IOVS Molecular Human Reproduction
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Investigative Ophthalmology & Visual Science, Vol 26, 890-893, Copyright © 1985 by Association for Research in Vision and Ophthalmology


ARTICLES AND REPORTS

Defects in cortisol-metabolizing enzymes in primary open-angle glaucoma

BI Weinstein, P Munnangi, GG Gordon and AL Southren

Assays of cortisol-metabolizing enzymes in homogenates of human trabecular meshwork cells under optimal conditions revealed two defects in primary open-angle glaucoma (POAG): one is a marked increase in delta 4-reductase and the other is a decrease in 3-oxidoreductase. Experiments indicated that the differences in enzyme activities seen between POAG and nonPOAG trabecular meshwork derived cell homogenates were due to altered amounts of enzymes rather than to alterations in cofactor availability, pH, or endogenous activators or inhibitors. This clearly demonstrates an enzymatic defect(s) in POAG which may be the basis for the ocular hypertension and sensitivity to exogenous glucocorticoids seen in this disorder.


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