IOVS Journal of Applied Physiology
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(Investigative Ophthalmology and Visual Science. 1972;11:832-837.)
© 1972 by The Association for Research in Vision and Ophthalmology, Inc.

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Increased Cellular Sensitivity to Glucocorticoids in Primary Open-Angle Glaucoma

JOHN F. BIGGER 1, PAUL F. PALMBERG 1, and BERNARD BECKER 1

1 Department of Ophthalmology, Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, Mo. 63110.

When compared to nonglaucomatous control subjects, patients with primary open-angle glaucoma were found to have an increased sensitivity to glucocorticoids at the cellular level. Glucocorticoid sensitivity was evaluated in vitro by determining the concentration of prednisolone-21-phosphate necessary to inhibit by 50 per cent (I50) the uptake of tritriated thymidine into DNA during lymphocyte transformation induced by phytohemagglutinin-P. Mean I50 was 32 ng. per milliliter for 11 patents with primary open-angle glaucoma, compared to 65 ng. per milliliter for 10 control patients known to be ocular nonresponders to topical dexamethasone. A mean I50 of 44 ng. per milliliter was found for 6 nonglaucomatous persons who were highintraocular-pressure responders to topical dexamethasone, with a distribution of I50 values similar to that of the glaucoma patients. It is postulated that an increased receptor affinity for glucocorticoid may play a role in the etiology of open-angle glaucoma.

Key Words: glaucoma • open-angle • glucocorticoids • steroids • intraocular pressure • lymphocyte transformation • phytohemagglutinin

Submitted on May 17, 1972
Accepted on July 10, 1972




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J. Stokes, B. R. Walker, J. C. Campbell, J. R. Seckl, C. O'Brien, and R. Andrew
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B Becker, D. Shin, P. Palmberg, and Waltman SR
HLA antigens and corticosteroid response
Science, December 24, 1976; 194(4272): 1427 - 1428.
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