In the human lenses, Ca
2+ overload resulted in
opacification of the lens cortex. The
Ca
2+-induced loss of cortical transparency is
consistent with data from other mammalian lenses, with the exception of
the neonatal rodent lens, where a nuclear opacification is
observed.
7 The increased light scatter in the human lens
was associated with an increased efflux of protein from the
water-soluble protein fraction. This was shown to be a direct result of
increased intracellular Ca
2+, because chelation
of the Ca
2+ in the external medium was
preventative. This human lens Ca
2+-induced
opacification (HLCO) model reflects observed changes in human
cataractogenesis. Mature human cortical cataracts have increased
Ca
2+ content and decreased dry
weight.
2 5 The latter occurs because of a loss of
crystallins from the soluble fraction, by insolubilization and efflux
into the aqueous humor.
21 22 These changes were paralleled
in the HLCO model, in that ionomycin induced a loss of newly
synthesized soluble protein and an increase in incorporation into the
water-insoluble fraction
(Table 2) . In addition, there was a mean
increase in wet weight of approximately 20% in the lenses with
Ca
2+ overload. Because there is a concomitant
loss of dry weight due to the efflux of protein from the lenses, the
increase is due to increased lens hydration. Lens hydration and
swelling have been observed both in animal models of
cataract
6 23 and in advanced human cortical cataract in
vivo.
5 The present model, involving an acute increase in
internal calcium, produces cortical opacification within 1 week,
whereas human cortical cataract may take years to develop in vivo.
However, the features that the model and in vivo cataract have in
common indicate that it can begin to bridge the gap between
experimental animal models and human cataract.