Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Enzymatic hydrolysis of pilocarpine Philip P. Ellis, Kathrine Littlejohn, and Richard A. Deitrich Enzymatic hydrolysis of pilocarpine by rabbit and human serum, ocular tissues, and liver was demonstrated. Within each species the enzyme concentration in ocidar tissues appeared highest in uveal and retinal tissues and lowest in the lens. The Michaelis-Menten constants (Km) for the pilocarpine inactivating enzyme was 6.04 ± 2.52 x 10-* M. for rabbit serum and 4.63 ± 2.02 x 10~s M. for human serum. Key words: pilocarpine, enzymatic hydrolysis, enzyme kinetics, rabbit serum, human serum, enzyme concentration, rabbit ocular tissues, human ocular tissues. E lyzing enzyme in rabbit and human serum were determined. The level of this enzyme in rabbit and human ocular tissues and liver also was measured. Inzymatic hydrolysis of pilocarpine has been demonstrated in the serum of rats, rabbits, and humans and in the secondary aqueous humor of rabbits and humans.1-2 Evidence has been presented that the enzyme, apparently an esterase, is probably cation dependent. Enzyme activity is lost by heating or with the addition of various chelating agents: EDTA (ethylene diaminetetraacetate), trien, penicillamine, neomycin sulfate, kanamycin sulfate, and ethambutol hydrochloride. Unpublished observations in our laboratory have established that the enzyme responsible for pilocarpine hydrolysis is not cholinesterase.3 In the present study, Michaelis-Menten (Km) kinetics of the pilocarpine hydro- Methods PUocarpine determination. Quantitative determination of pilocarpine hydrochloride followed the colorimetric technique of Hestrin as modified by Schonberg and Ellis.2 This reaction requires the presence of an ester bond; thus residual pilocarpine is measured. Each sample was run in duplicate and compared to a reagent blank consisting of a comparable tissue or serum preparation without substrate. Time periods began with the addition of the pilocarpine to serum or tissue homogenates previously brought to the incubation temperature. The reaction was stopped with the addition of 2 ml. of alkaline hydroxylamine. With high substrate concentrations, the test solutions were diluted at the end of the incubation period and 1 ml. of the resulting solution was used for analysis. Klett units were converted to micrograms of pilocarpine from a standard curve constructed periodically using various quantities of the pilocarpine solution. Serum preparation. Blood was collected from normal adult New Zealand albino rabbits by cardiac puncture. Samples were allowed to clot at room temperature, refrigerated several hours, From the Division of Ophthalmology and Department of Pharmacology, University of Colorado Medical Center, Denver. Supported by an unrestricted grant from Research to Prevent Blindness, Inc. Manuscript submitted April 24, 1972; manuscript accepted June 12, 1972. Reprint requests: Dr. Philip P. Ellis, 4200 E. Ninth Ave., Denver, Colo. 80220. 747 Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932873/ on 06/18/2017 Investigative Ophthalmology September 1972 748 Ellis, Littlejohn, and Deitrich centrifuged five minutes at 400g, and the serum decanted. Human blood was drawn by venipuncture from blood-bank donors and volunteers (ages ranged from 18 to 75 years) and the serum prepared as above. All serum samples were either iced or stored at -32° C. and thawed at room temperature just prior to use. Preparation of rabbit tissues. Rabbit tissues were obtained from New Zealand albino rabbits weighing 2.5 to 3 kilograms. Animals were injected intravenously with 1,000 units of sodium heparin, killed by cervical dislocation, and the head immediately perfused through the carotid arteries with cold 0.25 M sucrose. Each eye was enucleated to include extraocular muscle, rinsed in cold sucrose, and dissected. Following removal of the extraocular muscles, an incision 3 mm. posterior to the limbus freed the anterior portion of the globe from which the iris, lens, and cornea were removed. The intact posterior sclera, choroid, and retina were immersed in iced sucrose, tissues bisected and the retina and choroid layers carefully scraped from the sclera until only a small section of attachment remained. Gentle shaking released the retina and the choroid was scraped free. Excess sucrose was removed with filter paper. A small piece of liver was removed immediately following enucleation, rinsed in cold sucrose and blotted on filter paper. In another group of animals the technique of collection and storage of eyes was similar to that for human eye bank specimens. Animals were killed by cervical dislocation, the eyelids were closed, and enucleation performed three hours after death. The eyes were placed in a standard glass human eye bank container which had approximately 1 ml. of a solution containing 1.75 mg. of neomycin, 0.025 mg. of gramicidin, and 5,000 units of polymyxin B per milliliter (Neosporin) in the bottom. The eyes were refrigerated at 4° C. for two to five days prior to dissection. All tissues were placed in preweighed homogenizer tubes. Lens capsule-cortex, extraocular muscle and liver were used from individual rabbits, other similar tissues from two animals were grouped, and homogenates prepared with cold 0.25 M sucrose. The cornea was prepared as a 5 per cent homogenate and all other tissues as 10 per cent homogenates. Preparation of human tissues. Human eyes were obtained from the Colorado Eye Bank and dissected within five days of enucleation. The dissection was performed on an ice-filled Petri dish. Similar tissues from each pair of eyes were grouped in preweighed homogenizing tubes and 10 per cent homogenates prepared with cold sucrose. Human liver samples were obtained at autopsy, four to 22 hours after death, and prepared as above. Michaelis-Menten constants (Km). Pilocarpine HC1 at final concentrations of 2 x 10"4, 2.9 x 10-*, 5 x 10-4, 2 x 10-3, and 4 x 10-3 M was mixed with 0.2 ml. aliquots of nine rabbit serum samples, incubated for two minutes at 37° C , and the residual pilocarpine determined. Pilocarpine HC1 at final concentrations of 0.5 x lO-3, 1 x 10-3, 2 x 10-3, 4 x IQ-3 ) a n ( i Q.Q X 10-3 M w a s m ixed with 0.5 ml. aliquots of seven human serum samples, incubated for 50 minutes at 37° C, and the residual pilocarpine determined. Although the incubation time was necessarily long, because of low activity, between 31 and 65 per cent of the substrate disappeared during this time for the 1 x 10~3 M concentration. Linear Lineweaver-Burk plots were obtained under these conditions, indicating that the Km determination is probably valid. Enzyme levels in rabbit and human serum. Pilocarpine 6.04 x 10-3 M (10 x Km) was mixed with 0.2 ml. aliquots of 15 rabbit serum samples, incubated for 15 minutes at 37° C , and the residual pilocarpine determined. Pilocarpine 4.1 x 10~2 M (10 x Km) was mixed with 0.8 ml. aliquots of 48 human serum samples and incubated for seven hours at 42° C. The test solution was diluted tenfold with distilled water just prior to pilocarpine analysis. Tissue water content. Individual tissues were placed in preweighed 1 to 10 ml. pyrex beakers, wet weight noted, and dried at 101° C. until dry weights were unchanged with additional time. Enzyme levels in rabbit and human tissues. K,t, values were not determined for tissues. Preliminary tests indicated that enzyme levels were lower than in sera. Pilocarpine levels were used equal to those for determination of enzyme levels in sera; this insured that the substrate was in excess and therefore not rate limiting. Pilocarpine 6.04 x 10~3 M was mixed with 0.5 ml. of each rabbit tissue homogenate and incubated for five hours at 37° C. The test solution was diluted by half with distilled water prior to pilocarpine analysis. Pilocarpine 4.1 x 10"2 M was mixed with 0.5 ml. of each human tissue homogenate and incubated for seven hours at 42° C. The test solution was diluted as for human serum prior to pilocarpine analysis. Results All results are given as the mean ± the standard deviation. Michaelis-Menten constants. For both normal rabbit and human serum, the data were plotted in the double reciprocal manner of Lineweaver and Burk.4 The mean Km for duplicate determinations of 9 rabbit Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932873/ on 06/18/2017 Volume 11 Number 9 Enzymatic hydrolysis of pilocarpine 749 Table I. Water content of rabbit and human tissues Human Water (%) Serum Cornea Iris-ciliary body Lens capsule cortex Chorokl Retina Optic nerve Extraocular muscle Liver Rabbit Water (%) Solid (%) 91.40 85.39 91.08 73.05 90.21 91.42 78.56 8.60 14.61 8.92 26.95 9.79 8.58 21.44 (5)' (6) (5) (6) (6) (6) 77.47 22.52 (8) (5) Solid (%) 92.14 75.15 84.64 68.07 84.37 83.55 7.86 24.85 15.36 31.93 15.63 16.45 (5) (5) (5) (5) (5) (5) 78.17 74.05 21.83 25.95 (5) (5) "Number of tissue srjecimens given in parentheses. serum samples was 6.04 ± 2.52 x 10~4 M. The mean value for triplicate determinations of 9 human samples was 4.63 ± 2.02 x 10"3 M. A representative Lineweaver-Burk plot is shown in Fig. 1. Tissue water content. The water content of the tissues used appears in Table I. Values are the arithmetic mean with the number of observations given in parentheses. Serum enzyme levels. The incubation of 6.04 x 10-3 M pilocarpine (1.480 mg. total in a final volume of 1 ml.) with 0.2 ml. rabbit serum resulted in the hydrolysis of 0.698 ± 0.114 mg. of pilocarpine in 15 minutes. The incubation of 4.1 x 10~2 M pilocarpine (10.045 mg.) with 0.8 ml. of human serum (final total volume was 1 ml.) resulted in the hydrolysis of 4.798 ± 0.777 mg. of pilocarpine in 7 hours. Tissue enzyme levels. Fresh rabbit tissue homogenates incubated with 6.04 x 10~3 M pilocaqDine hydrolyzed substrate ranging from 0.100 ± 0.069 mg. for cornea to 0.181 ± 0.138 mg. for iris-ciliary body. Tissues processed two to five days after death were very similar in their activity to corresponding fresh tissues and in no instance was the difference significant at a confidence level of 0.05. Values are based on the 1.4 mg. of pilocarpine recovered in controls which contained no enzyme. To compare the activity of all sera and tissues tested, results were calculated on the basis of milligrams of pilocarpine hy- 2CH 15n O X > 10- 5- 5 10 1/B1X10 15 20 2 Fig. 1. Representative Lineweaver-Burk plot. Km = 4.67 x 10~3 M. S = substrate concentration moles per liter. V = Mg substrate hydrolyzed in 50 minutes. drolyzed per gram dry weight of tissue per hour of incubation. (Table II) Discussion This study indicates that a pilocarpine hydroly:dng enzyme is present in ocular tissues, liver, and serum of both rabbits and humans. The enzyme would most properly be called a lactonase since the ester bond hydrolyzed is a lactone. Quantitative comparisons of tissue-enzyme levels between the two species cannot be made since the rabbit eyes were perfused prior to tissue preparation for enzyme analysis while the human eyes were not perfused. However, this cannot account for the higher Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932873/ on 06/18/2017 Investigative Ophthalmology September 1972 750 Ellis, Littlejohn, and Deitrich Table II. Milligrams of pilocarpine inactivated per gram dry weight tissue per hour Tissues stored 2 to 5 days Fresh tissues Rabbit: Serum Cornea Iris-ciliary body Lens capsule + cortex Retina Choroid Extraocular muscle Liver 174.376 3.564 4.738 1.624 2.729 3.415 1.748 2.155 ± ± ± ± ± ± ± ± 28.723 2.860 3.536 1.111 2.345 3.203 1.486 1.259 (15) (7) (8) (16) (8) (8) (15) (14) Human: Serum Cornea Iris-ciliary body Lens capsule + cortex Retina Choroid Optic nerve Liver 9.681 11.155 31.741 8.978 33.072 30.909 10.309 11.288 ± ± ± ± ± ± ± ± 1.568 14.960 16.394 4.331 23.325 12.754 11.422 6.883 (48) (8) (8) (5) (9) (9) (7) (7) 3.559 1.627 3.337 4.387 ± ± ± ± 1.489 0.471 1.361 2.708 (5) (10) (5) (4) Values are the arithmetic mean; ± values are the standard deviation. Number of tissue specimens are given in parentheses. Rabbit tissues with exception of liver, perfused with cold 0.25 M sucrose. Human tissues not perfused. enzyme levels in human tissue since human serum contains so little enzyme. Serum enzyme levels are substantially higher in the rabbit than in the human. Within each species the enzyme concentration in ocular tissues seems to be highest in uveal and retinal tissues and least in the lens. In the rabbit the concentration of the enzyme in the cornea was high in comparison to the enzyme concentration in other tissues whereas the relative concentration of enzyme in extraocular muscle was low. In the human the concentration of the enzyme in the cornea and optic nerve was low in comparison to enzyme concentration in other tissues. Like other esterases, the pilocarpine hydrolyzing enzyme appears to be quite stable. There was little difference in the hydrolysis of pilocarpine by fresh and refrigerated ocular tissues of the rabbit. The Km value for the pilocarpine hydrolyzing enzyme was 6.04 ± 2.52 x 10~4 M for rabbit serum, and 4.63 ± 2.02 x 10"3 M for human serum. Km values cannot be used to compare enzyme concentrations quantitatively. Actually, an enzyme with a lower Km value is more efficient at low concentrations of pilocarpine even if the Vinilx (the velocity of the reaction at saturating concentrations of substrate) is less than that for another enzyme with a higher Km value. The significance of the pilocarpine hydrolyzing enzyme is unknown. It is generally held that pilocarpine is largely excreted by the kidneys and enzymatic inactivation of pilocarpine is not believed to be a major method for removal of the drug. Furthermore, it should be pointed out that the possible pharmacologic activity of the products of enzymatic hydrolysis of pilocarpine is unknown. Studies are in progress in our laboratories to examine the concentration of the enzyme in serum of glaucoma patients including those treated with pilocarpine. Conceivably, patients with higher enzyme levels might be less affected by pilocarpine therapy than those patients with low concentrations of the enzyme. Also under investigation is the possible value of inactivators of the pilocarpine hydrolyzing enzyme to increase the ocular hypotensive action of pilocarpine. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932873/ on 06/18/2017 Volume 11 Number 9 REFERENCES 1. Lavallee, W. F., and Rosenkrantz, H.: Evidence for pilocarpine transformation by serum, Biochem. Pharm. 15: 206, 1966. 2. Schonberg, S. S., and Ellis, P. P.: Pilocarpine inactivation, Arch. Ophthalmol. 82: 351, 1969. Enzymatic hydrolysis of pilocarpine 751 3. Allen, A. W., and Ellis, P. P.. Unpublished observations. 4. Lineweaver, H., and Burk, D.: The determination of enzyme dissociation constants, J. Am. Chem. Soc. 56: 658, 1934. Downloaded From: http://iovs.arvojournals.org/pdfaccess.ashx?url=/data/journals/iovs/932873/ on 06/18/2017