PMID- 30347083 OWN - NLM STAT- MEDLINE DCOM- 20190506 LR - 20200309 IS - 1552-5783 (Electronic) IS - 0146-0404 (Print) IS - 0146-0404 (Linking) VI - 59 IP - 12 DP - 2018 Oct 1 TI - Structure-Function Changes of the Porcine Distal Outflow Tract in Response to Nitric Oxide. PG - 4886-4895 LID - 10.1167/iovs.18-24943 [doi] AB - PURPOSE: To correlate outflow function and outflow tract vessel diameter changes induced by nitric oxide (NO). METHODS: In a porcine anterior segment perfusion model, the effects of a nitric oxide donor (100 muM DETA-NO) on outflow facility were compared with controls (n = 8 per group) with trabecular meshwork (TM) and after circumferential ab interno trabeculectomy (AIT). Outflow structures were assessed with spectral-domain optical coherence tomography (SD-OCT) before and after NO, or an NO synthase inhibitor (100 muM L-NAME) and the vasoconstrictor, endothelin-1 (100 pg/mL ET-1). Scans were processed with a custom macroscript and aligned for automated reslicing and quantification of cross-sectional outflow tract areas (CSA). RESULTS: The facility increased after DETA-NO (Delta of 0.189 +/- 0.081 muL/min.mm Hg, P = 0.034) and AIT (Delta of 0.251 +/- 0.094 muL/min.mm Hg, P = 0.009), respectively. Even after AIT, DETA-NO increased the facility by 61.5% (Delta of 0.190 +/- 0.074 muL/min.mm Hg, P = 0.023) and CSA by 13.9% (P < 0.001). L-NAME + ET-1 decreased CSA by -8.6% (P < 0.001). NO increased the diameter of focal constrictions 5.0 +/- 3.8-fold. CONCLUSIONS: NO can dilate vessels of the distal outflow tract and increase outflow facility in a TM-independent fashion. There are short, focally constricting vessel sections that display large diameter changes and may have a substantial impact on outflow. FAU - Waxman, Susannah AU - Waxman S AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Wang, Chao AU - Wang C AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. AD - Department of Ophthalmology, Xiangya Hospital, Central South University, Changsha, Hunan, China. AD - The Third Xiangya Hospital of Central South University, Changsha, Hunan, China. FAU - Dang, Yalong AU - Dang Y AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Hong, Ying AU - Hong Y AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. AD - Department of Ophthalmology, Peking University Third Hospital, Beijing, China. FAU - Esfandiari, Hamed AU - Esfandiari H AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Shah, Priyal AU - Shah P AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Lathrop, Kira L AU - Lathrop KL AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Loewen, Ralitsa T AU - Loewen RT AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. FAU - Loewen, Nils A AU - Loewen NA AD - Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States. LA - eng GR - K08 EY022737/EY/NEI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Endothelin-1) RN - 0 (Endothelium-Dependent Relaxing Factors) RN - 0 (Enzyme Inhibitors) RN - 31C4KY9ESH (Nitric Oxide) RN - V55S2QJN2X (NG-Nitroarginine Methyl Ester) SB - IM MH - Animals MH - Aqueous Humor/*physiology MH - Endothelin-1/pharmacology MH - Endothelium-Dependent Relaxing Factors/*pharmacology MH - Enzyme Inhibitors/pharmacology MH - Intraocular Pressure/physiology MH - NG-Nitroarginine Methyl Ester/pharmacology MH - Nitric Oxide/*pharmacology MH - Swine MH - Tomography, Optical Coherence MH - Trabecular Meshwork/diagnostic imaging/*drug effects/physiopathology MH - Trabeculectomy PMC - PMC6181305 EDAT- 2018/10/23 06:00 MHDA- 2019/05/07 06:00 PMCR- 2018/10/01 CRDT- 2018/10/23 06:00 PHST- 2018/10/23 06:00 [entrez] PHST- 2018/10/23 06:00 [pubmed] PHST- 2019/05/07 06:00 [medline] PHST- 2018/10/01 00:00 [pmc-release] AID - 2707233 [pii] AID - IOVS-18-24943R2 [pii] AID - 10.1167/iovs.18-24943 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2018 Oct 1;59(12):4886-4895. doi: 10.1167/iovs.18-24943.