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On-Tat Lee, Samuel D. Good, Ricardo Lamy, Max Kudisch, Jay M. Stewart; Advanced Glycation End-Product Accumulation Reduces Vitreous Permeability. Invest. Ophthalmol. Vis. Sci. 2015;56(5):2892-2897. doi: 10.1167/iovs.14-15840.
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To evaluate the effect of nonenzymatic cross-linking (glycation) upon the permeability of the vitreous to small- and large-solute diffusion.
Vitreous from freshly excised porcine eyes was treated for 30 minutes with control or 0.01%, 0.1%, or 1% methylglyoxal (MG) solution. The efficacy of the glycation regimen was verified by measuring nonenzymatic cross-link density by fluorescence in the vitreous samples. Resistance to collagenase digestion as well as Nε-(carboxyethyl) lysine (CEL) content were also measured. The permeability coefficient for fluorescein and fluorescein isothiocyanate (FITC)-IgG diffusion through 3 mL of the vitreous samples was determined by using a custom permeability tester.
Vitreous cross-linking with MG treatment was confirmed by increased fluorescence, increased CEL concentration, and increased resistance to collagenase digestion. Vitreous glycation resulted in a statistically significant decrease in the permeability coefficient for fluorescein diffusion when either 0.1% or 1% MG solution was used (5.36 ± 5.24 × 10−5 cm s−1, P = 0.04; and 4.03 ± 2.1 × 10−5 cm s−1, P = 0.001; respectively, compared with control, 9.77 ± 5.45 × 10−5 cm s−1). The permeability coefficient for diffusion of FITC-IgG between control (9.9 ± 6.37 × 10−5 cm s−1) and treatment groups was statistically significant at all MG concentrations (0.01% MG: 3.95 ± 3.44 × 10−5 cm s−1, P = 0.003; 0.1% MG: 4.27 ± 1.32 × 10−5 cm s−1, P = 0.004; and 0.1% MG: 3.72 ± 2.49 × 10−5 cm s−1, P = 0.001).
Advanced glycation end-product (AGE) accumulation reduces vitreous permeability when glycation is performed in ex vivo porcine vitreous. The permeability change was more pronounced for the larger solute, suggesting a lower threshold for AGE-induced permeability changes to impact the movement of proteins through the vitreous when compared with smaller molecules.
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