American Journal of Ophthalmology
Volume 149, Issue 5 , Pages 839-851.e1 , May 2010

Topical Mecamylamine for Diabetic Macular Edema

  • Peter A. Campochiaro

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
    • Corresponding Author InformationInquiries to Peter A. Campochiaro, Johns Hopkins University School of Medicine, 600 North Wolfe Street, Maumenee 719, Baltimore, MD 21287-9277
  • ,
  • Syed Mahmood Shah

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Gulnar Hafiz

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Jeffery S. Heier

      Affiliations

    • Ophthalmic Consultants of Boston, Boston, Massachusetts
  • ,
  • Eugene S. Lit

      Affiliations

    • East Bay Retina Consultants, Boston, Massachusetts
  • ,
  • Ingrid Zimmer-Galler

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Roomasa Channa

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Quan Dong Nguyen

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Beena Syed

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Diana V. Do

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • Lili Lu

      Affiliations

    • Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • ,
  • James Monk

      Affiliations

    • CoMentis, Inc, South San Francisco, California
  • ,
  • John P. Cooke

      Affiliations

    • Division of Cardiovascular Medicine, Stanford University, Palo Alto, California
  • ,
  • M. Ken Kengatharan

      Affiliations

    • CoMentis, Inc, South San Francisco, California
  • ,
  • Henry H. Hsu

      Affiliations

    • CoMentis, Inc, South San Francisco, California

,Accepted 1 December 2009.

References 

  1. D'hoedt D, Bertrand D. Nicotinic acetylcholine receptors: an overview on drug discovery. Expert Opin Ther Targets. 2009;13:395–411
  2. Girod R, Crabtree G, Ernstrom G, et al. Heteromeric complexes of alpha 5 and/or alpha 7 subunits (Effects of calcium and potential role in nicotine-induced presynaptic facilitation). Ann N Y Acad Sci. 1999;868:578–590
  3. Fucile S. Ca2+ permeability of nicotinic acetylcholine receptors. Cell Calcium. 2004;35:1–8
  4. Eusebi F, Molinaro M, Zani BM. Agents that activate protein kinase C reduce acetylcholine sensitivity in cultured myotubes. J Cell Biol. 1985;100:1339–1342
  5. Huganir RL, Delcour AH, Greengard P, Hess GP. Phosphorylation of the nicotinic acetylcholinergic receptor regulates its rate of desensitization. Nature. 1986;321:1986
  6. Pontieri FE, Tanda G, Orzi F, DiChiara G. Effects of nicotine on the nucleus accumbens and similarity to those of addictive drugs. Nature. 1996;382:255–257
  7. Villablanca AC. Nicotine stimulates DNA synthesis and proliferation in vascular endothelial cells in vitro. J Appl Physiol. 1998;84:2089–2098
  8. Heeschen C, Jang JJ, Weis M, et al. Nicotine stimulates angiogenesis and promotes tumor growth and atherosclerosis. Nat Med. 2001;7:833–839
  9. Milner P, Kirkpatrick KA, Ralevic V, Toothill V, Pearson J, Burnstock G. Endothelial cells cultured from human umbilical vein release ATP, substance P and acetylcholine in response to increased flow. Proc Biol Sci. 1990;241:245–248
  10. Suner IJ, Espinosa-Heidmann DG, Marin-Castano ME, Hernandez EP, Pereira-Simon S, Cousins SW. Nicotine increases size and severity of experimental choroidal neovascularization. Invest Ophthalmol Vis Sci. 2004;45:311–317
  11. Kiuchi K, Matsuoka M, Wu JC, et al. Mecamylamine suppresses basal and nicotine-stimulated choroidal neovascularization. Invest Ophthalmol Vis Sci. 2008;49:1705–1711
  12. Abbruscato TJ, Lopez SP, Mark KS, Hawkins BT, Davis TP. Nicotine and cotinine modulate cerebral microvascular permeability and protein expression of ZO-1 through nicotinic acetylcholine receptors expressed on brain endothelial cells. J Pharm Sci. 2002;91:2525–2538
  13. Cooke JP, Bitterman H. Nicotine and angiogenesis: a new paradigm for tobacco-related diseases. Ann Med. 2004;36:33–40
  14. Stone CA, Torchiana ML, Navarro A, Beyer KH. Ganglionic blocking properties of 3-methylaminoisocamphane hydrochloride (mecamylamine): a secondary amine. J Pharmaocol. 1956;117:169–183
  15. Shytle RD, Penny E, Silver AA, Goldman J, Sanberg PR. Mecamylamine (Inversine): an old antihypertensive with new research directions. J Hum Hyperten. 2002;16:452–457
  16. Shytle RD, Silver AA, Lukas RJ, Newman MB, Sheehan DV, Sanberg PR. Nicotinic acetylcholine receptors as targets for antidepressants. Mol Psychiatry. 2002;7:525–535
  17. Rose JE, Behm FM, Westman EC. Nicotine-mecamylamine treatment for smoking cessation: the role of pre-cessation therapy. Exp Clin Psychopharmaocol. 1998;6:331–343
  18. Early Treatment Diabetic Retinopathy Study Research Group. Photocoagulation for diabetic macular edema (Early Treatment Diabetic Retinopathy Study report number 1). Arch Ophthalmol. 1985;103:1796–1806
  19. Chan A, Duker JS, Ko TH, Fujimoto JG, Schuman JS. Normal macular thickness measurements in healthy eyes using Stratus optical coherence tomography. Arch Ophthalmol. 2006;124:193–198
  20. Wu JCF, Chruscinski A, De Jesus Perez VA, et al. Cholinergic modulation of angiogenesis: role of the alpha 7 nictotinic acetylcholine receptor. J Cell Biochem. 2009;108:433–446
  21. Nguyen QD, Tatlipinar S, Shah SM, et al. Vascular endothelial growth factor is a critical stimulus for diabetic macular edema. Am J Ophthalmol. 2006;142:961–969
  22. Nguyen QD, Shah SM, Heier JS, et al. Primary end point (six months) results of the Ranibizumab for Edema of the Macula in Diabetes (READ-2) Study. Ophthalmology. 2009;116:2175–2181

PII: S0002-9394(09)00908-8

doi: 10.1016/j.ajo.2009.12.005

American Journal of Ophthalmology
Volume 149, Issue 5 , Pages 839-851.e1 , May 2010