Abstract | OBJECTIVES: To determine if low doses of topical latrunculin B ( LAT-B) will increase outflow facility and decrease intraocular pressure without damaging the cornea and if they will inhibit miotic and accommodative responses to pilocarpine in monkeys. METHODS: We measured intraocular pressure (Goldmann tonometry) before and after 1 and 9 doses of 0.005% and 0.01% topical LAT-B and vehicle given twice daily on successive weeks; outflow facility (perfusion) following 15 doses; central corneal thickness (ultrasonic pachymetry) before and after 1 and 9 doses of 0.01% LAT-B and vehicle; pupillary diameter (calipers); and accommodation (refractometry) before and after 1 dose of 0.005% and 0.02% LAT-B. RESULTS:
Latrunculin-B dose-dependently decreased intraocular pressure, multiple doses more than a single dose. Maximal mean +/- SEM hypotension after 1 dose was 2.5 +/- 0.3 mm Hg (0.005% LAT-B; n = 8; P<.001) or 2.7 +/- 0.6 mm Hg (0.01% LAT-B; n = 8; P<.005); maximal mean +/- SEM hypotension after 9 doses was 3.2 +/- 0.5 mm Hg (0.005% LAT-B; n = 8; P<.001) or 4.4 +/- 0.6 mm Hg (0.01% LAT-B; n = 8; P<.001). Outflow facility was increased by mean +/- SEM 75% +/- 13% (n = 7; P<.005). Central corneal thickness was not changed after 1 or 9 doses of 0.01% LAT-B. Miotic and accommodative responses to intramuscular pilocarpine were dose-dependently inhibited. With 0.02% LAT-B, inhibition of miosis was substantial, whereas the inhibition of accommodation was only about 25%. With 0.005% LAT-B, the effects were trivial. CONCLUSIONS: In ocular normotensive monkeys, 0.005% and 0.01% LAT-B administered topically increases outflow facility and/or decreases intraocular pressure without corneal effects. Multiple doses reduce intraocular pressure more than a single dose. Latrunculin-B dose-dependently relaxes the iris sphincter and ciliary muscle, with some separation of miotic and accommodative effects. Clinical Relevance Multiple treatments with low topical doses of LAT-B may substantially reduce outflow resistance in eyes with glaucoma without adversely affecting the cornea.
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Authors | Mehmet Okka, Baohe Tian, Paul L Kaufman |
Journal | Archives of ophthalmology (Chicago, Ill. : 1960)
(Arch Ophthalmol)
Vol. 122
Issue 10
Pg. 1482-8
(Oct 2004)
ISSN: 0003-9950 [Print] United States |
PMID | 15477460
(Publication Type: Duplicate Publication, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Bridged Bicyclo Compounds, Heterocyclic
- Sympatholytics
- Thiazoles
- Thiazolidines
- Pilocarpine
- latrunculin B
|
Topics |
- Accommodation, Ocular
(drug effects)
- Administration, Topical
- Animals
- Anterior Chamber
(drug effects, physiology)
- Aqueous Humor
(drug effects, physiology)
- Blood Pressure
- Bridged Bicyclo Compounds, Heterocyclic
(pharmacology)
- Cornea
(cytology, drug effects)
- Female
- Glaucoma
(drug therapy)
- Intraocular Pressure
(drug effects)
- Macaca fascicularis
- Male
- Pilocarpine
(pharmacology)
- Pupil
(drug effects, physiology)
- Sympatholytics
(pharmacology)
- Thiazoles
(pharmacology)
- Thiazolidines
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