Abstract
purpose. Pituitary adenylate cyclase–activating peptide (PACAP) is a sensory
neuropeptide in the eye that is released by noxious stimuli and
considered to be a mediator of the neurogenic ocular injury response,
including miosis. The purpose of this study was to clarify the
functional role of PACAP in iris sphincter and dilator muscles.
methods. Iris sphincter and dilator muscles were isolated from rabbit eyes, and
the effect of PACAP on mechanical responses of these muscles using
isometric tension-recording methods was investigated.
results. The iris sphincter responded to electric field stimulation with
contractions composed of fast twitch and subsequent slow components.
Both PACAP 27 and PACAP 38 enhanced the twitch response, but neither
had an effect on the slow response. The effect of both PACAPs on the
twitch response was dose dependent. Neither PACAP had an effect on the
amplitude of contraction evoked by exogenously applied Ach. For the
iris dilator muscle, PACAP 27 inhibited the contractions induced by
field stimulation or phenylephrine, whereas PACAP 38 had no effect.
conclusions. Both PACAP 27 and PACAP 38 enhance cholinergic transmission in
sphincter muscle. The PACAP 27 induces relaxation of the dilator muscle
by a direct effect on the muscle itself. The PACAP released during an
ocular inflammatory response may induce miosis by the enhancement of
cholinergic stimulation of the iris sphincter and by direct relaxation
of the dilator muscles.
Pituitary adenylate cyclase–activating peptide (PACAP) is
a novel neuropeptide with two molecular forms: one with 27 amino acid
residues (PACAP 27) and one with 38 residues (PACAP 38).
1 Each has significant structural homology with vasoactive intestinal
peptide (VIP).
2 There are two types of receptors for
PACAP. One has a higher affinity for PACAP than for VIP; the other has
a similar affinity for PACAP and VIP. The anterior uvea of the rabbit
has mainly the latter type of PACAP receptors.
3
PACAP immunoreactive nerve fibers have been identified in the central
nervous system
4 5 as well as peripheral tissues including
lung,
6 pancreas,
7 and gastrointestinal
tract,
8 suggesting that PACAP acts as a neurotransmitter
or neuromodulator. PACAP immunoreactive nerve fibers are also present
in ocular tissues, including iris-ciliary body, choroid, cornea, and
sclera.
9 10 Wang et al.
10 reported that the
distribution pattern of PACAP-immunoreactive nerve fibers in the eye is
similar to calcitonin gene-related peptide (CGRP) immunoreactivity, a
known component of sensory C-fiber neurons. Tajti et al.
11 demonstrated the presence of CGRP, substance P (SP), and PACAP
immunoreactivity in the human trigeminal ganglion. These results
indicate that PACAP is a sensory neuropeptide in the eye.
Trigeminal nerve stimulation induces inflammatory responses in the
rabbit eye.
12 These include vasodilation, breakdown of the
blood–aqueous barrier, and miosis. Sensory nerve fibers are likely to
play important roles in these responses, because SP and CGRP are
released from such nerve terminals and evoke these
responses.
13 14 PACAP is also a mediator of the neurogenic
ocular injury response. Intravitreal administered PACAP causes
breakdown of the blood–aqueous barrier, conjunctival hyperemia, and
decreased pupil diameter of the rabbit eye.
10 Capsaicin,
which causes release of SP from trigeminal sensory nerves in
rabbits,
15 also releases CGRP and PACAP in the rabbit uvea
in vitro.
16 Thus, it is likely that SP, CGRP, and PACAP
coexist in sensory nerve fibers and are released by noxious stimuli.
In an attempt to clarify the functional role of PACAP on the iris
smooth muscles, we isolated iris sphincter and dilator muscles from
rabbit eyes and investigated the mechanical properties of these
muscles, using isometric tension recording methods.
The following drugs and chemicals were used in this study: PACAP
27 and PACAP 38 (Peptide Institute, Inc., Osaka, Japan) and Ach,
tetrodotoxin (TTX), and phenylephrine (all from Wako Chemical Inc.,
Osaka, Japan). Peptides were prepared in aliquots and stored at−
30°C.