Method for enhancing outflow of aqueous humor in treatment of gl

Drug – bio-affecting and body treating compositions – Designated organic active ingredient containing – Radical -xh acid – or anhydride – acid halide or salt thereof...

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A61K 3119

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active

055854010

ABSTRACT:
Elevated intraocular pressure is reduced by administration directly to the eye of compounds that inhibit function of a Na.sup.+ --K.sup.+ --2Cl.sup.-2 cotransporter mechanism discovered in trabecular meshwork cells of mammalian eyes. These compounds are useful in treatment of diseases of the eye associated with elevated intraocular pressure, such as ocular hypertension and glaucoma. A screening method is provided to discover additional compounds with utility for lowering intraocular pressure by substantially inhibiting the Na.sup.+ --K.sup.+ --Cl.sup.-2 cotransporter mechanism in trabecular meshwork cells.

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Masereel, et al., "Design, Synthesis and Biological Activity of a Series of Torasemide Derivatives, Potent Blockers of the NA+2Cl-K+ Co-transporter: In-vitro Study," J. Pharm Pharmacol., 44:589-593, 1992.
R. Greger, P. Wangemann, "Loop Diuretics," Renal Physiol., Basel 10:174-183, 1987.
Brandt, et al., "The Capillary Endothelium as an Experimental Model of the Outflow Pathways of the Eye," Invest. Ophthalmol. Vis. Sci., 35(4[Supp]):1848, 1994. Abstract.
Palfrey, et al., "Inhibition of Na-K-2Cl cotransport and bumetanide binding by ethacrynic acid, its analogues, and adducts," Am. J. Physiol., 264:C1270-C1277, 1993.
Edelman et al., Am. J. Physiology (266) (5 Part 1) C1210-C1221 (1994).

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