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and
fluid secretion
Departments of 1 Ophthalmology and 3 Physiology and Cellular Biophysics, College of Physicians and Surgeons, Columbia University, New York, New York 10032; and 2 Inspire Pharmaceuticals, Incorporated, Durham, North Carolina 27703
Rabbit conjunctival epithelium exhibits UTP-dependent
Cl
secretion into the tears. We investigated whether
fluid secretion also takes place. Short-circuit current
(Isc) was 14.9 ± 1.4 µA/cm2
(n = 16). Four P2Y2 purinergic receptor
agonists [UTP and the novel compounds INS365, INS306, and INS440
(Inspire Pharmaceuticals)] added apically (10 µM) resulted in
temporary (~30 min) Isc increases (88%, 66%,
57%, and 28%, respectively; n = 4 each). Importantly, the conjunctiva transported fluid from serosa to mucosa at a rate of
6.5 ± 0.7 µl · h
1 · cm
2 (range
2.1-15.3, n = 20). Fluid transport was stimulated
by mucosal additions of 10 µM: 1) UTP, from 7.4 ± 2.3 to 10.7 ± 3.3 µl · h
1 · cm
2,
n = 5; and 2) INS365, from 6.3 ± 1.0 to 9.8 ± 2.5 µl · h
1 · cm
2,
n = 5. Fluid transport was abolished by 1 mM
ouabain (n = 5) and was drastically inhibited by 300 µM quinidine (from 6.4 ± 1.2 to 3.6 ± 1.0 µl · h
1 · cm
2,
n = 4). We conclude that this epithelium secretes fluid
actively and that P2Y2 agonists stimulate both
Cl
and fluid secretions.
dry eye; purinergic; adenosine 5'-triphosphate; uridine 5'-triphosphate; INS365; short-circuit current
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