We examined the effects of a new Ca2+ channel blocker,
lomerizine, on the intraocular
hypertension-induced
ischemia/reperfusion injury in rat retina and on the
glutamate-induced neurotoxicity in rat cultured retinal neurons, and compared its effects with those of a Ca2+ channel blocker (
flunarizine) and an
N-methyl-D-aspartate receptor antagonist (MK-801). Morphometric evaluation at 7 days after
ischemia/reperfusion showed that treatment with
lomerizine (0.1 and 1 mg kg(-1), i.v.) prior to
ischemia and again immediately after reperfusion dose-dependently reduced the
retinal damage. Treatment with
MK-801 (1 mg kg(-1), i.v.) before
ischemia significantly reduced the resulting
retinal damage.
Flunarizine (0.1 and 1 mg kg(-1), i.v.) tended to reduce the
retinal damage, but its effect did not reach statistical significance. In an in vitro study, pretreatment with
lomerizine (0.1 and 1 microM) or
flunarizine (1 microM) significantly reduced
glutamate-induced neurotoxicity, the effects being concentration dependent.
Lomerizine (1 microM) also exhibited protective effects against both the
N-methyl-D-aspartate and
kainate induced types of neurotoxicity. However,
lomerizine (1 microM) had little effect on the neurotoxicity induced by
ionomycin (1 microM) application.
Glutamate-induced neurotoxicity was abolished by removing Ca2+ from the medium. These results indicate that
lomerizine protects neuronal cells against
retinal neurotoxicity both in vivo and in vitro, and that this Ca2+ channel blocker may be useful as a therapeutic
drug against
retinal diseases that cause neuronal injury, such as
normal tension glaucoma (NTG).