The role of EP2 receptors in mediating the ultra-long-lasting intraocular pressure reduction by JV-GL1

Br J Ophthalmol. 2021 Nov;105(11):1610-1616. doi: 10.1136/bjophthalmol-2020-317762. Epub 2020 Nov 25.

Abstract

Background: A single application of JV-GL1 substantially lowers non-human primate intraocular pressure (IOP) for about a week, independent of dose. This highly protracted effect does not correlate with its ocular biodisposition or correlate with the once-daily dosing regimen for other prostanoid EP2 receptor agonists such as trapenepag or omidenepag. The underlying pharmacological mechanism for the multiday extended activity of JV-GL1 is highly intriguing. The present studies were intended to determine EP2 receptor involvement in mediating the long-term ocular hypotensive activity of JV-GL1 by using mice genetically deficient in EP2 receptors.

Methods: The protracted IOP reduction produced by JV-GL1 was investigated in C57BL/6J and EP2 receptor knock-out mice (B6.129-Ptger2tm1Brey /J; EP2KO). Both ocular normotensive and steroid-induced ocular hypertensive (SI-OHT) mice were studied. IOP was measured tonometrically under general anaesthesia. Aqueous humour outflow facility was measured ex vivo using iPerfusion in normotensive C57BL/6J mouse eyes perfused with 100 nM de-esterified JV-GL1 and in SI-OHT C57BL/6J mouse eyes that had received topical JV-GL1 (0.01%) 3 days prior.

Results: Both the initial 1-day and the protracted multiday effects of JV-GL1 in the SI-OHT model for glaucoma were abolished by deletion of the gene encoding the EP2 receptor. Thus, JV-GL1 did not lower IOP in SI-OHT EP2KO mice, but in littermate SI-OHT EP2WT control mice, JV-GL1 statistically significantly lowered IOP for 4-6 days.

Conclusions: Both the 1-day and the long-term effects of JV-GL1 on IOP are entirely EP2 receptor dependent.

Keywords: biochemistry; glaucoma; intraocular pressure; pharmacology; treatment medical.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antihypertensive Agents / therapeutic use
  • Intraocular Pressure* / drug effects
  • Mice
  • Mice, Inbred C57BL
  • Ocular Hypertension* / drug therapy
  • Ocular Hypotension* / drug therapy
  • Ophthalmic Solutions / administration & dosage
  • Tonometry, Ocular

Substances

  • Antihypertensive Agents
  • Ophthalmic Solutions