IOVS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rymer, J.
Right arrow Articles by Edelman, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rymer, J.
Right arrow Articles by Edelman, J. L.
(Investigative Ophthalmology and Visual Science. 2001;42:1921-1929.)
© 2001 by The Association for Research in Vision and Ophthalmology, Inc.

Epinephrine-Induced Increases in [Ca2+]in and KCl-Coupled Fluid Absorption in Bovine RPE

Jodi Rymer1, Sheldon S. Miller1,2 and Jeffrey L. Edelman2,3

2 From the School of Optometry and the 1 Department of Molecular and Cell Biology, University of California, Berkeley.


   Abstract
Top
 Abstract
Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PURPOSE. To define the ionic basis for the apical epinephrine-induced increase of fluid absorption (JV) across isolated bovine RPE–choroid.

METHODS. Epinephrine-induced changes in RPE [Ca2+]in levels were monitored with the ratioing dye fura-2. Transepithelial potential, resistance, and unidirectional fluxes of 36Cl, 86Rb (K substitute), and 22Na were simultaneously determined in paired tissues from the same eye mounted in modified Üssing flux chambers. Radioisotopes (5–7 µCi) were added to the apical bath of one tissue and the basal bath of the other, and the appearance of label in the opposite bath was measured.

RESULTS. Apical epinephrine (100 nM) transiently increased [Ca2+]in by 153 ± 78 nM. This increase was inhibited by the {alpha}1-adrenoreceptor antagonist prazosin (1 µM) and blocked by CPA(5 µM), an inhibitor of endoplasmic reticulum Ca2+-adenosine triphosphatases (ATPases). Apical epinephrine (100 nM) more than doubled the net Cl absorption rate, increased net K (86Rb) absorption by fivefold, and tripled net fluid absorption (JV), as predicted by isotonic coupling between ion and fluid transport. The epinephrine-induced increases in ion and fluid transport were completely inhibited by apical bumetanide (100 µM).

CONCLUSIONS. Epinephrine increased fluid absorption across bovine RPE by activating apical membrane {alpha}1-adrenergic receptors, increasing [Ca2+]in, and stimulating bumetanide-sensitive Na,K,2Cl uptake at the apical membrane and KCl efflux at the basolateral membrane.


   Introduction
Top
 Abstract
 Introduction
Materials and Methods
 Results
 Discussion
 References
 
In the back of the eye, fluid is driven across the retinal pigment epithelium (RPE) by hydrostatic and oncotic pressure and by active solute-linked fluid transport. The RPE contains a variety of plasma membrane proteins and intracellular signaling molecules that maintain the chemical composition and volume of the RPE and its extracellular environment on either side of the cell.1 2 Active ion-linked fluid transport across the RPE has been demonstrated both in vitro and in vivo.1 3 Although most epithelia can absorb or secrete fluid, they are commonly categorized as fluid absorbing or secreting based on the polarity of their Na,K,2Cl cotransporters and Cl channels.4 In secreting epithelia, the cotransporters are normally located at the basolateral membrane and the Cl channels at the apical membrane. In epithelia, such as the RPE, that normally absorb fluid, the converse is true: The cotransporters are located in the apical membrane and the Cl channels at the basolateral membrane.5 6 Of course, there are many interesting exceptions—for example, the choroid plexus, which normally secretes fluid but contains both Na,K,2Cl cotransporters and Cl channels on the apical membrane.7

In vivo there are many paracrine and hormonal signals that impinge on the RPE during light and dark. The RPE responds to the integrated activity of these input signals, for example, adenosine triphosphate (ATP), dopamine, neuropeptide Y, 5-HT, or epinephrine through a variety of plasma membrane receptors and second-messenger pathways that activate solute-linked fluid transport across the RPE.5 8 9 10 11 12 In vitro it has been shown that many of these receptors are metabotropically coupled to cell Ca2+ and cAMP in mammalian and human RPE.8 13 14 15 16 17 Physiological analysis of the intact epithelium in vitro, in native rabbit, bovine, or human RPE5 8 9 11 12 18 19 or in vivo 3 have focused mainly on adrenergic or purinergic receptors. In particular, it has been shown that activation of apical membrane {alpha}1-adrenergic or P2Y2 purinergic receptors activated apical membrane Na,K,2Cl cotransporters, and basolateral and apical membrane K and Cl channels, respectively.8 11 20 In both cases, an electrophysiological analysis suggested the possibility that increased KCl transport across the RPE could provide the driving force for increased fluid absorption.8 11 12

In the present experiments, we have provided the ionic basis for the epinephrine-induced stimulation of fluid absorption (JV) using radiolabeled ion tracers and capacitive probe fluid transport measurements. In addition, using the Ca2+-sensitive dye fura-2, we have identified intracellular Ca2+ as the second messenger involved in epinephrine signaling in bovine RPE.


   Materials and Methods
Top
 Abstract
 Introduction
 Materials and Methods
Results
 Discussion
 References
 
The bovine eyes used in these experiments were obtained from a local slaughterhouse, 15 to 40 minutes after death. They were placed in ice-cold Ringer and transported to the laboratory. Techniques for isolating bovine RPE–choroid have been previously described.21

Intracellular Ca2+ Measurements
Intracellular Ca2+ levels were monitored with the fluorometric ratioing dye fura-2 AM (Molecular Probes, Eugene, OR) in a modified Üssing chamber. The chamber and setup have been described previously.22 23 Briefly, melanotic RPE–choroid preparations were bathed in Ringer solution containing 12.5 to 25 µM fura-2 AM (dissolved in dimethyl sulfoxide [DMSO]+20% pluronic acid) for 2 hours (8% CO2, room temperature) to load them with dye. In addition, 1 mM probenecid was included in the loading solution and all subsequent apically perfused Ringer solutions to inhibit dye extrusion by the organic anion transporter located in the apical membrane.23 Tissues were mounted between the two halves of the perfusion chamber, and the perfusion solutions were maintained at 34°C. Photic excitation was achieved using a xenon light source filtered at 340 and 380 nm every 0.5 seconds. Approximately 10 cells were present in each field. The emission fluorescence was measured at 510 nm or more with a photomultiplier tube (Thorn, EMI) and the ratio of the fluorescence intensities at 340/380 nm (R) was determined every second. The technique and computer software for data acquisition have been described previously.24 Solution changes were made at a distance of 30 cm from the chamber, causing an approximate 30-second delay in the arrival of a new solution to the apical bath.

Fura-2 calibration was performed in situ by first perfusing both membranes with Ca2+-free Ringer solution containing 5 to 10 mM EGTA, which chelates any residual free Ca2+, and 10 µM ionomycin, a Ca2+ ionophore that facilitates the equilibration of [Ca2+]in and external Ca2+ ([Ca2+]o). The tissue was then exposed to a saturating (1.8 mM) concentration of Ca2+. [Ca2+]in was determined according to the equation [Ca2+]in = Kd (Fmin/Fmax)[(R - Rmin)/(Rmax - R)], where Kd is the dissociation constant for fura-2 AM (220 nM) and Fmin and Fmax are the fluorescence intensities at 380 nm in the absence and presence, respectively, of saturating Ca2+.25 For technical reasons, calibrations could not be obtained in all experiments. Transepithelial potential (TEP) and transepithelial resistance (RT) were determined concurrently with Ca2+ measurements. This was achieved using calomel electrodes in series with Ringer–agar bridges (4%) to make contact with the apical and basolateral baths. A voltage–current clamp (VCC600; Physiologic Instruments, San Diego, CA) was used to pass a 1-µA current pulse across the tissue, and the RT was calculated from the current-induced change in TEP.

Ion Flux Experiments
The method for determining the transepithelial unidirectional fluxes of 36Cl, 86Rb (K substitute), and 22Na was similar to that described earlier.26 27 Briefly, paired pieces of RPE–choroid were obtained from the same eye and mounted in identical clamping chips and flux chambers with an exposed surface area of 0.3 cm2. The apical and basolateral baths (1.8 ml volume) were maintained at approximately 37°C by warmed circulated water flowing through the water-jacketed chambers. Gas was injected into both bathing solutions through stainless-steel 30-gauge needles, which mixed the baths and maintained the pH at approximately 7.4. Ringer–agar bridges located on either side of the tissues were used to measure TEP and RT. RT was calculated from the change in TEP induced when a 5-µA pulse was passed across the tissue.

Radioisotope (5–7 µCi) was added to the apical bath of one tissue and basal bath of the other, and the appearance of label was measured from the opposite bath at either 10- or 15-minute intervals. Samples were counted on a scintillation counter (LS 7500; Beckman, Berkeley, CA) and ion flux calculated as microequivalents per square centimeter per hour.

Fluid Transport Measurements
The capacitive probe technique used to determine transepithelial fluid transport has been described previously.8 12 28 Isolated bovine RPE–choroid was placed in a clamping chip with an exposed surface area of 0.71 cm2. The clamping chip was placed between two water-jacketed chamber halves, each with 12 ml total bath volume. Heated-circulated water kept the bathing solution temperature at 35°C ± 0.05°C. L-shaped canals, approximately 1 mm in diameter, connected the baths with Teflon cups located at the top of each half chamber. The chamber was placed in an incubator kept at a constant 31.5°C with open water reservoirs that kept the relative humidity at 80% ± 5%. The bathing solutions were preheated to 38°C and perfused into the chambers using a push–pull system equipped with 50-ml gas-tight feed-and-drain syringes (Hamilton Co., Reno, NV). The measurement of fluid transport was initiated after a 30- to 45-minute temperature equilibration period.

Stainless-steel capacitive probes (Accumeasure System 1000; MT Instruments, Latham, NY) were lowered into the Teflon cup of each half chamber. The capacitance of the air gap between probe and fluid meniscus was measured and the system calibrated so that the voltage output from each probe reflected the loss of fluid from one chamber and the concomitant increase of fluid from the opposite chamber. The difference signal was converted into fluid transport rate (microliters per square centimeter per hour) and plotted as a function of time. The TEP was measured using Ringer–agar bridges in contact with Ag-AgCl electrodes and monitored with a voltage–current clamp (VCC600; Physiologic Instruments). RT was obtained by passing a 6-µA current pulse across the tissue through Ag-AgCl electrodes for a duration of 1 second at 1-minute intervals and monitoring the change in TEP. Signals from the capacitive probes (JV) and tissue electrical parameters (TEP and RT) were digitized, stored, and plotted online by microcomputer (IBM, Armonk, NY).

Bathing Solutions and Materials
The control Ringer solution consisted of (in mM): 120 NaCl, 23 NaHCO3, 5 KCl, 1 MgCl2, 1.8 CaCl2, and 10 glucose gassed with 85% N2, 10% O2, and 5% CO2 (to keep pH constant at 7.4 ± 0.05). Nominally HCO3-free Ringer was prepared by substitution of 23 mM NaHCO3 with 12 mM sodium cyclamate and 10 mM HEPES and equilibrated with room air (pH 7.4). All solutions had a final osmolarity of 295 ± 5 mOsm. To increase tissue longevity for flux experiments, 1 mM glutathione was added to the Ringer.21 27 For Ca2+ experiments, 2 mM glutathione was added at the beginning of each experiment. Epinephrine (bitartrate salt), prazosin, cyclopiazonic acid (CPA), and bumetanide were obtained from Sigma Chemical Co. (St. Louis, MO). 22Na and 86Rb were obtained from Amersham Corp. (Arlington Heights, IL) and 36Cl from ICN (Irvine, CA). CPA was prepared as a stock solution in DMSO, and diluted to a final concentration of less than 0.02% (vol/vol). DMSO alone does not alter bovine RPE [Ca2+]in at this concentration.

All data are summarized as mean ± SEM, unless stated otherwise. Statistical comparisons were made using Student’s t-test. Differences were considered significant at P < 0.05.


   Results
Top
 Abstract
 Introduction
 Materials and Methods
 Results
Discussion
 References
 
Effect of Epinephrine on [Ca2+]in
The ratiometric Ca2+-sensitive dye fura-2 was used to determine the effects of apical bath epinephrine on intracellular Ca2+ concentrations ([Ca2+]in) in bovine RPE. In each experiment, approximately 10 to 15 cells were examined within the RPE cell sheet, and the same cells were monitored for the duration of the experiment. Mean (±SD) baseline [Ca2+]in was 96 ± 8 nM in four RPE–choroid preparations. One-minute applications of epinephrine (100 nM) in the apical bathing solutions caused rapid, transient [Ca2+]in increases of 153 ± 78 nM. Typical responses are illustrated in Figure 1 . Repeated applications of epinephrine in a single preparation led to repeated [Ca2+]in increases. Ten separate epinephrine applications in four RPE–choroid preparations caused a range of [Ca2+]in increases between 53 and 292 nM. Epinephrine also transiently increased TEP and decreased RT, as previously observed in microelectrode studies.11



View larger version (22K):
[in this window]
[in a new window]
  		Figure 1. Effect of epinephrine on [Ca2+]in (top), TEP, and RT (bottom). Epinephrine (100 nM) was applied apically for approximately 1-minute intervals, indicated by the filled boxes. Epinephrine caused transient increases of 225, 112, and 292 nM in [Ca2+]in. Epinephrine also led to TEP increases of 0.6, 0.8, and 0.95 mV, and RT decreases of 7.5, 8.5, and 5 {Omega} · cm2. All Ca2+ responses were obtained from the same set of approximately 10 cells within the RPE.

 
Figure 2 illustrates the effect of prazosin, an {alpha}1-adrenoreceptor antagonist, on 100 nM epinephrine-induced changes in [Ca2+]in. In this experiment, prazosin completely inhibited the transient [Ca2+]in increase caused by epinephrine treatment, and in two other experiments, prazosin decreased the Ca2+ response by 90%. In all preparations, prazosin inhibited TEP responses by approximately 50% and completely prevented the changes in RT (n = 3). It has been shown that prazosin inhibits epinephrine-induced changes in basolateral and apical membrane voltage and resistance.11



View larger version (21K):
[in this window]
[in a new window]
  		Figure 2. Effect of prazosin on the epinephrine-induced [Ca2+]in increase, TEP, and RT. Ca2+ data are represented as fura-2 ratio, which increases with [Ca2+]in. Apically applied epinephrine (100 nM) led to a transient ratio increase (A), TEP increase, and RT decrease. The simultaneous application of the {alpha}1-adrenoreceptor antagonist prazosin (1 µM) with epinephrine (100 nM) fully prevented the ratio increase and RT decrease and diminished the TEP change by approximately 50% (B). The effects of prazosin were not fully reversible (C).

 
Figure 3 summarizes the effect of CPA on the epinephrine-induced Ca2+ increase. RPE monolayers were treated with epinephrine (100 nM) in the absence (Fig. 3 , left trace) and presence (Fig 3 , right trace) of CPA (5 µM). CPA is an inhibitor of endoplasmic reticulum (ER) Ca2+-ATPase,29 which depletes ER Ca2+ stores by blocking uptake through the Ca2+ pump without affecting efflux through leakage pathways. If the epinephrine-induced increase in cytosolic Ca2+ levels is due to release of Ca2+ from the ER, CPA should abrogate the epinephrine-induced Ca2+ change. This result is illustrated in Figure 3 . In five other preparations, epinephrine (100 nM) had no effect on [Ca2+]in in the presence of CPA. In Figure 3 , the Ca2+ response was reduced by 96% in the presence of CPA.



View larger version (14K):
[in this window]
[in a new window]
  		Figure 3. Effect of CPA on the epinephrine-induced [Ca2+]in increase. Left: apical epinephrine alone (100 nM, dashed line) caused a transient [Ca2+]in increase of 225 nM. Right: apical CPA (5 µM), an ER Ca2+-ATPase blocker, caused a transient increase in Ca2+ followed by a much smaller steady state elevation above baseline. In the presence of CPA, epinephrine (dashed line) did not significantly increase [Ca2+]in.

 
[HCO3]o Dependence of Epinephrine-Induced Changes in JV
NaHCO3 cotransporters have been identified at the apical and basolateral membranes of bovine RPE.30 Fluid transport across frog RPE has been shown to be mediated by an apical membrane NaHCO3 cotransporter.1 An epinephrine-induced alteration in the activities of one or more of these transporters could contribute to the observed change in JV. This possibility was examined in the experiments summarized in Figure 4 JV (Fig. 4A 4B ; top) and TEP/RT (Fig. 4A 4B ; bottom) were measured in the presence (Fig. 4A) and absence (Fig. 4B) of exogenous HCO3. In control Ringer (23 mM HCO3/5% CO2; pHo 7.4), JV decreased from 2.5 µl/cm2 per hour to 0.8 µl/cm2 per hour during the first 50 minutes of the experiment shown in Figure 4A . During this time TEP decreased from approximately 8 to 5mV and RT increased from approximately 220 to 230 {Omega} · cm2. Very similar changes in JV, TEP, and RT were previously observed in this preparation (n = 22).12 At t = 50 minutes, 100 nM epinephrine was added apically and increased JV by a factor of 3, to 2.5 µl/cm2 per hour. The TEP increased transiently to 10 mV (from a baseline of 5 mV), and RT decreased by approximately 25 {Omega} · cm2. At t = 125 minutes, 100 µM bumetanide was added to the apical bath and decreased JV by 1.3 µl/cm2 per hour and concomitantly decreased TEP to 0 and increased RT by 10 {Omega} · cm2.



View larger version (14K):
[in this window]
[in a new window]
  		Figure 4. Effect of epinephrine on JV rate (top), TEP, and RT (bottom) in the presence and absence of bath HCO3. (A) In control Ringer (23 mM HCO3-5% CO2, pH 7.4), 100 nM epinephrine was added to the apical bath (50 minutes). JV and TEP increased and RT decreased. At approximately 125 minutes, 100 µM bumetanide was added to the apical bath and reversed the epinephrine-induced changes. (B) A similar experiment on a different tissue measured in nominally HCO3-free Ringer buffered with 10 mM HEPES and equilibrated with room air (pH 7.4). The stimulation of JV and TEP with 100 nM apical epinephrine and the inhibition with 100 µM bumetanide produced effects very similar to those measured in HCO3 Ringer.

 
Figure 4B shows a similar result obtained from a different tissue measured in HCO3-free Ringer (10 mM HEPES, pHo 7.4). The JV (top) is shown along with the simultaneous measurement of TEP and RT. After a temperature equilibration period of approximately 45 minutes, JV was approximately 1 µl/cm2 per hour. At 116 minutes, 100 nM epinephrine was added to the apical bath, and JV increased by a factor of three, to approximately 3 µl/cm2 per hour. The TEP transiently increased by approximately 5 mV and then decreased toward baseline. At 200 minutes, 100 µM bumetanide was added to the apical bath and decreased JV by approximately 2.1 µl/cm2 per hour. This was accompanied by a rapid decrease in TEP of approximately 6 mV. All these electrical responses have been previously documented, by using intracellular recording techniques.6 11 31

In three experiments, measured in HCO3-free Ringer (three eyes), epinephrine increased JV from 0.31 ± 0.54 to 2.03 ± 0.95 µl/cm2 per hour, and TEP from 5.7 ± 1.8 to 10.4 ± 1.2 mV. RT was not significantly changed (183 ± 43 to 172 ± 34 {Omega} · cm2). In two of these experiments, the epinephrine-induced stimulation of JV was inhibited by 1.4 and 2.1 µl/cm2 per hour with bumetanide (100 µM). These results indicate that bath HCO3 is not required for the epinephrine-induced stimulation of JV.

Effect of Epinephrine on the Net Fluxes of Cl, Na, and K
Table 1 summarizes the results from a series of radioactive tracer experiments using 36Cl, 22Na, and 86Rb (K substitute). The value shown for net flux is the difference between the unidirectional fluxes obtained across six paired tissues per isotope. The direction of net flux was from apical-to-basal (absorption) for all three ions (P < 0.05). The net Cl and Na absorption rates were 0.67 and 0.68 µeq/cm2 per hour, respectively, and there was a small but significant net K absorption of 0.05 µeq/cm2 per hour. TEP ranged from approximately 6.5 to 10 mV and RT from approximately 155 to 165 {Omega} · cm2. There was no significant difference in TEP and RT between groups of paired tissues.


View this table:
[in this window]
[in a new window]
  		Table 1. Open Circuit Net Fluxes of 36Cl, 86Rb, and 22Na across Bovine RPE

 
Figure 5 illustrates the effect of epinephrine on the simultaneous measurement of 36Cl transport, TEP, and RT, across paired tissues from the same eye cup. The solid circles represent the unidirectional apical-to-basal Cl flux rate (JCla-b), and the open circles depict the unidirectional basal-to-apical flux rate (JClb-a). In the top panel, the solid lines represent the mean JCla-b and the dashed lines the mean JClb-a. Net Cl flux is the difference between the mean unidirectional fluxes. In control Ringer, net Cl absorption rate was approximately 0.20 µeq/cm2 per hour. TEP and RT were similar in both tissues (middle and bottom panels). At 60 minutes, 100 nM epinephrine was added to the apical bath. It more than tripled the rate of Cl absorption to 0.64 µeq/cm2 per hour, primarily by stimulating JCla-b. The TEP was rapidly increased in both tissues by 4 to 5 mV, followed by a rapid decrease to near baseline and a slower sustained increase. The reduction in RT (Fig. 1) could not be seen in the tracer flux experiments, because the frequency of the current pulses (one every 8 minutes) was too low to capture the relatively rapid Ca2+-induced changes in RT. At 120 minutes, 100 µM bumetanide was added to the apical bath. It decreased both unidirectional fluxes and reduced the net flux to 0, decreased the TEP by approximately 7 mV and increased the RT by 15 to 20 {Omega} · cm2 in both tissues.



View larger version (22K):
[in this window]
[in a new window]
  		Figure 5. Simultaneous measurement of unidirectional 36Cl flux, TEP, and RT across paired tissues from the same eye. (•) JCla-b; ({circ}) JClb-a. Top, solid lines: mean JCla-b; dashed lines: mean JClb-a. The difference between these two values at every time point is the net flux. In control Ringer, net Cl absorption rate was approximately 0.20 µeq/cm2 per hour. At 60 minutes, 100 nM epinephrine was added to the apical side of both tissues as a concentrated stock solution. It increased net 36Cl flux to approximately 0.60 µeq/cm2 per hour. Epinephrine transiently increased TEP, which was followed by a sustained increase, but did not alter the RT. At 120 minutes, 100 µM bumetanide was added to the apical bath of both tissues. It inhibited both unidirectional 36Cl fluxes, decreased the net flux to approximately 0, decreased TEP, and increased RT in both tissues.

 
The stimulation of Cl absorption by epinephrine is summarized in Table 2 . Data from five paired tissues (five eyes) indicate that epinephrine (100 nM) more than doubled the rate of net Cl absorption from 0.28 ± 0.12 to 0.60 ± 0.17 µeq/cm2 per hour, TEP was increased by approximately 3 mV. In three of these experiments, 100 µM apical bumetanide decreased the epinephrine-stimulated net Cl absorption rate by a factor of 20, from 0.66 ± 0.21 to 0.03 ± 0.10 µeq/cm2 per hour. These results support the notion that epinephrine stimulates the Cl absorption pathway, which includes the apical membrane Na,K,2Cl cotransporter.


View this table:
[in this window]
[in a new window]
  		Table 2. Stimulation of 36Cl, 86Rb (K), and 22Na Absorption by Apical Epinephrine

 
Figure 6 shows the effect of epinephrine on the simultaneous measurement of unidirectional K (86Rb) flux, TEP, and RT across paired tissues. The solid circles represent data from the tissue used to measure the unidirectional JKa-b flux rate, and the open circles depict JKb-a. The unidirectional fluxes are shown in the top panel and TEP and RT in the middle and bottom panels, respectively. In control Ringer, there was a small but significant net absorption of K of approximately 0.05 µeq/cm2 per hour. At 75 minutes, 100 nM epinephrine was added to the apical bath, and net K absorption was increased by stimulating JKa-b by a factor of 6, to approximately 0.30 µeq/cm2 per hour. It also caused a transient increase in TEP, as expected. At 180 minutes, 100 µM bumetanide was added to the apical bath and decreased net K transport to approximately 0 by reducing JKa-b. TEP decreased and RT increased in both tissues by approximately 7 mV and approximately 30 {Omega} · cm2, respectively.



View larger version (24K):
[in this window]
[in a new window]
  		Figure 6. Simultaneous measurement of unidirectional 86Rb fluxes (K substitute), TEP, and RT across paired tissues from the same eye. (•) JCla-b; ({circ}) JClb-a. Top, solid lines: mean JCla-b; dashed lines: mean JClb-a. In control Ringer, net 86Rb (K) absorption rate was approximately 0.05 µeq/cm2 per hour. At 75 minutes, 100 nM epinephrine was added to the apical bath. Net 86Rb (K) absorption rate was stimulated to approximately 0.27 µeq/cm2 per hour, and TEP was transiently increased, followed by a sustained increase. RT was decreased in both tissues by 5 to 10 {Omega} · cm2. At 180 minutes, 100 µM bumetanide was added to the apical bath and decreased net 86Rb (K) transport to approximately 0, decreased the TEP by approximately 8 mV, and increased the RT by 20 to 30 {Omega} · cm2 in both tissues.

 
Table 2 summarizes the effects of epinephrine on the simultaneous measurement of net K (86Rb) absorption, TEP, and RT. In four experiments, 100 nM epinephrine stimulated net K absorption from 0.038 ± 0.015 to 0.207 ± 0. µeq/cm2 per hour by increasing JKa-b. The TEP was increased by approximately 3 mV, but the RT was not significantly changed. In two of these experiments, 100 µM bumetanide decreased the epinephrine-stimulated net K absorption from 0.26 to 0.04 µeq/cm2 per hour and 0.31 to 0.08 µeq/cm2 per hour.

These experiments, taken together, show that net KCl absorption is stimulated by epinephrine and strongly suggest that the bumetanide-sensitive Na,K,2Cl cotransporter mediated this response. However, K also enters the cell through the apical membrane Na,K-ATPase.21 27 32 If the Na,K pump was stimulated by epinephrine, then net Na transport may have been altered.28 33

The effect of 100 nM apical epinephrine on net Na (22Na) transport is summarized in Table 2 . In three experiments (three eyes), both unidirectional 22Na fluxes were increased slightly, but there was no significant change in unidirectional or net flux (P > 0.50). Epinephrine significantly increased the TEP (2.4 mV). These results suggest that the Na,K pump rate is not measurably altered by epinephrine and therefore strengthens our conclusion that the epinephrine-induced stimulation of KCl absorption is mainly determined by the bumetanide-sensitive Na,K,2Cl cotransporter.


   Discussion
Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
References
 
The apical membrane of both bovine and native human RPE contain {alpha}1-adrenergic receptors that can be activated by nanomolar amounts of epinephrine.5 11 In the present experiments in bovine RPE, we showed that apical epinephrine elevated cell calcium and increased the rate of net Cl (36Cl) and K (86Rb) absorption, without affecting net Na (22Na) transport. Net fluid and KCl absorption were stimulated by apical epinephrine and inhibited by apical bumetanide. The epinephrine-induced [Ca2+]in changes were blocked at two points in the signal-transduction pathway: at the apical membrane, by prazosin, and intracellularly by the ER Ca2+-ATPase inhibitor CPA. These [Ca2+]in changes coincided in time with the epinephrine-induced increase in basolateral membrane Cl conductance and decrease in apical membrane K conductance11 that ultimately produced the increase in KCl-coupled fluid absorption. The model summarized in Figure 7 can be used to understand the plasma membrane and intracellular signaling pathways that mediate fluid absorption across the RPE.



View larger version (35K):
[in this window]
[in a new window]
  		Figure 7. Model of RPE apical membrane receptor–mediated transepithelial fluid transport. In control Ringer, ion-linked fluid absorption (arrow) is mediated by apical membrane cotransporters and basolateral membrane Cl channels. Potassium (K) enters the cell through apical membrane Na,K,2Cl cotransporters or the Na,K pumps and is recycled through apical membrane K channels. Na enters the cell through apical membrane Na,K,2Cl cotransporters and is recycled through Na,K pumps. The apical membrane contains at least three G-protein–coupled receptors activated by ATP (UTP), or epinephrine (EP). Cross talk between the Ca2+ and cAMP signaling pathways is possibly mediated by PLB, an ER-associated protein.9 At the basolateral membrane, extracellular Cl is exchanged for intracellular HCO3, Cl channel efflux is recycled through this exchanger, and HCO3 is cotransported with Na. ADP, adenosine diphosphate. Lactate (Lac) transporters are at the basolateral membrane and a transmembrane adenylate cyclase (tmAC) is located at the apical membrane.

 
Receptor Activation and Signal Transduction
In many systems it has been shown that activation of G-protein–coupled receptors (e.g., {alpha}1-adrenoreceptors) leads to the phospholipase C (PLC)–mediated production of inositol triphosphate (IP3), and IP3 then interacts with its receptors on the ER membrane to cause a transient increase in cell Ca2+.34 Previous work in cultured human and rat RPE cells has indicated that {alpha}-adrenergic receptor activation is coupled to PLC activation.14 35 The RPE contains several other metabotropic receptors that could activate this signal-transduction pathway to increase basolateral membrane Cl channel activity.5 8 10 13 14 In bovine RPE, we have shown that A23187, a Ca2+ ionophore, mimics the epinephrine-induced electrical responses, and that BAPTA, a membrane-permeable Ca2+ buffer, prevents the epinephrine-induced membrane potential and resistance changes,11 suggesting that Ca2+ was the second messenger mainly responsible for mediating the RPE responses to epinephrine. The present experiments strengthened this conclusion in two ways: by showing that prazosin, an {alpha}1-adrenergic receptor antagonist, inhibited the epinephrine-induced increase in [Ca2+]in and by implicating the ER stores (Fig. 3) as the source of Ca2+ that caused the epinephrine-induced changes in membrane voltage and resistance.

In native fetal human RPE, epinephrine activates {alpha} and ß adrenergic receptors at the apical membrane and two intracellular second messengers, Ca2+ and cAMP, seem to determine the physiological responses.5 In bovine RPE,11 we previously showed that epinephrine also increases intracellular cAMP levels, and this suggests the possibility of cross talk between the Ca2+ and cAMP transduction pathways. Figure 7 indicates a possible locus of interaction for these two second messengers at the ER Ca2+-ATPase regulatory protein phospholamban (PLB). It has been shown that this protein is present in bovine and human RPE.9 In its unphosphorylated state, PLB inhibits ER Ca2+-ATPase activity.36 This inhibition is removed by cAMP-dependent protein kinase A (PKA) phosphorylation of PLB, which stimulates Ca2+ uptake into ER stores and reduces [Ca2+]in.37

The physiological effects of cAMP on bovine RPE physiology were studied by elevating cell cAMP using a cocktail of cAMP-elevating drugs. In striking contrast to the epinephrine results,11 12 elevation of cell cAMP per se decreased basolateral membrane Cl conductance, increased cell Cl, and reversed the direction of fluid transport from absorption to secretion. All these changes were blocked by CPA, consistent with a cAMP-mediated alteration in PLB phosphorylation.9 In the model shown in Figure 7 , we hypothesize that elevation of cell cAMP acts on PLB to lower cell Ca2+ and, in effect, provides a negative regulation of Ca2+-activated Cl conductance (and fluid) increase that opposes the dominant effect of epinephrine.

Ionic Basis of Fluid Absorption across Bovine RPE
In many epithelia, including frog RPE,28 net solute (Js) and JV are isotonically coupled,38 39 so that JV = Js/C, where Js = JCl + JNa + JK, and C is the solute concentration of the bathing medium.1 28 The results summarized in Table 1 show that Js = 1.40 µeq/cm2 per hour, which predicts a fluid absorption rate of 4.7 µl/cm2 per hour in control Ringer. This value is in relatively good agreement with the maximum JV rate (4 µl/cm2 per hour) measured in tissues of similarly high TEP and RT.12

The data summarized in Table 2 show that epinephrine stimulated Js (JCl + JK) by approximately 0.5 µeq/cm2 per hour, which predicts an epinephrine-induced increase in JV of 1.7 µeq/cm2 per hour. This prediction is in excellent agreement with previous measurements showing that 100 nM epinephrine increased JV by 1.4 µl/cm2 per hour.12 It indicates that Cl and K are the ions responsible for the epinephrine-induced stimulation of fluid absorption and suggests that ion and fluid transport are isotonically coupled across bovine RPE.

KCl Absorption and RPE Physiology and Function
In combination with previous electrophysiological and fluid transport studies,6 11 12 31 the present results demonstrate that the rate of Na,K,2Cl cotransporter and conductive Cl efflux were both increased by epinephrine. Activation of the cotransporter could have been a direct result of epinephrine-induced increases in [Ca2+]in or cAMP, because the cotransport protein has consensus protein kinase C (PKC) and PKA phosphorylation sites, and protein phosphorylation activates the cotransporter. Another possibility, based on work in a wide variety of systems, is that Na,K,2Cl cotransporters are activated after a decrease in cell Cl ([Cl]in), which then alters cotransporter phosphorylation.40 Additional experiments would be required to evaluate these possibilities.

In control Ringer, most of the K that enters the cell across the apical membrane is recycled across that membrane (see Fig. 7 ) through a large apical membrane K conductance.21 27 The small but significant net absorption of K measured in the present study was probably driven through the paracellular pathway by TEP, because no net K flux was measured under short-circuited conditions.27 Epinephrine decreased the apical membrane K conductance,11 which would reduce the recycling of K across the apical membrane and possibly stimulate the transepithelial absorption of K, mediated by the cotransporter or pump27 (see Fig. 7 ).

The increase in net K (86Rb)Cl absorption stimulated by epinephrine was completely inhibited by apical bumetanide (Figs. 5 6) indicating that the cotransporter mediated this response. If net Na flux was altered by epinephrine, this may indicate that the Na,K pumps were stimulated,33 but Table 2 shows that net Na flux was not significantly altered by epinephrine. One possibility is that that Na is recycled at the apical membrane in the presence or absence of a secretagogue. Alternatively, if the cotransporter and the pump were both stimulated, KCl uptake might increase without an effect on Na transport—a possibility that cannot be eliminated by the present data.

The basolateral membrane contains electrically coupled Cl and K conductances that mediate KCl efflux.6 21 27 31 The epinephrine-induced K efflux could have been mediated by the Ca2+ increase, by the change in membrane potential, or by both. It is also possible that an epinephrine-induced increase in cAMP increased K efflux at the basolateral membrane.11 41 Because epinephrine significantly depolarized the basolateral membrane, it would increase the driving force for conductive K efflux.6 21 42 Thus, in the steady state, K and Cl and osmotically obliged fluid exit the basolateral membrane, balanced by the influx of K and Cl and osmotically coupled fluid at the apical membrane.

In vitro and in vivo experiments have demonstrated that the apical membrane cotransporters and apical and basolateral membrane K and Cl channels are the main determinants of RPE cell volume as well as subretinal space hydration and chemical composition.32 43 44 45 46 47 48 The present experiments illustrate another level of regulation (Fig. 7) by showing that a putative retinal paracrine signal such as epinephrine2 49 50 can activate this pathway and perhaps act synergistically with other paracrine3 or hormonal signals to control the hydration and chemical composition of the extracellular spaces on either side of the RPE.


   Footnotes
 
3 Present affiliation: Biological Sciences, Allergan, Inc., Irvine, California. Back

Supported by National Eye Institute Grant EY02205 (SSM) and Core Grant EY03176.

Submitted for publication January 3, 2001; revised March 5, 2001; accepted April 6, 2001.

Commercial relationships policy: N.

The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Corresponding author: Sheldon S. Miller, University of California, Berkeley, 360 Minor Hall, Berkeley, CA 94720-2020. smiller{at}socrates.berkeley.edu


   References
Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Hughes, BA, Gallemore, RP, Miller, SS (1998) Transport mechanisms in the retinal pigment epithelium Marmor, MF Wolfensberger, TJ eds. The Retinal Pigment Epithelium ,103-134 Oxford University Press New York.
  2. Gallemore, RP, Hughes, BA, Miller, SS (1998) Light-induced responses of the retinal pigment epithelium Marmor, MF Wolfensberger, TJ eds. The Retinal Pigment Epithelium ,175-198 Oxford University Press New York.
  3. Maminishkis, A, Yerxa, BR, Pendergast, W, Miller, SS (2000) Purinoceptor agonists increase fluid clearance out of subretinal space (SRS) blebs in vivo Invest Ophthalmol Vis Sci 41(4),S137Abstract nr 699
  4. Haas, M, Forbush, B, III (2000) The Na-K-Cl cotransporter of secretory epithelia Annu Rev Physiol 62,515-534[Medline][Order article via Infotrieve]
  5. Quinn, RH, Quong, JN, Miller, SS (2001) Adrenergic receptor activated ion transport in human fetal retinal pigment epithelium Invest Ophthalmol Vis Sci 42,255-264[Abstract/Free Full Text]
  6. Bialek, S, Miller, SS (1994) K+ and Cl- transport mechanisms in bovine pigment epithelium that could modulate subretinal space volume and composition J Physiol (Lond) 475,401-417[Abstract/Free Full Text]
  7. Wu, Q, Delpire, E, Hebert, SC, Strange, K. (1998) Functional demonstration of Na+-K+-2Cl-cotransporter activity in isolated, polarized choroid plexus cells Am J Physiol 275,C1565-C1572[Abstract/Free Full Text]
  8. Peterson, W, Meggyesy, C, Yu, K, Miller, SS (1997) Extracellular ATP activates calcium signaling, ion and fluid transport in retinal pigment epithelium J Neurosci 17,2324-2337[Abstract/Free Full Text]
  9. Peterson WM, Quong JN, Miller SS. Mechanisms of fluid transport in retinal pigment epithelium. Proceedings of The Third Great Basin Visual Science Symposium on Retinal Research. Vol. III. Salt Lake City, Utah: University of Utah and Moran Eye Center; 1998;34–42.
  10. Nash, MS, Wood, JP, Osborne, NN (1997) Protein kinase C activation by serotonin potentiates agonist-induced stimulation of cAMP production in cultured rat retinal pigment epithelial cells Exp Eye Res 64,249-255[Medline][Order article via Infotrieve]
  11. Joseph, DP, Miller, SS (1992) Alpha-1-adrenergic modulation of K and Cl transport in bovine retinal pigment epithelium J Gen Physiol 99,263-290[Abstract/Free Full Text]
  12. Edelman, JL, Miller, SS (1991) Epinephrine stimulates fluid absorption across bovine retinal pigment epithelium Invest Ophthalmol Vis Sci 32,3033-3040[Abstract/Free Full Text]
  13. Ammar, DA, Hughes, BA, Thompson, DA (1998) Neuropeptide Y and the retinal pigment epithelium: receptor subtypes, signaling, and bioelectrical responses Invest Ophthalmol Vis Sci 39,1870-1878[Abstract/Free Full Text]
  14. Nash, MS, Osborne, NN (1996) Cell surface receptors associated with the retinal pigment epithelium: the adenylate cyclase and phospholipase C signal transduction pathways Prog Retinal Eye Res 15,501-546
  15. . Tran V (1992) Human retinal pigment epithelial cells possess beta 2-adrenergic receptors Exp Eye Res 55,413-417[Medline][Order article via Infotrieve]
  16. Horie, K, Hirasawa, A, Masuda, K, Tsujimoto, G. (1993) Identification of alpha 1C-adrenergic receptor mRNA in bovine retinal pigment epithelium Invest Ophthalmol Vis Sci 34,2769-2775[Abstract/Free Full Text]
  17. Moroi-Fetters, SE, Earley, O, Hirakata, A, Caron, MG, Jaffe, GJ (1995) Binding, coupling, and mRNA subtype heterogeneity of alpha 1-adrenergic receptors in cultured human RPE Exp Eye Res 60,527-532[Medline][Order article via Infotrieve]
  18. Frambach, DA, Valentine, JL, Weiter, JJ (1988) Alpha-1 adrenergic receptors on rabbit retinal pigment epithelium Invest Ophthalmol Vis Sci 29,737-741[Abstract/Free Full Text]
  19. Frambach, DA, Fain, GL, Farber, DB, Bok, D. (1990) Beta adrenergic receptors on cultured human retinal pigment epithelium Invest Ophthalmol Vis Sci 31,1767-1772[Abstract/Free Full Text]
  20. Lin, H, Miller, SS (1991) Apical epinephrine modulates [Ca2+]i in bovine retinal pigment epithelium [ARVO Abstract] Invest Ophthalmol Vis Sci 32(4),S671Abstract nr 24
  21. Joseph, DP/FNM>, Miller, SS (1991) Apical and basal membrane ion transport mechanisms in bovine retinal pigment epithelium J Physiol (Lond) 435,439-463[Abstract/Free Full Text]
  22. Lin, H, Miller, SS (1991) pHi regulation in frog retinal pigment epithelium: two apical membrane mechanisms Am J Physiol 261,C132-C142[Abstract/Free Full Text]
  23. Kenyon, E, Yu, K, La Cour, M, Miller, SS (1994) Lactate transport mechanisms at apical and basolateral membranes of bovine retinal pigment epithelium Am J Physiol 267,C1561-C1573[Abstract/Free Full Text]
  24. Bialek, S, Quong, J, Yu, K, Miller, SS (1996) Nonsteroidal anti-inflammatory drugs alter chloride and fluid transport in bovine retinal pigment epithelium Am J Physiol 270,C1175-C1189[Abstract/Free Full Text]
  25. Grynkiewicz, G, Poenie, M, Tsien, RY (1985) A new generation of Ca2+ indicators with greatly improved fluorescence properties J Biol Chem 260,3440-3450[Abstract/Free Full Text]
  26. Miller, SS, Steinberg, RH (1982) Potassium transport across the frog retinal pigment epithelium J Membr Biol 67,199-209[Medline][Order article via Infotrieve]
  27. Miller, SS, Edelman, JL (1990) Active ion transport pathways in the bovine retinal pigment epithelium J Physiol (Lond) 424,283-300[Abstract/Free Full Text]
  28. Hughes, BA, Miller, SS, Machen, TE (1984) Effects of cyclic AMP on fluid absorption and ion transport across frog retinal pigment epithelium: measurements in the open-circuit state J Gen Physiol 83,875-899[Abstract/Free Full Text]
  29. Seidler, NW, Jona, I, Vegh, M, Martonosi, A. (1989) Cyclopiazonic acid is a specific inhibitor of the Ca2+-ATPase of sarcoplasmic reticulum J Biol Chem 264,17816-17823[Abstract/Free Full Text]
  30. Kenyon, E, Maminishkis, A, Joseph, DP, Miller, SS (1997) Apical and basolateral membrane mechanisms that regulated pHi in bovine retinal pigment epithelium Am J Physiol 273,C456-C472[Abstract/Free Full Text]
  31. Bialek, S, Joseph, DP, Miller, SS (1995) The delayed basolateral membrane hyperpolarization of the bovine retinal pigment epithelium: mechanism of generation J Physiol (Lond) 484,53-67[Abstract/Free Full Text]
  32. Kennedy, BG (1990) Na(+)-K(4)-Cl-cotransport in cultured cells derived from human retinal pigment epithelium Am J Physiol 259,C29-C34[Abstract/Free Full Text]
  33. Hughes, BA, Miller, SS, Joseph, DP, Edelman, JL (1988) cAMP stimulates the Na+-K+ pump in frog retinal pigment epithelium Am J Physiol 254,C84-C98[Abstract/Free Full Text]
  34. Putney, JW, Jr, Ribeiro, CM (2000) Signaling pathways between the plasma membrane and endoplasmic reticulum calcium stores Cell Mol Life Sci 57,1272-1286[Medline][Order article via Infotrieve]
  35. Moroi-Fetters, S, Earley, O, Hirakata, A, Caron, M, Jaffe, G. (1995) Binding, coupling, and mRNA subtype heterogeneity of alpha 1-adrenergic receptors in cultured human RPE Exp Eye Res 60,527-532
  36. Simmerman, HK, Jones, LR (1998) Phospholamban: protein structure, mechanism of action, and role in cardiac function Physiol Rev 78,921-947[Abstract/Free Full Text]
  37. Frank, K, Tilgmann, C, Shannon, TR, Bers, DM, Kranias, EG (2000) Regulatory role of phospholamban in the efficiency of cardiac sarcoplasmic reticulum Ca(2+) transport Biochemistry 39,14176-14182[Medline][Order article via Infotrieve]
  38. House, CR (1974) Water Transport in Cells and Tissues London: Edward Arnold
  39. Wills, NK Reuss, L Lewis, SA eds. Epithelial Transport A Guide to Methods and Experimental Analysis 1996 Chapman & Hall London.
  40. Russell, JM (2000) Sodium-potassium-chloride cotransport Physiol Rev 80,211-276[Abstract/Free Full Text]
  41. Turner, HC, Alvarez, LJ, Candia, OA (2000) Cyclic AMP-dependent stimulation of basolateral K(+) conductance in the rabbit conjunctival epithelium Exp Eye Res 70,295-305[Medline][Order article via Infotrieve]
  42. Immel, J, Steinberg, RH (1986) Spatial buffering of K+ by the retinal pigment epithelium in frog J Neurosci 6,3197-3204[Abstract]
  43. Adorante, JS, Miller, SS (1990) Potassium-dependent volume regulation in retinal pigment epithelium is mediated by Na,K,Cl cotransport J Gen Physiol 96,1153-1176[Abstract/Free Full Text]
  44. Adorante, JS (1995) Regulatory volume decrease in frog retinal pigment epithelium Am J Physiol 268,C89-C100[published correction appears in Am J Physiol. 1995;268: following the table of contents][Abstract/Free Full Text]
  45. Huang, B, Karwoski, CJ (1992) Light-evoked expansion of subretinal space volume in the retina of the frog J Neurosci 12,4243-4252[Abstract]
  46. Li, JD, Gallemore, RP, Dmitriev, A, Steinberg, RH (1994) Light-dependent hydration of the space surrounding photoreceptors in chick retina Invest Ophthalmol Vis Sci 35,2700-2711[Abstract/Free Full Text]
  47. Li, JD, Govardovskii, VI, Steinberg, RH (1994) Light-dependent hydration of the space surrounding photoreceptors in the cat retina Vis Neurosci 11,743-752[Medline][Order article via Infotrieve]
  48. Govardovskii, VI, Li, JD, Dmitriev, AV, Steinberg, RH (1994) Mathematical model of TMA+ diffusion and prediction of light-dependent subretinal hydration in chick retina Invest Ophthalmol Vis Sci 35,2712-2724[Abstract/Free Full Text]
  49. Osborne, NN, Ghazi, H. (1988) Does noradrenaline behave as a neurotransmitter or hormone in the mammalian retina? Neurosci Res 8,S197-S210
  50. Hadjiconstantinou, M, Cohen, J, Neff, NH (1983) Epinephrine: a potential neurotransmitter in retina J Neurochem 41,1440-1444[Medline][Order article via Infotrieve]



This article has been cited by other articles:


Home page
 Am. J. Physiol. Cell Physiol.Home page
B. R. Pattnaik and B. A. Hughes
Regulation of Kir channels in bovine retinal pigment epithelial cells by phosphatidylinositol 4,5-bisphosphate
Am J Physiol Cell Physiol, October 1, 2009; 297(4): C1001 - C1011.
[Abstract] [Full Text] [PDF]

Home page
 PhysiologyHome page
C. Hartzell, Z. Qu, I. Putzier, L. Artinian, L.-T. Chien, and Y. Cui
Looking Chloride Channels Straight in the Eye: Bestrophins, Lipofuscinosis, and Retinal Degeneration
Physiology, October 1, 2005; 20(5): 292 - 302.
[Abstract] [Full Text] [PDF]

Home page
 Physiol. Rev.Home page
O. Strauss
The Retinal Pigment Epithelium in Visual Function
Physiol Rev, July 1, 2005; 85(3): 845 - 881.
[Abstract] [Full Text] [PDF]

Home page
 J. Physiol.Home page
H C. Hartzell and Z. Qu
Chloride currents in acutely isolated Xenopus retinal pigment epithelial cells
J. Physiol., June 1, 2003; 549(2): 453 - 469.
[Abstract] [Full Text] [PDF]

Home page
 IOVSHome page
A. Maminishkis, S. Jalickee, S. A. Blaug, J. Rymer, B. R. Yerxa, W. M. Peterson, and S. S. Miller
The P2Y2 Receptor Agonist INS37217 Stimulates RPE Fluid Transport In Vitro and Retinal Reattachment in Rat
Invest. Ophthalmol. Vis. Sci., November 1, 2002; 43(11): 3555 - 3566.
[Abstract] [Full Text] [PDF]

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Rymer, J.
Right arrow Articles by Edelman, J. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Rymer, J.
Right arrow Articles by Edelman, J. L.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS