Heinitz M
Klin Monbl Augenheilkd. 1978 May;172(5):778-83.
In the aetiology and pathogenesis of senile cataract a disturbed glucose utilisation is found. This reflects a loss of activity of some key enzymes for glycolysis in the lens. These enzymes (ALD, G6PDH, HK, LDH, MDH and phosphofructokinase) are zinc metal enzymes. The decrease in activity of these enzymes can be compensated by the administration of specific cations. With zinc one can improve the impaired glucose metabolism occurring in old age. For the prophylaxis and therapy of senile cataract the prolonged administration of zinc aspartate is indicated. In the presence of magnesium deficiency magnesium salts should also be given. Cation eliminating exogenous or endogenous factors must be taken into consideration.
在老年性白内障的病因学和发病机制中,发现存在葡萄糖利用紊乱的情况。这反映出晶状体中一些糖酵解关键酶的活性丧失。这些酶(醛缩酶、葡萄糖-6-磷酸脱氢酶、己糖激酶、乳酸脱氢酶、苹果酸脱氢酶和磷酸果糖激酶)是锌金属酶。这些酶活性的降低可通过给予特定阳离子来补偿。使用锌可以改善老年时出现的葡萄糖代谢受损情况。对于老年性白内障的预防和治疗,建议长期给予天冬氨酸锌。在存在镁缺乏的情况下,也应给予镁盐。必须考虑消除外源性或内源性因素的阳离子。