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Vol. 289, Issue 3, 1362-1369, June 1999
1 Recognition Sites in Rabbit Iris-Ciliary Body:
Topical
1-Site Agonists Lower Intraocular
Pressure1
Department of Pharmacology, University of Bologna, Bologna, Italy
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Abstract |
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In this study, we examined the presence of
1 and
2 sites in the rabbit iris-ciliary body by receptor
binding and investigated their effects on intraocular pressure (IOP) in
albino rabbits. The iris-ciliary body has binding sites for the
1-site agonist [3H](+)-pentazocine
(Kd = 4.6 nM;
Bmax = 212 fmol/mg protein) and
2 sites labeled with
[3H]1,3-di-o-tolylguanidine (DTG)
(Kd = 8.2 nM;
Bmax = 1120 fmol/mg protein). In competition
binding studies, (+)-pentazocine and the
antagonist NE-100
displayed high affinity for
1 sites
(Ki = 2.1 and 2.4 nM, respectively), whereas
(+)-N-allylnormetazocine (NANM) was less potent
(Ki = 178 nM). Unilateral topical
(+)-pentazocine (0.01-0.1%) caused a significant dose-related
reduction of IOP in ocular normotensive rabbits and in the
-chymotrypsin model of ocular hypertension. (+)-NANM was less potent
than (+)-pentazocine. Neither compound altered the IOP of the
contralateral eye, and their hypotensive activity was blocked by NE-100
that, by itself, had no effect on IOP. (
)-Pentazocine, (
)-NANM, and
DTG had no effect on IOP. DTG prevented the hypotensive effect of
(+)-pentazocine, suggesting that it acts as a
1-site
antagonist.
-Site ligands did not affect pupil diameter or cause
ocular inflammation. Topical [3H](+)-pentazocine reaches
the intraocular tissues within 30 min, and its uptake in the
iris-ciliary body and retina was significantly reduced by topical
pretreatment with NE-100, as expected for a receptor-specific agent.
Reverse-phase HPLC confirmed the presence of intact (+)-pentazocine in
iris-ciliary body homogenates.
1-Site agonists may offer
a novel class of agents potentially effective in the control of ocular hypertension.
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Introduction |
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The
term "sigma" (
) is used to refer to a unique class of nonopioid,
nonphencyclidine-binding sites heterogeneously distributed in the
nervous system and in peripheral organs that may serve as receptors for
an as-yet-unidentified endogenous ligand (Walker et al., 1990
; Quiron
et al., 1992
; Leitner et al., 1994
). The
recognition sites may bind
an array of structural classes of compounds, including haloperidol,
1,3-di-o-tolylguanidine (DTG), (+)-3-(3-hydroxyphenyl)-N-(1-propyl) piperidine
[(+)-3-PPP], and (+)-benzomorphans such as (+)-pentazocine and
(+)-N-allylnormetazocine [(+)-NANM] (De Costa and He,
1994
). According to biochemical and radioligand-binding data,
recognition sites have been classified into at least two types, termed
1 and
2 (Quiron et
al., 1992
). Although they both bind haloperidol and DTG with high
affinity,
1 recognition sites display
preferential affinity and stereoselectivity for (+)-benzomorphans
(DeHaven-Hudkins et al., 1992
).
A
1-binding protein has been cloned from the
guinea pig liver (Hanner et al., 1996
), and its sequence shows
significant similarities with sterol
C8-C7 isomerases from
fungi. This enzyme is crucial for the biosynthesis of ergosterol, which
is the fungal equivalent of cholesterol; however, it remains to be
confirmed whether the mammalian
1-binding site
is an enzyme involved in sterol biosynthesis (Moebius et al., 1997
).
The functional role of
recognition sites and the cellular
mechanisms responsible for the effects produced by
-site ligands have not been clearly determined, although these compounds may act as
neuromodulators. Previous reports have indicated that
-site ligands
may modulate agonist-stimulated phospholipase C activity in the rat
brain (Bowen, 1993
) and in adrenal medullary cells (Bunn et al., 1994
).
In rat forebrain synaptosomes, these ligands inhibit the rise of
intrasynaptosomal free calcium levels induced by depolarizing
agents (Brent et al., 1996
). Several
-site ligands may regulate
N-methyl-D-aspartate-stimulated
[3H]dopamine release from rat and guinea pig
striatal slices (Gonzalez-Alvear and Werling, 1994
, 1995
; Gonzalez and
Werling, 1997
) or from rat hippocampal slices (Monnet et al., 1996
) and
affect cholinergic-dependent cognitive functions (Senda et al., 1996
).
In several of the above studies (Brent et al., 1996
; Monnet et al.,
1996
; Senda et al., 1996
; Gonzalez and Werling, 1997
), it was proposed
that
1-site preferential ligands such as
(+)-pentazocine, (+)-NANM, and BD 737 [(+)-cis-N-methyl-N-[2-(3,4-dichlorophenyl)ethyl]-2-(1-pyrrolidinyl)cyclohexylamine] behave as agonists. NE-100
(N,N-dipropyl-2-[4-methoxy-3-(2-phenylethoxy)phenyl]ethylamine HCl; Okuyama et al., 1993
; Tanaka et al., 1995
), DuP 734 [1-(cyclopropylmethyl)-4-(2'-(4"-fluorophenyl)-2'-oxoethyl)piperidine HBr], and BD 1008 (N-[2-(3,4-dichlorophenyl)ethyl]-N-methyl-2-(1-pyrrolidinyl)ethylamine) (Gonzalez-Alvear and Werling, 1995
), which have no effects by themselves but reverse the effects of
1-site
agonists, are defined as antagonists. Interestingly, several
-site
ligands influence electrically evoked contractions in the isolated
mouse and rat vas deferens (Campbell et al., 1987
; Kennedy et al.,
1990
) and in the guinea pig longitudinal muscle/myenteric plexus
preparation (Campbell et al., 1989
). These findings add more evidence
that
recognition sites may participate in the regulation of
autonomic functions and that
-site ligands may interfere with
neurotransmitter release and/or influence their action on innervated
tissue (Su and Junien, 1994
).
In the eye,
recognition sites have been reported in the lachrymal
gland (Schoenwald et al., 1993
) and in bovine retinal membranes (Senda
et al., 1997
). However, it is not yet known whether
sites are
present in the iris-ciliary body, which contains both parasympathetic
and sympathetic innervation (Laties and Jacobowitz, 1966
; Nomura and
Smelser, 1974
) and contributes to the regulation of intraocular
pressure (IOP) and pupil diameter (PD) (Kaufman et al., 1984
; Sears,
1984
). The present study evaluated the presence of
1 and
2 recognition
sites in the rabbit iris-ciliary body by receptor binding to elucidate
their effects on IOP in ocular normotensive albino rabbits and in the
-chymotrypsin model of ocular hypertension in the rabbit.
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Materials and Methods |
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Animals. Male New Zealand White albino rabbits (Charles River, Calco, Italy) weighing 1.8 to 2.2 kg and with no signs of ocular inflammation or gross abnormality were used. Animal procedures followed the guidelines of the Animal Care and Use Committee of the University of Bologna and conformed to the Association for Research in Vision and Ophthalmology (ARVO) resolution on the use of animals in research.
Drugs and Chemicals.
(+)-NANM, (
)-NANM, (+)-pentazocine,
(
)-pentazocine, haloperidol, DTG, and levallorphan tartrate were from
Research Biochemical International (Milan, Italy). NE-100 was a kind
gift from Taisho Pharmaceutical Co. (Tokyo, Japan).
2-p-Chlorosulfophenyl-3-phenylindone was from Polysciences
(Warrington, PA). [3H](+)-Pentazocine and
[3H]DTG were from Amersham (Milan, Italy). All
other compounds and reagents were purchased from Sigma Chemical Co.
(St. Louis, MO).
Binding Assays.
Membranes from the rabbit iris-ciliary body
were prepared according to a procedure adopted for the guinea pig brain
(Ucar et al., 1997
). Male rabbits were sacrificed by i.v. injection of
0.3 ml/kg Tanax T-61 (Tanax; Hoechst AG, Frankfurt-am-Main, Germany), and the eyes were enucleated. The iris-ciliary body was
rapidly removed, weighed, and homogenized in ice-cold 10 mM Tris-sucrose buffer (0.32 M sucrose in 10 mM Tris·HCl, pH 7.4; 10 ml/g wet tissue weight) using a Potter-Elvejehm homogenizer. The
homogenate was centrifuged at 1000g for 10 min at 4°C, and the supernatant was saved. The pellet was suspended in 2 ml/g Tris-sucrose buffer and centrifuged at 1000g for 10 min at
4°C. The supernatants were combined and centrifuged (15 min,
31,000g, 4°C). The pellet was resuspended in 10 mM
Tris·HCl, pH 7.4, in a volume of 3 ml/g and incubated for 30 min at
25°C. After recentrifugation as above, the pellet was resuspended in
10 mM Tris·HCl, pH 7.4, in a final volume of 1.5 ml/g wet tissue, and
aliquots were stored at
80°C until use. The protein concentration
of the suspension was determined (Bradford, 1976
), and it corresponded
to 68 ± 3 µg/100 mg of wet tissue (n = 24).
1 saturation binding assays, the membranes
from rabbit iris-ciliary body (350 µg of protein/assay tube) were
incubated for 150 min at 37°C in 1 ml of incubation buffer (50 mM
Tris·HCl, pH 7.4 at 37°C) containing 1 of 12 concentrations of
[3H](+)-pentazocine (0.175-75 nM; specific
activity, 58 Ci/mmol). Nonspecific binding was defined in the presence
of 10 µM haloperidol and accounted at most for
20% of the total
radioactivity retained in the filters. Competition binding experiments
were done as described above in the presence of 3 nM
[3H](+)-pentazocine and 1 of 12 concentrations
(10
12 to 5 × 10
4
M) of the unlabeled ligand under investigation. For
2 saturation studies, rabbit iris-ciliary body
membranes (350 µg of protein/assay tube) were incubated for 120 min
at 25°C in 0.5 ml of incubation buffer (50 mM Tris·HCl, pH 8.0, at
25°C) containing 1 of 12 concentrations of
[3H]DTG (0.175-75 nM; specific activity, 35 Ci/mmol) and (+)-pentazocine (200 nM) to mask
1 sites (Quiron et al., 1992
20% of the total radioactivity retained in the filters.
Competition binding experiments were done as described above in the
presence of 3 nM [3H]DTG and 1 of 12 concentrations (10
12 to 5 × 10
4 M) of the unlabeled ligand under
investigation. All experiments were performed in duplicate, and at
least three independent experiments were done. Incubations were
terminated by rapid filtration (for
1-binding
assays) or with 5 ml of ice-cold 10 mM Tris·HCl, pH 8.0 (Tris
buffer), and vacuum filtration (for
2-binding
assays) through glass-fiber filters (Schleicher & Schuell, Dassel,
Germany) presoaked in 0.1% polyethylenimine for at least 60 min before use. Radioactivity retained on the filters was measured by liquid scintillation spectrometry using a Beckman LS 1701 counter (after overnight incubation in scintillation cocktail) with a counting efficiency of 60%. The apparent dissociation constants
(Kd), the maximal number of binding
sites (Bmax), inhibition constants
(Ki), and Hill coefficients
(nH) were calculated using the LIGAND
or EBDA programs (Elsevier-BIOSOFT, Cambridge, UK).
PD and IOP measurements.
Conscious rabbits were placed in
restraint boxes to which they had been habituated, with unrestricted
head or eye movements. PD (in mm) was measured with a Castroviejo
caliper under constant light. Then, 10 µl of 0.4% oxybuprocaine
hydrochloride (Novesina; Sandoz, Milan, Italy) was applied to the
cornea to minimize any discomfort to the animal, and IOP (mm Hg) was
measured using a Tono-Pen XL tonometer (Mentor, Norwell, MA),
calibrated according to the manufacturer's instructions; this local
anesthetic had no effect on PD and IOP. Before IOP measurement, the
anterior segment of each eye was macroscopically observed to check for discomfort or signs of inflammation, adopting the procedure described by McDonald and Shadduck (1997)
. For each IOP determination, three readings were taken on each eye, alternating the left and right eyes,
and the mean was calculated. Two baseline readings were taken at 30 min
before and at t = 0 (this latter value was taken as baseline) and
at 30 min and 1, 1.5, 2, 3, and 4 h after the instillation of
eyedrops into the conjunctival sac. Topically administered compounds
were dissolved in PBS (pH 7.4; vehicle), and 50 µl/eye was instilled.
PD values are expressed as mean ± S.E.M. in mm; IOP values are
expressed as mean ± S.E.M. in mm Hg and as the difference from baseline.
-Chymotrypsin-Induced Ocular Hypertension in Rabbit.
Ocular hypertension was induced in the left eye by injection of
-chymotrypsin into the posterior chamber, as described elsewhere (Sears and Sears, 1974
). Briefly, a single dose of
-chymotrypsin (50 UAE, Pharmacopée Française; dissolved in 200 µl of
sterile saline) was administered into the posterior ocular chamber in rabbits anesthetized by an i.m. injection of 35 mg/kg ketamine (Ketalar; Parke-Davis, Milan, Italy) and 5 mg/kg xylazine HCl (Rompun
2%; Bayer, Leverkusen, Germany) using a 30-gauge needle. The tip of
the needle was swept across so as to distribute the enzyme evenly
throughout the posterior chamber, the needle being left in for at least
1 min before being carefully withdrawn to avoid the enzyme coming into
contact with the cornea, and the external surface of the eye was washed
with 10 ml of sterile saline. Ten minutes before
-chymotrypsin
injection and after 4, 12, and 24 h, 20 µl of 0.4%
oxybuprocaine hydrochloride was instilled to minimize discomfort to the
rabbit. For 7 days after
-chymotrypsin injection, two
chloramphenicol eyedrops (Vitamfenicolo; Allergan, Milan, Italy) were
administered twice a day. In case of severe ocular inflammation (which
occurred in about 5% of animals), the rabbits were not included in the
study. IOP was checked after 4 weeks, and only rabbits with pressure of
26 mm Hg or more (i.e., approximately 12-15 mm Hg above the IOP in the
contralateral, untreated eye) and no sign of ocular inflammation were used.
Ocular Distribution Studies. Rabbits received a topical instillation (50 µl/eye) of (+)-pentazocine (0.05% w/v) containing a trace amount of [3H](+)-pentazocine (900,000 dpm/50 µl; specific activity, 58 Ci/mmol). The animals were sacrificed by i.v. injection (in the marginal vein of the ear) of Tanax (0.3 ml/kg; Hoechst AG) 30 min after topical treatment. The cornea, iris-ciliary body, lens, and retina were separated from the remainder of the eye (the entire procedure took less then 3 min per eye), rinsed with 1 ml of ice-cold phosphate buffer (pH 7.4), and gently blotted with Kimwipes to remove residual fluid. Each tissue sample was weighed and digested in a scintillation vial at 55°C for 18 h in 1 ml of a tissue solubilizer (Solvable; Packard, Meriden, CT), and then 9 ml of a liquid scintillation cocktail was added (Filter-Count; Packard). All samples were stored in the dark for 24 h before counting in a liquid scintillation spectrometer. After being corrected for background (tissue samples from untreated rabbits were processed as above), quenching, and decay, the degradation per minute (dpm) was expressed as a percentage of the total dpm instilled per gram of wet tissue. Blocking studies were done in the same way except that 50 µl of a 0.1% solution (w/v) of NE-100 was topically instilled 10 min before the cold (+)-pentazocine mixed with the radioligand.
In a separate set of experiments, rabbits were topically treated with a 0.05% solution of (+)-pentazocine (50 µl/eye) and sacrificed 30 min later, and (+)-pentazocine in iris-ciliary body homogenates was evaluated by reverse-phase HPLC according to Anderson et al. (1982)
2500 psi.
The retention times for (+)-pentazocine and its internal standard,
levallophan tartrate, were 5.52 ± 0.4 (n = 12)
and 6.48 ± 0.43 (n = 12) min, respectively. Results were quantified from a plot of the peak height ratio of (+)-pentazocine to internal standard against the (+)-pentazocine concentration per gram of wet tissue. Recovery of (+)-pentazocine was
at least 75% and was linear over the concentration range of 10 ng to 1 µg (r = 0.96). The limit of detection was 5 ng/100 mg
of wet tissue. Under the conditions described, chromatograms of blank
iris-ciliary body samples did not present any interfering peak (data
not shown).
Statistical Analysis. Data are expressed as mean ± S.E.M. Statistical comparisons were made by ANOVA for repeated measures and posthoc Dunnett's multiple comparison test with differences of P < .05 being considered significant (GraphPAD Software, San Diego, CA).
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Results |
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Binding Characteristics of
Ligands in Rabbit Iris-Ciliary Body
Membranes.
Saturation binding assays indicated that
[3H](+)-pentazocine bound with high affinity to
iris-ciliary body membranes under the experimental conditions adopted
(Fig. 1). The apparent affinity of
[3H](+)-pentazocine
(Kd = 4.6 ± 0.6 nM;
nH =
0.92; n = 6)
was similar to that detected in guinea pig brain homogenates (4.3 ± 0.8 nM; data taken from Ucar et al., 1997
), whereas the
Bmax was lower (212 ± 17 fmol/mg
protein, n = 6, versus 1998 ± 97 fmol/mg protein found in guinea pig brain homogenates; S. Spampinato, unpublished data). Saturation analysis of [3H]DTG binding,
in the presence of (+)-pentazocine (200 nM) to mask
1 sites, confirmed there were
2-binding sites in this tissue (Kd = 8.2 ± 1.2 nM,
n = 5; nH =
0.88;
Bmax = 1120 ± 98 fmol/mg protein; n = 5). The affinity of
[3H]DTG to iris-ciliary body membranes and to
guinea pig brain membranes (Kd = 9.9 ± 0.8 nM; data from Ucar et al., 1997
) was also equivalent, whereas the Bmax value in iris-ciliary
body membranes was lower than that in guinea pig brain membranes
(Bmax = 1540 ± 78 fmol/mg protein; n = 5; S. Spampinato, unpublished data). The
binding of [3H](+)-pentazocine and
[3H]DTG to iris-ciliary body membranes was
described better by assuming an interaction of each radioligand with a
single population of binding sites over the range of concentrations
employed (nH values were not
significantly different from unity; p > .05).
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1 recognition sites
labeled with [3H](+)-pentazocine than for
2 recognition sites expressed in iris-ciliary body membranes; the benzomorphan (+)-NANM inhibited
[3H](+)-pentazocine binding and showed low
affinity for
2 recognition sites in
iris-ciliary body homogenates (Table 1
and Fig. 2). These compounds had
nH values not significantly different
from unity, indicating the absence of positive or negative cooperative of binding at each
site (Table 1).
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IOP and PD.
The unilateral instillation of 0.01%, 0.05%, and
0.1% solutions (w/v) of (+)-pentazocine lowered the IOP of
normotensive rabbits in a dose-related manner (Fig.
3A), with a maximum drop of 2.2 mm Hg 60 min after instillation of the 0.1% solution. By 4 h, IOP had
returned to baseline (Fig. 3A). The elevated IOP of the
-chymotrypsinized rabbit eye was significantly lowered, in a dose-related manner, by (+)-pentazocine (0.01-0.1%) (Fig. 3B), with
maximum reduction (by 14.7 mm Hg) at 60 min with the 0.1% solution;
the effect lasted from 1.5 to 3 h, depending on the dose (Fig.
3B). The
receptor antagonist NE-100 [50 µl of 0.1% solution
instilled 10 min before 0.1% (+)-pentazocine] and the nonselective
-site ligand DTG [50 µl of 0.5% solution 10 min before 0.1%
(+)-pentazocine] blocked the effect of this benzomorphan in the
normotensive and hypertensive rabbit eye (Fig. 3). The vehicle alone
had no effect on IOP (Fig. 3), and IOP of the contralateral eye was not
affected by topical treatments (data not shown).
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)-pentazocine (0.5%) caused only a modest, nonsignificant (p > .05)
fall in IOP 60 min after the topical treatment (Tables
2 and 3).
Topical (+)-NANM (0.05-0.5%, w/v) reduced IOP in the normotensive and hypertensive rabbit eye in a dose-related manner (Fig.
4). The IOP of the normotensive eye was
maximally reduced by 1.6 and 2.2 mm Hg 1 h after instillation of
the 0.1% and 0.5% solutions, respectively, of (+)-NANM (Fig. 4A). In
the hypertensive eye, IOP was reduced by 10.5 and 13.4 mm Hg 1 h
after 0.1% and 0.5%, respectively, of (+)-NANM; the hypotensive
activity lasted from 1 to 3 h, depending on the dose (Fig. 4).
(+)-NANM did not lower IOP in the contralateral eye (data not shown).
(
)-NANM (0.5%, w/v) had no effect on IOP (Fig. 4).
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ligands did not cause any significant change of
PD in ocular normotensive (Table 4) and
hypertensive rabbits up to 4 h after treatment (data not shown).
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Ocular Distribution.
At 30 min after instillation of 0.05%
(+)-pentazocine containing a trace amount of tritiated compound, there
was significant penetration of radioactivity in the cornea,
iris-ciliary body, lens, and retina (Fig.
5). Uptake was highest in the cornea and lowest in the lens. To examine the specificity of radioactivity uptake
in different ocular tissues, the
receptor antagonist NE-100 was
instilled as receptor blocker 10 min before of the radioligand.
This pretreatment significantly reduced the accumulation of
radioactivity in the iris-ciliary body and retina (Fig. 5). In separate
experiments, the presence of (+)-pentazocine in iris-ciliary body
homogenates was evaluated by reverse-phase HPLC. As shown in Fig.
6, 30 min after topical instillation of
0.05% (+)-pentazocine, a peak eluted in the same position as the
standard (+)-pentazocine. The concentration of (+)-pentazocine
corresponded to 4.7 ± 0.32 µg/g of wet tissue
(n = 6), and considering the weight of the iris-ciliary
body, 90 ± 2.3 mg/eye (n = 24), this corresponded to
1.9% of the topical dose.
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Discussion |
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The presence of
1 and
2 recognition sites was determined in rabbit
iris-ciliary body homogenates by receptor-binding assay.
1 Sites were characterized by using the
dextrorotatory benzomorphan (+)-pentazocine, which is considered a
preferential ligand for these sites (DeHaven-Hudkins et al., 1992
).
This compound bound to
1 sites expressed in
the iris-ciliary body with high affinity (Kd = 4.6 nM), comparable with the
values in guinea pig brain homogenates (Tanaka et al., 1995
; Ucar et
al., 1997
). The density of the binding sites was lower than that
reported for the guinea pig. In the rabbit iris-ciliary body,
2 recognition sites are also expressed,
displaying high affinity for [3H]DTG when
1 sites are masked with (+)-pentazocine; their
maximum number was approximately five times the
1 recognition sites. The affinity of the
benzomorphans (+)-pentazocine and (+)-NANM and of the purported
1 antagonist NE-100 (Okuyama et al., 1993
; Tanaka et al., 1995
) for
1 and
2 recognition sites was determined in
competition binding experiments using
[3H](+)-pentazocine and
[3H]DTG, respectively. These agents showed
preferential affinity for
1 sites expressed in
the rabbit iris-ciliary body; NE-100 and (+)-pentazocine had similar
potency, but (+)-NANM was less potent. The present results are in
agreement with data obtained by DeHaven-Hudkins et al. (1992)
in guinea
pig brain homogenates.
Topical (+)-pentazocine caused a significant dose-related reduction of
IOP in ocular normotensive albino rabbits and lowered the elevated IOP
of rabbits treated with
-chymotrypsin. This model is very responsive
to topical ocular hypotensive agents such as timolol (Vareilles et al.,
1977
) and carbonic anhydrase inhibitors (Sugrue et al., 1984
) and is
useful for screening compounds for ocular hypotensive activity (Sugrue,
1989
). Unilateral instillation of (+)-pentazocine did not affect IOP in
the contralateral eye. This indicates that the ability of
(+)-pentazocine to lower IOP is, in fact, due to local action and is
not the result of absorption of the drug into the circulation followed
by redistribution. The experimentally elevated IOP of rabbits
pretreated with
-chymotrypsin was maximally decreased by 12 and 14.7 mm Hg after instillation of 0.05% and 0.1% solutions, respectively,
of (+)-pentazocine (50 µl/eye). This hypotensive effect lasted 3 or
4 h, depending on the dose. Normotensive rabbits were much less
susceptible to the IOP-lowering activity of topical (+)-pentazocine, a
0.1% solution reducing IOP by only 2 mm Hg at 60 min. This profile of
activity is similar to that described for other ocular hypotensive
drugs such as adrenergic antagonists (Lotti et al., 1984
) and carbonic anhydrase inhibitors topically administered in the rabbit (Sugrue et
al., 1984
, 1990
). The benzomorphan (+)-NANM also caused a
dose-dependent decrease in IOP, but it was less potent than
(+)-pentazocine: the minimum effective concentration was 0.1%. This is
in agreement with binding assays in which (+)-NANM displayed less
affinity than (+)-pentazocine for
1 sites
expressed in the rabbit iris-ciliary body.
Ocular hypotension elicited by (+)-pentazocine and (+)-NANM was blocked
by NE-100, which, by itself, had no such effect. The present findings
are consistent with those mentioned in the introduction suggesting that
this compound acts as a
1-site antagonist
(Brent et al., 1996
; Monnet et al., 1996
; Senda et al., 1996
; Gonzalez and Werling, 1997
). The levorotatory isomers (
)-pentazocine and (
)-NANM, which have low affinity for
recognition sites (Quiron et
al., 1992
; De Costa and He, 1994
), do not lower IOP in ocular normotensive and hypertensive rabbits. Taken together, these findings add evidence to the suggestion that (+)-pentazocine and (+)-NANM act as
1-site agonists. Interestingly, the
-site
ligand DTG, binding to
1 and
2 sites with high affinity (Quiron et al., 1992
), had no effect on IOP. These findings suggest that the
2 recognition sites in the rabbit iris-ciliary
bodies do not participate in the control of IOP and/or that DTG behaves
as a
1-site antagonist. This is borne out by
the observation that topical instillation of 0.1% DTG prevented the
ocular hypotensive effect elicited by (+)-pentazocine, in line with
previous studies suggesting that DTG is most likely an antagonist at
1 sites (Gonzalez-Alvear and Werling, 1995
) or
an inverse agonist (Monnet et al., 1996
).
Unlike topical cholinergic (Kaufman et al., 1984
) and adrenergic agents
(Sears, 1984
),
1-site agonists did not affect
PD; they also appeared to be well tolerated because they did not cause any ocular inflammatory response.
Ocular distribution studies of
[3H](+)-pentazocine showed that this compound
adequately penetrates the rabbit eye, with significant concentrations
of radioactivity in different ocular tissues 30 min after topical
administration. Uptake of the radioligand in the iris-ciliary body and
retina was significantly reduced by topical pretreatment with NE-100,
as expected for a receptor-specific agent. These data corroborate the
existence of
1 recognition sites in ocular
tissues (Senda et al., 1997
) and the feasibility of investigating the
in vivo distribution profile of
-site ligands using radiolabeled
compounds (Musachio et al., 1994
). In these experiments, the
radioactivity detected in several ocular tissues may correspond to both
the parent (+)-pentazocine and any metabolites. To better characterize
the nature of the radioactivity in the iris-ciliary body, we measured
the concentrations of (+)-pentazocine by reverse-phase HPLC 30 min
after instillation of a 0.05% solution. This dose was chosen because
it lowers the IOP of ocular normotensive and hypertensive rabbits. The
level of (+)-pentazocine in iris-ciliary body homogenates was 4.7 µg/g of wet tissue, corresponding to
1.9% of the total amount
applied. Therefore, 30 min after treatment, a significant amount of
(+)-pentazocine reaches the iris-ciliary body; it is not yet
metabolized and may bind to
1 sites in this tissue because its concentration is in excess of the binding sites (as
determined in binding assays, the Bmax
of [3H](+)-pentazocine was 212 fmol/mg of
protein, or approximately 14 fmol per each iris-ciliary body, assuming
that it contains
68 µg of protein).
The iris and the ciliary body are innervated by the sympathetic and
parasympathetic autonomic nervous systems, which control PD,
accommodation, and aqueous humor formation and drainage (Kaufman et
al., 1984
; Sears, 1984
). Several autonomic drugs are used in ophthalmology to control ocular hypertension, which is frequent in
glaucoma (Leopold and Duzman, 1986
). Current pharmacological therapies
for this disease aim, in fact, to lower the production of aqueous humor
at the ciliary body and/or to facilitate its outflow from the angle
structures (Leopold and Duzman, 1986
). In the introduction, we
mentioned that
recognition sites might contribute to the regulation
of autonomic functions; therefore,
1-site
agonists applied topically may reduce IOP binding to
1 sites, thus interfering with any step
involved in the neurotransmission at ciliary body level. The
distribution of
1 recognition sites in the
iris-ciliary body, their possible prejunctional and/or postjunctional
activity, and the molecular basis for
1-site
function remain to be determined, and the effects of (+)-pentazocine
and (+)-NANM on aqueous humor dynamics and on ocular blood flow remain to be clarified.
In conclusion, the present study found distinguishable populations of
1 and
2 recognition
sites in the rabbit iris-ciliary body, an ocular structure associated
with aqueous humor production and drainage. We also observed that the
1-site agonists (+)-pentazocine and (+)-NANM,
applied topically, lower IOP in ocular normotensive albino rabbits and
in the
-chymotrypsin model of ocular hypertension, by virtue of a
local effect. These data cannot be extrapolated to humans; however,
these compounds may represent a novel class of agents potentially
effective in the control of ocular hypertension.
| |
Acknowledgments |
|---|
We thank Taisho Pharmaceutical Co. (Tokyo, Japan) for supplying NE-100 for this study.
| |
Footnotes |
|---|
Accepted for publication February 24, 1999.
Received for publication October 30, 1998.
1 This study was supported in part by grants from the National Research Council (CNR; CT 115.28871) and from the University of Bologna (to S.S.).
Send reprint requests to: Dr. Santi Spampinato, Department of Pharmacology, University of Bologna, Irnerio 48, 40126 Bologna, Italy. E-mail: spampi{at}biocfarm.unibo.it
| |
Abbreviations |
|---|
BD 737, (+)-cis-N-methyl-N-[2-(3,4-dichlorophenyl)ethyl]-2-(1-pyrrolidinyl)cyclohexylamine; BD 1008, N-[2-(3,4-dichlorophenyl)ethyl]-N-methyl-2-(1-pyrrolidinyl)ethylamine; DTG, 1,3-di-o-tolylguanidine; DuP 734, 1-(cyclopropylmethyl)-4-(2'-(4"-fluorophenyl)-2'-oxoethyl)piperidine HBr; IOP, intraocular pressure; NANM, N-allylnormetazocine; NE-100, (N,N-dipropyl-2-[4-methoxy-3-(2-phenylethoxy)phenyl]ethylamine HCl; PCP, 1-(1-phenylcyclohexyl)piperidine (phencyclidine); PD, pupil diameter; (+)-3-PPP, (+)-3-(3-hydroxyphenyl)-N-(1-propyl) piperidine.
| |
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