Literature DB >> 25574056

Sildenafil-induced reversible impairment of rod and cone phototransduction in monkeys.

Junzo Kinoshita1, Noriaki Iwata1, Hitomi Shimoda1, Tomofumi Kimotsuki1, Mitsuya Yasuda1.   

Abstract

PURPOSE: To investigate functional alteration of the retina induced by sildenafil in monkeys.
METHODS: Sildenafil was administered intravenously to cynomolgus monkeys at dose levels of 0, 1, 3, and 10 mg/kg, and standard full-field electroretinograms (ERGs) were recorded. The rod and cone a-waves in response to high-intensity flashes were also analyzed by the a-wave fitting model (a-wave analysis). Additionally, the photopic negative responses were recorded.
RESULTS: Sildenafil at 3 mg/kg or more induced the following alterations in the standard full-field ERGs immediately after dosing: delayed b-wave in the rod response; delayed a-wave in the combined rod-cone response; and attenuated b-waves in the single-flash cone response and in the 30 Hz flicker. Additionally, the following changes were observed in the 10 mg/kg group: attenuated b-wave in the rod response; attenuated a-wave and delayed b-wave in the combined rod-cone response; delayed oscillatory potentials; and attenuated and delayed a-wave in the single-flash cone response. In the a-wave analysis immediately after dosing, sildenafil selectively decreased the sensitivity parameter (S) in the cone a-wave at 3 mg/kg, and in both the rod and cone a-waves at 10 mg/kg. The S value was highly correlated with plasma sildenafil concentration. The above changes fully recovered 24 hours after dosing.
CONCLUSIONS: Sildenafil produced reversible impairment of the rod and cone phototransduction in monkeys. Meanwhile, involvement of the postreceptoral retinal components was suggested. These findings contribute to the clarification of sildenafil-induced visual disturbances. It is suggested that the photoreceptors are predominantly, but not exclusively, affected in the retina of humans with sildenafil-induced visual disturbances. Copyright 2015 The Association for Research in Vision and Ophthalmology, Inc.

Entities:  

Keywords:  drug-induced visual disturbance; electroretinogram; monkey; phototransduction; sildenafil

Mesh:

Substances:

Year:  2015        PMID: 25574056     DOI: 10.1167/iovs.14-15985

Source DB:  PubMed          Journal:  Invest Ophthalmol Vis Sci        ISSN: 0146-0404            Impact factor:   4.799


  7 in total

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Authors:  Xinrong Zhou; Jingxiang Zhang; Limin Gu; Hao Zhou; Jingfa Zhang
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  7 in total

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