UVB light has been implicated in human cortical cataract formation. In addition, UVB light is the only light significantly able to cause cortical cataracts in a rat model,
6 11 possibly because while UVB enters rat lenses, it penetrates only a short distance into the lens,
13 resulting in anterior cortical cataract.
7 11 12 Nuclear involvement, however, is observed in most human cataracts. It is possible, therefore, that UVA light could contribute to nuclear cataract because UVA light has been shown to penetrate the nucleus of the lens.
16 Rodent lenses do not absorb significant amounts of UVA light. Human lenses, however, contain proteins with UVA-absorbing chromophores and free LMW filter compounds. The latter absorb UVA light but are thought to be incapable of producing reactive oxygen species.
29 They are thought to act mainly to protect the lens and retina from UVA light in primates
32 but are not needed in rodents, which are nocturnal.
Proteins isolated from young human lenses absorb little or no UVA light, but UVA absorbance increases with age in a process commonly referred to as browning. This is thought to be the result of protein modification and is prominent in the WI protein fraction.
31 The modification of proteins by sugars or ascorbate oxidation products give rise to AGEs, many of which absorb in the UVA portion of the spectrum.
22 23 The modification of calf lens proteins by ascorbic acid in vitro under air for 4 weeks produced AGEs that have been shown to be largely the same as the browning compounds in aged human lenses by thin-layer chromatography,
36 HPLC,
36 and mass spectrometry.
37 In addition, ascorbate-glycated proteins exhibit sensitizer activity, producing the same distribution of ROS in air as seen with proteins isolated from aged human lenses and cataracts.
22 A concern from these observations was that ascorbate must be oxidized to produce glycating species,
41 but this seemed unlikely in vivo because of the limiting oxygen levels in the human lens.
33 34 35 Previous work from this and other laboratories has shown, however, that ascorbate can be oxidized by UVA light in the presence of aged human lens WI proteins but in the absence of oxygen, presumably through the formation of ascorbyl free radicals.
21 24 Two ascorbyl free radicals can then dismutate into one molecule of ascorbate and one molecule of dehydroascorbate
(Fig. 11) . In the absence of AGE compounds in the young lens, however, it was unclear how the oxidation of ascorbic acid could be initiated.
In this study, we investigated whether LMW compounds in young human lenses could act as UVA sensitizers and initiate the oxidation of ascorbate independent of AGE formation. LMW activity was seen in the WS and the WISS fractions. This activity did not change in older human lenses, but there was a threefold to sixfold increase in the activity in the protein fractions, consistent with AGE formation by ascorbate oxidation products. Significantly, all the fractions from human lenses demonstrated equivalent activities in the presence and the absence of oxygen. These data support the lack of ROS formation but argue that the sensitizers would be functional for ascorbate oxidation in the human lens in vivo. We have previously shown that irradiation of human lenses did not produce singlet oxygen damage but did cause ascorbate oxidation,
21 which is consistent with the lack of an oxygen effect reported here.
A sum of the sensitizer activity in young human lens shows the ability to oxidize more than 300 nmol ascorbate in 30 minutes; however, the light source produced 100-fold more UVA light absorbed than the lens would be subjected to in vivo. In the young human lens, the DHA produced could be reduced back to ascorbate by GSH. Still, DHA levels measured in the human lens with age were significant and constant at 1.9 μmol/100 g lens tissue.
42 As the lens ages further, the protein-bound sensitizers increase, which produces increased ascorbate oxidation, more AGE formation, and therefore more sensitizers. This leads to a marked increase in protein-bound sensitizers in lenses of persons older than 40 to 50 years.
43 44 Ascorbate-modified proteins ultimately lead to the formation of high molecular–weight protein aggregates,
45 which compose the WI fraction in human lens homogenates. It is this fraction that has the highest UVA sensitizer activity in aged human lenses.
The LMW sensitizer activity in the WS fraction from young human lenses was independent of AGE formation but was attributed to two products of tryptophan metabolism, both of which were glucosylated. 3OHKG was first isolated and identified by van Heyningen,
46 and S1 and S2 were confirmed as major components of human lens by Bova et al.
47 and by Inoue and Satoh
28 for AHBG, which they named deamino-3-OH-kynurenine-O-β-D-glucoside. Both isolated compounds had sensitizer activity for ascorbate oxidation, which was surprising considering that these compounds have been identified as absorbing UV light but are unable to undergo photochemistry.
48 In this way they act to protect the retina from UV damage and have been described as filter compounds.
29 The oxidation of ascorbate likely occurs by the transfer of an electron from the triplet state anion of these compounds forming ascorbyl radical, which dismutates to ascorbate and DHA.
21 The increase in activity in the protein fractions may be attributed, in part, to the incorporation of 3OHKG into the Cys residues in lens proteins.
38 39 40 The WISS-LMW fraction may represent compounds bound to the WI proteins, which are released when the proteins are disaggregated by sonication. HPLC separation of this fraction showed only trace amounts of 3OHKG and AHBG (data not shown), so other LMW compounds must be responsible for the sensitizer activity in this fraction.
Although aged human lens proteins contain significant sensitizer activity for singlet oxygen formation and singlet oxygen readily oxidizes ascorbic acid,
49 the presence of oxygen did not increase the UVA-mediated oxidation of ascorbate with any of the human lens fractions. This argues that ascorbate reacts with the lens sensitizers at a much greater rate than oxygen and agrees with earlier studies showing that the irradiation of whole human lenses caused a UVA-dependent loss of ascorbic acid though no loss of His or Trp because of singlet oxygen was observed.
50 The activity in the protein fraction could have been attributed to 3OHKG bound to Cys residues in the protein,
30 38 or to AGEs formed by glycation.
22 24 The amount of bound 3OHKG has been measured,
32 and aged human lens has enough to account for approximately 100 nmol ascorbate oxidized per lens provided the bound 3OHKG has the same ascorbate-oxidizing activity as the free compound. The data in
Table 1suggest that bound filter compounds account for only half, or less, of the total ascorbate-oxidizing activity in the WI protein fraction.
The data presented here argue that LMW sensitizers in the lens can act early in life to initiate ascorbate oxidation in response to UVA light causing the formation of products that can glycate lens proteins.
21 As the formation of AGEs increases, and free 3OHKG binds to lens proteins, the protein fraction displays increasing UVA sensitizer activity, stimulating more ascorbate oxidation and AGE formation, leading to aggregate formation and possibly to nuclear cataract formation. Because of the decline of GSH levels with age, the ability to reduce DHA back to ascorbate decreases, thereby increasing the levels of glycation-active ascorbate degradation products.