IOVS, April 1999, Vol. 40, No. 5 fined within active muscles to changes measured at the corneal surface. References 1. Kiuchi Y, Mishima HK, Hotehama Y, Furumoto A, Hirota A, Onari K. Exercise intensity determines the magnitude of IOP decrease after running. Jpn J Ophthalmol. 1994;38:191-195. 2. Harris A, Malinovsky V, Martin B. Correlates of acute exerciseinduced ocular hypotension. Invest Ophthalmol Vis Sci. 1994;35: 3852-3857. 3. Feitl ME, Krupin T. Hyperosmotic agents. In: Ritch R, Shields MB, Krupin T, eds. The Glaucomas. St. Louis: Mosby-Year Book; 1996: 1483-1488. 4. Thomas LA, Brown SA. Relationship between colloid osmotic pressure and plasma protein concentration in cattle, horses, dogs, and cats. AmJ Vet Res. 1992;53:224l-2244. Effect of Ox-LDL on Endothelium-Dependent Response in Pig Ciliary Artery: Prevention by an ETA Antagonist Petit Zhu,1 Eike S. Dettmann,1 Th&rese J. Resink,2 Thomas F. Liiscber,3 Josef Flammer,1 and Ivan O. Haefliger1 investigate whether oxidized low-density lipoprotein (Ox-LDL) affects endothelium-dependent responses in isolated porcine ciliary arteries. PURPOSE. TO In a myograph system for isometric force measurements, quiescent vessels were incubated with 50 \i%l ml, 100 jag/ml, or 200 jug/ml Ox-LDL; 100 jug/ml native LDL (n-LDL); 1 jaM of the ETA- endothelin receptor antagonist BQ 123; 100 /zg/ml Ox-LDL coadministered with 1 [iM BQ 123; or 100 /xg/ml Ox-LDL coadministered with 50 \JM of the protein synthesis inhibitor cycloheximide. Vessels with nonfunctional endothelium (intentionally and mechanically damaged) were also exposed to 100 /xg/ml Ox-LDL. Two hours later, vessels were washed, precontracted with the thromboxane A2 analog U 46619 0*0.1 /xM), and exposed to bradykinin (0.1 nM to 3 JLIM), an endothelium-dependent relaxing agent. METHODS. From the 'Laboratory of Ocular Pharmacology and Physiology, University Eye Clinic; the department of Research, University Hospital Basel; and the 3Laboratory of Cardiovascular Research, University Hospital Zurich, Switzerland. Supported by Grants 32-42564.94 and 32-52783.97 from the Swiss National Science Foundation, Bern, Switzerland; the Velux Foundation, Zurich; and the Schwickert Foundation, Basel, Switzerland. Submitted for publication July 7, 1998; revised November 30, 1998; accepted December 21, 1998. Proprietary interest category: N. Reprint requests: Ivan O. Haefliger, Laboratory of Ocular Pharmacology and Physiology, University Eye Clinic Basel, Mittlere Strasse 91, PO Box, CH-4012 Basel, Switzerland. Reports 1015 5. Snedecor GW, Cochran WG. Statistical Methods. 7th ed. Ames, IA: Iowa State Univ Press; 1980:63. 6. Harris A, Malinovsky V, Cantor LB, Henderson PA, Martin BJ. Isocapnia blocks exercise-induced reductions in ocular tension. Invest Ophthalmol Vis Sci. 1992;33:2229-2232. 7. Mohsenin V, Gonzalez RR. Tissue pressure and plasma oncotic pressure during exercise. / Appl Physiol. 1984;56:102-108. 8. Krupin T, Civan MM. Physiologic basis of aqueous humor formation. In: Ritch R, Shields MB, Krupin T, eds. The Glaucomas. St. Louis: Mosby-Year Book; 1996:251-280. 9. Podos SM, Krupin T, Becker B. Effect of small dose hyperosmotic injections on intraocular pressure of small animals and man when optic nerves are transected and intact. Am J Ophthalmol. 1971; 71:898-905. 10. Bill A. A method to determine osmotically effective albumin and gammaglobulin concentration in tissue fluids, its application to the uvea and a note on the effects of capillary "leaks" on tissue fluid dynamics. Acta Physiol Scand. 1968;73:511-522. In quiescent vessels, Ox-LDL evoked delayed contractions. In contrast, no contractions were observed after exposure to n-LDL, BQ 123, Ox-LDL with BQ 123, or Ox-LDL with cycloheximide. In vessels with nonfunctional endothelium, Ox-LDL did not evoke contraction. Bradykinin-induced relaxations were inhibited in a dosedependent manner by Ox-LDL, but not by n-LDL, BQ 123 alone, Ox-LDL with BQ 123, or Ox-LDL with cycloheximide. RESULTS. CONCLUSIONS. In porcine ciliary arteries, Ox-LDL affects endothelium-dependent responses through the activation of ETA-endothelin receptors. As Ox-LDL can accumulate in atherosclerotic plaques, such a mechanism might be involved in the occlusion of the ophthalmic circulation observed in patients with hypercholesterolemia and atherosclerosis. (Invest Ophthalmol Vis Sci. 1999;40: 1015-1020) y virtue of its anatomic location between vascular smooth B muscle cells and circulating blood, the vascular endothelium is a primary target for cardiovascular risk factors, such as low-density lipoproteins (LDLs).' During atherogenesis, plasma LDLs undergo oxidative modification, and the oxidized-LDL (Ox-LDL) thus generated can accumulate in constituent vessel cells, including endothelial cells and smooth muscle cells. The excessive uptake of cholesterol promotes subsequent formation of "foam cells," which is accompanied by loss of normal cell function.2"4 A major function of the endothelium is to regulate vascular tone by releasing different relaxing or contracting factors, such as nitric oxide or endothelin, respectively.5'6 Although the endothelium appears to remain intact in early stages of atherogenesis, pronounced endothelial dysfunction is recognized to occur.7"10 There have been some reports stating that Ox-LDL, by interfering with the L-arginine pathway, decreases the endothelial release of nitric oxide" and that in patients with hypercholesterolemia, endothelium-dependent relaxations are improved by lipid-lowering therapy.12'13 It has also been reported that in endothelial cells Ox-LDL can stimulate the production of endothelin-114 and that patients with hyper- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017 1016 Reports lipidemia and atherosclerosis tend to have increased plasma levels of endothelin-1.15 Although hypercholesterolemia and atherosclerosis are known to play a major role in many ocular vascular diseases, their respective influence on the endothelium-dependent regulation of the ophthalmic circulation has never been assessed. Therefore, in the present study we investigated the effect of Ox-LDL on endothelium-dependent responses of isolated porcine ciliary artery. IOVS, April 1999, Vol. 40, No. 5 for 48 hours at 37°C. Samples were then exhaustively dialyzed against PBS, concentrated up to 2 mg/ml to 4 mg/ml, and stored in sterile aliquots. Complete lipid peroxidation was confirmed by enhanced mobility of Ox-LDL (versus n-LDL) after native gel electrophoresis in agarose. Experimental Protocols In accordance with the ARVO Statement for the Use of Animals in Ophthalmic and Vision Research, eyes from farm pigs (100 125 kg; 5-6 months of age) were obtained from an abattoir immediately after death and were maintained in cold (4°C) modified Krebs-Ringer bicarbonate solution containing 118.6 mM NaCl, 4.7 mM KC1, 2.5 mM CaCl2, 1.2 mM MgSO4) 1.2 mM KH2PO4, 257 mM NaHCO3, 0.026 mM EDTA, and 11.1 mM glucose. Under a microscope (model M38; Wild, Heerbrugg, Switzerland) the two main branches arising from the common ophthalmic artery, the ciliary arteries, were dissected free (diameter, 200-400 jam) and were cut into segments (~2 mm).16'17 Two tungsten wires (30 jam and 80 jam) were passed through the lumen and attached to a force transducer (Showa Sokki LB-5; Rikadenki, Freiburg, Germany) for measurement of isometric forces.18 Quiescent vessels with functional endothelium were first incubated for 2 hours with Krebs-Ringer solution (control); 50 jag/ml Ox-LDL; 100 /xg/ml Ox-LDL; 200 jag/ml Ox-LDL; 100 )ag/ml n-LDL; 10~6 M of the ETA-endothelin receptor antagonist BQ 123; 100 jag/ml Ox-LDL coadministered with 10~6 M BQ 123; or 100 jag/ml Ox-LDL coadministered with 5 X 10~5 M cycloheximide, a protein synthesis inhibitor. After 2 hours of incubation, vessels were washed several times with KrebsRinger solution and precontracted with 10~7 M of the thromboxane A2 analog U 46619. Because contractions evoked by U 46619 tended to be slightly increased in the presence of OxLDL, the concentration of U 46619 was adapted (3 X 10~8 M to 10~7 M) in such a way that an equivalent level of precontraction (~70% of 100 mM KC1 contractions) was reached in all vessels. Thereafter, in a cumulative manner, the relaxing effect of 10~10 M to 3 X 10~6 M bradykinin was assessed. A similar experimental protocol was also conducted with 100 /xg/ml Ox-LDL in vessels in which the endothelium had been intentionally damaged (designated as vessels with nonfunctional endothelium). When the protein synthesis inhibitor cycloheximide was used, vessels were preincubated for 1 hour with this drug before Ox-LDL was added. Assessment of Endothelial Function Drugs and Statistical Analysis Mounted vessels were immersed in organ chambers filled with Krebs-Ringer bicarbonate solution (37°C; 95% O2; 5% CO2; and 10~5 M indomethacin, a cyclooxygenase inhibitor). Vessels were stretched in a 100-mg stepwise manner until their optimal passive tension was reached. The optimal passive tension was defined as the level of vascular wall tension for which contractions to 100 mM potassium chloride became maximal (1025 ± 48 mg).l7 Endothelial functional integrity was assessed by adding bradykinin (10~7 M) subsequent to a contraction elicited by the thromboxane A2 analog U 46619 (10~7 M). Endothelial function was considered to be preserved if bradykinin evoked more than 80% relaxation.'9 In a few vessels the integrity of the endothelium was intentionally compromised by rubbing the luminal surface with a human scalp hair. In these vessels, bradykinin (10~7 M) evoked no response.20 Bradykinin, indomethacin, cycloheximide, and U 46619 were purchased from Sigma (Buchs, Switzerland), BQ 123 from MATERIALS AND METHODS Preparation of Vessels B o o 30 minutes Functional Endothelium Preparation of LDLs LDLs were isolated from blood of volunteers using sequential buoyant-density centrifugation techniques, with potassium bromide solutions used for density adjustments. The isolated LDLs were exhaustively dialyzed against 0.15 M NaCl in the presence of EDTA and butylated hydroxy toluene and were then sterilized byfiltration(pore size: 0.45 mm; Gelman, Ann Arbor, MI).21 Protein concentration was determined by the Lowry method with bovine serum albumin as a standard. The LDL samples were stored at 4°C and used within 4 weeks. Samples prepared under these conditions are referred to as native LDL (n-LDL).22 For oxidation, LDLs were first exhaustively dialyzed against phosphate-buffered saline (PBS) to remove EDTA and butylated hydroxy toluene, then incubated (at a concentration of 200 mg/ml) in the presence of 5 mM CuSO4 Non-Functional Endothelium t Ox-LDL 100 jig/ml FIGURE 1. Original tracings of the effect of Ox-LDL on the tone of quiescent porcine ciliary arteries. After approximately 1 hour of incubation with Ox-LDL (100 /xg/ml), contractions were observed in the vessel with a functional endothelium but not in the one in which the endothelium had been intentionally and mechanically removed (nonfunctional)- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017 IOVS, April 1999, Vol. 40, No. 5 Reports 1017 30 n eo 20© o I 10 a o n=7 ""8 a a o -10 U Control J Ox-LDL (100 ug/ml) Ox-LDL (100 ug/ml) BQ 123 (1 uM) Ox-LDL (100 ug/ml) Non-Functional Endothelium n-LDL (100 ug/ml) BQ123 Ox-LDL (100 ug/ml) Cycloheximide (50 uM) FIGURE 2. Endothelium-dependent contractions elicited by Ox-LDL in isolated quiescent porcine ciliary arteries. Incubation with Ox-LDL evoked changes in vascular tone that were significantly different from those observed in vessels incubated with Krebs-Ringer solution (control), n-LDL, the ETA- endothelin receptor antagonist BQ 123, Ox-LDL coadministered with BQ 123, Ox-LDL coadministered with the protein synthesis inhibitor cycloheximide, or Ox-LDL incubated in vessels with a nonfunctional endothelium (intentionally and mechanically damaged). One-way Kruskal-Wallis test (P = 0.0003), followed by Mann-Whitney test with Bonferroni correction: *P < 0.05; **P < 0.01. Alexis (Laufelfingen, Switzerland), and endothelin-1 from Bachem Feinchemikalien (Bubendorf, Switzerland). Endothelin-1 was dissolved in 0.1% bovine serum albumin, indomethacin in 10~5 M Na2CO3, and all other drugs in distilled water. Concentrations are expressed as final molar organ-chamber concentrations. Relaxations are shown as a percentage of the contractions elicited by 10~7 M U 46619 and contractions as a percentage of contractions elicited by 100 raM KC1. For each concentration-response curve, the maximal response and the area under the concentration-response curve were calculated. The concentration causing 50% of the maximal response (EC50) was expressed as a negative log M concentration (pD2). Results are expressed as means ± SEM, and n equals the number of animals studied (one eye per animal). One-way analysis of variance (ANOVA), Kruskal-Wallis (nonparametric) followed by the Mann-Whitney test with Bonferroni correction or one-way ANOVA with Scheffe's F test was used for statistical comparison. A two-tailed P < 0.05 was considered to be statistically significant. RESULTS Endothelium-Dependent Ox-LDL—Induced Contractions Subsequent to approximately 1 hour of incubation with 100 /Ltg/ml Ox-LDL, contractions were observed only in arteries (10 of 14 vessels studied) in which the endothelium was functional, but not in those in which the endothelium had been intentionally damaged (Fig. 1). Thus, these results strongly TABLE 1. Effect of Ox-LDL and n-LDL on Bradykinin-Induced Relaxations Maximal Relaxation (%) Control (n = 7) 50 /ag/ml Ox-LDL (n = 7) 100 /xg/ml Ox-LDL (n = 14) 200 /ug/ml Ox-LDL (n = 6) 100 jag/ml n-LDL (n = 7) ANOVA (P value) 91 ± 5 62 ± 3* 42 ± 3***ttt 33 ± 5***ttt* 84 ± 9 < 0.0001 pD2 (-log M) 7.83 7.77 7.68 7.19 7.58 ± 0.08 ± 0.05 ± 0.13 ±0.33 ± 0.26 Area under the Curve (Relative Units) 256 ± 19 318 ± 11 361 ± 10**tt 396 ± ll***ftt 261 ± 32 < 0.0001 Mean ± SEM. ANOVA followed by Scheffe's F test. Results versus control, * P < 0.05, " P < 0.01, *** P < 0.001; versus 100 jug/ml n-LDL, t t < 0.01, f t t P < 0.001; versus 50 /xg/ml Ox-LDL, % P < 0.05. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017 1018 IOVS, April 1999, Vol. 40, No. 5 Reports indicate that in quiescent vessels, delayed contractions evoked by Ox-LDL were endothelium dependent. o• Effect of BQ 123 and Cyclohexamide on Ox-LDLInduced Contractions 20 " In contrast to the effect observed with Ox-LDL (100 jag/ml), no contractions occurred in vessels incubated with n-LDL (100 jag/ml), BQ 123 (10~6 M), or Krebs-Ringer solution alone (control). Furthermore, the endothelium-dependent contractions induced by Ox-LDL (100 /xg/nil) were not observed in the presence of the ETA-receptor antagonist BQ 123 (10~6 M), or in the presence of the protein synthesis inhibitor cycloheximide (5 X 10~5 M). These observations indicate that the endothelium-dependent contractions evoked by Ox-LDL were mediated by a process involving protein synthesis and activation of an ETA-endothelin receptor (Fig. 2). 40 " • 80 • • Effect of BQ 123 and Cyclohexamide on the Inhibition of Bradykinin-Evoked Relaxation by Ox-LDL The presence of the ETA endothelin receptor antagonist BQ 123 (10~6 M), or the protein synthesis inhibitor cycloheximide (5 X10~5 M), prevented the inhibitory effect of Ox-LDL (100 jag/ml) on bradykinin-induced ( 1 0 ~ ' ° M t o 3 X 10~6M) endothelium-dependent relaxations (Table 2; Fig. 3, bottom). Thus, these results indicate that Ox-LDL blunts the relaxing effect of bradykinin by a process involving protein synthesis and activation of an ETA- endothelin receptor. DISCUSSION The present study shows that in the porcine ciliary artery, by a mechanism linked to the activation of ETA- endothelin receptors, exposure to Ox-LDL evoked endothelium-dependent contractions and inhibition of endothelium-dependent relaxations induced by bradykinin. The spontaneous contractions observed after approximately 1 hour of exposure to Ox-LDL (but not to n-LDL) were elicited only in vessels with a functional endothelium (Fig. 1). In addition, Ox-LDL-induced contractions were prevented by the presence of the ETA-endothelin receptor antagonist BQ 123 or the protein synthesis inhibitor cycloheximide (Fig. 2). Endothelin-1 is a potent vasoconstrictive peptide that can be synthesized by the vascular endothelium.6 Endothelin-1 acts through specific receptors, and activation by endothelin-1 of ETA-endothelin receptors on vascular smooth muscle cells evokes contractions.25 The drug BQ 123 is a potent and selec- Ox-LDL 50 ng/ml (n = 7) Ox-LDL 100 ng/ml (n = 14) A Ox-LDL 200 ng/ml (n = 6) 100 10 Effect of Ox-LDL on Endothelium-Dependent Bradykinin-Induced Relaxations In porcine ciliary arteries, bradykinin is known to induce endothelium-dependent relaxations.23'24 In vessels precontracted with the thromboxane A2 analog U 46619 O^IO"7 M), the relaxation evoked by bradykinin (10~ l0 M to 3 X 10~6 M) was significantly inhibited by Ox-LDL (50 jug/ml, 100 jug/ml, and 200 /Ltg/ml) in a concentration-dependent manner. In contrast, n-LDL (100 /xg/ml) had no significant effect on relaxations induced by bradykinin (Table 1; Fig. 3, top). Thus, these results show that endothelium-dependent relaxations evoked by bradykinin were blunted by Ox-LDL. • Control (n = 7) O n-LDL100ng/ml(n = 60 7 6 Bradykinin (-log M) 01 if I1 ci ** o o •x c a x o 'S ° o U 20 40 • 60 " 80 • Control (n = 7) • Ox-LDL 100 |ig/ml (n = 14) O BQ 123 1 nM (n = 7) 100 J A Ox-LDL 100 |ig/ml + BQ 123 1 (iM (n = 9) • Ox-LDL 100 ng/ml + Cycloheximide 50 \iM (n = 6) 10 7 6 Bradykinin (-log M) FIGURE 3. Top: effect of Ox-LDL and n-LDL on endothelium-dependent relaxations evoked by bradykinin in porcine ciliary arteries. The relaxations evoked by bradykinin were significantly inhibited by OxLDL (P < 0.001) in a dose-dependent manner, but not by n-LDL. Bottom: influence of the ETA-endothelin receptor antagonist BQ 123 on the effect of Ox-LDL on bradykinin-induced relaxations. The relaxations evoked by bradykinin were significantly inhibited by Ox-LDL. This effect was prevented by the ETA-endothelin receptor antagonist BQ 123 or by the protein-synthesis inhibitor cycloheximide. tive ETA- endothelin receptor antagonist known to antagonize endothelin-1-induced contractions in human and porcine coronary arteries.25"27 It has been reported that Ox-LDL increases endothelin transcription in porcine and human aortic endothelial cells (within 2 hours and in a sustained manner).14 It has also been shown that in the porcine coronary artery Ox-LDL has vasoconstrictive properties dependent on the presence of an intact endothelium.28'29 Our results are consistent with these reports and, in addition, establish a further link between them. That the ETA-receptor antagonist BQ 123 and the protein synthesis inhibitor cycloheximide could prevent endothelium-dependent contractions evoked by Ox-LDL is indicative of the in- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017 IOVS, April 1999, Vol. 40, No. 5 Reports 1019 TABLE 2. Effect of BQ 123 and Cycloheximide on the Inhibition of Ox-LDL on Bradykinin-Induced Relaxations pD 2 (-log M) Area under the Curve (Relative Units) 91 ± 5 42 ± 3**' 7.83 ± 0.08 7.68 ± 0.13 256 ± 19 361 ± 10***tt***§S§ 78 ± 6 93 ± 4 7.85 ± 0.23 7.99 ± 0 . 1 1 283 ± 16 228 ± 25 92 ± 6 < 0.0001 7.93 ± 0.05 233 ± 14 < 0.0001 Maximal Relaxation (%) Control in = 7) 100 /xg/ml Ox-LDL (n = 14) 100 jag/ml Ox-LDL + 1 JU-M BQ 123 in = 9) 1 jaM BQ 123 in = 7) 100 jag/ml Ox-LDL + 50 /uM cycloheximide (n = 6) ANOVA (P value) Values are means ± SEM. ANOVA followed by Scheffe's F test. Results versus control, * P < 0.05, *** P < 0.001; versus 100 /xg/ml Ox-LDL + 1 jwM BQ 123, t P < 0.05, t t P < 0.01, t t t P < 0.001; versus 1 juM BQ 123, * P < 0.05, tt$ P < 0.001; versus 100 /Lig/ml Ox-LDL + 50 /LLM cycloheximide, §§ P < 0.01, §§§ P < 0.001. volvement of ETA- endothelin receptors in the vasoconstrictive effect of Ox-LDL. Endothelium-dependent relaxations have also been shown to be impaired by Ox-LDL in the rabbit aorta30 and in the pig coronary artery.28 Furthermore, it has been reported that in patients with hypercholesterolemia endothelium-dependent vasodilation is reduced, an effect that can be reversed by the pharmacologic lowering of cholesterol levels in the serum.13 In accordance with these observations, we showed that Ox-LDL inhibited endothelium-dependent relaxations induced by bradykinin in the porcine ciliary artery (Table 1; Fig. 3, top). The mechanism of action by which Ox-LDL affects endothelium-dependent relaxations still remains unclear. Some investigators have presented evidence that Ox-LDL acts by decreasing nitric oxide synthase activity3' or by inactivating nitric oxide,32 suggesting that Ox-LDL may interfere with the L-arginine-nitric oxide pathway.7 Our present observation, made in the porcine ciliary artery, suggests the existence of an additional mechanism. That either an inhibitor of protein synthesis or a specific ETA-receptor antagonist could prevent the impairment of endothelium-dependent relaxations by Ox-LDL suggests the activation of ETA-endothelin receptors (Table 2; Fig. 3, bottom). The existence of such a mechanism has recently been supported by a poster communication, providing evidence that selective blockage of ETA- endothelin receptors restores endothelial function in the aorta of high-fat diet-treated ApoE knockout (AKO) mice.33 Altogether, thesefindingshave potential clinical relevance in ophthalmology. LDLs, which are the major carrier of cholesterol in the blood, can be oxidatively modified by the constituent blood vessel cells,2'3 and the Ox-LDL thus generated can accumulate in early plaques and atherosclerotic lesions.4'34'35 Therefore, Ox-LDL may easily exert its vasoactive effect within the vascular wall. Because the present report shows that in porcine ciliary arteries Ox-LDL (through ETAendothelin-receptor activation) promoted endothelium-dependent contractions and inhibited endothelium-dependent relaxations, an accumulation of Ox-LDL within the vessel wall could lead to local vascular hyperactivity and subsequent vaso9,10,26,36 In the ophthalmic circulation such a mechaspasm nism may underlie the vascular occlusion observed, for example, in nonarteritic anterior ischemic optic neuropathy, a condition for which hypercholesterolemia is known to be a risk factor.3738 If it could be confirmed that such a mechanism occurs, this could open the way to more specific therapies using ETA-endothelin receptor antagonists for these vascular afflictions. In conclusion, we present evidence that in isolated porcine ciliary arteries, most likely through a mechanism linked to the activation of ETA-endothelin receptors, Ox-LDL elicited delayed endothelium-dependent contractions and inhibition of bradykinin-induced endothelium-dependent relaxations. These findings may bring new insights into the pathophysiology as well, as they may open new therapeutic perspectives for acute vascular occlusions frequently observed in the ophthalmic circulation of patients with hypercholesterolemia and atherosclerosis. Acknowledgments The authors thank Philip Hendrickson for his incomparable help and support during the preparation of the manuscript, and Andreas Schotzau for his valuable advice in the statistical interpretation of the results. References 1. Liischer TF, Tanner FC, Dohi Y. Age, hypertension and hypercholesterolemia alter endothelium-dependent vascular regulation. Pharmacol Toxicol. 1992;70(suppl):S32-S39. 2. Juul K, Nielsen LB, Munkholm K, Stender S, Nordestgaard BG. Oxidation of plasma low-density lipoprotein accelerates its accumulation and degradation in the arterial wall in vivo. Circulation. 1996;94:l698-1704. 3. Henriksen T, Mahoney EM, Steinberg D. Enhanced macrophage degradation of biologically modified low density lipoprotein. Arteriosclerosis. 1983;3:149 -1594. Yla HS, Palinski W, Rosenfeld ME, et al. Evidence for the presence of oxidatively modified low density lipoprotein in atherosclerotic lesions of rabbit and man./ C/m Invest. 1989;84:1086-1095. 5. Furchgott RF. The discover)' of endothelium-dependent relaxation. Circulation. 1993;87(suppl V):V3-V8. 6. Liischer TF, Boulanger CM, Dohi Y, Yang Z. Endothelium-derived contracting factors. Hypertension. 1992; 19:117-130. 7. Noll G, Liischer TF. Influence of lipoproteins on endothelial function. Thromb Res. 1994;74(suppl 1):S45-S54. 8. Galle J, Bengen J, Schollmeyer P, Wanner C. Oxidized lipoprotein(a) inhibits endothelium-dependent dilation: prevention by high density lipoprotein. Eur J Pharmcol. 1994;265:111-115. 9. Treasure CB, Klein JL, Weintraub WS, et al. Beneficial effects of cholesterol-lowering therapy on the coronary endothelium in patients with coronary artery disease. N EnglJ Med. 1995;332:481487. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017 1020 IOVS, April 1999, Vol. 40, No. 5 Reports 10. Tanner FC, Tschudi MR, Liischer TF. Endothelium, lipoproteins and atherosclerotic vascular disease. Vase Med Rev. 1991;2:121176. 11. Tanner FC, Noll G, Boulanger CM, Liischer TF. Oxidized low density lipoproteins inhibit relaxations of porcine coronary arteries. Circulation. 1991;83:2012-2020. 12. Anderson TJ, Meredith IT, Yeung AC, Frei B, Selwyn AP, Ganz P. The effect of cholesterol-lowering and antioxidant therapy on endothelium-dependent coronary vasomotion. N Engl J Med. 1995;332:488-493. 13. Leung WH, Lau CP, Wong CK. Beneficial effect of cholesterollowering therapy on coronary endothelium-dependent relaxation in hypercholesterolemic patients. Lancet. 1993;34l:l496-1500. 14. Boulanger CM, Tanner FC, Bea ML, Hahn AW, Werner A, Liischer TF. Oxidized low density lipoproteins induce mRNA expression and release of endothelin from human and porcine endothelium. CircRes. 1992;70:l 191-1197. 15. Lerman A, Edwards BS, Hallett JW, Heublein DM, Sandberg SM, Burnett JC. Circulating and tissue endothelin immunoreacting in advanced atherosclerosis. N Engl J Med. 1991;325:997-1001. 16. Prince JH, Diesem CD. Anatomy and Histology of the Eye and Orbit in Domestic Animals. Springfield, IL: Charles C. Thomas; 1960:221-230. 17. Haefliger IO, FlammerJ, Liischer TF. Heterogeneity of endothelium-dependent regulation in ophthalmic and ciliary arteries. Invest Ophthalmol Vis Sci. 1993:34:1722-1730. 18. Haefliger IO, FlammerJ, Liischer TF. Nitric oxide and endothelin-1 are important regulators of human ophthalmic artery. Invest Ophthalmol Vis Sci. 1992;33:2340-2343. 19. Meyer P, FlammerJ, Liischer TF. Local action of the renin angiotensin system in the porcine ophthalmic circulation: effects of ACE-inhibitors and angiotensin receptor antagonists. Invest Ophthalmol Vis Sci. 1995:36:555-562. 20. Seo B, Oemar BS, Siebenmann R, Von Segesser L, Liischer TF. Both ETA and ETH receptors mediate contraction to endothelin-1 in human blood vessels [see comments]. Circulation. 1994;89:12031208. 21. Orlov S, Resink TJ, Berhardt J, Ferracin F, Buhler FR. Vascular smooth muscle cell calcium fluxes. Regulation by angiotensin II and lipoproteins. Hypertension. 1993:21:195-203. 22. Kuzmenko YS, Bochkov N, Philippova MP, Tkachuk VA, Resink TJ. Characterization of an atypical lipoprotein-binding protein in human aortic media membranes by ligand blotting. Biochem J. 1994;303:281-287. 23. Yao K, Tschudi M, FlammerJ, Liischer TF. Endothelium-dependent regulation of vascular tone of the porcine ophthalmic artery. Invest Ophthalmol Vis Sci. 1991:32:1791-1798. 24. Zhu P, BenyJL, FlammerJ, Liischer TF, Haefliger IO. Relaxation by bradykinin in porcine ciliary artery: role of nitric oxide and K+channels. Invest Ophthalmol Vis Sci. 1997:38:1761-1767. Increased Susceptibility to Constant Light in nr andped Mice with Inherited Retinal Degenerations Matthew M. LaVail,*3'4 Gregg M. Gorrin,13 Douglas Yasumura?3 and Michael T. Matthes13 determine whether the degenerating photoreceptors in nervous (nr/nr) and Purkinje cell degeneration (ped/ped) mutant mice are more susceptible to the damaging effects of constant light than those in agematched normal mice. PURPOSE. TO 25. Ruffolo JRR. Endothelin Receptors. From the Gene to the Human. Boca Raton, FL: CRC Press; 1995:1-285. 26. Liischer TF. Do we need endothelin antagonists? Cardiovasc Res. 1993:27:2089-2093. 27. McMurdo L, Corder R, Thiemermann C, Vane JR. Incomplete inhibition of the pressor effect of endothelin-1 and related peptides in the anaesthetized rat with BQ 123 provides evidence for more than one vasoconstrictor receptor. Br J Pharmacol. 1993; 108:557-561. 28. Simon BC, Cunningham LD, Cohen RA. Oxidized low density lipoproteins cause contraction and inhibit endothelium-dependent relaxation in the pig coronary artery./C/m Invest. 1990;86:75-7929. Murohara T, Kugiyama K, Ohgushi M, Sugiyama S, Ohta Y, Yasue H. LPC in oxidized LDL elicits vasocontraction and inhibits endothelium-dependent relaxation. Am J Physiol. 1994;36:H244lH2449. 30. Matsuda Y, Hirata K, Inoue N, et al. High density lipoprotein reverses inhibitory effect of oxidized low density lipoprotein on endothelium-dependent arterial relaxation. Cite Res. 1993;72: 1103-1109. 31. Mehta JL, Bryant JJ, Mehta P. Reduction of nitric oxide synthase activity in human neutrophils by oxidized low-density lipoproteins. Reversal of the effect of oxidized low-density lipoproteins by high-density lipoproteins and L-arginine. Biochem Pharmacol. 1995:50:1181-1185. 32. Chin JH, Azhar S, Hoffman BB. Inactivation of endothelial derived relaxing factor by oxidized lipoproteins. / Clin Invest. 1992;89: 10-18. 33. Barton M, d'Uscio LV, Shaw S, Haudenschild CC, Liischer TF. Chronic selective ETA receptor blockade restores nitric oxidemediated endothelial function and inhibits atherosclerosis in the aorta of ApoE knockout mice (Abstract). Hospitalis. 1998; 67(suppl):S18. 34. Yla HS, Palinski W, Butler SW, Picard S, et al. Rabbit and human atherosclerotic lesions contain IgG that recognizes epitopes of oxidized LDL. Arterioscler Thromb. 1994;l4:32-40. 35. Palinski W, Tangirala RK, Miller E, et al. Increased autoantibody titers against epitopes of oxidized LDL in LDL receptor-deficient mice with increased atherosclerosis. Arterioscler Thromb Vase Biol. 1995;15:1569-1576. 36. Haller H. Mechanisms of early atherogenesis: the endothelium and cardiovascular risk factor. / Cardiovasc Pharmacol. 1996; 28(suppl 3):S22-S26. 37. Haas A, Walzl M, Jesenik F, et al. Application of HELP in nonarteritic anterior ischemic optic neuropathy: a prospective, randomized, controlled study. Graefes Arch Clin Exp Ophthalmol. 1997; 235:14-19. 38. Talks SJ, Chong NH, Gibson JM, Dodson PM. Fibrinogen, cholesterol and smoking asriskfactors for non-arteritic anterior ischemic optic neuropathy. Eye. 1995:9:85-88. Beginning at two ages for each mutant, albino nr/nr and ped/ped mice were placed into constant fluorescent light at an illuminance of 115 foot-candles to 130 foot-candles for a period of 1 week. Age-matched (usually littermate) normal (+/—) mice were exposed at the same time. The degree of photoreceptor cell loss was quantified histologically by obtaining a mean outer nuclear layer thickness for each animal. The light-exposed mice were compared with age-matched mutant and normal mice that were maintained in cyclic light. METHODS. RESULTS. The homozygous mutants at each age showed a significantly greater loss of photoreceptor cells caused by constant light exposure than did the normal +/— mice in the same period of light exposure. The nr/nr andped/ped mutants lost two to three times the number of photore- Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/933211/ on 06/19/2017
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