Effect of dual endothelin receptor blockade on ocular blood flow in patients with glaucoma and healthy subjects
© Lasta et al; licensee BioMed Central Ltd. 2008
Published: 5 November 2008
Several lines of evidence indicate that altered blood flow regulation may contribute to the pathogenesis of glaucomatous optic neuropathy. Recent data support the hypothesis that the endothelin system is involved in the processes that leads to vascular dysregulation in glaucoma. Here, we tested the hypothesis that bosentan, a dual endothelin receptor antagonist, increases ocular blood flow in patients with glaucoma.
Materials and methods
Fourteen patients with primary open-angle glaucoma and 14 sex and age-matched healthy volunteers were included. Both groups received bosentan 500 mg daily for 8 days. Ocular hemodynamics were assessed at baseline and on the last study day. Retinal vessel diameters and retinal red blood cell velocity were recorded with a Retinal Vessel Analyser and laser Doppler velocimetry, respectively. Choroidal and optic nerve head blood flow were measured with laser Doppler flowmetry.
Retinal arteries and veins showed a significant dilatation after administration of bosentan in both groups (+5% to 8%). Retinal blood velocity and retinal blood flow increased up to +45% after administration of bosentan in both patients and healthy subjects. Administration of bosentan increased choroidal (+12% to 17%) and optic nerve head blood flow (+11% to 24%) in both groups. The effect of bosentan on ocular blood flow parameters was comparable between the two groups.
The data of the present study indicate that dual inhibition of endothelin receptors increases ocular blood flow in patients with glaucoma and healthy subjects. Further studies are required to study the dose-response relationship of this effect and to characterize the role of endothelin receptor subtypes.
This article is published under license to BioMed Central Ltd.