We report the adaptation of the SNMS to measure IOP in the mouse.
This approach permits monitoring IOP in real time for periods as long
as 46 minutes. The approach is validated by visualization of the
placement of the micropipette in the anterior chamber, observation of
carboxyfluorescein infusion through the micropipette into the
anterior chamber, reproducibility of the measurements when repeated in
the same eye, comparable IOP readings in both eyes of the same animal,
recording of the same physiologic responses to anisosmotic solutions
observed in humans and experimental animals,
1 16 17 and
detection of similar IOP responses to the major classes of antiglaucoma
agents observed in humans and other animals.
1 The
transient increase in IOP after pilocarpine particularly demonstrates
the sensitivity and responsiveness of this technique, in that the same
transient hypertensive response occurs in humans and is attributed to
increased aqueous humor formation and an increase in episcleral venous
pressure.
18
The basal IOP level in a series of 73 eyes in mice anesthetized with
intraperitoneal ketamine and topical proparacaine was 17.8 ± 0.4
mm Hg
(Fig. 6) , higher than the estimates obtained in four inbred mouse
strains with a microneedle manometer technique.
15 The
earlier estimates of mouse IOP obtained with the microneedle manometer
raise several questions. First, the interstrain differences in mean IOP
were as high as 1.8-fold. This marked variability has not been reported
in different strains of other animals, nor have such differences in
mean IOP been reported in comparing defined human populations without
glaucoma. Second, the mean IOP readings for individual mouse strains
were quite low.
15 They ranged from 7.7 to 13.7 mm Hg, with
two of the four strains exhibiting mean IOP below 10 mm Hg. These
values are considerably below the mean IOP reported for other mammalian
species,
1 19 20 including reported mean values of
14.75 ± 0.08 mm Hg
21 and 17.3 ± 5.2 mm
Hg
22 in the rat. Based on our results, we concluded that
the microneedle manometer technique can lead to underestimates of IOP
in the mouse, and we tried to identify possible sources of error.
Given the small size of the mouse eye, an obvious potential source of
error with microneedle manometry is the tip diameter (50μ
m),
15 which is 10-fold larger than the outer diameter
of our micropipettes. After removal of the microneedle in the earlier
study, many eyes were observed to leak.
15 We similarly
observed leakage associated with those 50-μm microneedles, both in
comparing SNMS to manometry in mice after death
(Fig. 1) and in
inserting 50-μm microneedles into the eyes of anesthetized mice
(Fig. 3C) . That leakage-associated underestimates of mouse IOP can develop
with 50-μm microneedles further supports our observations of the
reduced IOP measured by the SNMS after insertion and removal of such a
50-μm microneedle
(Fig. 3C) .
A second potential source of error in prior reports was inclusion of
xylazine in the anesthetic regimen.
15 Xylazine
substantially reduces IOP
23 24 and exerts other
deleterious effects on mouse and rat eyes.
25 Similarly, we
found even that inclusion of xylazine in the general anesthesia
strikingly lowered IOP in comparison with values measured with either
ketamine or tribromoethanol alone
(Fig. 6) . Based on our results,
ketamine alone appears to be the preferred general anesthetic agent for
measuring IOP in mice.
Another intriguing finding of the present study follows from the ocular
hypotensive action in the mouse of pilocarpine and latanoprost, each
known to lower IOP in humans by increasing aqueous humor outflow but by
different mechanisms.
1 Although trabecular meshwork and
Schlemm’s canal have been described anatomically in the
mouse,
8 the hypotensive response to those two agents could
not have been predicted with any assurance.
An unusual feature was the very rapid response of mouse IOP to the
drugs tested
(Fig. 5) in comparison with humans and other experimental
animals. Although this requires direct study, we hypothesize that these
rapid drug responses are consequences of the small eye and rapid drug
diffusion to the target site. Whatever the pharmacokinetic basis, our
data provide encouragement that the mouse can be used to evaluate the
potential clinical utility of novel antiglaucoma drugs that modulate
not only inflow but also outflow of aqueous humor. These pharmacologic
effects also suggest that aqueous humor outflow mechanisms in the mouse
may show useful physiologic parallels to those of humans.
In conclusion, we have developed and validated a reliable, reproducible
method of measuring IOP in the mouse eye. This enabling step provides
the basis for using the mouse more effectively in studying the
molecular genetics and molecular pharmacology of glaucoma and in
evaluating new approaches to glaucoma therapy.
The authors thank Patricia Grimes for help with the calculation of
the anterior chamber volume and Linda Morris for help with the animals.