Light insult results in increased production of H
2O
2 in the outer retina,
6 indicating that ROS accumulation is involved in the development of light-induced retinal damage. The enzymatic antioxidant pathway is of particular importance in abating this oxidative stress. In this pathway, superoxide anion radicals are initially converted to H
2O
2 by superoxide dismutase (SOD),
7 then to H
2O by glutathione peroxidase (GPx) and/or catalase.
8 Imbalance in this two-step conversion results in the accumulation of H
2O
2, with the consequential formation of highly noxious and reactive hydroxyl radicals through Fenton-type reactions,
9 which then initiate rounds of lipid peroxidation.
10 Immunohistochemical location of SOD,
11 catalase,
12 and GPx
13 to similar regions of the retina, particularly the outer retina and RPE, suggests that the enzymatic antioxidant pathway is involved in the retinal cellular defense against oxidative stress. However, SOD
14 and GPx
8 are now known to consist of multigene families with isoenzymes that have specific molecular, biochemical, and functional characteristics, as well as tissue specific expression patterns. Indeed differential distribution of GPx
2 and SOD
15 isoenzymes throughout the retina, not necessarily including the outer retina, now question the specificity of earlier immunohistochemical findings.
16 17 Furthermore, differential expression and regulation of these antioxidant isoenzymes induced by light exposure
2 6 suggest that the response of these enzymes in the retina to photo-oxidative stress and their involvement in the enzymatic antioxidant pathway is more complex. The significance of each antioxidant isoenzyme in retinal response to photo-oxidative stress remains to be fully evaluated.