Spectral transmission of the pig lens: effect of ultraviolet A+B radiation

Effect of lens crystallins aggregation on cataract formation

Cataracts represent one of the leading causes of blindness globally. The World Health Organization's 2019World Report on Vision indicates that approximately 65.2 million individuals worldwide experience varying degrees of visual impairment or blindness attributable to cataracts. The prevalence of this condition is significantly increasing, largely due to the accelerated aging of the global population. The lens of the eye is primarily composed of crystallins, which are categorized into three families: α-, β-, and γ-crystallins. The highly ordered structure and interactions among these crystallins are crucial for maintaining lens transparency. Disruptions in the interactions within or between crystallins can compromise this delicate architecture, exposing hydrophobic surfaces that lead to crystallin aggregation and subsequent cataract formation. Currently, surgical intervention is the sole treatment for cataracts, and the cataract surgery rate in China remains considerably lower than that of developed nations. Investigating the mechanisms of crystallins interaction and aggregation is essential for understanding the molecular pathogenesis of cataract formation, which may inform the development of targeted therapies and preventative strategies. This paper reviews recent scientific advancements in the research field of lens crystallins aggregation and cataract formation.

UV light and the ocular lens: a review of exposure models and resulting biomolecular changes

UV light is known to cause damage to biomolecules in living tissue. Tissues of the eye that play highly specialised roles in forming our sense of sight are uniquely exposed to light of all wavelengths. While these tissues have evolved protective mechanisms to resist damage from UV wavelengths, prolonged exposure is thought to lead to pathological changes. In the lens, UV light exposure is a risk factor for the development of cataract, which is a condition that is characterised by opacity that impairs its function as a focusing element in the eye. Cataract can affect spatially distinct regions of the lens. Age-related nuclear cataract is the most prevalent form of cataract and is strongly associated with oxidative stress and a decrease in the antioxidant capacity of the central lens region. Since UV light can generate reactive oxygen species to induce oxidative stress, its effects on lens structure, transparency, and biochemistry have been extensively investigated in animal models in order to better understand human cataract aetiology. A review of the different light exposure models and the advances in mechanistic understanding gained from these models is presented.

Influence of Visible Violet, Blue and Red Light on the Development of Cataract in Porcine Lenses

Background and Objectives: Cataract is a disease that is globally prevalent in today’s population and occurs mostly in the elderly. It is an opacity of the lens that worsens vision and can lead to blindness. One well-known risk factor of cataract is ultraviolet (UV) radiation. However, increasing exposure to modern artificial light sources like light emitting diodes (LEDs) and displays might have an impact on cataract formation due to possible high (and hidden) blue radiation. An ex-vivo study indicates that intense blue radiation causes cataract in porcine lenses. The goal of this work is the investigation whether violet or red light also lead to cataract formation in porcine lenses and to compare the impact of the different wavelengths. Materials and Methods: LEDs with wavelengths of 407 nm (violet), 463 nm (blue) and 635 nm (red) are used to irradiate ex–vivo porcine lenses with a dose of 6 kJ/cm². Before and after irradiation the lens transmissions are measured and dark field images are taken to determine cataract formation. The same procedure is performed for unirradiated controls. Results: The results of the transmission measurements are in accordance with the results of the dark field images and state that 635 nm (red) is inducing no or only weak cataract. In comparison to the dark field images the transmission measurements exhibit stronger cataract formation for 407 nm than for 463 nm irradiation while the dark field images show similar cataract formation for both wavelengths. Conclusions: Visible light of short wavelengths cause cataract formation in porcine eyes, and it cannot be excluded that these wavelengths, which are emitted by modern LED illuminants, also pose a danger to human eyes.

Cataract Development by Exposure to Ultraviolet and Blue Visible Light in Porcine Lenses

Background and Objectives: Cataract is still the leading cause of blindness. Its development is well researched for UV radiation. Modern light sources like LEDs and displays tend to emit blue light. The effect of blue light on the retina is called blue light hazard and is studied extensively. However, its impact on the lens is not investigated so far. Aim: Investigation of the impact of the blue visible light in porcine lens compared to UVA and UVB radiation. Materials and Methods: In this ex-vivo experiment, porcine lenses are irradiated with a dosage of 6 kJ/cm2 at wavelengths of 311 nm (UVB), 370 nm (UVA), and 460 nm (blue light). Lens transmission measurements before and after irradiation give insight into the impact of the radiation. Furthermore, dark field images are taken from every lens before and after irradiation. Cataract development is illustrated by histogram linearization as well as faults coloring of recorded dark field images. By segmenting the lens in the background's original image, the lens condition before and after irradiation could be compared. Results: All lenses irradiated with a 6 kJ/cm2 reveal cataract development for radiation with 311 nm, 370 nm, and 460 nm. Both evaluations reveal that the 460 nm irradiation causes the most cataract. Conclusion: All investigated irradiation sources cause cataracts in porcine lenses-even blue visible light.

The mechanism of the interaction of α-crystallin and UV-damaged βL-crystallin

α-Crystallin maintains the transparency of the lens by preventing the aggregation of damaged proteins. The aim of our work was to study the chaperone-like activity of native α-crystallin in near physiological conditions (temperature, ionic power, pH) using UV-damaged β_L-crystallin as the target protein. α-Crystallin in concentration depended manner inhibits the aggregation of UV-damaged β_L-crystallin. DSC investigation has shown that refolding of denatured UV-damaged β_L-crystallin was not observed under incubation with α-crystallin. α-Crystallin and UV-damaged β_L-crystallin form dynamic complexes with masses from 75 to several thousand kDa. The content of UV-damaged β_L-crystallin in such complexes increases with the mass of the complex. Complexes containing >10% of UV-damaged β_L-crystallin are prone to precipitation whereas those containing <10% of the target protein are relatively stable. Formation of a stable 75 kDa complex is indicative of α-crystallin dissociation. We suppose that α-crystallin dissociation is the result of an interaction of comparable amounts of the chaperone-like protein and the target protein. In the lens simultaneous damage of such amounts of protein, mainly β and gamma-crystallins, is impossible. The authors suggest that in the lens rare molecules of the damaged protein interact with undissociated oligomers of α-crystallin, and thus preventing aggregation.

Phototoxicity of environmental radiations in human lens: revisiting the pathogenesis of UV-induced cataract

The magnitude of cataract pathology is indeed significant as it is the principal cause of blindness worldwide. Also, the prominence of this concept escalates with the current aging population. The burden of the disease is more tangible in developing countries than developed ones. Regarding this concern, there is a gap in classifying the pathogenesis of the ultraviolet (UV) radiation-induced cataracts and explaining the possible cellular and subcellular pathways. In this review, we aim to revisit the effect of UV radiation on cataracts categorizing the cellular pathways involved. This may help for better pharmaceutical treatment alternatives and their wide-reaching availability. Also, in the last section, we provide an overview of the protecting agents utilized as UV shields. Further studies are required to enlighten new treatment modalities for UV radiation-induced pathologies in human lens.

Determination of scattering in intraocular lenses by spectrophotometric measurements

This study presents a method for measuring scattering in explanted intraocular lenses (IOLs). Currently, determining scattering in IOLs is usually performed by Scheimpflug cameras and the results are expressed in the units used by this apparatus. The method we propose uses a spectrophotometer and this makes it possible to measure the total transmission of the IOL by using an integrating sphere; the direct transmission is determined by the double-beam mode. The difference between these two transmissions gives a value of the scattering in percentage values of light lost. In addition, by obtaining the spectral transmission curve, information about the most scattered wavelengths is also obtained. The IOL power introduces errors when directly measured, particularly with high powers. This problem can be overcome if a tailor-made cuvette is used that shortens the distance between the IOL and the condensing lens of the spectrophotometer when the IOL powers are below 24 diopters. We checked the effectiveness of this method by measuring the scattering of three explanted IOLs from cornea donors. This method, however, does not make it possible to ascertain whether the scattering measured is caused by surface light scattering or internal light scattering.