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Bicarbonate ATP-ase in ciliary body and a theory of Diamox effect on aqueous humor formation

Abstract

Bicarbonate was found to stimulate ATP breakdown by rabbit or cat ciliary body-iris homogenates. Maximum HCO sup−3 stimulation of ATPase with Tris-Hepes buffer occured at pH 8.0. Acid pH and chloride ions in the media reduced the activity of the HCO sup−3 -stimulated ATPase. The Km for ATP was 0.55 mmolar and for HCO sup−3 , 20 mmlar. HCO sup−3 ATPase was not inhibited by acetazolamide added in vitro. It is postulated that ATPase represents the linkage step of energy donor mechanism and active Cl- secretion in acid aqueous humors (human, cat.) or HCO sup−3 secretion in alkaline aqueous humor (rabbit, guinea pig). Inhibition of Cl- or HCO sup−3 secretion by acetazolamide results from decreased intracellular HCO sup−3 levels which, in turn, reduces the stimulation of the HCO sup−3 ATPase.

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Supported by NE1 Grant EY 02013

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Cotlier, E. Bicarbonate ATP-ase in ciliary body and a theory of Diamox effect on aqueous humor formation. Int Ophthalmol 1, 123–128 (1979). https://doi.org/10.1007/BF00154199

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Keywords

  • Bicarbonate ATP-ase