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Effect of low-dose latrunculin B on anterior segment physiologic features in the monkey eye.

AbstractOBJECTIVES:
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.
AuthorsMehmet Okka, Baohe Tian, Paul L Kaufman
JournalArchives of ophthalmology (Chicago, Ill. : 1960) (Arch Ophthalmol) Vol. 122 Issue 10 Pg. 1482-8 (Oct 2004) ISSN: 0003-9950 [Print] United States
PMID15477460 (Publication Type: Duplicate Publication, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
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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