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2-adrenergic Receptors and Effect of Brimonidine on Matrix Metalloproteinases and Their Inhibitors in Human Ciliary BodyFrom the Department of Ophthalmology, Massachusetts Eye and Ear Infirmary (MEEI), Boston, Massachusetts.
PURPOSE. To ascertain the expression pattern of
2-adrenergic receptors in the ciliary body (CB) and determine the effect of brimonidine on matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) in ciliary body smooth muscle (CBSM) cells.
METHODS. Qualitative RT-PCR was performed to detect the mRNA of the
2-adrenergic receptor subtypes
2A,
2B, and
2C in CB and CBSM cultures. Immunohistochemistry and immunoblot analysis were performed to further investigate
2A receptor expression in CB tissue and CBSM cells. CBSM cells from 15 different human donors received control or brimonidine tartrate (45 nM) for 1, 3, or 7 days. Changes in pro-MMP-1, -2, -3, -9, and -24 and TIMP-1, -2, -3, and -4 levels were evaluated by Western blot, with GAPDH as the endogenous control. Zymography was used to assess the activity of MMP-1, -2, -3, and -9.
RESULTS. The mRNA of
2A,
2B, and
2C were detected in CB tissue and CBSM cells. Immunohistochemistry localized
2A receptors within the CB stroma. Immunoblot analysis demonstrated production by CBSM cells. Brimonidine increased pro-MMP-9 an average of 116% ± 34% (P = 0.0360); enzymatic activity of MMP-9 was unchanged. TIMP-4 decreased an average of 25% ± 8% (P = 0.0329) in conditioned medium, but increased 70% ± 13% (P = 0.0057) in cell lysates.
CONCLUSIONS. The presence of
2A,
2B, and
2C in CB tissue and CBSM cells indicates the possibility that brimonidine affects uveoscleral outflow. However, the changes in MMP-9 and TIMP-4 without significant changes in MMP-9 activity suggest that a role of the MMP/TIMP system in outflow is unlikely.
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