Differential P1-purinergic modulation of human Schlemm's canal inner-wall cells

Research output: Contribution to journalResearch articleContributedpeer-review


  • Mike O Karl - , University of Pennsylvania Perelman School of Medicine (Author)
  • Johannes C Fleischhauer - (Author)
  • W Daniel Stamer - (Author)
  • Kim Peterson-Yantorno - (Author)
  • Claire H Mitchell - (Author)
  • R A Stone - (Author)
  • M M Civan - (Author)


Intraocular pressure is directly dependent on aqueous humor flow into, and resistance to flow out of, the eye. Adenosine has complex effects on intraocular pressure. Stimulation of A1 and A2A adenosine receptors changes intraocular pressure oppositely, likely through opposing actions on the outflow of aqueous humor. While the cellular sites regulating outflow resistance are unknown, the cells lining the inner wall of Schlemm's canal (SC) are a likely regulatory site. We applied selective adenosine receptor agonists to SC cells in vitro to compare the responses to A1 and A2A stimulation. Parallel studies were conducted with human inner-wall SC cells isolated by a novel enzyme-assisted technique and with cannula-derived mixed inner- and outer-wall SC cells. A1 agonists increased whole cell currents of both inner-wall and cannula-derived SC cells. An A2A agonist reduced currents most consistently in specifically inner-wall SC cells. Those currents were also increased by A2B, but not consistently affected by A3, stimulation. A1, A2A, and A3 agonists all increased SC-cell intracellular Ca2+. The electrophysiological results are consistent with the possibility that inner-wall SC cells may mediate the previously reported modulatory effects of adenosine on outflow resistance. The results are also consistent with the presence of functional A2B, as well as A1, A2A, and A3 adenosine receptors in SC cells.


Original languageEnglish
Pages (from-to)C784-94
Journal American journal of physiology / publ. by the American Physiological Society
Issue number4
Publication statusPublished - Apr 2005
Externally publishedYes

External IDs

Scopus 15444363698
ORCID /0000-0002-0926-6556/work/150884377



  • Anterior Eye Segment/cytology, Aqueous Humor/physiology, Calcium/metabolism, Cell Culture Techniques/methods, Cells, Cultured, Humans, Intracellular Fluid/drug effects, Intraocular Pressure/drug effects, Membrane Potentials/drug effects, Patch-Clamp Techniques, Purinergic P1 Receptor Agonists, Purinergic P1 Receptor Antagonists, Receptors, Purinergic P1/drug effects