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1From the Department of Ophthalmology, University of Tokyo School of Medicine, Tokyo, Japan; the 2Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan; and the 3Department of Ophthalmology, University of Hiroshima School of Medicine, Hiroshima, Japan.
| Abstract |
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METHODS. Inbred adult ddY mice were bred and acclimatized under a 12-hour lightdark cycle. With mice under general anesthesia, a microneedle method was used to measure IOP. A single drop of 3 µL of either drug or vehicle solution was topically applied once into one eye in each mouse, in a blinded manner, with the contralateral, untreated eye serving as the control. IOP reduction was evaluated by the difference in IOP between the treated and untreated eyes in the same mouse. First, to determine the period feasible for demonstrating a larger magnitude of ocular hypotensive effect, the 24-hour diurnal variation in mouse IOP was measured, and 0.005% latanoprost was applied at the peak or trough time of variation in 24-hour IOP. The time point of the most hypotensive effect was selected for further studies, to evaluate the effects of PG analogues. Second, mice received tafluprost (0.0003%, 0.0015%, 0.005%, or 0.015%), latanoprost (0.001%, 0.0025%, or 0.005%), travoprost (0.001%, 0.002%, or 0.004%), or isopropyl unoprostone (0.03%, 0.06%, or 0.12%), and each corresponding vehicle solution. IOP was then measured at 1, 2, 3, 6, 9, and 12 hours after drug administration. The ocular hypotensive effects of the other three PG analogues were compared with that of tafluprost. All experiments were conducted in a masked study design.
RESULTS. The IOP in the untreated mouse eye was higher at night than during the day. Latanoprost significantly lowered IOP at night (21.4%), compared with the IOP in the untreated contralateral eye 2 hours after administration. The maximum IOP reduction was 20.2% ± 2.0%, 18.7% ± 2.5%, and 11.2% ± 1.8% of that in the untreated eye 2 hours after administration of 0.005% tafluprost, 0.005% latanoprost, and 0.12% isopropyl unoprostone, respectively, whereas it was 20.8% ± 4.6% at 6 hours with 0.004% travoprost (n = 7
17). The order of ocular hypotensive effects of three clinically used PG analogues in mice was comparable to that in humans. Area under the curve (AUC) analysis revealed dose-dependent IOP reductions for each PG analogue. Tafluprost 0.005% decreased IOP more than 0.005% latanoprost at 3, 6, and 9 hours (P = 0.0010.027) or 0.12% unoprostone at 2, 3, and 6 hours (P = 0.00040.01).
CONCLUSIONS. The 24-hour variation in mouse eyes should be taken into consideration when evaluating the reduction of IOP. The mouse model was found to be useful in evaluating the pharmacological response to PG analogues. A newly developed FP agonist, 0.005% tafluprost, lowered normal mouse IOP more effectively than did 0.005% latanoprost.
The availability of various transgenic mice allows us to investigate the role of a molecule in vivo. To clarify physiological mechanisms in finely structured tissues such as those involved in IOP reduction, in vivo assessment using an animal model is indispensable. The ocular hypotensive effects of latanoprost and aqueous dynamics in mice have recently been demonstrated.11 12 Latanoprost decreases IOP in a dose-dependent manner,11 a finding that is supported by the fact that aqueous outflow in mice mainly depends on the uveoscleral outflow pathway.12 These results suggest the possibility of using prostanoid-receptor knockout mice to investigate the relationship between prostanoid receptors and the reduction of IOP. In fact, Crowston et al.13 recently found that the latanoprost-induced ocular hypotensive effect is mainly dependent on the FP receptor, since its effect diminishes in FP receptor knockout mice. However, the ocular hypotensive effects of PG analogues other than latanoprost have not been fully investigated in mouse eyes, and the influence of the 24-hour variation in IOP on ocular hypotensive effects has not yet been considered.
Thus, the present investigation was undertaken to establish a ddY mouse model for the pharmacological analysis of antiglaucoma drugs, taking the 24-hour IOP variation into consideration, and to evaluate the ocular hypotensive effect of a newly developed FP agonist, tafluprost, in comparison with three other clinically used PG analogues.
| Materials and Methods |
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Preparation and Application of Ophthalmic Solution
Latanoprost was purchased from Cayman Chemical Co. (Ann Arbor, MI) and dissolved in its vehicle solution, as reported previously.14 Travoprost, isopropyl unoprostone, tafluprost, and their vehicle solutions were provided by Alcon Inc. (Fort Worth, TX), R-Tech Ueno Ltd. (Hyogo, Japan), and Santen Pharmaceutical Co., Ltd. (Osaka, Japan), respectively. The solutions were originally prepared in their clinically used concentrations, and then serial dilutions were prepared with their corresponding vehicle solutions. With a micropipette, 3 µL of PG solution or vehicle was topically applied to one randomly selected eye in a masked manner. The untreated contralateral eye served as the control.
IOP Measurement
IOP was measured by a microneedle method in mice anesthetized by ketamine and xylazine, as described previously.11 Briefly, a microneedle made of borosilicate glass (100-µm tip diameter) was connected to a pressure transducer (Model BLPR; World Precision Instruments, Sarasota, FL). The system pressure detected by the transducer was recorded by a data-acquisition and analysis system (PowerLab; ADInstruments, Colorado Springs, CO). In mice under general anesthesia, the microneedle was placed in the anterior chamber, and the conducted pressure was sequentially recorded in both eyes during a 4- to 7-minute time window. The effect of each drug and vehicle was calculated as the difference in IOP (
IOP = IOP in the treated eye IOP in the untreated contralateral eye). The percentage of IOP reduction was defined as 100 x
IOP/IOP in the untreated contralateral eye (%) in each mouse. In addition, the data thus obtained underwent area-under-the-curve (AUC; percent per hour) analysis, according to the trapezoidal rule.
Assessment of 24-Hour Variation and Difference in IOP between the Eyes of the ddY Mouse
The 24-hour IOP pattern was assessed by collecting IOP measurements at 3-hour intervals, starting from 0600, as reported previously (n = 6).15 One of two eyes in each mouse was selected randomly. During the IOP measurement, room lighting similar to that in the vivaria was maintained. During the dark phase, all procedures were performed under red-light illumination to eliminate the effect of lighting on IOP. For each mouse, data points were collected at 1-week intervals to eliminate any effects of the previous IOP measurement. The measurements at 0600 were obtained after turning the light on and those at 1800 were obtained before turning the light off.
Because ocular hypotensive effects were evaluated by comparison of IOP between treated and untreated contralateral eyes, the similarity of IOP in both eyes was validated in ddY mice. In mice under general anesthesia,11 the IOP in both eyes was sequentially measured in the time window just described, and the bilateral difference was compared.
Effect of Latanoprost on Daytime and Nighttime IOP
First, to determine the period feasible for demonstrating a greater degree of ocular hypotensive effect in consideration of the 24-hour IOP variation,15 we applied 0.005% latanoprost at 0700 or 1900, and measured IOP as described, 2 hours after administration.
Effects of PG Analogues on Mouse IOP
Tafluprost (0.0003%, 0.0015%, 0.005%, or 0.015%), latanoprost (0.001%, 0.0025%, or 0.005%), travoprost (0.001%, 0.002%, or 0.004%), isopropyl unoprostone (0.03%, 0.06%, or 0.12%), or each vehicle solution was administrated topically to one randomly chosen eye. Three investigators instilled eye drops, each without knowing what the other two were doing, and the fourth investigator, masked to the treatments, measured IOP at 1, 2, 3, 6, 9, or 12 hours after the drugs were administered, as described earlier. Thus, all measurements were performed under masked conditions. The ocular hypotensive effect of each drug was calculated, and its dose-dependency was evaluated by AUC analysis. Finally, IOP reduction by 0.005% tafluprost was compared with that produced by clinically used concentrations of the other drugs0.005% latanoprost, 0.004% travoprost, and 0.12% unoprostone at each time pointand also by AUC analysis. Because of this invasive measurement, IOP at each time point was measured in different animals. In some mice, the measurements were repeated at 2-week intervals.
Statistical Analysis
All IOP data are shown as the mean ± SEM. The Kruskal-Wallis test was used for comparison of the 24-hour IOP variation. The Mann-Whitney test was used for comparison of the mean IOP difference and the ratio of IOP reduction between day and night. The Wilcoxon signed-ranks test was used for comparison of mean IOP between treated and contralateral eyes. The Steel test was used for multiple comparisons. P < 0.05 was considered statistically significant.
| Results |
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Effect of Latanoprost on Diurnal IOP
To evaluate the effect of latanoprost on the IOP during the day and night, we measured the IOP in normal ddY mice treated with 0.005% latanoprost at 0900 or 2100, based on the 24-hour pattern of mouse IOP (Fig. 1) . During the day, the IOP of the untreated contralateral and treated eyes 2 hours after drug administration was 13.3 ± 0.7 and 12.3 ± 0.7 mm Hg, respectively, whereas at night, the IOP in the untreated contralateral and treated eyes 2 hours after administration was 22.0 ± 1.8 and 17.1 ± 0.8 mm Hg, respectively. IOP reduction by 0.005% latanoprost was 1.0 mm Hg (7.1%) during the day and 4.9 mm Hg (21.4%) at night, and the latter was statistically significant (P = 0.002). Further, the change (
) and the percent IOP reduction at night were significantly greater than those during the day (P = 0.017 and 0.028, respectively, Table 2 ). These results indicate that the effect of latanoprost on IOP is more pronounced at night when baseline IOP is higher. Hence, in the following experiments, we examined IOP reduction by PG analogues at night.
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Among the four PGs, tafluprost showed the largest AUC and isopropyl unoprostone, the smallest (Fig. 6B) .
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| Discussion |
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The 24-hour variation in mouse eyes should be taken into consideration when evaluating the pressure. The IOP during the day and night varies among the many mouse strains.18 In this study, the ddY strain showed a 24-hour pattern of IOP variation similar to that of NIH Swiss white, as previously reported.15 These data, as well as the data from our study, demonstrate that mouse IOP is higher at night and lower in the day. Thus, to determine whether drug-induced ocular hypotension was affected by the diurnal variation of IOP, latanoprost was administered at 0700 or 1900. The results revealed a more pronounced reduction in IOP at night (21.4%) than during the day (7.1%). This finding may be compatible with those of a previous study using NIH Swiss white mice, which also showed a lesser reduction (14%) in IOP during the day than that at night (21.4%).11 13 It is not clear whether this greater IOP reduction by latanoprost at night is simply due to circadian differences in baseline IOP or to the parameters of aqueous dynamics. In other mammals, including humans, a diurnal difference in the conventional outflow facility or aqueous production has been reported,19 20 whereas the diurnal variation of uveoscleral outflow has not. In humans, higher baseline IOP is associated with greater IOP reduction by latanoprost,21 which may also apply to latanoprosts effect on mouse IOP.
The PG-analogueinduced IOP reductions demonstrated in the current mouse study deserve discussion. The PG analogues currently examined, excluding unoprostone, are mainly thought to enhance uveoscleral outflow via interaction with the FP receptor.3 10 IOP reduction by FP agonists in mouse eyes is compatible with the fact that the mouse outflow pathway is mainly dependent on uveoscleral outflow, as shown in young monkey eyes in aqueous outflow studies.12 22 PGF2
analogues have very little effect on ocular hypotension in rabbits and cats.23 24 Our data indicate that mouse eyes are more comparable to human eyes for the pharmacological study of drugs that enhance the uveoscleral outflow pathway.
In this study, the clinically used concentration of each drug was also tested (Fig. 6) . Because the main purpose was to evaluate the usefulness of ddY mouse eyes for the pharmacological evaluation of PG analogues and a new PG analogue, tafluprost, direct comparison among all four drugs at their clinical concentrations was not a primary measure. However, the more potent FP agonist tended to reduce IOP more, almost paralleling the results obtained in humans.17 Tafluprost is a recently developed PG derivative that has a 10-fold higher affinity for the FP receptor than does latanoprost acid.1 2 By AUC analysis, tafluprost was more effective in reducing mouse IOP, and its ocular hypotensive effect lasted longer than that of latanoprost (Fig. 2) . In monkey eyes, treatment with 0.0025% or 0.005% tafluprost once daily lowered IOP more effectively than latanoprost, by increasing uveoscleral outflow.2 Moreover, tafluprost lowered the trough IOP more than latanoprost after continuous use.1 2 These results may indicate the potential of tafluprost as a new ocular hypotensive agent in the future.
Travoprost (0.004%) showed similar ocular hypotensive potency to tafluprost in mouse eyes. Travoprost acid also has a high affinity for the FP receptor.3 This property of travoprost may result in a longer duration of reduction of IOP than that achieved with latanoprost. In addition, the current results are consistent with the fact that IOP reduction by travoprost was greater than that by latanoprost after 2 weeks of treatment in humans.25
The maximum IOP reduction by isopropyl unoprostone (0.12%) in mouse eyes was approximately 50% of that with latanoprost (0.005%). This observation is consistent with previous reports in humans that unoprostone has less effect on ocular hypotension than does latanoprost.26 27 The receptor-related mechanism of action of unoprostone has not been clarified, since this drug shows a low affinity for all prostanoid receptors.3 7 However, there are several hypotheses to explain unoprostone-induced IOP reduction. Unoprostone free acid and further metabolites have been reported to stimulate the release of PGE2, which may play a role in IOP reduction by unoprostone.28 29 Unoprostone free acid activates maxi-K channels to inhibit trabecular meshwork contraction, which can lead to increases in aqueous outflow.30 Unoprostone can induce cellular responses similar to other FP agonists in cultured ciliary muscle and trabecular meshwork cells, probably by acting as a weak FP agonist.3 16 31 32 Thus, the use of various prostanoid receptor knockout mice and the mouse IOP model established in the present study should be very useful in further studying the mechanism of IOP reduction by unoprostone.
In conclusion, our study examined the effects of four different PG analogues on IOP in the mouse eye at night, taking 24-hour IOP variation into consideration, and clearly demonstrated the presence of dose-dependent responses in ocular hypotension to the four PG analogues. The ocular hypotensive effects of the four PG analogues in mouse eyes are comparable to those reported in humans,17 correlating with their affinity for the FP receptor. IOP measurements using knockout mice lacking various prostanoid receptors or other receptors related to control of ocular hypotension, should be useful in investigating the mechanism of the ocular hypotensive effect of various antiglaucoma drugs. The mouse IOP model is thought to be a potential tool for basic research in the field of glaucoma.
| Footnotes |
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Submitted for publication December 28, 2004; revised February 12, 2005; accepted February 14, 2005.
Disclosure: T. Ota, None; H. Murata, None; E. Sugimoto, None; M. Aihara, None; M. Araie, None
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: Makoto Aihara, Department of Ophthalmology, University of Tokyo School of Medicine, 7-3-1 Hongo Bunkyo-ku, Tokyo 113-8655, Japan; aihara-tky{at}umin.ac.jp.
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-isopropyl ester to latanoprost: a review of the development of Xalatan. The Proctor Lecture. Invest Ophthalmol Vis Sci. 2001;42:11341145.This article has been cited by other articles:
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