PURPOSE. Fluid flow across various endothelia results in a variety of intra
cellular and extracellular adaptations. In the living eye, aqueous humor fl
ows across the surface of endothelial cells on trabecular meshwork (TM) bea
ms and in the juxtacanalicular tissue and through or between a continuous m
onolayer of endothelial cells that line Schlemm's canal (SC). This study wa
s undertaken to test the hypothesis that fluid flow induces biochemical cha
nges in the endothelial cells of the outflow pathway that may modify outflo
w resistance.
METHODS. Trabecular meshwork and SC cells isolated from the outflow pathway
of human cadaveric eyes were seeded onto porous filters, placed in Ussing-
type chambers, and subjected to fluid flow driven by a pressure head of 15
mm Hg on their apical surface. Cell lysates were prepared and analyzed for
adenosine 3',5'-cyclic monophosphate (cAMP) accumulation. Barrier function
of cell monolayers was examined using transendothelial electrical resistanc
e measurements.
RESULTS. Three different SC cell strains in 14 independent experiments resp
onded with at least a threefold increase in cAMP that was both time and pre
ssure dependent. Conversely, flow-treated TM cells failed to respond in six
independent experiments in which five different TM cell strains were used.
Electrical resistance across cell monolayers positively correlated with cA
MP accumulation and was calcium sensitive.
CONCLUSIONs. cAMP signaling is affected by pressure differentials across SC
cell monolayers and provides evidence for the participation of SC cells in
the regulation of aqueous outflow.