In this study we provide evidence that YC-1 and BAY-58-2667, NO-independent sGC activators decrease human TM cell volume through the involvement of the BK
Ca channel. Specifically, YC-1 at concentrations of 50 to 200 μM and BAY-58-2667 at concentrations of 10 to 100 μM decreased TM cell volume, and these decreases were mediated by the sGC/cGMP/PKG pathway in a manner dependent on the BK
Ca channel
(Fig. 6) . The actions of YC-1, however, are biphasic, with 1 μM causing increases in TM cell volume, while higher YC-1 concentrations elicited a cell volume reduction. As with YC-1, BAY-58-2667, at higher concentrations (10–100 μM), significantly decreased TM cell volume, whereas exposure to BAY-58-2667 (100 nM) resulted in a significant increase in cell volume. The data observed at the concentrations used are consistent with the known potency of YC-1 and BAY-58-2667 because BAY-58-2667 has previously been shown to have higher potency than YC-1 in activating sGC.
28 The biphasic effects of YC-1 and BAY-58-2667 could be explained by the possible existence of two binding sites for these compounds on sGC that may involve heme-dependent and independent moieties of the sGC.
7
Cell volume was measured in adherent cells in their native states, and each cell was able to serve as its own control. After calcein AM dye achieved a stable baseline, cell volume was measured in response to drug treatment in isotonic media. Additionally, cells that were not treated with drugs were also imaged to assess any changes in fluorescence in response to laser exposure. It has been observed that TM cell cultures contain two distinct cell populations,
29 which is consistent with the identified regions of the TM, the cribriform or juxtacanalicular region and the uveal/corneoscleral region.
30 31 The juxtacanalicular region and, hence, the juxtacanalicular cells are regions of high resistance to aqueous humor outflow. Although the cells in the juxtacanalicular tissue contribute little to total tissue volume, the changes in cell volume in this area may have a large contribution to outflow resistance. Although we were able to visually identify the two cell populations, we were unable to determine whether the two cell populations responded similarly to low or high YC-1 or BAY-58-2667 concentrations.
The ability of the specific sGC inhibitor ODQ to antagonize the actions of YC-1 on TM cell volume suggested that a direct consequence of YC-1 stimulation is the activation of sGC. We measured alterations in cGMP levels in response to varying concentrations of YC-1 and demonstrated a concentration-dependent increase in cGMP levels. Higher concentrations of YC-1 caused significant increases in cGMP levels that correlated with decreases in TM cell volume; however, increased cell volume in response to 1 μM YC-1 was cGMP independent. The physiological and pharmacologic significance of this observation is unclear. ODQ abolished the YC-1–induced increases in cGMP but had no effect on basal cGMP levels, suggesting that ODQ acts by inhibiting the interaction of YC-1 with sGC. Further evidence for the involvement of cGMP in the YC-1–induced response was demonstrated by the ability of 8-Br-cGMP to mimic the actions of YC-1 in decreasing TM cell volume. In our hands, the decreases in TM cell volume in response to YC-1 were similar to decreases in cell volume in response to 8-Br-cGMP, suggesting that cGMP maybe the second messenger mediating the effects of YC-1 on cell volume.
Unlike ODQ attenuation of the YC-1–induced decreases in TM cell volume, ODQ potentiated the BAY-58-2667 effects. Although the precise mechanisms are unclear, experimental evidence suggests that removal of the heme prosthetic group or oxidation to its ferric form by ODQ causes conformational changes in sGC such that it no longer responds to NO or YC-1 but does respond to BAY-58-2667.
32 Although we did not demonstrate sGC involvement in the BAY-58-2667–induced decreases in TM cell volume, other studies have demonstrated that BAY-58-2667 binds to and activates sGC with subsequent increases in cGMP levels.
28 Similarly, we demonstrated that higher concentrations of BAY-58-2667 caused increases in cGMP levels that correlated with decreases in TM cell volume.
Additionally, the PKG inhibitor was able to inhibit the YC-1– and BAY-58-2667–induced cell volume changes, further demonstrating the role of PKG and protein phosphorylation events in regulating TM cell volume. Our studies, however, do not preclude the involvement of other second messengers, including cAMP
16 33 and protein kinase C.
34
IBTX inhibited the YC-1– and BAY-58-2667–induced decreases in TM cell volume, suggesting the involvement of the BK
Ca channel and the role of K
+ efflux in regulating the YC-1– and BAY-58-2667–induced decreases in TM cell volume. Similar observations were made in studies involving TM cells treated with NO in the presence of IBTX; preincubation of TM cells with IBTX abolished the NO-induced decreases in TM cell volume, suggesting that the BK
Ca channel is obligatory for the sGC/cGMP induced decreases in TM cell volume.
4 Although we do not know the mechanism(s) by which the sGC/cGMP/PKG system regulates the BK
Ca channel, other studies demonstrate that PKG phosphorylation of the α subunit of the BK
Ca channel results in its activation.
35 36 Thus, the possibility exists that YC-1 or BAY-58-2667 activation of PKG in TM cells could result in phosphorylation of BK
Ca channels and subsequent decreases in TM cell volume.
Although this study suggests the involvement of the BK
Ca channel and K
+ efflux in the BAY-58-2667– and YC-1–induced decreases in TM cell volume, other studies have demonstrated that cell volume decrease is accompanied by K
+ and Cl
− efflux
37 induced by the activation of K
+ and Cl
− channels and/or K
+ and Cl
− symport. This suggests that K
+ efflux may initiate a parallel Cl
− efflux in TM cells. In other studies, exposure of TM cells to 8-Br-cGMP (50 μM) resulted in inhibition of the bumetanide-sensitive K
+ influx, demonstrating the involvement of cGMP in Na-K-2Cl cotransport regulation.
13 This suggests that the Na-K-2Cl cotransporter may be regulated by YC-1 and BAY-58-2667. However, its ability to decrease TM cell volume is dependent on low bicarbonate levels
13 18 or blockade of the Na/H exchanger,
18 experimental conditions that were not manipulated in these studies. Furthermore, increased cGMP levels resulting from sGC and membrane guanylate cyclase activation resulted in decreased cardiac cell volume through inhibition of K
+ influx via the bumetanide-sensitive K
+ cotransporter.
38 These observations suggest that NO-dependent and NO-independent regulation of K
+ transport and cell volume are bidirectional, facilitating K
+ efflux by the BK
Ca channel and inhibiting K
+ influx by the Na-K-2Cl cotransporter.
Additionally, the NO-dependent sGC/cGMP system plays an important role in regulating aqueous humor dynamics by regulating aqueous humor production in the ciliary processes
39 40 and aqueous humor outflow through the TM/Schlemms canal
4 with subsequent decreases in IOP.
5 41 Therefore, these data suggest that modulation of the volume of TM cells by YC-1 and BAY-58-2667 through the sGC/cGMP/PKG system may modify aqueous humor outflow resistance and, thus, may alter IOP.