PURPOSE. Muscarinic agonists contract and tyrosine kinase inhibitors relax
precontracted trabecular meshwork, a smooth muscle-like tissue involved in
the regulation of aqueous humor outflow. The effect of tyrosine kinase inhi
bitors on membrane currents of cells stimulated by acetylcholine was examin
ed.
METHODS. Cells from bovine trabecular meshwork were studied using both the
perforated patch-clamp technique with nystatin and the single-channel techn
ique.
RESULTS. Application of the tyrosine kinase inhibitor genistein (5 x 10(-5)
M) on trabecular meshwork cells stimulated with acetylcholine resulted in
a reversible increase in outward current to 578% +/- 154% (n = IG) of the i
nitial current level. The effect of genistein was dose dependent. Reversal
potential was hyperpolarized by 15 +/- 3 mV (n = 9). Tyrphostin 51, a synth
etic inhibitor of tyrosine kinases, had the same effect (433% +/- 46%; n =
7). Daidzein, a nonactive structural analogue of genistein, had no effect (
n = 4). The stimulation of outward current by tyrosine kinase inhibitors wa
s blocked by substitution of tetraethylammonium (TEA(+)) for potassium, whe
reas the potassium channel blockers glibenclamide (K-ATP) and apamin (low-c
onductance calcium-activated potassium channel) had no effect. Blockage of
the high-conductance calcium-activated potassium channel (maxi-K) by charyb
dotoxin or iberiotoxin (10(-7) M) suppressed 86% +/- 18% (n = 4) of the res
ponse. Depleting the cells of calcium did not have an effect on the current
stimulated by genistein. In the excised inside-out configuration, open pro
bability increased to 417% +/- 39% (n = 3) after exposure to genistein.
CONCLUSIONS. In trabecular meshwork, tyrosine kinase inhibitors activate ma
xi-K (K-Ca) channels. Hyperpolarization caused by efflux of potassium could
lead to the relaxation of trabecular meshwork by tyrosine kinase inhibitor
s.