Avarachan P J, Rawal U M
Indian J Ophthalmol. 1987;35(5-6):210-3.
Selenite-cataracts incorporated many morphological characteristics observed in human senile catracts. Progressive elevation of sodium, marked loss of potassium, several fold increment of calcium; considerable loss of magnesium levels, a dose-response reduction of total-ATPase activity and significant hydration are the important features observed in the lens during the progressive treatment of selenite. The sodium-potassium imbalance is found to be a secondary effect during the development of cataract and is suggested to bring about by an abnormal accumulation of calcium ions and inactivation of transport enzyme. The calcium activated proteases could be the promoting factor for the proteolysis and insolubilization of lens proteins in the inducement of selenite cataract. The impact of selenite on the SH containing ATPase anzymes could be the cause of impairment in energy metabolism, derangement of electrolytes and osmotic imbalance which, in turn, accelerate the cortical involvement of lens opacities.
亚硒酸盐性白内障具有许多在人类老年性白内障中观察到的形态学特征。钠含量逐渐升高、钾显著流失、钙含量增加数倍、镁水平大幅降低、总ATP酶活性呈剂量反应性降低以及明显的水合作用,这些都是在亚硒酸盐渐进性处理过程中晶状体观察到的重要特征。钠钾失衡被发现是白内障发展过程中的一种继发效应,提示其由钙离子异常蓄积和转运酶失活所致。钙激活蛋白酶可能是亚硒酸盐诱导白内障过程中晶状体蛋白水解和不溶性化的促进因素。亚硒酸盐对含巯基的ATP酶的影响可能是能量代谢受损、电解质紊乱和渗透失衡的原因,进而加速晶状体混浊的皮质受累。