对小梁网中的收缩成分具有相反的作用,可能以功能拮抗的方式调节小梁网流出。与拟副交感神经药物相比,前列腺素类药物对睫状肌的作用似乎相当有限。可以想象,TP激动剂可能会对小梁网流出产生实质性影响。