Calvin H I, Medvedovsky C, David J C, Broglio T M, Hess J L, Fu S C, Worgul B V
Department of Ophthalmology, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark 07103.
Invest Ophthalmol Vis Sci. 1991 May;32(6):1916-24.
Lens opacities developed within 48-72 hr in mice that received a series of eight injections of L-buthionine sulfoximine, a specific inhibitor of glutathione (GSH) biosynthesis, on postnatal days 8 and 9. Initial histopathologic features consisted of swollen fibers in the central anterior cortex and displacement of cell nuclei from the bow region to the posterior cortex. These aberrations suggest early fiber cell membrane and/or cytoskeletal dysfunction. A massive wave of fiber cell lysis then engulfed the entire lens cortex and nucleus within 24 hr and left only epithelial cells intact, suggesting a concerted mechanism of cataract generation. The acellular core of the mature cataract seen on postnatal day 16 consisted of a granular matrix in which pycnotic and fragmented cell nuclei were located near the terminus of the lens epithelium. The epithelium displayed increased mitotic activity and meridional row disorganization. During the next two weeks, rapid regeneration of lens fibers, displacement of the acellular necrotic cytoplasm to the center and rear of the lens, and vacuole formation were observed. As new fibers were differentiated, partial regeneration of the bow was seen. However, the cataract was irreversible.
在出生后第8天和第9天接受一系列8次注射L-丁硫氨酸亚砜胺(一种谷胱甘肽(GSH)生物合成的特异性抑制剂)的小鼠中,晶状体混浊在48 - 72小时内出现。最初的组织病理学特征包括中央前皮质纤维肿胀以及细胞核从弓形区域向后皮质移位。这些异常表明早期纤维细胞膜和/或细胞骨架功能障碍。然后,在24小时内,一波大规模的纤维细胞溶解席卷了整个晶状体皮质和核,仅留下完整的上皮细胞,提示存在协同的白内障生成机制。出生后第16天观察到的成熟白内障的无细胞核心由颗粒状基质组成,其中固缩和破碎的细胞核位于晶状体上皮末端附近。上皮显示出有丝分裂活性增加和子午线行紊乱。在接下来的两周内,观察到晶状体纤维的快速再生、无细胞坏死细胞质向晶状体中心和后部的移位以及液泡形成。随着新纤维的分化,可见弓形区域部分再生。然而,白内障是不可逆的。