The ultralong-acting intraocular pressure reduction produced by JV-GL1
is mediated entirely by prostanoid EP2 receptors, according to gene
deletion
Abstract
BACKGROUND AND PURPOSE: A single dose of JV-GL1 lowers intraocular
pressure (IOP) for a week according to previous studies on non-human
primates. This highly protracted effect did not correlate with its
ocular bio-disposition, where the drug was undetectable inside the eye
after only one day post-dosing. Our current studies were intended to
determine the role of EP2 receptors in mediating the long-term ocular
hypotensive activity of JV-GL1 and utilized mice deficient in EP2
receptors. EXPERIMENTAL APPROACH: The protracted intraocular pressure
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. Intraocular pressure was measured tonometrically under general
anesthesia. Aqueous humor outflow facility was measured ex vivo using
the iPerfusion system 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. KEY RESULTS: In SI-OHT,
JV-GL1 did not lower IOP in EP2 KO mice. However, in WT mice with
SI-OHT, JV-GL1 lowered IOP for 4-6 days. JV-GL1 did not alter outflow
facility in WT mice at 3 days after topical administration. CONCLUSIONS
AND IMPLICATIONS: The long-term effect of JV-GL1 on IOP in the SI-OHT
model of glaucoma is EP2 receptor dependent. Such protracted activity of
a single dose of a small molecule (JV-GL1) is unprecedented. Future
studies on JV-GL1 may eventually lead to “once-weekly” small
molecules, with reduced drug prices and better disease control.