Accumulation of calcium in the lens has been associated with
cataractogenesis.
9 Increased calcium in the lens has been
observed in more than 75% of all the cataracts
examined,
10 and inhibition of a Ca
2+ pump by calmodulin antagonists has been shown to cause changes in lens
permeability and transparency.
11 Nevertheless,
calcium is essential for maintaining the transparency of the lens,
because the culture of intact lens in the absence of calcium results in
opacification.
12 Thus, calcium homeostasis is essential
for the maintenance of lens transparency. In intact lens, intracellular
calcium is maintained mainly by the highly active single layer of
epithelium present at the anterior surface of the
lens.
13 14 At the equatorial regions, epithelial cells
divide and differentiate into elongated fibers. The fibers accumulate
crystallins (∼33%) and gradually lose their intracellular
organelles. Analysis of 10 to 12 fibers each after staining with
fluorescent dyes specific for DNA and mitochondria indicated that the
fiber preparation that we use for all the investigations of calcium
levels, protease activity, and the globulization time did not have
nuclei or mitochondria. Presumably, replacement of intracellular
organelles with crystallins during maturation of fiber cells minimizes
light scattering. Although in the mature lens, the highly
differentiated fibers are not electrogenic, they maintain a negative
potential (approximately −45 to −60 mV) by being coupled through
low-resistance pathways to the epithelium.
15 This is
supported by the observation that after removal of the single anterior
layer of the epithelium, the resting potential in the lens decreases to
near zero.
1 Moreover, the observation that the
Ca
2+-ATPase activity of the cortex is
low
16 further supports the view that calcium homeostasis
in the lens is maintained in part by the epithelium.
We have previously shown that single fiber cells isolated from rat lens
cannot maintain [Ca
2+]
i in an ionic media (Ringer’s solution) containing physiological levels
of calcium present in the interstitial spaces of the lens. Increased[
Ca
2+]
i in isolated
fibers, superfused with Ringer’s solution containing different
concentrations of calcium, is associated with globulization of the
elongated fibers into small sealed globules which exclude trypan blue
as well as Lucifer yellow.
2 3 4 The globulization of fiber
cells appears to be mediated, in part, by the activation of chloride
channels and Donnan swelling.
17 The globules, generated in
vitro, resemble those observed in the light-scattering centers of the
diabetic and senile supranuclear cataracts.
18 19 20 We find
that the globules, generated from isolated fibers, have uniform
electron density, similar to that observed with thin sections of intact
lens cortex and have no marked inhomogeneities or high-molecular-weight
protein aggregates that can scatter light.
5 Because
protein aggregates of approximately 1 million Da are required to cause
light scattering,
21 it appears likely that formation of
these globules, rather than overt protein aggregation, is the
underlying cause of increased light scattering in supranuclear
cataracts.
Our results show that an increase in Ringer’s solution with[
Ca
2+]
o from
10
−8 to 2 ×
10
−3 M leads to an
increase in fiber cell[
Ca
2+]
i with a decrease
in globulization time from more than 120 minutes to less than 30
minutes. The increase in[
Ca
2+]
i was closely
associated with the proteolytic activity of single fibers. Although for
technical reasons it was not possible to measure calcium levels and
protease activity in the same fiber cell, analysis of each one of these
parameters separately in a large number of fibers provided
statistically significant correlation between these parameters. An
R 2 value of 0.897 was obtained from
linear regression analysis relationship between[
Ca
2+]
i (after 15 minutes
of exposure to Ringer’s solution) and protease activity
(Table 2) .
However, a single exponential fit of the relationship gave an
R 2 value of 0.995, indicating that[
Ca
2+]
i and the protease
activity were highly correlated.
One of the likely roles of increased[
Ca
2+]
i may be activation
of Ca
2+-dependent proteases, especially
calpain.
22 23 Activated proteases could hydrolyze membrane
and cytoskeletal proteins, resulting in permeability alterations that
lead to the globulization of fiber cells. This sequence of events is
consistent with the observation that there was a significant delay in
globulization of fibers preincubated with protease substrate,
BOC-Leu-Met-CMAC. Because this is a substrate for proteases endogenous
to the lens, including calpain, this peptide would compete with the
physiological substrates and therefore delay globulization of the fiber
cells. Furthermore, the increase in
T g and a decrease in protease activity without affecting the increase in
the levels of [Ca
2+]
i in
fiber cells superfused with 2 ×
10
−3 M
Ca
2+ Ringer’s solution containing 0.5 mM
leupeptin, a protease inhibitor, indicates that activation of
Ca
2+-dependent protease plays a critical role in
the disintegration of isolated fiber cells in the ionic media
containing calcium. The globulization appears to be triggered by the
increase in [Ca
2+]
i,
because preloading cells with BAPTA-AM, which is cleaved inside the
fiber cells by pyridine coenzyme-linked aldehyde dehydrogenase and is
trapped inside cells, prevented globulization. Thus, our results
clearly show that in ionic media, increased calcium entry resulting in
the activation of cellular proteases leads to globulization of fiber
cells. However, further investigations are required to identify the
specific substrate(s) of the Ca
2+-activated
protease, which may be involved in fiber cell globulization.
In view of the similarity between disintegrative globulization of fiber
cells and the light-scattering centers of supranuclear cataracts, it is
tempting to speculate that chemical or physical injury to the fiber
cells could result in their uncoupling from the epithelium. The
uncoupled fiber cells, akin to the isolated single cells, will be
destined to globulize, because of their inability to maintain
intracellular calcium. In the presence of millimolar concentrations of
calcium in the interstitial fluid, the[
Ca2+]i would increase in
the uncoupled fibers resulting in the activation of proteases which
would then cleave structural proteins to form resealed globules. By
enhancing light scattering, these globules would cause punctate opacity
in the cortex, generally observed in early stages of supranuclear
cataract.