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Carbonic anhydrase inhibition in ophthalmology: Carbonic anhydrases in cornea, lens, retina and lacrimal gland

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The Carbonic Anhydrases

Part of the book series: EXS 90 ((EXS,volume 90))

Abstract

When acetazolamide and other carbonic anhydrase (CA) inhibitors were introduced in the treatment of glaucoma it was stated that they might cause side-effects from inhibition of CA in ocular tissues, where the enzyme was known to be present (Bakker, 1941). Some were also of the opinion that reduced aqueous humor flow could indirectly impair nutrition of lens, cornea and trabecular meshwork, and thus induce early cataract and corneal edema. However, after more than 40 years of therapeutic use, very few ocular side reactions have been seen after systemic long-term administration of CA inhibitors to glaucoma patients (Wistrand, 1984).

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References

  • Bakker A (1941) Der Kohlensäureanhydrasegehalt verschiedener Augengewebe einiger Säugetiere. Ophthalmologica (Basel) 102: 351–360

    Article  CAS  Google Scholar 

  • Bonanno JA, Srinivas SP, Brown M (1995) Effect of acetazolamide on intracellular pH and bicarbonate transport in bovine corneal endothelium. Exp Eye Res 60: 425–434

    Article  PubMed  CAS  Google Scholar 

  • Bromberg BB, Welch MH, Beuerman RW, Chew S-J, Thompson HW, Ramage D, Githens S (1993) Histochemical distribution of carbonic anhydrase in rat and rabbit lacrimal gland. Invest Ophthalmol Vis Sci 34: 339–348

    PubMed  CAS  Google Scholar 

  • Bromberg BB, Swan H, Moore S, Kakkanat A, Tran S (1994) Lacrimal peroxidase and carbonic anhydrase are secreted differentially. Invest Ophthalmol Vis Sci 35: (Suppl) Arvo abstract no. 2490, 1791

    Google Scholar 

  • Candia O (1996) A novel system to measure labelled CO2 and HCO3 fluxes across epithelia: corneal epithelium as model tissue. Exp Eye Res 63: 137–149

    Article  PubMed  CAS  Google Scholar 

  • Chen JC, Fitzke FW, Bird AC (1990) Long-term effect of acetazolamide in a patient with retinitis pigmentosa. Invest Ophthalmol Vis Sci 31: 1914–1918

    PubMed  CAS  Google Scholar 

  • Chen JCT, Chesler M (1992) pH transients evoked by excitatory synaptic transmission are increased by inhibition of extracellular carbonic anhydrase. Proc Natl Acad Sci USA 89: 7786–7790

    Article  PubMed  CAS  Google Scholar 

  • Conroy CW, Buck RH, Maren TH (1992) The microchemical detection of carbonic anhydrase in corneal epithelia. Exp Eye Res 55: 637–640

    Article  PubMed  CAS  Google Scholar 

  • Cox SN, Hay E, Bird AC (1988) Treatment of chronic macular edema with acetazolamide. Arch Ophthalmol 106: 1190–1195

    Article  PubMed  CAS  Google Scholar 

  • Du X-Y, Linser P, Russell P, Zigler Jr SJ (1992) Carbonic anhydrase III is expressed in bovine lens. Curr Eye Res 11: 475–478

    Article  PubMed  CAS  Google Scholar 

  • Edelman LL, Miller SS (1991) Epinephrine stimulates fluid absorption across bovine retinal pigment epithelium. Invest Ophthalmol Vis Sci 32: 3033–3040

    PubMed  CAS  Google Scholar 

  • Fan JT, Johnson DH, Burk RR (1993) Transient myopia, angle-closure glaucoma and choroidal detachment after oral acetazolamide. Am J Ophthalmol 94: 99–102

    Google Scholar 

  • Findl O, Hansen RM, Fulton AB (1995) The effects of acetazolamide on the electroretinographic responses in rats. Invest Ophthalmol Vis Sci 36: 1019–1026

    PubMed  CAS  Google Scholar 

  • Fishbarg J, Lim JJ (1974) Role of cations, anions, and carbonic anhydrase in fluid transport across rabbit corneal endothelium. J Physiol 241: 647–675

    Google Scholar 

  • Fishman GA, Gilbert COT, Fiscella RG, Kimura AE, Jampol LM (1989) Acetazolamide for treat-ment of chronic macular edema in retinitis pigmentosa. Arch Ophthalmol 107: 1445–1452

    Article  PubMed  CAS  Google Scholar 

  • Friedland BR, Maren TH (1981) The relation between carbonic anhydrase activity and ion transport in elasmobranch and rabbit lens. Exp Eye Res 33: 545–561

    Article  PubMed  CAS  Google Scholar 

  • Gloster J (1956) Carbonic anhydrase in the vitreous body. Brit J Ophthalmol 40: 487–491

    Article  CAS  Google Scholar 

  • Goren SB, Newell FW, O’Tode JJ (1961) The localization of Diamox-S35 in the rabbit eye. Am J Ophthalmol 51: 87–93

    PubMed  CAS  Google Scholar 

  • Hageman SG, Zhu XL, Waheed A, Sly WS (1991) Localization of carbonic anhydrase IV in a spedific capillary bed of the human eye. Proc Natl Acad Sci USA 88: 2716–2720

    Article  PubMed  CAS  Google Scholar 

  • Hansson HPJ (1961) On the effects of carbonic anhydrase inhibition on taste, an unusual side effect of a drug. Nordisk Medicin 65: 566–567

    Google Scholar 

  • Hansson HPJ (1967) Histochemical demonstration of carbonic anhydrase activity. Histochemie 11: 112–128

    Article  PubMed  CAS  Google Scholar 

  • Holthofer H, Siegel GJ, Tarkkanen A, Tervo T (1991) Immunocytochemical localization of carbonic anhydrase, NaK-ATPase and the bicarbonate chloride exchanger in the anterior segment of the human eye. Acta Ophthalmologica 69: 149–154

    Article  PubMed  CAS  Google Scholar 

  • Hughes BA, Adorante JS, Miller SS, Lin H (1989) Apical electrogenic NaHCO3 cotransport: a mechanism for HCO3 absorption across the retinal pigment epithelium. J Gen Physiol 24: 125–150

    Article  Google Scholar 

  • Jampel HH, Zack DJ (1994) Expression of carbonic anhydrase isozymes in the ciliary epithelium and other tissues of the rabbit eye. Invest Ophthalmol Vis Sci 35: (Suppl) Arvo-abstract no. 2219, 1732

    Google Scholar 

  • Jentsch TJ, Stahlknecht TR, Hollwede H, Fischer DG, Keller SK, Wiederholt M (1985) A bicarbonate-dependent process inhibitable by disulfonic stilbenes and a Na/H exchange mediate 22 Na-uptake into cultured bovine corneal endothelium. J Biol Chem 260: 795–801

    PubMed  CAS  Google Scholar 

  • Krieg PH, Schipper I (1996) Drug-induced ciliary body oedema: a new theory. Eye 10: 121–126

    Article  PubMed  Google Scholar 

  • LĂĽtjen-Drecoll E, Eichhorn M, Bárány EH (1985) Carbonic anhydrase in epithelia and fenestrated juxtaepithelial capillaries of Macaca fascicularis. Acta Physiol Scand 124: 295–307

    Article  PubMed  Google Scholar 

  • Maren TH, Mayer E, Wadsworth BC (1954) The pharmacology of Diamox 2-acety1–1,3,4- thiadiazole-5-sulfonamide. Bull Johns Hopkins Hosp 95: 199–243

    PubMed  CAS  Google Scholar 

  • Maren TH, Haywood JR, Chapman SK, Zimmerman TJ (1977) The pharmacology of methazolamide in relation to the treatment of glaucoma. Invest Ophthalmol Vis Sci 16: 730–742

    PubMed  CAS  Google Scholar 

  • Maren TH, Bar-Ilan A, Conroy CW, Brechue WF (1990) Chemical and pharmacological properties of MK-927, a sulfonamide carbonic anhydrase inhibitor that lowers intraocular pressure by the topical route. Exp Eye Res 50: 27–36

    Article  PubMed  CAS  Google Scholar 

  • Maren TH, Conroy CW, Wynns GC (1994) Carbonic anhydrase inhibitors (CAI) do not reach the retina by the topical route. Invest Ophthalmol Vis Sci 35: (Suppl) Arvo abstract no. 4480, 2220

    Google Scholar 

  • Marmor MF, Maack M (1982) Enhancement of retinal adhesion and subretinal fluid resorption by acetazolamide. Invest Ophthalmol Vis Sci 23: 121–124

    PubMed  CAS  Google Scholar 

  • Marmor MF (1990) Hypothesis concerning carbonic anhydrase treatment of cystoid macular edema: example with epiretinal membranes. Arch Ophthalmol 108: 1524–1525

    Article  PubMed  CAS  Google Scholar 

  • Meyerholen EP, Wilson MJ, Ostroy SE (1986) The effects of HEPES, bicarbonate and calcium on the cGMP content of vertebrate rod photoreceptors and the isolated electrophysiological effects of cGMP and calcium. Vision Res 26: 521–533

    Article  Google Scholar 

  • Murakami H, Sly WS (1987) Purification and characterization of human salivary carbonic anhydrase. J Biol Chem 262: 1382–1388

    PubMed  CAS  Google Scholar 

  • Nork TM, Mangini NJ, Millecchia LL (1993) Rods and cones contain antigenically distinct S-antigens. Invest Ophthalmol Vis Sci 34: 2918–2925

    PubMed  CAS  Google Scholar 

  • Ogawa Y, Hong SS, Toyosawa S, Kuwahara H, Shimazaki M, Yagi T (1993) Immunoelectron microscopy of carbonic anhydrase isozyme VI in human submandibular gland: comparison with isozymes I and II. J Histochem Cytochem 41: 343–351

    Article  PubMed  CAS  Google Scholar 

  • Ogawa Y, Toyosawa S, Inagaki T, Hong SS, Ijuhin N (1995) Carbonic anhydrase VI in rat lacrimal gland. Histochem Cell Biol 103: 387–394

    Article  PubMed  CAS  Google Scholar 

  • Pfeiffer N, Gerling J, Lippa EA, Brunner-Ferber FL, Panebianco D, Grehn F (1991) Comparative tolerability of topical carbonic anhydrase inhibitor MK-927 and its S-enantiomer MK-417. Graefes Arch Clin Exp Ophthalmol 229: 111–114

    Article  PubMed  CAS  Google Scholar 

  • Sarthy V (1995) Localization of alpha-tubulin and carbonic anhydrase II mRNAs in isolated Muller cells. Exp Eye Res 60: 103–105

    Article  PubMed  CAS  Google Scholar 

  • Shahidi M, Fishman G, Ogura Y, Ambroz K, Zeimer R (1994) Foveal thickening in retinitis pigmentosa patients with cystoid macular edema. Retina 14: 243–247

    Article  PubMed  CAS  Google Scholar 

  • Shi X-P, Candia OA, Zamudio A, Wistrand P (1994) Physiological evidence for a membrane-bound carbonic anhydrase in the corneal epithelium. Invest Ophthalmol Vis Sci 25: (Suppl) Arvo abstract no. 3448, 1401

    Google Scholar 

  • Steinmetz RL, Fitzke FW, Bird AC (1991) Treatment of cystoid macular edema with acetazolamide in a patient with serpiginous choroidopathy. Retina 11: 412–415

    PubMed  CAS  Google Scholar 

  • Tsuboi S, Pederson J (1987) Acetazolamide effect on the inward permeability of the blood-retinal barrier to carboxyfluorescein. Invest Ophthalmol Vis Sci 28: 92–95

    CAS  Google Scholar 

  • WĂĄhlinder P (1996) Scandinavian Glaucoma Society Meeting, August 1996, Malmö, Sweden. Abstract

    Google Scholar 

  • WidengĂĄrd I, Mandahl A, Törnquist P, Wistrand PJ (1995) Colour vision and side-effects during treatment with methazolamide. Eye 9: 130–135

    Article  PubMed  Google Scholar 

  • Wiederholt M (1980) Physiology of epithelial transport in the human eye. Klin Wochenschr 58: 975–984

    Article  PubMed  CAS  Google Scholar 

  • Wilkerson M, Cyrlin MN, Lippa EA, Esposito D, Deasy D, Panebianco D, Fazio R, Yablonski M, Shields B (1993) Four-week safety and efficacy study of dorzolamide, a novel, active topical carbonic anhydrase inhibitor. Arch Ophthalmol 111: 1343–1350

    Article  PubMed  CAS  Google Scholar 

  • Wistrand PJ, Knuuttila KG (1980) Bovine lens carbonic anhydrase: purification and properties. Exp Eye Res 30: 277–290

    Article  PubMed  CAS  Google Scholar 

  • Wistrand PJ (1984) The use of carbonic anhydrase inhibitors in ophthalmology and clinical medicine. Ann NY Acad Sci 429: 609–615

    Article  PubMed  CAS  Google Scholar 

  • Wistrand PJ, Schenholm M, Lönnerholm G (1986) Carbonic anhydrase isoenzymes CA I and CA II in the human eye. Invest Ophthalmol Vis Sci 27: 419–428

    PubMed  CAS  Google Scholar 

  • Wolfensberger TJ, Mahieu I, Jarvis-Evans J, Boulton M, Carter ND, Nogradi A, Hollande E, Bird AC (1994) Membrane bound carbonic anhydrase in human retinal pigment epithelium. Invest Ophthalmol Vis Sci 35: 3401–3407

    PubMed  CAS  Google Scholar 

  • Yamamoto F, Steinberg RH (1992) Effects of intravenous acetazolamide on retinal pH in the cat. Exp Eye Res 54: 711–718

    Article  PubMed  CAS  Google Scholar 

  • Yamamoto F, Borgula GA, Steinberg RH (1992) Effects of light and darkness on the pH outside photoreceptors in the cat retina. Exp Eye Res 54: 685–697

    Article  PubMed  CAS  Google Scholar 

  • Yonemura D, Kawasaki K (1979) New approaches to ophthalmic electrodiagnosis by retinal oscillatory potentials, drug-induced responses from retinal pigment epithelium and cone potential. Doc Ophthalmol 48: 163–222

    Article  PubMed  CAS  Google Scholar 

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© 2000 Springer Basel AG

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Wistrand, P.J. (2000). Carbonic anhydrase inhibition in ophthalmology: Carbonic anhydrases in cornea, lens, retina and lacrimal gland. In: Chegwidden, W.R., Carter, N.D., Edwards, Y.H. (eds) The Carbonic Anhydrases. EXS 90, vol 90. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8446-4_20

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  • DOI: https://doi.org/10.1007/978-3-0348-8446-4_20

  • Publisher Name: Birkhäuser, Basel

  • Print ISBN: 978-3-0348-9570-5

  • Online ISBN: 978-3-0348-8446-4

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