Previous studies had shown that the HepII domain increased outflow facility in cultured human anterior segments (HOCAS).
5 To determine whether the activity of the HepII domain involved one of the two known integrin/syndecan binding sites (IDAPS and PPRARI) in the HepII domain
(Fig. 1) , MOCAS were perfused with either the intact HepII domain or one of the synthetic peptides, PPRARI or IDAPS. A recombinant HepII domain containing mutations in these sites could not be used, because circular dichroism analysis indicated that these mutations affected the conformation of the HepII domain (data not shown). As shown in
Figure 2and
Table 1 , 100 μg/mL of the HepII domain increased outflow facility by 31% ± 13% (
n = 9;
P < 0.05) on the day after exchange. Among the nine pairs of MOCAS perfused with 100 μg/mL of the HepII domain, two MOCAS did not respond, and two MOCAS showed a decrease in outflow facility. The effect of the HepII domain on outflow facility appeared to be dose dependent, although only two pairs of MOCAS were studied at each of the other concentrations. At a lower concentration (10 μg/mL), the HepII domain did not have any effect on outflow facility (
n = 2), whereas the higher concentration (833 μg/mL), which previously increased outflow facility in HOCAS,
5 decreased outflow facility by 80% ± 16%, 4 to 5 hours after exchange (data not shown). The decrease in outflow facility caused by the higher concentration was still present the next day despite an overnight infusion with media containing only vehicle (see Materials and Methods).
Overnight infusion with PPRARI also increased outflow facility by 24% ± 9% (
n = 8,
P < 0.05), similar to that observed with the HepII domain. As shown in
Figure 2and
Table 2 , the mutant PPRAAI (
n = 6), which has a lower activity (see Materials and Methods
), did not significantly increase outflow facility (12% ± 9%). Infusion with IDAPS, the mutant peptide IEAPS (
Fig. 2 ,
Table 3 ) or the β1 integrin binding peptide EILDV (data not shown) had no significant effect on outflow facility. There were no statistically significant differences in outflow facility between rhesus and cynomolgus monkeys within any of the treatment conditions. Washout of the HepII domain or PPRARI after exchange or overnight infusion with plain medium resulted in the return of outflow facility to near baseline levels when corrected for control eye washout (ratio treated/vehicle for baseline postwashout/baseline pretreatment = 1.15 ± 0.08;
n = 14, not significant).