The finding that TM cells expressed not only ET
A but also ET
B receptors suggested a complex regulation function. ET
B receptors most commonly regulate vasodilatation or relaxation.
52 The signaling pathway coupled to ET
B receptors has been linked to NO production. ET-1 activates endothelial NOS (eNOS) and hence NO production through ET
B receptors in vascular endothelial cells.
13 ET-3 increases retinal blood flow through activation of ET
B receptors, which also is dependent on NO production.
53 ET-1 and -3 also enhance inducible NOS (iNOS) expression, and this is mediated by ET
B receptors in glial cells.
54 TM cells have been shown to express different isoforms of NOS and produce NO.
55 56 57 In the present study, we determined that the ET
B receptors were linked to NO production in NTM cells. We detected basal levels of NO production in NTM cell culture media and showed that 100 nM ET-1 markedly increased NO release. An ET
B receptor antagonist BQ788 completely blocked this stimulation of NO by ET-1. These findings indicated that ET-1–induced NO release is mediated by ET
B receptors. Dex treatment decreased the ET
B receptor protein level and also reduced ET-1–induced NO release, further implicating ET
B in ET-1–induced release of NO in TM cells. There are several reports that NO donors could relax TM and lower IOP.
58 59 60 This decrease of ET
B receptor level and subsequent decrease of ET-1–induced release of NO by Dex could reduce NO mediated relaxation of TM. Moreover, ET
B receptors are known to mediate ET-1 clearance.
14 15 16 17 The decrease of ET
B receptors in TM cells by Dex could also potentiate ET-1-mediated contraction of TM through ET
A receptors.