Based on both pharmacologic and molecular evidence, there are
three major types of adrenergic receptors, α
1,α
2, and β, each of which is further divided into three
or four subtypes.
8 The evidence for α
2 adrenergic receptor subtypes has come from binding and functional
studies in various tissues and cell lines and more recently in cells
transfected with the cDNA for the receptors.
9 On the basis
of these studies, three α
2 adrenergic receptor subtypes
have been defined. The α
2A adrenergic receptor subtype,
for which prazosin has a relatively low affinity and oxymetazoline a
relatively high affinity, is found in the human platelet and the HT29
cell.
8 The second subtype, the α
2B, was
identified in neonatal rat lung and in the NG108 cell.
10 This subtype has a relatively high affinity for prazosin and a low
affinity for oxymetazoline. A third subtype, the α
2C, has
been identified in an opossum kidney cell line.
11 Although
this subtype also has a relatively high affinity for prazosin and a low
affinity for oxymetazoline, it is pharmacologically distinct from theα
2B subtype.
12 All three subtypes have been
cloned from the human.
13 14 15 Using the homogenate
radioligand-binding technique, α
2 adrenergic receptors
have been identified in ocular tissues of several species, including
the ciliary body, retinal pigmented epithelium (RPE)–choriocapillaris,
iris, and neurosensory retina of both the cow
16 17 and the
pig
18 and the ciliary body of the rabbit.
19 The results of these binding studies indicate that theα
2A subtype is the predominant, if not the only,α
2 adrenergic subtype in these ocular tissues, with the
exception of the porcine neurosensory retina, which may contain a very
low density (4 femtomoles/mg protein) of the α
2C subtype.
Although similar binding studies have not yet been conducted with human
ocular tissues, it appears likely that the predominant human ocularα
2 adrenergic subtype may also be the α
2A.