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1.
Leukemia ; 31(11): 2468-2478, 2017 11.
Article in English | MEDLINE | ID: mdl-28344320

ABSTRACT

Dipeptidylpeptidase 4 (DPP4/CD26) enzymatically cleaves select penultimate amino acids of proteins, including colony-stimulating factors (CSFs), and has been implicated in cellular regulation. To better understand the role of DPP4 regulation of hematopoiesis, we analyzed the activity of DPP4 on the surface of immature blood cells and then comparatively assessed the interactions and functional effects of full-length (FL) and DPP4 truncated (T) factors (T-granulocyte-macrophage-CSF (T-GM-CSF)) and T-interleukin-3 (T-IL-3)) on both in vitro and in vivo models of normal and leukemic cells. T-GM-CSF and -IL-3 had enhanced receptor binding, but decreased CSF activity, compared with their FL forms. Importantly, T-GM-CSF and -IL-3 significantly, and reciprocally, blunted receptor binding and myeloid progenitor cell proliferation activity of both FL-GM-CSF and -IL-3 in vitro and in vivo. Similar effects were apparent in vitro using cluster-forming cells from patients with acute myeloid leukemia regardless of cytogenetic or molecular alterations and in vivo using animal models of leukemia. This suggests that DPP4 T-molecules have modified binding and functions compared with their FL counterparts and may serve regulatory roles in normal and malignant hematopoiesis.


Subject(s)
Dipeptidyl Peptidase 4/metabolism , Granulocyte-Macrophage Colony-Stimulating Factor/metabolism , Interleukin-3/metabolism , Receptors, Cell Surface/metabolism , Animals , Cell Proliferation , Humans , Leukemia, Myeloid, Acute/pathology , Mice , Mice, Inbred C57BL , Protein Binding
2.
Leukemia ; 31(6): 1415-1422, 2017 06.
Article in English | MEDLINE | ID: mdl-27840422

ABSTRACT

Activating mutations, such as E76K and D61Y, in PTPN11 (SHP2), a protein tyrosine phosphatase implicated in multiple cell signaling processes, are associated with 35% of patients with juvenile myelomonocytic leukemia (JMML), an aggressive childhood myeloproliferative neoplasm (MPN). Here we show that the interaction between leukemia-associated mutant Shp2 and Gab2, a scaffolding protein important for cytokine-induced PI3K/Akt signaling, was enhanced, and that the mTOR pathway was elevated in Ptpn11E76K/+ leukemic cells. Importantly, MPN induced by the Ptpn11E76K/+ mutation was markedly attenuated in Ptpn11E76K/+/Gab2-/- double mutant mice-overproduction of myeloid cells was alleviated, splenomegaly was diminished and myeloid cell infiltration in nonhematopoietic organs was decreased in these double mutants. Excessive myeloid differentiation of stem cells was also normalized by depletion of Gab2. Acute leukemia progression of MPN was reduced in the double mutant mice and, as such, their survival was much prolonged. Furthermore, treatment of Ptpn11E76K/+ mice with Rapamycin, a specific and potent mTOR inhibitor, mitigated MPN phenotypes. Collectively, this study reveals an important role of the Gab2/PI3K/mTOR pathway in mediating the pathogenic signaling of the PTPN11 gain-of-function mutations and a therapeutic potential of Rapamycin for PTPN11 mutation-associated JMML.


Subject(s)
Mutation , Myeloproliferative Disorders/etiology , Phosphoinositide-3 Kinase Inhibitors , Phosphoproteins/antagonists & inhibitors , Protein Tyrosine Phosphatase, Non-Receptor Type 11/physiology , TOR Serine-Threonine Kinases/antagonists & inhibitors , Adaptor Proteins, Signal Transducing , Animals , Antibiotics, Antineoplastic/pharmacology , Mice , Mice, Knockout , Myeloproliferative Disorders/drug therapy , Myeloproliferative Disorders/pathology , Phosphatidylinositol 3-Kinases/genetics , Phosphoproteins/genetics , Signal Transduction , Sirolimus/pharmacology , TOR Serine-Threonine Kinases/genetics
3.
Blood ; 97(4): 911-4, 2001 Feb 15.
Article in English | MEDLINE | ID: mdl-11159516

ABSTRACT

Shp-1 and Shp-2 are cytoplasmic phosphotyrosine phosphatases with similar structures. Mice deficient in Shp-2 die at midgestation with defects in mesodermal patterning, and a hypomorphic mutation at the Shp-1 locus results in the moth-eaten viable (me(v)) phenotype. Previously, a critical role of Shp-2 in mediating erythroid/myeloid cell development was demonstrated. By using the RAG-2-deficient blastocyst complementation, the role of Shp-2 in lymphopoiesis has been determined. Chimeric mice generated by injecting Shp-2(-/-) embryonic stem cells into Rag-2-deficient blastocysts had no detectable mature T and B cells, serum immunoglobulin M, or even Thy-1(+) and B220(+) precursor lymphocytes. Collectively, these results suggest a positive role of Shp-2 in the development of all blood cell lineages, in contrast to the negative effect of Shp-1 in this process. To determine whether Shp-1 and Shp-2 interact in hematopoiesis, Shp-2(-/-):me(v)/me(v) double-mutant embryos were generated and the hematopoietic cell development in the yolk sacs was examined. More hematopoietic stem/progenitor cells were detected in Shp-2(-/-):me(v)/me(v) embryos than in Shp-2(-/-) littermates. The partial rescue by Shp-1 deficiency of the defective hematopoiesis caused by the Shp-2 mutation suggests that Shp-1 and Shp-2 have antagonistic effects in hematopoiesis, possibly through a bidirectional modulation of the same signaling pathway(s).


Subject(s)
Hematopoiesis/physiology , Hematopoietic Stem Cells/enzymology , Immunologic Deficiency Syndromes/genetics , Lymphocytes/enzymology , Animals , B-Lymphocytes/cytology , Cell Lineage , Chimera , DNA-Binding Proteins/deficiency , DNA-Binding Proteins/genetics , Embryonic and Fetal Development/genetics , Female , Genetic Complementation Test , Genotype , Hematopoiesis/genetics , Lymphocytes/cytology , Mice , Mice, Knockout , Phosphorylation , Protein Processing, Post-Translational , Signal Transduction , Specific Pathogen-Free Organisms , T-Lymphocytes/cytology , Yolk Sac/cytology
4.
Cell Res ; 10(4): 279-88, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11191350

ABSTRACT

Cellular biological activities are tightly controlled by intracellular signaling processes initiated by extracellular signals. Protein tyrosine phosphatases, which remove phosphate groups from phosphorylated signaling molecules, play equally important tyrosine roles as protein tyrosine kinases in signal transduction. SHP-2, a cytoplasmic SH2 domain containing protein tyrosine phosphatase, is involved in the signaling pathways of a variety of growth factors and cytokines. Recent studies have clearly demonstrated that this phosphatase plays an important role in transducing signal relay from the cell surface to the nucleus, and is a critical intracellular regulator in mediating cell proliferation and differentiation.


Subject(s)
Protein Tyrosine Phosphatases/metabolism , Signal Transduction , Animals , Hematopoietic Stem Cells/physiology , Intracellular Signaling Peptides and Proteins , Phosphoproteins/metabolism , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/genetics , SH2 Domain-Containing Protein Tyrosine Phosphatases
5.
J Exp Med ; 190(5): 681-90, 1999 Sep 06.
Article in English | MEDLINE | ID: mdl-10477552

ABSTRACT

Chemokines regulate a number of biological processes, including trafficking of diverse leukocytes and proliferation of myeloid progenitor cells. SHP-1 (Src homology 2 domain tyrosine phosphatase 1), a phosphotyrosine phosphatase, is considered an important regulator of signaling for a number of cytokine receptors. Since specific tyrosine phosphorylation of proteins is important for biological activities induced by chemokines, we examined the role of SHP-1 in functions of chemokines using viable motheaten (me(v)/me(v)) mice that were deficient in SHP-1. Chemotactic responses to stromal call-derived factor 1 (SDF-1), a CXC chemokine, were enhanced with bone marrow myeloid progenitor cells as well as macrophages, T cells, and B cells from me(v)/me(v) versus wild-type (+/+) mice. SDF-1-dependent actin polymerization and activation of mitogen-activated protein kinases were also greater in me(v)/me(v) versus +/+ cells. In contrast, immature subsets of me(v)/me(v) bone marrow myeloid progenitors were resistant to effects of a number of chemokines that suppressed proliferation of +/+ progenitors. These altered chemokine responses did not appear to be due to enhanced expression of CXCR4 or lack of chemokine receptor expression. However, expression of some chemokine receptors (CCR1, CCR2, CCR3, and CXCR2) was significantly enhanced in me(v)/me(v) T cells. Our results implicate SHP-1 involvement in a number of different chemokine-induced biological activities.


Subject(s)
Bone Marrow Cells/drug effects , Bone Marrow Cells/physiology , Chemokines, CXC/pharmacology , Hematopoietic Stem Cells/drug effects , Hematopoietic Stem Cells/physiology , Protein Tyrosine Phosphatases/genetics , Protein Tyrosine Phosphatases/metabolism , Actins/metabolism , Animals , Base Sequence , Bone Marrow Cells/cytology , Calcium-Calmodulin-Dependent Protein Kinases/metabolism , Cell Division/drug effects , Cell Movement/drug effects , Chemokine CXCL12 , Chemotaxis/drug effects , DNA Primers/genetics , Enzyme Activation/drug effects , Hematopoietic Stem Cells/cytology , Intracellular Signaling Peptides and Proteins , Mice , Mice, Inbred C57BL , Mice, Mutant Strains , Protein Phosphatase 1 , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/deficiency , Receptors, Chemokine/metabolism
6.
Proc Natl Acad Sci U S A ; 96(15): 8528-33, 1999 Jul 20.
Article in English | MEDLINE | ID: mdl-10411909

ABSTRACT

By using both genetic and biochemical approaches, we have investigated the physiological role of Shp-2, a cytoplasmic tyrosine phosphatase with two Src homology 2 domains, in signaling pathways downstream of epidermal growth factor receptor (EGF-R). In previous studies, a targeted deletion mutation in the SH2-N domain of Shp-2 was introduced into the murine Shp-2 locus, which resulted in embryonic lethality of homozygous mutant (Shp-2(-/-)) mice at midgestation. By aggregating Shp-2(-/-) embryonic stem cells with wild-type embryos, we created Shp-2(-/-)/wild-type chimeric animals. Most chimeras had open eyelids at birth and abnormal skin development, a phenotype characteristic of mice with mutations in EGF-R signaling components. In genetic crosses, a heterozygous Shp-2 mutation dominantly enhanced the phenotype of a weak mutant allele of EGF-R (wa-2), resulting in distinctive growth retardation, developmental defects in the skin, lung, and intestine, and perinatal mortality that are reminiscent of EGF-R knockout mice. Biochemical analysis revealed that signal propagation proximal to the EGF-R upon EGF stimulation was significantly attenuated in wa-2 fibroblast cells, which was exacerbated by the additional Shp-2 mutation. Thus, we provide biological evidence here that protein-tyrosine phosphatase Shp-2 acts to enhance information flow from the EGF-R in mouse growth and development.


Subject(s)
ErbB Receptors/genetics , Mitogen-Activated Protein Kinases , Protein Tyrosine Phosphatases/genetics , Signal Transduction/genetics , Animals , Calcium-Calmodulin-Dependent Protein Kinases/metabolism , Chimera/genetics , Crosses, Genetic , Embryonic and Fetal Development/genetics , Enzyme Activation , ErbB Receptors/metabolism , Heterozygote , Histocytochemistry , Intracellular Signaling Peptides and Proteins , Mice , Mice, Knockout , Mitogen-Activated Protein Kinase 3 , Mutation , Phenotype , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/metabolism , SH2 Domain-Containing Protein Tyrosine Phosphatases , src Homology Domains/genetics
7.
Mol Cell Biol ; 18(10): 6075-82, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9742124

ABSTRACT

Shp-2 is a cytoplasmic tyrosine phosphatase that contains two Src homology 2 (SH2) domains at the N terminus. Biochemical data suggests that Shp-2 acts downstream of a variety of receptor and cytoplasmic tyrosine kinases. A targeted deletion mutation in the N-terminal SH2 (SH2-N) domain results in embryonic lethality of homozygous mutant mice at midgestation. In vitro embryonic stem (ES) cell differentiation assays suggest that Shp-2 might play an important role in hematopoiesis. By aggregating homozygous mutant (Shp-2(-/-)) ES cells and wild-type (WT) embryos, we created Shp-2(-/-)-WT chimeric animals. We report here an essential role of Shp-2 in the control of blood cell development. Despite the widespread contribution of mutant cells to various tissues, no Shp-2(-/-) progenitors for erythroid or myeloid cells were detected in the fetal liver and bone marrow of chimeric animals by using the in vitro CFU assay. Furthermore, hematopoiesis was defective in Shp-2(-/-) yolk sacs. In addition, the Shp-2 mutation caused multiple developmental defects in chimeric mice, characterized by short hind legs, aberrant limb features, split lumbar vertebrae, abnormal rib patterning, and pathological changes in the lungs, intestines, and skin. These results demonstrate a functional involvement of Shp-2 in the differentiation of multiple tissue-specific cells and in body organization. More importantly, the requirement for Shp-2 is more stringent in hematopoiesis than in other systems.


Subject(s)
Hematopoiesis , Protein Tyrosine Phosphatases/physiology , Animals , Cell Line , Intracellular Signaling Peptides and Proteins , Liver/embryology , Mice , Mice, Knockout , Mutation , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/genetics , Yolk Sac
8.
J Biol Chem ; 273(33): 21125-31, 1998 Aug 14.
Article in English | MEDLINE | ID: mdl-9694867

ABSTRACT

Shp-2, a widely expressed cytoplasmic tyrosine phosphatase with two SH2 domains, is believed to participate in signal relay downstream of growth factor receptors. We show here that this phosphatase also plays an important role in the control of cell spreading, migration, and cytoskeletal architecture. Fibroblast cells lacking a functional Shp-2 were impaired in their ability to spread and migrate on fibronectin compared with wild-type cells. Furthermore, Shp-2 mutant cells displayed an increased number of focal adhesions and condensed F-actin aggregation at the cell periphery, properties reminiscent of focal adhesion kinase (FAK)-deficient cells. This is consistent with our previous observations in vivo that mice homozygous for the Shp-2 mutation died at midgestation with similar phenotype to FAK and fibronectin-deficient embryos, having severe defects in mesodermal patterning, particularly the truncation of posterior structures. Biochemical analysis demonstrated that FAK dephosphorylation was significantly reduced in Shp-2 mutant cells in suspension. Furthermore, regulated association of Src SH2 domain with FAK and paxillin during cell attachment and detachment on fibronectin was disrupted in Shp-2 mutant cells. This report defines a unique role of the Shp-2 tyrosine phosphatase in cell motility, which might guide the design of a new strategy for pharmaceutical interference of tumor metastasis.


Subject(s)
Cell Adhesion Molecules/metabolism , Cell Adhesion , Cell Movement , Protein Tyrosine Phosphatases/metabolism , Protein-Tyrosine Kinases/metabolism , Animals , Cell Line , Cytoskeletal Proteins/metabolism , Fibroblasts/cytology , Focal Adhesion Kinase 1 , Focal Adhesion Protein-Tyrosine Kinases , Heterozygote , Homozygote , Intracellular Signaling Peptides and Proteins , Mice , Paxillin , Phenotype , Phosphoproteins/metabolism , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/genetics , SH2 Domain-Containing Protein Tyrosine Phosphatases
9.
Oncogene ; 17(4): 433-9, 1998 Jul 30.
Article in English | MEDLINE | ID: mdl-9696036

ABSTRACT

Shp-2 is a ubiquitously expressed tyrosine phosphatase with two SH2 domains. Homozygous mutant mice with a targeted deletion of 65 amino acid residues in the N-terminal SH2 domain of Shp-2 die in utero at mid-gestation, with multiple defects in mesodermal patterning. To surpass the embryonic lethality in dissecting the Shp-2 function in cell growth and differentiation, we established homozygous Shp-2 mutant embryonic stem (ES) cell lines. Our previous data showed a severe suppression of hematopoietic cell differentiation from Shp-2 mutant ES cells. Here we demonstrate that development of cardiac muscle cells was dramatically delayed and impaired in embryoid bodies (EBs) of Shp-2 mutant origin. Shp-2 mutant ES cells failed to differentiate into epithelial and fibroblast cells in vitro. However, higher efficiency of secondary EB formation was observed from the mutant than the wild-type ES cells. Further, mutant ES cells were more sensitive than wild-type cells to the differentiation suppressing effect of leukemia inhibitory factor (LIF). In addition, mutant ES cells showed a reduced growth rate compared to wild-type cells. These results suggest that the Shp-2 tyrosine phosphatase is a positive regulator for both cell differentiation and proliferation, in contrast to the Src-family kinases which promote cell growth but block differentiation.


Subject(s)
Cell Differentiation/physiology , Cell Division/physiology , Interleukin-6 , Protein Tyrosine Phosphatases/physiology , src Homology Domains/physiology , Animals , Cell Line , Cell Lineage , Epithelial Cells/cytology , Fibroblasts/cytology , Gene Expression Regulation , Growth Inhibitors/metabolism , Growth Inhibitors/pharmacology , Intracellular Signaling Peptides and Proteins , Leukemia Inhibitory Factor , Lymphokines/metabolism , Lymphokines/pharmacology , Mice , MyoD Protein/genetics , Myocardium/cytology , Myogenin/genetics , Myosin Heavy Chains/genetics , Myosin Light Chains/genetics , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/genetics , SH2 Domain-Containing Protein Tyrosine Phosphatases , Signal Transduction
10.
Oncogene ; 17(4): 441-8, 1998 Jul 30.
Article in English | MEDLINE | ID: mdl-9696037

ABSTRACT

The SH2-containing tyrosine phosphatase Shp-2 appears to function downstream of a variety of growth factor receptors and might play a positive role in cell proliferation. Here we report that expression of the beta subunit of platelet-derived growth factor receptor (PDGFR-beta) was specifically downregulated in mutant fibroblasts lacking a functional Shp-2, while the levels of PDGFR-alpha EGFR and IGFIR were not changed. PDGF-stimulated DNA synthesis and extracellular signal regulated kinase (Erk) activation was severely suppressed in mutant cells. RasGAP, that responds to activation of PDGFR-beta but not PDGFR-alpha, was not phosphorylated on tyrosine in mutant cells upon PDGF-treatment. Northern blot analysis failed to detect PDGFR-beta mRNA in mutant cells. The transcription initiation from the PDGFR-beta gene promoter was not significantly changed, but the half-life of its mRNA was shortened in Shp-2 mutant cells. These observations indicate that Shp-2 not only participates in transmission of signals from growth factor receptors but also plays a specific role in the control of the PDGFR-beta expression. We propose that this is an important mechanism for the positive control of cell proliferation by Shp-2.


Subject(s)
Down-Regulation , Protein Tyrosine Phosphatases/physiology , Receptors, Platelet-Derived Growth Factor/biosynthesis , src Homology Domains , Animals , Becaplermin , Cell Line , Fibroblasts/drug effects , Fibroblasts/metabolism , Intracellular Signaling Peptides and Proteins , Mice , Mice, Inbred C57BL , Mitogens/metabolism , Mitogens/pharmacology , Mutagenesis , Platelet-Derived Growth Factor/metabolism , Platelet-Derived Growth Factor/pharmacology , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , Protein Tyrosine Phosphatases/genetics , Proto-Oncogene Proteins c-sis , RNA, Messenger , Receptor, Platelet-Derived Growth Factor beta , Receptors, Platelet-Derived Growth Factor/genetics , SH2 Domain-Containing Protein Tyrosine Phosphatases , Signal Transduction
11.
Mol Cell Biol ; 17(9): 5499-507, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9271425

ABSTRACT

Shp-1 and Shp-2 are cytoplasmic protein tyrosine phosphatases that contain two Src homology 2 (SH2) domains. A negative regulatory role of Shp-1 in hematopoiesis has been strongly implicated by the phenotype of motheaten mice with a mutation in the Shp-1 locus, which is characterized by leukocyte hypersensitivity, deregulated mast cell function, and excessive erythropoiesis. A targeted deletion of 65 amino acids in the N-terminal SH2 (SH2-N) domain of Shp-2 leads to an embryonic lethality at midgestation in homozygous mutant mice. To further dissect the Shp-2 function in hematopoietic development, we have isolated homozygous Shp-2 mutant embryonic stem (ES) cells. Significantly reduced hematopoietic activity was observed when the mutant ES cells were allowed to differentiate into embryoid bodies (EBs), compared to the wild-type and heterozygous ES cells. Further analysis of ES cell differentiation in vitro showed that mutation in the Shp-2 locus severely suppressed the development of primitive and definitive erythroid progenitors and completely blocked the production of progenitor cells for granulocytes-macrophages and mast cells. Reverse transcriptase PCR analysis of the mutant EBs revealed reduced expression of several specific marker genes that are induced during blood cell differentiation. Stem cell factor induction of mitogen-activated protein kinase activity was also blocked in Shp-2 mutant cells. Taken together, these results indicate that Shp-2 is an essential component and primarily plays a positive role in signaling pathways that mediate hematopoiesis in mammals. Furthermore, stimulation of its catalytic activity is not sufficient, while interaction via the SH2 domains with the targets or regulators is necessary for its biological functions in cells. The in vitro ES cell differentiation assay can be used as a biological tool in dissecting cytoplasmic signaling pathways.


Subject(s)
Hematopoietic Stem Cells/cytology , Protein Tyrosine Phosphatases/genetics , src Homology Domains , Animals , Calcium-Calmodulin-Dependent Protein Kinases/metabolism , Cell Differentiation/genetics , Cell Line , Enzyme Activation , Gene Expression , Homozygote , Intracellular Signaling Peptides and Proteins , Mice , Point Mutation , Polymerase Chain Reaction , Protein Tyrosine Phosphatase, Non-Receptor Type 11 , Protein Tyrosine Phosphatase, Non-Receptor Type 6 , SH2 Domain-Containing Protein Tyrosine Phosphatases , Sequence Deletion
12.
Invest Ophthalmol Vis Sci ; 29(10): 1474-7, 1988 Oct.
Article in English | MEDLINE | ID: mdl-3170119

ABSTRACT

Hypotensive and other ocular effects were studied for 24 hr after topical application of prostaglandin F2 alpha as the tromethamine salt (PGF2 alpha) in 45 normotensive human subjects. After baseline intraocular pressure (IOP) measurements, 62.5 micrograms, 125 micrograms and 250 micrograms of PGF2 alpha dissolved in 50 microliter of saline was applied to one eye of 15 subjects for each dose tested. Contralateral control eyes received 50 microliter of saline. As compared with the IOP of the contralateral control eyes, topical application of 62.5 micrograms PGF2 alpha caused a significant IOP reduction at 1-12 hr, with a maximal IOP reduction of 2.2 mm Hg at 2 hr. Treatment with 125 micrograms of PGF2 alpha lowered IOP significantly at 1-21 hr, with a maximal reduction of 3.1 mm Hg at 9 hr. Administration of 250 micrograms PGF2 alpha produced a significant reduction of IOP, which lasted for at least 24 hr. A maximal IOP reduction of 2.9 mm Hg occurred at 7 hr. Pupillary diameter was not altered. Aqueous flare and anterior chamber cellular response were not seen in any of the eyes of the subjects at any time after topical application of 62.5-250 micrograms PGF2 alpha. The drug caused side effects consisting of reddened skin of lower lid, ocular irritation, conjunctival hyperemia and headache.


Subject(s)
Dinoprost/pharmacology , Intraocular Pressure/drug effects , Administration, Topical , Adult , Dinoprost/adverse effects , Erythema/chemically induced , Eye/blood supply , Female , Headache/chemically induced , Humans , Hyperemia/chemically induced , Male , Middle Aged , Reference Values , Time Factors
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