Glucocorticoid (GC) treatment of human trabecular meshwork (HTM) cells prod
uces delayed, progressive cellular and extracellular protein/glycoprotein i
nductions with characteristics matching those for intraocular pressure elev
ation with corticosteroid eyedrops. The cloning of the Trabecular Meshwork
Inducible Glucocorticoid Response (TIGR) gene from this system has suggeste
d possible environmental and genetic influences in relation to glaucoma mec
hanisms. As reported here, the major GC-induced increase of TIGR expression
in HTM cells is reduced approximately 4-fold by basic fibroblast growth fa
ctor (bFGF, 100-1000 pM), with a somewhat smaller inhibition noted with the
thyroid hormone triiodothyronine (T-3, 100 nM). Such endogenous 'protectiv
e' factors could help balance stimulatory effects on TIGR gene expression f
rom 'stress' and/or mechanical perturbations in the trabecular meshwork. TI
GR coding region mutations affecting the gene's olfactomedin (OLF) homology
domain may also perturb biosynthetic pathways and cellular homeostatic fun
ctions. Our recent studies have shown the OLF domain corresponds to a major
translocational 'pause', an area where critical processes for normal TIGR
biogenesis are expected to take place. Observations that Glu323Lys (and oth
er mutations early in the OLF domain) altered the pattern of paused protein
intermediates provide possible clues to previously unexplained pathogeneti
c mechanisms. HTM cell transfection studies using TIGR-green fluorescent pr
otein (GFP) fusions showed increased and altered distribution of the expres
sed protein with constructs missing the OLF domain, an effect also found wi
th the Pro370 Leu mutation for early-onset glaucoma. The data suggest an ac
tivation of stress/apoptotic pathways in HTM cells as a potential mechanism
for environmental/genetic interactions in glaucoma pathogenesis.