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1Department of Pharmacology and Therapeutics, University of Florida, Gainesville, Florida; 2Wake Forest Institute of Regenerative Medicine, Wake Forest University, Winston-Salem, North Carolina; 3Department of Ophthalmology, College of Medicine, Showa University, Tokyo, Japan; and 4Danish MyoTechnology, Aarhus, Denmark
Submitted 13 June 2006 ; accepted in final form 15 August 2006
| ABSTRACT |
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endothelium; phospholipase C; rho kinase
In ocular circulation, consisting of blood flow from the ophthalmic artery to choroidal-uveal and cilioretinal circulation, stringent regulation of blood flow is essential for normal function of the retina. The unique anatomy of the ocular vascular bed (40), particularly the sudden transition of the ophthalmic artery (
200 µm in rat) to several small retinal and choroidal arterioles (<30 µm in rat), requires physiologically efficient regulation of blood flow within ophthalmic artery than in any other vascular bed. Consistent with this supposition, Knot's laboratory (28) recently observed that rat ophthalmic artery can autoregulate the diameter and maintain myogenic constriction over a wide range of intraluminal pressures; i.e., up to at least 199 mmHg, ophthalmic artery did not show forced dilatation. These observations suggested an efficient pressure-dependent autoregulation of blood flow to retinal and choroidal vasculature by ophthalmic artery and protection of these microvessels from exposure to higher systemic pressures that would otherwise result in potential hemorrhagic blood flow.
The nature of pressure or mechanical sensor in the arterial smooth muscle is still not known, although wall tension exerted by intravascular pressure was proposed to be the stimulus for activation of intracellular signaling events that elicit myogenic constriction. Recently, some studies (10) provided indirect evidence for an obligatory role of integrins that mechanically link extracellular matrix to cytoskeleton, implicating an extracellular matrix-integrin-cytoskeletal axis in pressure transduction (10). A recent report by Scotland et al. (49) provided evidence for a novel neurovascular pathway in the development of myogenic response involving 20-HETE in rat mesenteric arteries: 20-HETE activates transient receptor potential (TRP) vanilloid type 1 receptors on sensory C fibers, resulting in neuronal depolarization and the release of neuropeptide substance P, which in turn activates postjunctional tachykinin neurokinin-1 receptors on the smooth muscle producing myogenic response.
Several studies (22, 33, 60) showed evidence for the activation of different intracellular signaling mechanisms involved in myogenic constriction. Ca2+ influx secondary to smooth muscle membrane potential depolarization is evidently a central mechanism involved in myogenic constriction. Recently, evidence (11, 50, 59) was provided for a major role for nonselective cation channels, most likely TRP channels, in increased wall [Ca2+] associated with myogenic response. Several lines of evidence have been provided for the involvement of constrictor agonist-activated intracellular signaling mechanisms in pressure-evoked constriction. The activation of phosphatidylinositol-specific phospholipase C (PI-PLC) in response to transmural pressure stimulus was shown in studies (2, 7, 9, 29, 36) using pharmacological and biochemical approaches in arteries from different vascular beds. Myogenic tone accompanies membrane depolarization and increased arterial wall [Ca2+], and pharmacological inhibition of PI-PLC by U-73122 (41, 52) was shown to decrease arterial wall [Ca2+] and reduction in membrane potential depolarization in cerebral arteries, suggesting a role of PI-PLC in the myogenic depolarization of vascular smooth muscle (29). Furthermore, in recent studies, a major contribution of calcium-sensitization mechanisms was also observed. PKC-mediated sensitization was reported in rat cerebral, cremaster, and renal afferent arterioles (19, 24, 32), whereas Rho-mediated sensitization was observed in rat cerebral, cremaster, mesenteric, and renal arteries (20, 30, 36, 44, 48, 58) using different pharmacological inhibitors. MAPK was also implicated in the myogenic constrction in a few studies (31, 37) involving rat skeletal muscle arterioles and human coronary arterioles. Finally, cellular physical deformation was known to activate phospholipase A2-mediated signaling cascade leading to the formation of prostanoids and eicosanoids from arachidonic acid. Recently, cytochrome P-450 metabolite of arachidonic acid, 20-HETE, was found to have a significant role in myogenic constriction in renal, cerebral, skeletal muscle, and mesenteric arteries (15, 16, 18, 26).
Characteristics of pressure-dependent autoregulation of blood flow in ocular circulation are poorly studied, and mechanisms of myogenic tone in rat ophthalmic artery are not known. Therefore, the present study is aimed at 1) evaluating pressure-dependent autoregulation, 2) studying the modulatory role of endothelium in the development of myogenic tone, and 3) identifying the major intracellular mechanism(s) involved in pressure-induced constriction in the rat ophthalmic artery. In the context of the surprising finding that this artery can withstand higher intraluminal pressures (28), we compared the characteristics of this artery with that of the myogenic tone of the well-studied rat cerebral arteries.
| METHODS |
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Arteriograph was placed on the stage of an inverted microscope, and arteries were visualized by a charge-coupled device camera for continuous monitoring of changes in artery diameter, and the data were acquired by Myoview software (DMT). Arteries were slowly pressurized to 70 mmHg under no flow conditions, and arteriograph was warmed to 37°C with PSS, continuously bubbled with a gas mixture containing 21% O2-5% CO2-74% N2 (pH 7.37.4 in the bath). The working pressure of 70 mmHg was chosen based on the earlier observations by Riva et al. (46) in human ocular circulation and McCarron and Halpern (39) in rat cerebral circulation.
Experimental protocol.
After an equilibration period of
20 min, arteries showed stable myogenic tone at 70 mmHg. Concentration-response curves (CRCs) to different pharmacological agents were obtained by cumulative addition to PSS. CRCs were generated in half log order concentrations, and the arteries were exposed to different concentrations for at least 5 min or until the observed effect reached steady state. In some experiments, endothelium was denuded by introducing human hair into the lumen, followed by perfusing with PSS. The presence of functional endothelium was checked by applying 1 µmol/l carbachol. Endothelium-intact arteries showed almost complete relaxation or loss of myogenic tone, whereas in endothelium-denuded arteries, no relaxation was observed. Obtaining the maximum possible diameter or passive diameter in Ca2+-free PSS (see Drugs, chemicals, and solutions for composition) concluded all experiments. In some experiments, pressure-dependent changes in the diameter were evaluated by increasing the intraluminal pressure in 10 mmHg steps from 1250 mmHg in PSS. Effects of different pharmacological inhibitors on pressure-dependent changes in myogenic tone were evaluated in the pressure range of 1160 mmHg. Pressure was slowly returned back to the lowest and allowed to equilibrate for 20 min and then exposed to a pharmacological inhibitor for 15 min before subjecting the artery to graded increases in the intraluminal pressure. Pressure-dependent changes in diameter were reevaluated in the presence of Ca2+-free PSS. The myogenic tone was calculated according to the following equation:
![]() | (1) |
Pressure-diameter experiments, focused at identifying the pressure that results in forced dilatation and experiments with pharmacological inhibitors, were evaluated in different group of arteries so that the reactivity of the artery in other experimental protocols was not affected by exposure to a range of high pressures and vice versa.
Data analysis and statistics. Results are expressed as means ± SE; n indicates the number of independent experiments, which equals the number of animals used. Results were compared by either ANOVA or Student's t-test as applicable using the software program GraphPad prism, and a P value < 0.05 was considered statistically significant.
The efficacy of different agonists was expressed as the maximum response, constriction or dilation, produced. The potency was expressed as the negative logarithm of the concentration of the agonist that produces 50% of the maximum effect (pEC50). pEC50 values were calculated by analyzing CRCs using GraphPad Prism that fits the data to a four-parameter logistic equation given below:
![]() | (2) |
Drugs, chemicals, and solutions. Phenylephrine, carbachol, U-73122, U-73343, HA-1077, nifiedipine, and GF-109203X were obtained from Sigma (St. Louis, MO), and Y-27632 was obtained from Tocris Cookson (Ellisville, MO). Stock solutions (10 mmol/l) of phenylephrine, carbachol, Y-27632, and HA-1077 were prepared in distilled water, whereas that of U-73122, U-73343 (2 mmol/l), nifedipine (10 mmol/l), and GF-109203X (10 mmol/l) were prepared in dimethylsulfoxide. The composition of PSS (in mmol/l) contained 120 NaCl, 3 KCl, 24 NaHCO3, 1.2 NaH2PO4.H2O, 2.5 CaCl2, 1.2 MgSO4.7H2O, and 4 glucose. Ca2+-free PSS was prepared by replacing CaCl2 with 2 mmol/l EGTA.
| RESULTS |
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The pressure-induced constriction in the rat ophthalmic artery. Fig. 1A shows a representative tracing of changes in the outer diameter of a rat ophthalmic artery with an increase in the intraluminal pressure in the presence of PSS and a passive increase in the diameter in the presence of Ca2+-free PSS. An increase in intraluminal pressure resulted in an increase in diameter of ophthalmic arteries up to a pressure of 30 to 40 mmHg, after which the arteries showed no increase or a sustained decrease in diameter, indicating the development of myogenic tone (Fig. 1B). Myogenic tone, developed at 70 mmHg, was 27 ± 2% (n = 6), which continued to rise up to a maximum of 32 ± 3% with an increase in intraluminal pressure (Fig. 1B), revealing the autoregulatory function of this artery. Arteries maintained an almost similar diameter with increases in pressures ranging from 50 to 210 mmHg. Forced dilatation was observed at pressures >210 mmHg, and complete loss of myogneic tone was observed at 240 mmHg.
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The effect of nifedipine on the pressure-induced constriction in the rat ophthalmic artery. The activation of voltage-gated Ca2+ channels by intraluminal pressure in this artery was verified by evaluating the pressure-dependent increase in the myogenic tone in the presence of 1 µM nifedipine, a selective blocker of voltage-gated Ca2+ channels. Myogenic tone, developed in response to intraluminal pressures up to 160 mmHg, was highly sensitive to this antagonist, and myogenic tone was almost completely blocked (n = 5) (Fig. 3). This confirms that the graded elevations in intraluminal pressure increase arterial wall [Ca2+], resulting in myogenic constriction by allowing Ca2+ influx via voltage-gated Ca2+ channels in this artery.
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1-adrenoceptor agonist. In this set of experiments, arteries were pressurized at 10 mmHg at which cellular mechanisms involved in pressure-induced constriction are minimally or not activated. Phenylephrine produced concentration-dependent constriction of this artery, and this response was evaluated in the presence of 1 µM U-73122, a concentration lower than that used (3 µM) to evaluate its effect on pressure-dependent increase in myogenic tone. A significant decrease in constrictor responses to 1, 3, 10, and 30 µM (P < 0.010.003, n = 5) was observed in the presence of U-73122, confirming the existence of PI-PLC-mediated cellular mechanisms in this artery that could be activated by
1-adrenoceptor stimulation but not by intravascular pressure. Effects of Rho-kinase inhibitors, Y-27632 and HA-1077, on the pressure-induced constriction in the rat ophthalmic artery. calcium sensitization, a phenomenon by which a higher contraction is elicited in smooth muscle for a given intracellular [Ca2+] than for depolarization, involves activation of protein kinase C and Rho kinase (53, 54). Several studies, as mentioned earlier, reported that calcium sensitization is associated with the pressure-induced constriction in different arteries involving PKC and Rho kinase. Therefore, we attempted to evaluate the involvement of Rho-kinase and PKC activation in the pressure-induced constriction in this artery. Structurally different inhibitors of Rho kinase, Y-27632 and HA-1077 (8, 56), concentration dependently decreased myogenic tone at 70 mmHg (Fig. 5A) with a similar potency (pEC50) (Y-27632, 5.3 ± 0.1, n = 5; and HA-1077, 5.5 ± 0.1, n = 5). The maximum decrease observed in myogenic tone was 75 ± 3% and 73 ± 4% with Y-27632 and HA-1077, respectively. The effects of these two agents were readily reversible upon washout. The development of myogenic tone over a range of intraluminal pressures was also evaluated in the presence of 1 µM Y-27632 (a concentration, lower than that of its EC50, 4.70 µM, observed in the above experiments) in a different set of arteries. Myogenic tone, developed at pressures 60160 mmHg, was significantly lower than that observed in control artery (P < 0.001 to 0.0001, n = 4) (Fig. 5B). These observations suggest significant contribution of Rho-kinase activation in the pressure-evoked constriction in this artery.
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1-adrenoceptor stimulation via Gq protein-PLC-diacylglycerol (DAG) pathway but not by intraluminal pressure in this artery.
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| DISCUSSION |
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The pressure-dependent autoregulation in the rat ophthalmic artery.
Autoregulation of arterial caliber ensures constancy of perfusion despite changes in systemic arterial pressure. Unique anatomy of ocular vascular bed (40), as mentioned above, demands physiologically efficient autoregulation of blood flow compared with many other vascular beds. Studies by Osol et al. (42) elegantly described the phenomenon of pressure-dependent autoregulation in rat cerebral arteries in a three-phase model: phase 1, initial development of myogenic tone with rapid increases in arterial wall [Ca2+]; phase 2, increased tone or myogenic reactivity with a small but consistent increase in the wall [Ca2+] (38) with subsequent increase in pressure; and phase 3, forced dilatation at further higher pressures yet accompanying increases in the wall [Ca2+]. The pressure range, over which phase 2 exists, determines the efficiency of pressure-dependent autoregulation in a particular artery. Results from the present study are consistent with this proposed model. Three different phases of autoregulation in rat ophthalmic artery were revealed at pressures
30, 40200, and >200 mmHg, respectively. These observations clearly suggest an efficient pressure-dependent autoregulation over a wide range of pressures in this artery, which is essential to protect small retinal and choroid arteries from exposure to potential haemorrhagic blood flow that would otherwise result in an irreversible damage to sensitive ocular structures, particularly the retina.
The myogenically active pressure range (corresponding to phase 2) in other vascular beds was reported to be quite smaller than that observed in the rat ophthalmic artery, and forced dilatation was reported to occur in the range of 150170 mmHg in cerebral, mesenteric, and skeletal muscle arteries from Wistar-Kyoto rats (25, 30) and in cerebral arteries from Sprague-Dawley rats (6, 42) with myogenic tone being developed in the range of 3040 mmHg. In contrast, cerebral and mesenteric arteries from newborn pigs and cerebral arteries from neonatal mice develop myogenic tone at pressure as low as 10 mmHg (1, 17, 45), and newborn porcine cerebral arteries exhibit forced dilatation at 90 mmHg (1). A wider range of pressures with myogenic reactivity or an ability of an artery to withstand higher pressures was observed only in the present study in rat ophthalmic artery, which could be attributed to the unique anatomy of the ocular vascular bed.
The modulatory effect of endothelium on myogenic tone in the rat ophthalmic artery. Pressure-induced constriction is known to originate from, and independent of, smooth muscle but could be modulated by endothelium (9, 12, 35). The present study clearly shows that endothelium-derived factors play a differential role in the modulation of myogenic tone with an overall opposing effect on pressure-induced constriction. This contrasting observation could be attributed, although speculatively, to the anatomical difference in the organization of the vascular bed. The sudden transition of the ophthalmic artery to retinal and choroidal arterioles that demands an efficient pressure-dependent autoregulation of blood flow in this vascular bed is associated with significant endothelial modulation of tone at physiological pressures.
The absence of endothelium significantly increased myogenic sensitivity to intraluminal pressures ranging from 10100 mmHg. This is in agreement with our earlier studies, showing a concentration-dependent increase in myogenic tone to L-NAME, a NOS inhibitor, at an intraluminal pressure of 70 mmHg (28). According to this finding, it is likely that myogenic constriction or pressure-mediated circumferential stress on arterial wall activates NOS.
On the other hand, inhibition of COX by indomethacin resulted in a concentration-dependent decrease in myogenic tone (Ref. 28 and present study), suggesting a role of COX products in the regulation of myogenic tone and no role for the dilatory prostanoids, such as prostacyclin. Further experiments showed that the effect of COX-2 inhibition by SC-236 was similar to that of indomethacin, whereas COX-1 inhibition by SC-560 resulted in loss of myogenic tone, suggesting differential roles of COX metabolites in the regulation of arterial tone. SC-560 showed dilatory response at higher concentrations, i.e., 30 µM, that could be explained by its inhibitory effect on COX-2 enzyme at higher concentrations (IC50: COX-1, 9 nM; and COX-2, 10 µM) (51). In summary, endothelium potentiates myogenic tone via COX-2 metabolites and attenuates via NOS and COX-1 metabolites. Similar observations were reported earlier that provided evidence for a differential role of endothelium-derived factors on arterial tone in different pathophysiological conditions. Endothelial COX-mediated constrictor, likely to be thromboxane, was shown to be involved in hypoxic pulmonary constriction in newborn pigs (13). An elegant study by Ungvari and Koller (57) showed that endothelin and prostaglandin H2/thromboxane A2 mediate increased myogenic tone by potentiating Ca2+ sensitivity of smooth muscle in skeletal muscle arterioles of spontaneously hypertensive rats. COX products were shown to augment arterial tone in mesenteric arteries by inhibiting nitric oxide synthesis that is decreased in L-NAME-mediated hypertension in rats (4). Furthermore, endothelial COX-2 was shown to be upregulated in mesenteric arteries from rats with high NaCl intake, mediating myogenic tone suggesting a compensatory or protective role of COX-2 in pressure-mechanotransduction (38).
We recently reported the pathophysiological significance of myogenic tone and its modulation by endothelium in the rat ophthalmic artery. An acute exposure to high-glucose concentration dependently altered myogenic tone in this artery i.e., potentiated or attenuated, which was endothelium dependent (27). Furthermore, ophthalmic arteries from Type 2 diabetic BBZDR/Wor rats showed decreased myogenic tone compared with that in arteries from age-matched control rats, and this decrease was endothelium dependent (27). A decrease in myogenic constriction could be the underlying mechanism of reduced arterial resistance in ophthalmic vascular bed that would explain the increased ocular blood flow and the increased risk of retinal hemorrhage associated with diabetes (14, 21).
The intraluminal pressure activates voltage-dependent Ca2+ channels and produces constriction in the rat ophthalmic artery. The intraluminal pressure is known to induce membrane depolarization (23, 33, 34, 42) that activates voltage-gated Ca2+ channels, resulting in Ca2+ influx and smooth muscle contraction. In the present study we have not evaluated arterial wall [Ca2+] and membrane potential; however, we observed that nifedipine, a selective blocker of voltage-gated potassium channel, abolished the development of myogenic tone, and exposure to Ca2+-free PSS also resulted in a passive increase in diameter with increases in pressure. These findings suggest that activation of voltage-gated Ca2+ channels is an essential step involved in the development of myogenic tone in this artery most likely mediated by pressure-mediated smooth muscle membrane depolarization. Recent studies (11, 50, 59) proposed alternative mechanisms for the pressure-induced increase in the arterial wall [Ca2+], including DAG- and PKC-activated cation channels, most likely TRP channels. Involvement of these mechanisms in myogenic tone in the rat ophthalmic artery needs further investigation.
The involvement of PI-PLC in the development of myogenic tone in the rat ophthalmic artery.
PI-PLC activation has been shown to be involved in pressure-induced constriction in several arteries as mentioned before. In rat cerebral arteries we evaluated the sensitivity of myogenic tone to a PI-PLC inhibitor U-73122 and found that myogenic tone was readily reversed by this compound with high potency (EC50 of 0.6 µM) (29), and the maximum decrease observed in myogenic tone was 87% at 3 µM U-73122. In contrast, in the rat ophthalmic artery in the present study, this inhibitor showed very low efficacy; i.e., maximum decrease observed was 39% with 6 µM U-73122. In addition, in experiments with graded increases in intraluminal pressures in rat cerebral arteries, 124 nM U-73122 significantly decreased and 500 nM completely reversed the development of myogenic tone in response to pressures ranging from 50110 mmHg (29). In contrast, 3 µM U-73122 could produce significant decrease in myogenic tone only at pressures 140 and 160 mmHg in rat ophthalmic artery. These findings suggest a minor role of PLC activation in the pressure-induced constriction in this artery. Significant decrease in the contractile response to phenylephrine, an
1-adrenoceptor agonist, which is known to activate PI-PLC via receptor-coupled Gq protein activation, confirmed the availability of PI-PLC-activated contractile pathway in this arterial smooth muscle. A lack of prominent PLC activation is quite contrary to that observed in several other arterial preparations showing an important role of PI-PLC activation in pressure-mediated constriction, and the present study suggests vascular bed-dependent differences in the cellular signaling mechanisms involved in pressure-induced constriction. Different isoforms of PI-PLC and their biochemical characteristics in ophthalmic arteries are not known, and this information is essential to understand the relatively lower pressure-mediated activation PI-PLC in rat ophthalmic artery.
PI-PLC activation results in the production of phosphatidylinositol 4,5-bisphosphate metabolites DAG and inositol 1,4,5-trisphosphate [Ins(1,4,5)P3] that were known to be involved in amplifying or coupling myogenic stimulus to smooth muscle contraction. DAG, by activating PKC that causes calcium sensitization (19, 24), and Ins(1,4,5)P3, by releasing Ca2+ from sarcoplasmic stores, enhance smooth muscle contraction. Furthermore, as mentioned earlier, DAG-PKC pathway is known to activate TRP channels that were shown to participate in the myogenic constriction of arteries. In the light of the present finding that the activation of PI-PLC by pressure stimulus is minimal in this artery, the role of DAG-PKC and Ins(1,4,5)P3-mediated mechanisms may not play a significant role in the myogenic reactivity in this artery. We extended our observations to evaluate the role of PKC that further supported our findings that the role of PLC activation in myogenic constriction is insignificant (see below).
The involvement of Rho-kinase activation but not PKC activation in the myogenic tone in the rat ophthalmic artery. As mentioned before, calcium sensitization is another intracellular signaling mechanism known to play a predominant role in the myogenic constriction that could be mainly mediated by PKC and Rho kinase. In this present study, we have not used permeabilized arterial preparations to evaluate calcium sensitization, instead we used pharmacological inhibitors to evaluate the role of major kinases PKC and Rho-kinase in myogenic constriction in this artery. Our experiments, using GF-109203X in arteries with myogenic tone at 70 mmHg and myogenic response to graded increases in intraluminal pressure, ruled out a significant role of PKC in the pressure-mediated constriction, which agrees with what we observed with PI-PLC inhibitor as described above, whereas a constrictor agonist could activate PKC significantly.
In contrast to the pharmacological evidence against the involvement of PKC, we observed a predominant role of Rho-kinase activation in the myogenic constriction. Two structurally different Rho-kinase inhibitors, Y-27632 and HA-1077, reversed myogenic tone at 70 mmHg, and Y-27632 significantly antagonized the development of myogenic tone in response to graded increases in intraluminal pressure, suggesting a predominant involvement of Rho kinase in mygenic reactivity. It is clear from the data that in the lower range of pressures or the phase 1 of autoregulation curve, Y-27632 did not show significant decrease, whereas nifedipine antagonized myogenic constriction in this range of pressures as well, suggesting that Rho-kinase activation is not involved in the initiation of myogenic tone but plays a significant role in the maintenance of myogenic constriction (phase 2). It could be possible that a threshold level of Ca2+ influx is needed for the activation of Rho-Rho-kinase pathway. This was recently shown by Sakurada et al. (47) in rabbit aortic smooth muscle, suggesting that both depolarization and agonist stimulation leads to Rho activation and that depolarization-induced Rho activation could be possibly mediated by CaMK II (5). It is likely that the initial event in myogenic constriction, a Ca2+ influx-dependent process, leads to Rho activation that maintains myogenic reactivity with the subsequent increases in the pressure or the phase 2 of the autoregulatory curve.
In conclusion, myogenic tone in rat ophthalmic artery has different characteristics compared with that of arteries from other vascular beds. This study also suggests that this artery could be a suitable preparation to study to understand ocular hemodynamics and pressure-mediated regulation of blood flow to retinal vascular bed. This also offers a good model to study pressure transduction in the ocular vascular bed in rats. Our present studies are focused at understanding ionic regulation of myogenic tone in ophthalmic artery and, therefore, the regulation of blood flow to the retina.
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| FOOTNOTES |
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The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
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