Stimulation of cAMP production is observed with isoproterenol, forskolin, or VIP in both rabbit and human ciliary processes.
4 5 It has been demonstrated that these cAMP-stimulating agents reduce the formation of aqueous humor and IOP,
10 11 12 whereas other studies have found the opposite effects.
6 7 In the present study, we found that these agents reduced the transepithelial Cl
− transport, suggesting a cAMP-sensitive Cl
− secretion across the ciliary epithelium. Forskolin was shown to be more effective in reducing Cl
− transport than VIP or isoproterenol. This was consistent with other studies in which forskolin elicited a larger stimulation of cAMP formation than VIP or isoproterenol.
4 5 This was also supported by the experiments in which 1,9-dideoxyforskolin, a forskolin analogue that did not stimulate adenylate cyclase and thereby cAMP formation had no effect on I
sc. These findings imply that the inhibition of Cl
− transport may be due to the stimulation of cAMP formation. The notion of cAMP-sensitive Cl
− transport was strengthened by the experiments in which 8-Br-cAMP or IBMX caused a significant inhibition of both electrical parameters and net Cl
− secretion, supporting an inhibitory effect of cAMP on Cl
− transport across the bovine CBE. It also indicates that bovine CBE is a good model for humans, since cAMP or cAMP-stimulating agents can reduce the formation of aqueous humor in both cases. Our result was consistent with the finding that terbutaline, a β-adrenergic agonist, decreases the rate of formation of aqueous humor in the arterially perfused bovine eyes.
25 It has been shown that the administration of either β-adrenergic agonists or antagonists lowers IOP by reducing the rate of aqueous secretion.
12 26 Timolol, a β-adrenergic antagonist, has been commonly used in glaucoma treatment to lower IOP by reducing the rate of formation of aqueous humor. However, the precise mechanisms of the action are not known. It has been shown that timolol reduces endogenous cAMP formation
5 ; however, whether the hypotensive effects are primarily mediated by the effects on cAMP remains unclear.
27 28 Given that cAMP inhibits net Cl
− secretion across the bovine CBE, our results are consistent with the recent findings that timolol may act through cAMP-independent pathways in mediating its hypotensive effect.
27 The profound inhibitory effect of IBMX on Cl
− secretion (∼85%) may suggest the involvement of other signaling cascades in the regulation of Cl
− transport. Apart from the stimulation of cAMP formation, blockade of phosphodiesterase with IBMX elicited a simultaneous stimulation of intracellular cGMP production, which may provide an alternative pathway for the regulation of aqueous humor secretion (unpublished observation). Taken together, these results suggest that cAMP is a key second messenger in the regulation of Cl
− secretion across the bovine CBE.