Enormous progress has beer made in the characterization of prostanoid
receptors during the past five years Molecular biological studies have
enabled structural identification of all the human-prostanoid recepto
rs that had beer proposed according to pharmacological criteria. The p
harmacological classification proposed different receptor subtypes for
prostaglandins D-2, E(2), F-2 alpha, I-2 and thromboxane A(2) which w
ere termed DP, EP, FP, IP and TP, respectively. Further subdivision fo
r only the EP receptor has been reported and EP(1), EP(2), EP(3), and
EP(4), subtypes hare been unequivocally identified. The molecular stru
cture of an prostanoid receptors is typical of that for G protein-coup
led receptors and consists of seven alpha-helical transmembrane domain
s, three extracellular loops and an amino terminus and three intracell
ular loops and a carboxyl terminus. Interestingly, mRNA alternative sp
lice variants of the carboxyl termini have been found to determine G p
rotein interactions for the EP(3) receptor Application of molecular bi
ological techniques is beginning to make an impact in ocular research
where precise localization of receptors is difficult by more tradition
al methods because of the diminutive size of most ocular tissues. In s
itu hybridization aad immunohistochemical studies using antibodies aga
inst the cloned human FP receptor have already suggested an unexpected
ly wide distribution in the monkey eye Transgenic studies involving FP
receptor knock-out animals may provide future insight into the role o
f this receptor in glaucoma. However; since prostaglandins are extraor
dinarily effective in reducing intraocular pressure, it follows that t
raditional physiological and pharmacological studies retain a key role
in glaucoma research. Studies in perfused human anterior segment orga
n culture revealed that although prostaglandin F-2 alpha does not faci
litate trabecular aqueous humor outflow, prostaglandin E(1) does incre
ase trabecular outflow. Thus, different prostanoids may lower intraocu
lar pressure by distinctly different mechanisms of action. Recent stud
ies also indicate that prostanoids may exert a beneficial effect on re
tinal blood perfusion and may even act as nanoprotective agents.