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Department of Surgery and Transplant Section Ophthalmology, Alma Mater Studiorum University of Bologna, Bologna, Italy
To whom requests for reprints should be addressed at 1 Department of Surgery and TransplantSection Ophthalmology I, University of Bologna, Via Massarenti, 9, I-40138 Bologna, Italy. E-mail: mauro.cellini{at}unibo.it
Abstract
Trabecular meshwork (TM) cells are now considered to play an active role in the aqueous outflow mechanism because they exhibit smooth musclelike contractile properties. Endothelin-1 (ET-1), a potent vasoconstrictor peptide, has been proposed to play a role in the local regulation of aqueous outflow and intraocular pressure (IOP) control. We propose an in vitro culture model as a method for the study of ET-1induced human TM (HTM) cell contractility and for the study of whether pre-incubation with flunarizine, a calcium-channel blocker, can inhibit the action of ET-1. Experiments were performed on semiconfluent HTM cells (primary cultures established from normotensive human donor eyes) at the second passage, with phosphate-buffered saline (PBS) as a control. The contractile status of the cells was evaluated by a morphometric analysis of cell area, assuming that HTM cells in culture are able to reduce their area as a consequence of cytoskeletal contraction, rather than regulatory volume decrease. After incubation with 10 µM ET-1 for 5 mins, we observed a reduction of HTM cell area with respect to PBS-treated cells: 2425 ± 876 µm2 versus 3125 ± 987 µm2 (P < 0.001); and cells exhibited a retraction in shape and a reduction in number of indented profiles. Administration of ET-1 at progressively lower doses produced a corresponding lower reduction of HTM cell area, suggesting a dose-response effect of ET-1. Pre-incubation with 10 µM flunarizine strongly inhibited the ET-1 effect on HTM cell contraction: 2806 ± 865 µm2 versus 2910 ± 846 µm2 (P = not significant). Our data indicate that ET-1 induced a statistically significant reduction in the area of HTM cells versus controls, and that ET-1 can directly influence the aqueous outflow. Moreover, we observed that flunarizine inhibited the effect of ET-1 on the HTM cells.
Key Words: HTM cells morphometric analysis endothelin-1 calcium channel blockers flunarizine cell contraction
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