PURPOSE. Analysis of aqueous humor from patients with primary open-angle glaucoma (POAG) revealed marked increases in the content of endothelin-1 (ET-1) and transforming growth factor-beta (TGF-b). We determined the consequences of TGF-b signaling on ET-1 expression and secretion by human trabecular meshwork (TM) cells.METHODS. Primary or transformed (NTM5 and GTM3) human TM cells conditioned in serum-free media were incubated in the absence or presence of TGF-b1 or -b2. Relative changes in preproendothelin (ppET)-1 mRNA content and secreted ET-1 peptide were quantified by real-time PCR and ELISA, respectively. In some experiments, TGF-b or ET-1 receptor antagonists, or Rho G-protein inhibitors, were evaluated for effects on TGF-b signaling. Filamentous actin organization was visualized by phalloidin.RESULTS. Primary or transformed human TM cells cultured in the presence of TGF-b1 or -b2 exhibit a marked (>8-fold) increase in ppET-1 mRNA content compared to vehicle controls. Coincubation with SB-505124, an inhibitor of TGFbRI/ALK-5 signaling, prevented TGF-b-mediated ppET-1 mRNA expression. In contrast, coincubation with ET A or ET B (BQ-788) receptor antagonists had no effect on TGF-b-mediated ppET-1 mRNA expression. TGF-b1 and -b2 each elicited a robust (>7-fold) secretion of ET-1 while enhancing stress fiber organization. Inhibition of Rho signaling attenuated TGF-b-mediated increases in ppET-1 mRNA content, ET-1 secretion, and stress fiber organization.CONCLUSIONS. TGF-b, signaling through the TGFbRI/ALK-5 receptor, elicits marked increases in ET-1 mRNA content and ET-1 secretion from cultured primary or transformed human TM cells. Elevated levels of TGF-b2 present in AH of POAG patients may elevate intraocular pressure, in part, by eliciting aberrant Rho G-protein dependent cell contraction, and increasing ET-1 synthesis and secretion, in human TM cells. (Invest Ophthalmol Vis Sci. 2012;53:5279-5286) DOI:10.1167/iovs.11-9289 P rimary open-angle glaucoma (POAG) is one of the most common causes of blindness worldwide, affecting over 2 million individuals 45 years or older in the United States.1 In POAG patients, irreversible loss of peripheral vision frequently is associated with a pathologic elevation of intraocular pressure (IOP). 2 Clinically, elevated IOP remains a poorly understood hallmark of POAG. In healthy eyes, normal IOP is maintained through a balance between production and outflow of aqueous humor (AH). In adults, the majority (>50%) of AH exits the eye by a conventional outflow pathway involving the trabecular meshwork (TM) at the iridocorneal angle.
3TM cells regulate AH outflow facility partly through contraction and relaxation of their actin cytoskeleton. Under pathologic conditions, chronic aberrant contraction of TM cells increases resistance to AH outflow, leading to abnormal and sustained elevation of IOP. The mechanism that promotes harmful chronic aberrant TM cell contraction in POAG remains unknown, but may involve dysregulation of small monomeric Rho G-protein mediated organiza...