Aim-To investigate the role of nitrergic nerves in the regulation of ocular blood flow. Methods-Conscious, lightly restrained rats were treated with either the neuronal nitric oxide synthase inhibitor 7-nitroindazole (7-NI), or the nonselective inhibitor, NG-nitro-L-arginine methyl ester (L-NAME), and ocular blood flow was measured ex vivo from tissue samples, using the fully quantitative [14C]-iodoantipyrine technique. Results-In the peripheral circulation, L-NAME produced an increase in arterial blood pressure (+22%) while 7-NI had no eVect. In contrast, both 7-NI and L-NAME produced significant decreases in ocular blood flow (−31% and −59% respectively). The ocular vascular resistance calculated from ocular blood flow and mean arterial blood pressure increased by 29% following 7-NI, but by 130% following L-NAME. Conclusions-Nitric oxide releasing neurons may play an important contributory role in regulating ocular blood flow. (Br J Ophthalmol 1998;82:1199-1202 There is evidence that ocular blood vessels are innervated by nitric oxide (NO) producing neurons 1-3 and studies of ocular blood vessels in vitro suggest a functional role for these nerves in determining vascular calibre in the eye. [4][5][6] Cerebral vessels are similarly endowed 7 8 and it has become apparent that NO released from neurons innervating small cerebral resistance vessels may regulate blood flow by providing a tonic dilator influence.
9There is some in vivo evidence that NO releasing nerves can similarly influence blood flow in the avian eye, 10 but these authors have also reported that anaesthesia can fundamentally alter the cardiovascular response to pharmacological inhibition of neuronal nitric oxide synthase (nNOS), 11 and others have identified species diVerences in eYcacy and time course of eVects.12 13 The purpose of the present study was to investigate the eVects upon ocular blood flow of a single intraperitoneal injection of the nNOS inhibitor 7-nitroindazole (7-NI), which in vivo is relatively selective for the neuronal isoform of the enzyme, 14 and to compare these with the eVects of the arginine analogue, NG-nitro-L-arginine methyl ester (L-NAME), a nonselective NOS inhibitor.
Materials and methods
ANIMAL PREPARATIONA total of 19 male Sprague-Dawley rats (250-300 g) were used in this study. All experiments adhered to the ARVO Statement on the Use of Animals in Ophthalmic and Vision Research, and complied with British Home OYce regulations. Protocols did not involve any direct manipulation of the eye. On the day of the experiment the rats were anaesthetised and prepared surgically as described in detail previously.9 Following surgery, the rats were allowed to recover from the eVects of the anaesthesia for at least 2 hours before any further experimental manipulation, and all subsequent measurements were performed on fully conscious animals. Mean arterial blood pressure (MABP) was monitored continuously, and blood gases were measured immediately before the initiation of the measurement procedures for ocular blood flow. D...