·Clinical Research· Current Issue· ·Achieve· ·Search Articles· ·Online Submission· ·About IJO· PMC
Citation: Mynampati BK, Ghosh S,
Muthukumarappa T, Ram J. Evaluation of antioxidants and argpyrimidine in normal
and cataractous lenses in north Indian population. Int J Ophthalmol
2017;10(7):1094-1100
Bharani K Mynampati1, Sujata Ghosh2,
Thungapathra Muthukumarappa3, Jagat Ram1
1Department of Ophthalmology, Advanced Eye Center, Post Graduate
Institute of Medical Education and Research, Chandigarh 160012, India
2Department of Experimental Medicine & Biotechnology, Post
Graduate Institute of Medical Education and Research, Chandigarh 160012, India
3Department of Biochemistry, Post Graduate
Institute of Medical Education and Research, Chandigarh 160012, India
Correspondence
to: Bharani K Mynampati. Department of Ophthalmology, Advanced Eye
Center, Post Graduate Institute of Medical Education and Research, Chandigarh
160012, India. bharanima@gmail.com
Received:
2016-11-02
Accepted: 2017-01-19
AIM: To
assess the level of glutathione, thioltransferase, and argpyrimidine in nuclear
and cortical cataractous lenses as well as in the clear lenses in the north
Indian population.
METHODS: Human
cataractous lenses were collected from the patients who underwent extracapsular
cataract extraction surgery; clear lenses were collected from the freshly
donated eye bank eyes. Antioxidant molecules such as glutathione and
thioltransferase enzyme activity were measured; simultaneously in these lenses
a blue fluorophore argpyrimidine, an advanced glycation end (AGE) product level
was assessed using high performance liquid chromatography (HPLC).
RESULTS: The
protein concentration was found to be present at higher levels in the control
lenses compared to cataract lenses. A significant decrease in the glutathione
level was observed in the nuclear cataractous lenses compared to cortical
cataractous (P=0.004) and clear lenses (P≤0.005), but no
significant change in the level of antioxidant enzyme thioltransferase was
observed. Further, argpyrimidine a blue fluorophore (AGE) was found to be
significantly higher in the nuclear cataract (P=0.013) compared to cortical
cataract lenses.
CONCLUSION: Antioxidants
such as glutathione significantly decrease in age-related nuclear and cortical
cataract and an AGE, argpyrimidine are present at significantly higher levels
in nuclear cataract.
KEYWORDS:
age-related cataract; antioxidants; argpyrimidine; glutathione;
nuclear cataract; cortical cataract; thioltransferase
DOI:10.18240/ijo.2017.07.12
Citation: Mynampati BK, Ghosh S, Muthukumarappa T, Ram J.
Evaluation of antioxidants and argpyrimidine in normal and cataractous lenses
in north Indian population. Int J Ophthalmol 2017;10(7):1094-1100
Cataract
refers to the opacification of the crystalline lens resulting from alterations
in cellular architecture of lens specifically in lens proteins[1]. According to the World Health Organization report
(2004), cataract is the leading cause of blindness around the world[2]. It is an irreversible age-related process for which
modern medical science has no effective pharmacological management[3]. The exact mechanism of cataract formation
is yet to be defined. Various risk factors are known to be associated with
cataract; these include age, by far the biggest risk factor, the incidence of
all type of cataracts increases exponentially after 50y, cigarette smoking,
diabetes mellitus, sunlight exposure, drug usage, educational status, and
errors in refraction[4].
The
lens proteins undergo non-enzymatic post translational modification and
cross-linking, which finally lead to light scattering in the lens resulting in
cataract formation[5]. Crystallins (α, β, γ) are
the major proteins of the lens. The physiological function of eye lens depends
on a balanced redox state in the micro-environment for maintaining its
transparency, as lens cells are constantly exposed to reactive oxygen species[6]. Mitochondria is primary site for the formation of
reactive oxygen species (ROS) as 95% of O2 which is generated during
the normal metabolism of cells from the electron transport chain (ETC) in inner
mitochondrial membrane[7]. These ROS are generated
endogenously or exogenously from the environment. Redox homeostasis in the lens
is achieved by scavenger antioxidant molecules and repair systems. The
endogenous high level of reduced glutathione (GSH) plays a vital role as the
first line of defense against reactive oxygen species. GSH is not distributed
uniformly within the lens. Its concentration is higher in the cortex than in
the nucleus[8]. The GSH level in the lens
decreases progressively with age and during cataract formation in humans[9]. The second line of defense for lens is its intrinsic
repair enzymes. The two important enzyme-repair systems include GSH-dependent
thioltransferase and NADPH-dependent thioredoxin/thioredoxin reductase. Thioltransferase (E.C.1.8.4.1) acts as a repair enzyme
to prevent lens protein aggregation by restoring thiolated proteins to their
normal reduced state by cleaving protein-thiol mixed disulfides[8].
Lens
protein undergoes various physiochemical changes during aging and cataract
formation[10]. Long lived proteins including
α-crystallins are the most susceptible to form the advanced glycation end
products. The Maillard reaction is one mechanism implicated in such changes,
where aldehydes and ketones react non-enzymatically with the amino group of
proteins to form an irreversible advanced glycation end (AGE) product[11]. An important AGE is argpyrimidine which is a blue
fluorophore derived from the reaction of methylglyoxal (MG) with guanidine
group of arginyl residues on proteins. Padayatti et al[11] reported the presence of argpyrimidine in the water
insoluble fractions of crystallins at higher level in case of human brunescent
cataractous lenses as compared to normal young lenses and aged lenses.
Ethnic
variation in cataractogenesis is a widely known fact[12].
In the present study, an attempt has been made to assess the activity of
thioltransferase, GSH and argpyrimidine in the lenses obtained from the north
Indian patients having nuclear or cortical cataract and in control lenses and
to find out correlation between the level of argpyrimidine and the
antioxidants.
Patient
Samples This study
was approved by the Institutional Review Board and all ethical guidelines were
followed. A written informed consent was taken in every case as per the
institute’s guidelines. The study adhered to the tenets of the Declaration of
Helsinki. All patients underwent detailed ocular examinations including type of
cataract and fundus evaluation. The samples for the present study consisted of
cataractous lenses from patients aged >40y, with visually significant
cataract who underwent extra capsular cataract extraction surgery either for
predominant cortical cataract (n=30) and nuclear cataract (n=30)
from Advanced Eye Center, Post Graduate Institute of Medical Education and
Research, Chandigarh, India. Control clear lenses were collected from donors
>40y of age (n=15) from the Eye Bank. Patients with history of
diabetes mellitus, any form of traumatic cataract and any history of using
systemic or topical steroids were excluded from this study.
Preparation
of Crude Human Lens Homogenate Each lens
was homogenized in 2 mL of 0.1 mol/L potassium phosphate buffer (pH 7.4). An aliquot
of the lens homogenate was separated and used for glutathione assay and the
remaining homogenate was centrifuged (10 000 rpm, 30min, 4℃). The supernatant
was designated as the water soluble fraction and the pellet was designated as
the water insoluble fraction. The water soluble fraction was used for the
measurement of thioltransferase activity and the water insoluble fraction was
used for the assessment of argpyrimidine level.
Detection
of the Level of Glutathione in Cataractous Lenses and Control Lenses The level of
GSH in each lens homogenate was determined by the method of Cui and Lou[13] (1993). In all the assays, blank and different
dilutions of standard (reduced glutathione as standard, with concentrations
20-100 nmol) were run in parallel. The concentration of the GSH in the samples
was estimated from the standard curve plotted with the known concentrations of
reduced glutathione against their respective optical density (OD) at 412 nm.
Results were expressed as mmol/L.
Briefly,
20 µL of 10% trichloroacetic acid (TCA) was added to 200 µL of lens homogenate,
the mixture was centrifuged (10 000 rpm, 30min) and the supernatant was used
for the detection of glutathione level. The assay was carried out in
flat-bottomed micro-titre plates. The reaction mixture consisted of 20 µL of
lens homogenate, 176 µL of 0.2 mol/L Na2HPO4 containing 2
mmol/L Na2EDTA and 4 µL of 10 mmol/L 5, 5’- dithiobisnitro-benzoic
acid (DTNB). The OD was measured at 412 nm after 5min.
Assay
for Activity of Thioltransferase in Cataractous Lenses and Control Lenses Thioltransferase
activity was measured by the method of Mieyal and Chock (2012)[14]. The reaction mixture consisted of 100 µL 0.1mol/L
potassium phosphate buffer (pH 7.4), 100 µL 0.2 mmol/L NADPH, 50 µL 0.5 mmol/L
GSH, 1.1 µL 0.4 units of GSSG reductase and an aliquot of lens sample in a
total volume of 1 mL. The reaction was carried out at room temperature and
initiated after 5min by the addition of 100 µL 2 mmol/L hydroxyethyl disulfide
(HEDS). The decrease in absorbance of NADPH at 340 nm was monitored at 1min
interval for 5min, using spectrophotometer (Beckman Coulter Inc., USA).
Specific activity (mU/mg of protein) of the enzyme was determined from nmols of
NADPH (molar extinction coefficient of NADPH 6.22 L·mmol-1·cm-1
under standard assay conditions) oxidized/min/mg of protein.
Protein
Estimation The protein
content in the lens homogenate as well as the water soluble fraction of the
lens homogenate was determined using a Bicinchoninic acid assay[15].
Synthesis
of Argpyrimidine Since
argpyrimidine was not commercially available, it was synthesized in the
laboratory by the method of Shipanova et al[16]
using methyl glyoxal and N-α-tertiary butyloxycarbonyl (t-BOC)-arginine.
Briefly, 0.2 mol/L each methyl glyoxal and N-α-t-BOC-arginine at a molar
ratio of 1:1 was dissolved in 9.6 mL 0.02 mol/L sodium phosphate buffer (pH
7.4). The reaction mixture was adjusted to pH 7.4 with l.7 mL 1 mol/L NaOH and
incubated at 55℃ for 4d under sterile conditions. This was then treated with 10
mL 1 mol/L HCl for 2h at room temperature to release the t-α-BOC group from
arginine. The resulting liquid mixture was concentrated under vacuum and
suspended in 8 mL of 80% methanol in water. This mixture was chromatographed on
preparative silica plates (Silica 60, 20×20 cm, 2.0 mm, Altech associates,
Inc., Deerfield, II, USA) using solvent system of butanol: acetic acid:
pyridine (5:2:2.5:2.5, v/v/v/v). The fluorescent band detected at Rf
values 0.56 under long wave length ultra violet light was marked, scraped off
the plate and then suspended in 10 mL distilled water. The suspension was
further stirred overnight and then centrifuged (6500 rpm, 30min). The resultant
supernatant was dried under vacuum, dissolved in 6 mL of water and filtered
through a 0.4 µm filter (Millex-GV Millipore, Japan). This was fractionated by
preparative high performance liquid chromatography (HPLC, PerkinElmer, USA)
using a C-18 reversed-phase column (4.6×25 cm, 10 µm, Rustek, USA). The column
was equilibrated with mobile phase A (water +0.1% TFA) with a flow rate of 1
mL/min. A gradient of 50% acetonitrile in water with 0.1% TFA was used as the
mobile phase B. The gradient programme was as follows: 0-5min 0 B, 5-10min 30%
B, 10-15min 50% B, 15-19min 70% B, 19-30min 100% B, 30-40min 0 B. The
fluorescent compound was detected by an on line fluorescence detector set at
excitation wavelength 320 nm and emission wavelength 380 nm. The absorption
maxima of this compound at 231 nm and 335 nm were detected by an on-line diode
array detector. A major fluorescent peak at retention time 11.5min was
detected.
Detection
of Argpyrimidine in the Lens Samples
The water insoluble fraction of each lens homogenate was treated
with 3 mL of chloroform: methanol (2:1) mixture for 3h with stirring and
centrifuged (6500 rpm, 30min). The pellet was treated with 5 mL diethyl ether
for 10min and centrifuged (6500 rpm, 30min). The residue obtained was dried in
a desiccator and kept at 4℃. The 10 mg of WI protein fraction of each lens
homogenate was treated with 10 µL pronase E (2% w/w) in 200 µL 0.05 mol/L
phosphate buffer (pH 7.4) containing 0.02% sodium azide and incubated at 37℃
for 24h. Digestion was continued with further addition of 10 µL pronase E (2%
w/w) for 16h. The digest was treated with 20 µL aminopeptidase M (0.5% w/w) and
10 µL carboxy-peptidase Y (0.5% w/w) for 16h and 8h respectively. The digest
was centrifuged (6500 rpm, 30min) to remove floating debris.
The
argpyrimidine content in the digest was estimated by using HPLC. Briefly, 100
µL of the digest was injected into C-18 reversed-phase column (Rustek, USA).
Elution of argpyrimidine was achieved under the same conditions as described
before. Results were expressed as the fluorescent intensity of the
argpyrimidine in test samples. Further, for quantitative estimation of the
argpyrimidine concentration in the test samples, different dilutions of the
standard argpyrimidine (1 mg/mL) were run in HPLC under the same conditions.
The argpyrimidine level was expressed in view of fluorescent intensity.
Statistical
Analysis The mean,
median and interquartile range for glutathione, thioltransferase activity, and
argpyrimidine levels were calculated. For comparison of the individual
parameters in different groups Mann-Whitney U test (comparison of
median) were used. For the comparison of the interrelationship of each
parameter within each group Pearson correlation, Spearman’s rank correlation
and linear regression analysis were employed.
We analyzed 30 lenses with nuclear cataract
and 30 lenses with cortical cataract from patients who underwent cataract
extraction for visually significant cataract. There were also control 15 lenses
obtained from donors from eye bank.
The total number and mean age of patients and
controls in the present study was described in the Table 1.
Table
1 Age of cataract patients and controls
Groups
(n) |
Mean
age±SD (a) |
Control
lenses X (15) |
47.20±8.21 |
Nuclear
cataract lenses Y (30) |
71.25±11.78 |
Cortical
cataract lenses Z (30) |
62.33±10.73 |
The protein concentration in the supernatant
of each lens homogenate was measured and results were expressed as mg/mL as
shown in the Table 2. The protein concentration was found significantly reduced
in nuclear cataract lenses as compared to control (P=0.003) as well as
cortical cataract lenses (P=0.020).
Table 2 Mean
total protein levels in lenses of cataract patients and control and comparison
Groups
(n) |
Total
protein (mg/mL) |
Comparison |
P |
Control
lenses X (15) |
12.1±5.0 |
X vs
Y |
0.003 |
Nuclear
cataract Y (30) |
6.8±3.4 |
Y vs
Z |
0.020 |
Cortical
cataract Z (30) |
10.09±5.75 |
Z vs
X |
0.600 |
The glutathione level (mmol/L) was measured
in the supernatant of each lens. A significant decrease in the glutathione
level (median value) was observed in the nuclear cataract lenses as compared to
control as well as cortical cataract lenses (Figure 1A).
Although an increase in the TTase activity
levels was observed (median level) in cortical and nuclear cataract groups
compared to controls lenses, this change was statistically not significant
between any of the groups Figure 1B.
Figure 1 Glutathione
level (A) and thioltranferse activity (B) in lens samples of patients and
control samples X consisted of
clear control lenses (n=15), Y and Z consisted of patients (n=30)
having predominantly nuclear cataract and cortical cataract patients.
Synthesis of Argpyrimidine A major peak
with retention time 11.5min was detected at the emission wavelength, 380 nm in
an on line fluorescence detector set at the excitation wavelength, 320 nm. This
peak also showed absorbance maxima at 231 nm and 335 nm as obtained by an
on-line diode array detector (data not shown). MALDI-TOF mass spectrometric
analysis of this purified fraction revealed the presence of a molecule with m/z
ratio of 256.95 which corresponded to the mass of argpyrimidine (data not
shown). Further, using this argpyrimidine as a standard, the level of
argpyrimidine in the lens samples of cataract patients and controls was
detected using fluorescence intensity of the peak detected at the same
retention time as that of standard argpyrimidine.
Enzyme
digested control lens samples as well as the lens samples of patients having
nuclear cataract and cortical cataract respectively for detection of the level
of argpyrimidine in view of the fluorescence intensity (µV/S). A significant
increase in the argpyrimidine level (median value) was noted in nuclear
cataract as compared to cortical cataract lenses (P=0.013).
Correlation Study A
significant correlation was found between protein concentration and glutathione
level in control lenses (P=0.011). A significant correlation between
protein concentration and thioltransferase activity was found in nuclear
cataract lenses (P=0.043) in Table 3. A significant correlation between
glutathione level and thioltransferase activity was found in nuclear cataract
lenses (P=0.043). Further a significant correlation was found between
thioltransferase activity and argpyrimidine level in cortical cataract lenses (P=0.01).
Further no significant correlation was found between the level of glutathione
and argpyrimidine in any of the groups in Table 4.
Table
3 Correlation data for GSH levels, thioltransferase activity with total protein
concentration
Group
(n) |
GSH vs
total protein r (P)
|
TTase vs
total protein r (P) |
Control
(15) |
0.654
(0.011) |
-0.276 |
Nuclear
cataract (30) |
0.225 |
0.370
(0.043) |
Cortical
cataract (30) |
0.487 |
-0.244 |
TTase: thioltransferase.
Table
4 Correlation data for GSH level, thioltransferase activity with argpyrimidine
levels
Group
(n) |
Argpyrimidine
vs GSH r (P) |
Argpyrimidine
vs TTase r (P) |
GSH vs TTase r (P) |
Control
(15) |
-0.011 |
0.230 |
- 0.187 |
Nuclear
cataract (30) |
-0.166 |
-0.156 |
0.366
(0.043) |
Cortical
cataract (30) |
0.215 |
0.489
(0.01) |
0.186 |
TTase: thioltransferase.
Ageing has been established as a major risk
factor for human cataract formation resulting in the increased oxidative stress
and lower antioxidant capabilities in the lens[17].
Studies have shown that a substantial decrease in the rate of diffusion
of small molecules between lens cortex and nucleus in the older lenses[18] with age this "diffusion barrier" was
postulated to increasingly limit the transport of the intra-cellular
antioxidants to the lens nucleus, which may result in the increased
susceptibility of older lenses to the oxidative damage[19].
Cigarette smoking and smoky cooking fuel both implicated in the etiology of
cataract, as cigarette smoke and firewood smoke condensate permeates the lens
capsule and imparts opacification of lens in an light and dose dependent
manner. Long term exposure to ultra-violet light (UV-B) is known to be
associated with cortical cataract development[4].
Human lens is differentiated into three
different parts: nucleus, cortex and lens epithelium. The epithelial cells are
present under the collagenous capsule surrounding the lens and are most
metabolically active cells[20]. Some of these
cells are dividing to form fibres cells where gene products of crystallins are
formed. The outer layer of fibre cells consists of cortex and below the cortex
the oldest nuclear cells are present[21]. Normal
human lens consists of protective agents and systems to combat oxidative
stress. For decades chronic exposure to active forms of oxygen may lead to
gradual erosion of antioxidants and their protective mechanisms of the lens.
The major antioxidants of lens include GSH and ascorbic acid[22]..Any
decrease in the antioxidant levels makes the lens prone to oxidative damage,
which in turn results in accumulation of oxidized residues in the long lived
lens proteins[23]. The present study also
supports evidence that the enzyme responsible for protein thiol oxidation
repair, including GSH, thioltransferase becomes less efficient during aging
process. It is well known that GSH in the lens is vital for its maintenance in
its transparency[24]. Studies have indicated an
important hydroxyl radical-scavenging function for GSH in lens epithelial cells
independent of the cells ability to detoxify H2O2. The
synthesis and recycling of GSH falls with age, leading to a progressive loss of
this molecule and a rise in its oxidized form (GSSG). This is partly due to a marked
fall in glutathione reductase activity with age[25].
The relatively low ratio of GSH to protein-SH in the nucleus of the lens of
adult individuals, combined with low activity of the GSH redox cycle makes the
nucleus especially vulnerable to oxidative stress, as has been demonstrated in
experimental animal models exposed to hyperbaric oxygen/UV-A as well as in the
glutathione peroxidase knockout mouse[23].
Further loss of GSH occurs in cataractous lenses and over 50 percent of the
methionine residues and nearly all of the cysteine residues in the proteins
have been found to be oxidized[26]. Many reports
suggests that mitochondrial dysfunction plays a vital role in the generation of
reactive oxygens species (ROS) in mitochondria, which produces 95% of O2
in the metabolism of normal cell via ETC in the inner mitochondrial
membrane, which is susceptible to formation of free radicals, any damage to
mitochondria of epithelial cells may result in ROS production which inturn may
affect proteins and lipid plasma cell membrane of the underlying fibre cells in
lens leading to cataract formation[7]. In
the present study we observed that GSH was more depleted in nuclear cataractous
compared to cortical cataractous and control lenses. We feel that these results
were justified because since the occurrence of nuclear cataract was at higher
age than cortical cataract. Since aging is a recognized cause of oxidative stress
with evidence of GSH depletion, it might be possible that in nuclear
cataractous lenses comparatively more GSH depletion occurs due to a synergistic
effect of age and disease. It might be possible that GSH decrease in the
diseased lenses is not solely due to cataract, but along with cataract other
factors such as ageing, smoking, UV-light exposure, may act as contributory
factors for the depletion of GSH and thioltransferase in the cataractous lenses
as compared to control lenses.
The human lens has a peculiar anatomical
structure i.e. presence of cellular part, acellular (fibrous) part and
non-nucleated portion. GSH depletion that results in oxidative stress, may not
be associated with enhanced TTase induction resulting in increased TTase
activity, which our observations suggest occur in lenses obtained from patients
suffering from different types of cataract in relation to clear lenses.
The
antioxidant GSH is depleted in the cataractous lenses with no statistically
significant increase of the enzymatic counterpart (TTase) which is expected to
generate serious oxidative stress resulting in the formation of advanced
glycation end products (AGES). In relation to oxidative stress, the lens is
shown to generate AGEs even in non-diabetic individuals[27].
Among the AGEs, argpyrimidine is of special concern since it has been detected
from biological samples including cataractous lenses in a number of studies[28]. It was demonstrated that methyl glyoxal could modify
arginine and form argpyrimidine in human lenses and this changes occurred at
much higher rate in brunescent lens proteins than in either nuclear cataractous
lenses or normal lenses. Further, the authors reported that lens crystallins
showed argpyrimidne and covalently cross linked aggregates[10].
In
the present study we have observed that a statistically significant increase of
argpyrimidine concentration was obtainable from the extracts of nuclear
cataractous lenses, when compared to extracts of cortical cataractous lenses
and clear lenses. This is obvious since we have also observed that GSH
depletion was maximum in nuclear cataractous lenses and the patients who were
considered in the nuclear cataract group were of more advanced age than the
cortical cataract group. We believe that lack of enhancement of TTase activity
might also contribute to increased production of argpyrimidine in the nuclear
cataract group. Thus, it may be possible that more GSH depletion, increased age
and lack of enhancement of TTase activity synergistically caused oxidative
stress in the nuclear cataractous lenses resulting in more formation of
argpyrimidine as compared to cortical cataractous lenses and clear lenses. It
was observed that there is no significant difference in the weight of
cataractous lenses and clear lenses (data not shown). Nuclear cataractous
lenses, which contain significantly, lower concentration of protein as compared
to cortical cataractous lenses and clear lenses. This is obvious because in
nuclear cataractous lenses the oxidative stress was evidenced to be more due to
GSH depletion, argpyrimidine formation and lack of enhancement of TTase
activity. It is needless to mention that oxidative stress is universally
accompanied by insults to biomolecules produced by ROS which may result in
protein destruction.
It
has been observed that in case of cortical cataract, a significant correlation
exists between protein and GSH concentration of the lenses and which is not the
fact in case of nuclear cataract. The increased argpyrimidine formation in the
nuclear cataractous lenses indicates that there is more methylglyoxal formation
in this particular case. Methlglyoxal is known to form hemithioacetal adduct
with cysteine[21]. It might
be possible that due to this reason, GSH, which is a cysteine containing
tri-peptide, has been comparatively depleted more than protein in
nuclear cataractous lens, while a significant correlation was found between
protein concentration and thioltransferase activity in the nuclear cataractous
lens. This is because the nucleus of the lens is mostly acellular, this cannot
induce TTase in response to oxidative stress. Therefore, oxidative stress in
the nucleus of the lens is capable of protein destruction which in turn is
expected to reduce TTase activity also. Furthermore, a significant correlation
between GSH level and TTase activity may be possible in nuclear cataractous
lens which is also a finding of the present study. It was also observed that
GSH and argpyrimidine levels were not shown to be correlated significantly.
This is expected, since methylglyoxal is known to form adducts with GSH and it
also synthesizes argpyrimidine in GSH independent manner[29].
Further, we have also been observed that in case of cortical cataractous
lenses, a significant correlation was found between thioltransferase activity
and argpyrimidine level. This may be due to the fact that the cortex of the
lens is a cellular structure, where oxidative stress can induce TTase formation
as well as argpyrimidine generation.
In
the present study, there was difference in the average age group in cortical
and nuclear cataract groups compared to control group with no cataract as we
could not obtain the clear lenses without cataract in the matching eyes of
donors (eye bank) but these donors lenses were more than 40 years of age. Also
in the present work evaluating the level of ascorbic acid might have given
strong evidence for the antioxidant molecules role in the development of
cataract, as we have not assess the vitamin C, which we feel were the
limitations of the present study.
In
the present study in view of decreased glutathione level and increased
argpyrimidine formation in cataractous lenses indicate oxidative stress; to the
best of our knowledge this is the first report from north Indian population
regarding this, keeping in view the ethnic variations in cataractogenesis this
study is of considerable current interest.
Thank Prof. A.K Chakraborti, MSc, PhD, Head Department of Medicinal
Chemistry, NIPER, Mohali, India for providing all the laboratory help and
guidance.
Foundation: Supported by Indian
Council of Medical Research.
Conflicts of Interest: Mynampati BK, None; Ghosh S, None; Muthukumarappa T, None; Ram J, None.
1 Kumar M, Agarwal T,
Khokhar S, Kumar M, Kaur P, Roy TS, Dada R. Mutation screening and genotype
phenotype correlation of alpha-crystallin, gamma- crystallin and GJA8 gene in
congenital cataract. Mol Vis
2011;17:693-707. [PMC free article] [PubMed]
2 Resnikoff S,
Pascolini D, Mariotti SP, Pokharel GP. Global magnitude of visual impairment
caused by uncorrected refractive errors in 2004. Bull World Health Organ 2008;86(1):63-70. [CrossRef]
3 Babizhayev MA.
Biomarkers and special features of oxidative stress in the anterior segment of
the eye linked to lens cataract and the trabecular meshwork injury in primary
open-angle glaucoma: challenges of dual combination therapy with
N-acetylcarnosine lubricant eye drops and oral formulation of nonhydrolyzed
carnosine. Fundam Clin Pharmacol
2012;26(1):86-117. [CrossRef]
[PubMed]
4 Chang JR, Koo E,
Agrón E, Hallak J, Clemons T, Azar D, Sperduto RD, Ferris FL 3rd, Chew EY. Risk
factors associated with incident cataracts and cataractsurgery in the Age
Related Eye Disease Study (AREDS). Ophthalmology
2011;118(11):2113-2119. [CrossRef]
[PMC free article] [PubMed]
5 Michael R, Bron AJ.
The ageing lens and cataract: a model of normal and pathological ageing. Philos Trans R SocLond B Biol Sci 2011;
366(1568):1278-1292. [CrossRef]
[PMC free article] [PubMed]
7 Murphy MP. How mitochondria produce reactive oxygen
species. Biochem J 2009;417(1):1-13. [CrossRef] [PMC free
article]
[PubMed]
8 Lou MF. Redox regulation in the lens. Prog Retin Eye Res 2003;22(5): 657-682.
[CrossRef]
9 Zhang J, Yan H, Löfgren S, Tian X, Lou MF.
Ultraviolet radiation-induced cataract in mice: the effect of age and the
potential biochemical mechanism. Invest
Ophthalmol Vis Sci 2012;53(11):7276-7285. [CrossRef] [PMC free article] [PubMed]
11 Padayatti PS, Ng AS, Uchida K, Glomb MA, Nagaraj
RH. Argpyrimidine, a blue fluorophore in human lens proteins: high levels in
brunescent cataractous lenses. Invest
Ophthalmol Vis Sci 2001;42(6):1299-1304. [PubMed]
12 Roshan M, Kabekkodu SP, Vijaya PH, Manjunath K,
Graw J, Gopinath PM, Satyamoorthy K. Analysis of mitochondrial DNA variations
in Indian patients with congenital cataract. Mol Vis 2012;18:181-193. [PMC free article] [PubMed]
13 Cui XL, Lou MF. The effect and recovery of
long-term H2O2 exposure on lens morphology and
biochemistry. Exp Eye Res
1993;57(2):157-167. [CrossRef]
[PubMed]
14 Mieyal JJ, Chock PB. Posttranslational modification
of cysteine in redox signaling and oxidative stress: focus on
s-glutathionylation. Antioxid Redox
Signal 2012;16(6):471-475. [CrossRef]
[PMC free article] [PubMed]
15 Reichelt WN, Waldschitz D, Herwig C, Neutsch L.
Bioprocess monitoring: minimizing sample matrix effects for total protein
quantification with bicinchoninic acid assay. J Ind Microbiol Biotechnol 2016;43(9):1271-1280.
16 Shipanova IN, Glomb MA, Nagaraj RH. Protein modification by methylglyoxal:
chemical nature and synthetic mechanism of a major fluorescent adduct. Arch Biochem Biophys 1997;344(1):29-36.
[CrossRef]
[PubMed]
17 Xing KY, Lou MF. Effect of age on the
thioltransferase (glutaredoxin) and thioredoxin systems in the human lens. Invest Ophthalmol Vis Sci
2010;51(12):6598-6604. [CrossRef]
[PMC free article] [PubMed]
18 Moffat BA, Pope JM. Anisotropic water transport in
the human eye lens studied by diffusion tensor NMR micro-imaging. Exp Eye Res 2002;74(6):677-687. [CrossRef] [PubMed]
19 McGinty SJ, Truscott RJ. Presbyopia: the first
stage of nuclear cataract? Ophthalmic Res
2006;38(3):137-148. [CrossRef]
[PubMed]
20 Fan X, Monnier VM, Whitson J. Lens glutathione
homeostasis: Discrepancies and gaps in knowledge standing in the way of novel
therapeutic approaches. Exp Eye Res
2017;156:103-111. [CrossRef]
[PubMed]
22 Brennan LA, Lee W, Giblin, FJ, David LL
&Kantorow M. Methionine sulfoxide reductase A (MsrA) restores
alpha-crystallin chaperone activity lost upon methionine oxidation. Biochim Biophys Acta 2009;1790(12):
1665-1672. [CrossRef]
[PMC free article] [PubMed]
23 Kyselova Z, Gajdosik A, Gajdosikova A, Ulicna O,
Mihalova D, Karasu C, Stefek M. Effect of the pyridoindole antioxidant
stobadine on development of experimental diabetic cataract and on lens protein
oxidation in rats: comparison with vitamin E and BHT. Mol Vis 2005;11: 56-65. [PubMed]
24 Giblin FJ. Glutathione: a vital lens antioxidant. J Ocul Pharmacol Ther
2000;16(2):121-135. [CrossRef]
[PubMed]
25 Truscott R J. Age-related nuclear
cataract-oxidation is the key. Exp EyeRes
2005;80(5):709-725. [CrossRef]
26 Gul A, Rahman MA, Salim A, Simjee SU. Advanced
glycation end-products in senile diabetic and non-diabetic patients with
cardiovascular complications. Age
2008;30(4):303-309. [CrossRef]
[PMC free article] [PubMed]
27 Hashim Z, Zarina S. Advanced glycation end products
in diabetic and non-diabetic human subjects suffering from cataract. Age (Dordr) 2011;33(3):377-384. [CrossRef]
[PMC free article] [PubMed]
28 Ranjan M, Beedu SR. Spectroscopic and biochemical
correlations during the course of human lens aging. BMC Ophthalmol 2006;(6):10. [CrossRef] [PMC free article] [PubMed]
29 Yoon KD, Yamamoto K, Zhou J, Sparrow JR.
Photo-products of retinal pigment epithelial bisretinoids react with cellular
thiols. Mol Vis 2011;17:1839-1849. [PMC free article] [PubMed]