Endothelin (ET)-1 is a peptide produced mainly by the vascular endothelium and released primarily abluminally.
1 2 As a potent vasoconstrictor regulating blood flow to tissues and organs, it has key physiological functions in the cardiovascular, renal, intestinal, and central nervous systems.
3 4 5 It has also been implicated in many diseases associated with blood flow disorders, including ischemic artery and heart disease,
6 7 diabetes,
8 Raynaud’s disease,
9 cerebral vasospasm,
10 11 brain ischemia, and stroke.
12 13 In the eye, ET-1 is an important vasoactive peptide and acts as a mediator of many ocular physiologic and pathologic conditions.
2 14 It is synthesized and released mainly from iris-ciliary processes, vascular endothelial cells, and neurons, although ET-1 receptors are found throughout the anterior eye and on a variety of retinal cells.
15 16 17 Recent studies have suggested involvement of ET-1 in the pathogenesis of many eye disorders, including diabetic retinopathy,
18 19 light-induced retinal degeneration,
20 and exfoliation syndrome.
21 In the past decade many investigators have also suggested an important role for ET-1 in the pathogenesis of glaucoma. Elevated ET-1 levels have been found in the aqueous humor of patients with primary open-angle glaucoma and in a rat model of glaucoma,
22 23 24 whereas a higher concentration of plasma ET-1 has been shown in patients with glaucoma at either baseline or under stress, such as cold.
25 26 In monkey and rabbit chronic ET-1 application to the optic nerve causes a reduction in optic nerve blood flow and demonstrable optic nerve damage without elevation of intraocular pressure.
27 28 29 Our laboratory showed similar results in a rat model of optic nerve damage.
30 Recently, Lau et al.
31 reported that acute injections of ET-1 into rat eyes produced retinal ganglion cell (RGC) death. Several studies have shown blockade of axoplasmic transport in human glaucoma and experimental glaucoma in monkeys and rodents associated with RGC loss.
32 33 34 35 36 37 However, the mechanisms that lead to RGC loss after ET-1 delivery and features shared with pressure-induced damage are not known. As a first step, the purpose of this study was to investigate the effects of acute ET-1 application in rat optic nerve on fast axonal transport and possible effects on RGC survival.