Mumford A D, Cree I A, Arnold J D, Hagan M C, Rixon K C, Harding J J
Haemostasis Research Group, MRC Clinical Sciences Centre, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Road, London W12 0NN.
Br J Ophthalmol. 2000 Jul;84(7):697-700. doi: 10.1136/bjo.84.7.697.
BACKGROUND/AIM: Hereditary hyperferritinaemia cataract syndrome (HHCS) is an autosomal dominant disorder characterised by elevated serum L-ferritin and bilateral cataracts. The ocular manifestations of this disorder are poorly studied. This study therefore sought to determine the origin of cataracts in HHCS.
L-ferritin ELISA, immunohistochemical and ultrastructural analysis of a lens nucleus from an HHCS individual.
The HHCS lens L-ferritin content was 147 microg/g dry weight of lens compared with <16 microg/g for a non-HHCS control cataract lens. The cataract comprised discrete crystalline inclusions with positive staining with anti-L-ferritin but not anti-H-ferritin.
This unusual finding of crystalline opacities in the lens may be unique to HHCS and is likely to result from disturbed metabolism of L-ferritin within the lens or an abnormal interaction between L-ferritin and lens proteins.
背景/目的:遗传性高铁蛋白血症白内障综合征(HHCS)是一种常染色体显性疾病,其特征为血清L-铁蛋白升高和双侧白内障。该疾病的眼部表现研究较少。因此,本研究旨在确定HHCS中白内障的成因。
对一名HHCS患者的晶状体核进行L-铁蛋白酶联免疫吸附测定、免疫组织化学和超微结构分析。
HHCS晶状体的L-铁蛋白含量为147微克/克晶状体干重,相比之下,非HHCS对照白内障晶状体的含量<16微克/克。白内障由离散的晶体包涵体组成,抗L-铁蛋白染色呈阳性,抗H-铁蛋白染色呈阴性。
晶状体中这种晶体混浊的异常发现可能是HHCS所特有的,可能是由于晶状体中L-铁蛋白代谢紊乱或L-铁蛋白与晶状体蛋白之间的异常相互作用所致。