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1000 Titel
  • Dose-dependent effects of netarsudil, a Rho-kinase inhibitor, on the distal outflow tract
1000 Autor/in
  1. Chen, Si |
  2. Waxman, Susannah |
  3. Wang, Chao |
  4. Atta, Sarah |
  5. Loewen, Ralitsa |
  6. Loewen, Nils |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-05-05
1000 Erschienen in
1000 Quellenangabe
  • 258(6):1211-1216
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00417-020-04691-y |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237522/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!To characterize the effects of netarsudil on the aqueous humor outflow tract distal to the trabecular meshwork (TM). We hypothesized that netarsudil increases outflow facility in eyes with and without circumferential ab interno trabeculectomy (AIT) that removes the TM.!##!Methods!#!Sixty-four porcine anterior segment cultures were randomly assigned to groups with (n = 32) and without circumferential AIT (n = 32). Cultures were exposed to 0.1, 1, and 10 μM netarsudil (N = 8 eyes per concentration). For each concentration, IOP and vessel diameters were compared with their respective pretreatment baselines. Outflow tract vessel diameters were assessed by spectral-domain optical coherence tomography (SDOCT) and rendered in 4D (XYZ time series).!##!Results!#!Netarsudil at 1 μM reduced IOP both in eyes with TM (- 0.60 ± 0.24 mmHg, p = 0.01) and in eyes without TM (- 1.79 ± 0.42 mmHg, p < 0.01). At this concentration, vessels of the distal outflow tract dilated by 72%. However, at 0.1 μM netarsudil elevated IOP in eyes with TM (1.59 ± 0.36 mmHg, p < 0.001) as well as in eyes without TM (0.23 ± 0.32 mmHg, p < 0.001). Vessels of the distal outflow tract constricted by 31%. Similarly, netarsudil at a concentration of 10 μM elevated IOP both in eyes with TM (1.91 ± 0.193, p < 0.001) and in eyes without TM (3.65 ± 0.86 mmHg, p < 0.001). At this concentration, outflow tract vessels constricted by 27%.!##!Conclusion!#!In the porcine anterior segment culture, the dose-dependent IOP changes caused by netarsudil matched the diameter changes of distal outflow tract vessels. Hyper- and hypotensive properties of netarsudil persisted after TM removal.
1000 Sacherschließung
lokal Veins/physiology [MeSH]
lokal Trabecular Meshwork/surgery [MeSH]
lokal Trabecular Meshwork/diagnostic imaging [MeSH]
lokal Tomography, Optical Coherence [MeSH]
lokal rho-Associated Kinases/antagonists
lokal Netarsudil
lokal Sclera/blood supply [MeSH]
lokal Intraocular Pressure/drug effects [MeSH]
lokal Porcine eyes
lokal Benzoates/administration
lokal Dose-Response Relationship, Drug [MeSH]
lokal Swine [MeSH]
lokal Protein Kinase Inhibitors/administration
lokal Rho-kinase inhibitor
lokal Animals [MeSH]
lokal Veins/diagnostic imaging [MeSH]
lokal Trabecular Meshwork/drug effects [MeSH]
lokal beta-Alanine/administration
lokal Tonometry, Ocular [MeSH]
lokal Trabeculectomy [MeSH]
lokal beta-Alanine/analogs
lokal Organ Culture Techniques [MeSH]
lokal Aqueous Humor/physiology [MeSH]
lokal Distal outflow tract
lokal Anterior chamber perfusion model
lokal Basic Science
lokal Ocular Physiological Phenomena [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/Q2hlbiwgU2k=|https://frl.publisso.de/adhoc/uri/V2F4bWFuLCBTdXNhbm5haA==|https://frl.publisso.de/adhoc/uri/V2FuZywgQ2hhbw==|https://frl.publisso.de/adhoc/uri/QXR0YSwgU2FyYWg=|https://frl.publisso.de/adhoc/uri/TG9ld2VuLCBSYWxpdHNh|https://orcid.org/0000-0001-7167-1213
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