December 2002
Volume 43, Issue 13
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ARVO Annual Meeting Abstract  |   December 2002
Cellular Effects of Corticosteroids on the Retinal Pigment Epithelium
Author Affiliations & Notes
  • CF Arndt
    Physiologie EA 2689
    IFR 22 Lille France
  • C Knauf
    Inserm U 422
    IFR 22 Lille France
  • G Caputo
    Ophtalmology Fondation Rothschild Paris France
  • J-C Beauvillain
    Inserm U 422
    IFR 22 Lille France
  • R Matran
    Physiologie EA 2689
    IFR 22 Lille France
  • Footnotes
    Commercial Relationships   C.F. Arndt, None; C. Knauf, None; G. Caputo, None; J. Beauvillain, None; R. Matran, None. Grant Identification: PHRC, Délégation de la Recherche, CHR Lille, Direction de l'Hospitalisation, Ministère de la Santé
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 714. doi:
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    • Get Citation

      CF Arndt, C Knauf, G Caputo, J-C Beauvillain, R Matran; Cellular Effects of Corticosteroids on the Retinal Pigment Epithelium . Invest. Ophthalmol. Vis. Sci. 2002;43(13):714.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Abstract: : Purpose:Central serous chorioretinopathy (CSRC) has been linked to corticosteroid treatment. Previously, an electrophysiological effect compatible with impaired apical (subretinal) fluid absorption has been shown. However the precise mechanisms of these findings remain to be demonstrated. Methods:In bovine RPE choroid preparations, the effect of pretreatment with either apical brimonidine (n=8), SQ 22365 (a specific inhibitor of adenylate cyclase) (n=7) or sodium nitroprusside (SNP), a nitric oxide (NO) donor (n=6) before applying apical hydrocortisone (HC) was compared with the response to HC only. In a similar manner, the response to free HC was compared to HC attached to bovine serum albumine (BSA). The preparations were compared 2 by 2, each pair was obtained from the same eye, in the same conditions. Western blot techniques were employed to detect the presence of nitric oxide synthetase (NOS). Basal NO production was measured in the RPE-choroid preparations. Results:The response to HC was significantly reduced after pretreatment by either brimonidine, SQ 22365 or SNP. The response to HC and HC-BSA was similar, although the effect was retarded with the HC-BSA preparation. The presence of endothelial NOS in RPE preparations could be identified. However no basal NO production was detected. Conclusion:The electrophysiological effects related to HC are probably related to the existence of an apical membrane receptor to corticosteroids. The cellular effect is probably mediated by increased cellular AMPc levels. NO might have a protective effect explaining why CRSC does not occur more often in case of systemic treatment with corticosteroids.

Keywords: 377 corticosteroids • 567 retinal pigment epithelium • 394 electrophysiology: non-clinical 
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