Glaucoma is an irreversible chronic progressive disease that affects approximately 2% to 4% of the population older than age 40 years.
1 2 Intraocular pressure (IOP) is a major factor affecting the development
3 of glaucoma and the progression
4 5 6 of glaucomatous damage to the optic nerve. This elevated IOP is due to an increase in aqueous humor outflow resistance and may be associated with morphologic and biochemical changes in the trabecular meshwork.
7 8 The major investigated factors, such as elevated IOP,
9 10 reduced ocular blood flow (OBF),
11 12 ocular vascular dysregulation,
13 blood pressure (BP) alteration,
14 15 16 and oxidative stress,
17 have been suggested as contributing factors to the pathogenesis of glaucomatous damage.
18 Recently, growing evidence has been accumulating that shows that oxidative stress, which can be defined as an imbalance between the production and removal of reactive oxygen species (ROS), plays an important role in the pathogenesis of various ocular diseases, including glaucoma.
19 20 21 22 The eye is protected against oxidative stress by several antioxidant enzymes and low-molecular-weight antioxidants. Peroxiredoxins (PRDXs) are a ubiquitous family of multifunctional antioxidant thioredoxin-dependent peroxidases that scavenge reactive oxygen species (ROS). PRDXs are also involved in the cellular response to ROS
23 24 and function as a cellular defense system against ROS. PRDXs possess redox-active cysteines to reduce peroxides. PRDXs are often expressed in the same cell in various intracellular locations.
23 24 Nipradilol-(3,4-dihydroxy-8-(2-hydroxy-3-isopropylamino)-propoxy-3-nitroxy-2H-1-benzopyran (molecular weight of 326.35 Da) is a novel antiglaucoma agent that has nonselective β-receptor and selective α
1-receptor blocking activities
25 26 27 and reduces intraocular pressure by decreasing aqueous production and by increasing uveoscleral outflows in both rabbits and humans.
28 29 It has been reported recently that nipradilol has neuroprotective activities.
30 31 32 33 34 However, the protective cellular effect of nipradilol against oxidative stress has not been reported, and little is known about the role and significance of PRDXs in TM cells. In the present study, we show that Foxo3a regulates the expression of PRDX2 in TM cells and both nipradilol and timolol (another antiglaucoma agent with nonselective β-receptor blocking activity) can induce the expression of both Foxo3a and PRDX2, as novel mode of action of these drugs. These results provide new insights into the significance of redox regulation in TM cells and therapeutic strategies for glaucoma treatment.