Yan Hong, Wang Dan, Ding Tian-Bing, Zhou Hai-Yan, Yan Wei-Jia, Wang Xin-Chuan
Department of Ophthalmology, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi Province, China; Chongqing Key Laboratory of Ophthalmology, Chongqing Eye Institute, the First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China.
Department of Ophthalmology, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038, Shaanxi Province, China.
Int J Ophthalmol. 2017 Jan 18;10(1):6-14. doi: 10.18240/ijo.2017.01.02. eCollection 2017.
To compare of lens oxidative damage induced by vitrectomy and/or hyperoxia in rabbit.
Sixteen New Zealand rabbits (2.4-2.5 kg) were randomly divided into two groups (Group A, =12; Group B, =4). In Group A, the right eyes were treated with vitrectomy and systemic hyperoxia (oxygen concentration: 80%-85%, 1 ATA, 4h/d) (Group A-right), and the left eyes were treated with hyperoxia without vitrectomy surgery (Group A-left). Four rabbits in group B (eight eyes) were untreated as the controls. Lens transparency was monitored with a slit lamp and recorded before and after vitrectomy. After hyperoxic treatment for 6mo, the eyeballs were removed and the lens cortices (containing the capsules) and nuclei were separated for further morphological and biochemical evaluation.
Six months after treatments, there were no significant morphological changes in the lenses in any experimental group when observed with a slit lamp. However, the levels of water-soluble proteins and ascorbate, and the activities of catalase and Na-K-ATPase were significantly reduced, whereas the levels of malondialdehyde and transforming growth factor β2 (TGF-β2) were significantly elevated, in both the cortices and nuclei of eyes treated with vitrectomy and hyperoxia. The increase in protein-glutathione mixed disulfides and the reduction in water-soluble proteins were more obvious in the lens nuclei. The levels of ascorbate in the vitreous fluid were also reduced after vitrectomy, whereas TGF-β2 increased after vitrectomy and hyperoxia. Systemic hyperoxia exposure increased these effects.
Removal of the intact vitreous gel with vitrectomy and exposing the lens to increased oxygen from the retina induce lens oxidation and aggregation. Thus, an intact vitreous gel structure may protect the lens from oxidative insult and maintain lens transparency.
比较玻璃体切除术和/或高氧对兔晶状体氧化损伤的影响。
16只新西兰兔(2.4 - 2.5千克)随机分为两组(A组,n = 12;B组,n = 4)。A组中,右眼行玻璃体切除术并给予全身高氧治疗(氧浓度:80% - 85%,1个绝对大气压,每天4小时)(A组右眼),左眼仅给予高氧治疗,不行玻璃体切除术(A组左眼)。B组4只兔(8只眼)不做处理作为对照。用裂隙灯监测晶状体透明度,并在玻璃体切除术前、后进行记录。高氧治疗6个月后,取出眼球,分离晶状体皮质(含囊膜)和核,进行进一步的形态学和生化评估。
治疗6个月后,用裂隙灯观察,各实验组晶状体均无明显形态学改变。然而,玻璃体切除术联合高氧治疗的眼的皮质和核中,水溶性蛋白和抗坏血酸水平、过氧化氢酶和钠钾ATP酶活性显著降低,而丙二醛和转化生长因子β2(TGF-β2)水平显著升高。晶状体核中蛋白 - 谷胱甘肽混合二硫化物增加和水溶性蛋白减少更为明显。玻璃体切除术后玻璃体液中抗坏血酸水平也降低,而玻璃体切除术联合高氧治疗后TGF-β2升高。全身暴露于高氧会增强这些影响。
玻璃体切除术切除完整的玻璃体凝胶,使晶状体暴露于来自视网膜的增加的氧气中,会诱导晶状体氧化和聚集。因此,完整的玻璃体凝胶结构可能保护晶状体免受氧化损伤并维持晶状体透明度。