Abstract
Purpose
The purpose of this study was to determine whether an antivascular endothelium growth factor (VEGF) antibody, a corticosteroid, and sodium nitroprusside (SNP) [a nitric oxide (NO) donor] are possible treatment agents for nonarteritic ischemic optic neuropathy (NAION) by clarifying their effects on high-K (potassium) solution-induced contraction in isolated rabbit and human posterior ciliary arteries (PCA).
Methods
Vascular ring segments were cut from the distal section of the PCA and mounted in a double-myograph system. After obtaining the maximal contraction following the administration of high-K solution, bevacizumab as an anti-VEGF antibody, methylprednisolone as a corticosteroid, and SNP were administered separately. When a vasodilatory effect was observed, carboxy-PTIO (a NO scavenger) or l-NAME (a NO synthase inhibitor) was administered.
Results
Bevacizumab did not relax either the rabbit or the human PCA, whereas methylprednisolone relaxed both. Neither carboxy-PTIO nor l-NAME inhibited methylprednisolone-induced relaxation. SNP relaxed the rabbit PCA. Carboxy-PTIO inhibited SNP-induced relaxation, but l-NAME did not. In the human PCA, the vasodilatory effect of SNP was present, but weaker than in the rabbit PCA.
Conclusions
A corticosteroid has NO-independent vasodilatory effects. Exogenous NO has a weak dilating effect in the human PCA. Therefore, corticosteroid could be effective for the treatment of NAION.
Similar content being viewed by others
References
Arnold AC. Ischemic optic neuropathy. In: Miller NR, Newman NJ, editors. Walsh & Hoyt’s clinical neuro-ophthalmology. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 349–84.
Sanders MD. Ischemic papillopathy. Trans Ophthalmol Soc UK. 1971;91:369–86.
Eagling EM, Sanders MD, Miller SH. Ischemic papillopathy: clinical and fluorescein angiographic review of forty cases. Br J Ophthalmol. 1974;58:990–1008.
Hayreh SS. Anterior ischemic optic neuropathy. II. Fundus on ophthalmoscopy and fluorescein angiography. Br J Ophthalmol. 1974;58:964–80.
Arnold AC, Hepler RS. Fluorescein angiography in acute anterior ischemic optic neuropathy. Am J Ophthalmol. 1994;117:222–30.
Arnold AC, Badr M, Hepler RS. Fluorescein angiography in nonischemic optic neuropathy. Arch Ophthalmol. 1996;114:293–8.
Hayreh SS, Baines JAB. Occlusion of the posterior ciliary artery: III. Effects on the optic nerve head. Br J Ophthalmol. 1972;58:754–64.
McLeod D, Marshal J, Kohner EM. Role of axonoplasmic transport in the pathophysiology of ischemic disc swelling. Br J Ophthalmol. 1980;64:247–61.
Bennett JL, Thomas S, Olson JL, Mandava N. Treatment of nonarteritic anterior ischemic optic neuropathy with intravitreal bevacizumab. J Neuro Ophthalmol. 2007;27:238–40.
Hayreh SS, Zimmerman MB. Nonarteritic anterior ischemic optic neuropathy: role of systemic corticosteroid therapy. Graefe’s Arch Clin Exp Ophthalmol. 2008;246(7):1029–46.
Kollarits CR, Mccarthy RW, Corrie WS, Swann ER. Norepinephrine therapy of ischemic optic neuropathy. J Clin Neuroophthalmol. 1981;1:283–8.
Smith JL. Norepinephrine therapy of ischemic optic neuropathy. J Clin Neuroophthalmol. 1981;1:289–90.
Mulvany M, Halpern W. Contractile properties of small arterial resistance vessels in spontaneously hypertensive and normotensive rats. Circ Res. 1977;41:19–26.
Presta LG, Chen H, O’Connor SJ, Chisholm V, Meng G, Krummen L, et al. Humanization of an anti-vascular endothelial growth factor monoclonal antibody for the therapy of solid tumors and other disorders. Cancer Res. 1997;57:4593–9.
Chuman H, Maekubo T, Oosako T, Kodama Y, Ishiai M, Nao-I N. Confirmation of rodent model of non-arteritic ischemic optic neuropathy and its electrophysiological evaluation. Jpn J Ophthalmol. 2012 [Epub ahead of print].
The Ischemic Optic Neuropathy Decompression Trial Research Group. Optic nerve decompression surgery for nonarteritic anterior ischemic optic neuropathy (NAION) is not effective and may be harmful. JAMA. 1995;273:625–32.
Hsueh WA, Quinones MJ, Creager MA. Endothelium in insulin resistance and diabetes. Diabetes Rev. 1997;5:343–52.
Steinberg HO, Bayazeed B, Hook G, Johnson A, Cronin J, Baron AD. Endothelial dysfunction is associated with cholesterol levels in the high normal range in humans. Circulation. 1997;96:3287–93.
Celemajer DS, Sorensen KE, Geogakopoulos D, Bull C, Thomas O, Robinson J, et al. Cigarette smoking is associated with dose-related and potentially reversible impairment of endothelium-dependent dilation in healthy young adults. Circulation. 1993;88:2149–55.
Hatake K, Wakabayashi I, Hishida S. Mechanism of inhibitory action of ethanol on endothelial-dependent relaxation in rat aorta. Eur J Pharmacol. 1993;238:441–4.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Chuman, H., Kawano, N., Kozawa, M. et al. Vasodilatory effects of antivascular endothelium growth factor (VEGF) antibody, corticosteroid, and nitric oxide on the posterior ciliary arteries. Jpn J Ophthalmol 57, 320–326 (2013). https://doi.org/10.1007/s10384-012-0179-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10384-012-0179-7