Calcitonin gene-related peptide in the eye: release by sensory nerve stimulation and effects associated with neurogenic inflammation

Responses to antidromic trigeminal nerve stimulation, substance P, NKA, CGRP and capsaicin in the rat eye

In the rat eye, intracameral injections of substance P in doses of 10-30 pmol caused a maximal long-lasting miosis and a leakage of plasma proteins into the aqueous humor, indicating a breakdown of the blood-aqueous barrier. Neurokinin A seemed equipotent to SP, but calcitonin-gene-related peptide (CGRP) (17 pmol) caused neither miosis nor protein leakage into the aqueous humor. The same result was obtained when CGRP was administered intravenously. Intracameral injection of capsaicin caused only a transient miosis which could not be repeated with further injections, even though the pupillary sphincter was still able to react to exogenous SP. Antidromic electrical stimulation of the trigeminal nerve caused plasma extravasation in the skin and a breakdown of the blood-aqueous barrier with an increased protein content in the aqueous humor. The stimulation did not affect the pupil size. The results indicate that in rat eyes SP and NKA are miotics, but the amounts that can be released from sensory nerve endings are too small to cause persistent miosis. These peptides are more likely to play a role in the neurogenic breakdown of the blood-aqueous barrier. CGRP at the same dose affects neither the pupillary sphincter muscle nor the barrier.

Co-existence of neuropeptides in sympathetic, cranial autonomic and sensory neurons innervating the iris of the guinea-pig

We have used double-labelling immunofluorescence to identify the peptide content of autonomic and sensory neurons innervating the iris of albino guinea-pigs. Four major classes of neurons were identified on the basis of their distributions, origins and immunohistochemical characteristics. A dense plexus of noradrenergic axons in the constrictor and dilator muscles of the iris originated from the superior cervical ganglion, and contained immunoreactivity (IR) to both neuropeptide Y (NPY) and dynorphin (DYN). The constrictor and dilator muscles were also supplied with a dense plexus of axons with IR to substance P (SP). These axons probably originated from SP-IR nerve cell bodies located along the ciliary nerves, and are almost certainly the same axons as those producing cholinergic pupilloconstriction. The iris was also innervated by unmyelinated, capsaicin-sensitive axons with IR to both SP and calcitonin gene-related peptide. Most of these axons also contained IR to DYN and some were also IR for cholecystokinin. These axons are almost certainly sensory. Axons containing IR to both NPY and vasoactive intestinal peptide (VIP) were common in the ciliary processes, and also formed a sparse plexus near the ciliary margin of the dilator muscle. Following surgical sympathetic denervation these axons showed IR for dopamine-beta-hydroxylase; they seemed to originate from the sphenopalatine ganglion. These results demonstrate that there are well-defined patterns of coexistence of neuropeptides in the autonomic and sensory neurons supplying the iris of guinea-pigs. To understand the physiological roles of these peptides, it will be necessary to consider the possibility of complex interactions between them.

Multiple tachykinin pools in sensory nerve fibres in the rabbit iris

A population of sensory nerve fibres in the rabbit iris is known to contain calcitonin gene-related peptide and tachykinins, such as substance P and neurokinin A. In the presence of atropine and guanethidine, the isolated iris sphincter responded to electrical stimulation with a contraction that could be abolished by tachykinin antagonists. Capsaicin, known to release tachykinins from sensory fibres, evoked a long-lasting tachykinin-mediated contraction of the iris sphincter. Repeated application of capsaicin led to tachyphylaxis, possibly reflecting depletion of releasable neuronal stores of tachykinins. At this stage, electrical stimulation failed to elicit contraction. The capacity of capsaicin to release neuropeptides from sensory fibres was confirmed by determination of substance P- and calcitonin gene-related peptide-like immunoreactivity in the incubation medium and in the iris tissue. The concentrations of substance P and calcitonin gene-related peptide in the iris after capsaicin exposure were reduced by about 25%. Like capsaicin, bradykinin evoked a tachykinin-mediated contraction and tachyphylaxis. However, after development of tachyphylaxis to bradykinin, electrical stimulation or exposure to capsaicin still evoked tachykinin-mediated contraction, albeit a reduced one compared with the response before bradykinin. Hence, capsaicin completely depletes tachykinin stores releasable by prolonged electrical stimulation, whereas bradykinin exhausts only a sequestered pool. The possibility that tachykinins occur in several releasable pools in sensory nerves was investigated in yet another way: the iris sphincter muscle was stimulated electrically once every 2.5 min over several hours. The contractile response diminished gradually.(ABSTRACT TRUNCATED AT 250 WORDS)