Abstract:Oxidative stress has been proposed as a common underlying mechanism of cataractogenesis. Experimental and observational data suggest that micronutrients like vitamin C and vitamin E with antioxidant capabilities may retard the development of age-related cataract. Effect of these factors on lens epithelium cells, center of lens metabolic activities, is not completely elucidated. The aim of present study was to examine the effect of vitamin C and E on surgically removed lens epithelium cells of patients with cat… Show more
“…While vitamin C has been noted as a vital antioxidant in the vitreous humor, it was shown to be toxic to lens and retinal epithelial cells and cause lens protein crosslinking at physiological concentrations (1-2 mM) in vitro. 3,26,[52][53][54][55] Vitamin C also degrades rapidly in solution, limiting its long-term effectiveness. We proposed to use glutathione in conjunction with vitamin C to prolong the antioxidant activity of vitamin C and curtail its cytotoxicity at high concentrations.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies corroborate the presented data and showed that 0.1 mM was the optimal concentration at preventing oxidative damage. 54,55 Since the reported concentration of vitamin C in the vitreous is between 1 and 2 mM, there must be an explanation for this discrepancy. The hydrogel vitreous substitute did not provide significant reduction to the ROS activity of lens cells compared to the control.…”
Purpose: Tissues in the eye are particularly susceptible to oxidative damage due to light exposure. While vitamin C (ascorbic acid) has been noted as a vital antioxidant in the vitreous humor, its physiological concentration (1-2 mM) has been shown to be toxic to retinal and lens epithelial cells in in vitro cell culture. We have explored adding vitamin C to hydrogel vitreous substitutes as a potential therapeutic to prevent oxidative damage to intraocular tissues after vitrectomy. However, vitamin C degrades rapidly even when loaded at high concentrations, limiting its long-term effectiveness. Glutathione, another antioxidant found abundantly in the lens at concentrations of 2-10 mM, was proposed to be used in conjunction with vitamin C. Methods: Cell viability and reactive oxygen species activity of human retinal and lens epithelial cells treated with various combinations of vitamin C, glutathione, hydrogen peroxide, and a hydrogel vitreous substitute were determined using CellTiter-Glo luminescent cell viability assay and dichlorofluorescein assay, respectively. The vitamin C remaining in hydrogel vitreous substitute or glutathione-vitamin C solutions was determined using a microplate reader at 265 nm wavelength, compared against standard solutions with known concentrations. Results: Glutathione protected the lens and retinal cells from the negative effect of vitamin C on cell viability and prolonged the antioxidant effect of vitamin C in vitro. While the detected reading of pure vitamin C solution decreased rapidly from 100% to 10% by 3 days, glutathione provided a significant extension to vitamin C stability, with 70% remaining after 14 days when the glutathione was used at physiological concentrations found in the lens (2-10 mM). Conclusions: These results indicate glutathione might be an effective addition to vitamin C in intraocular implants, including potential vitreous substitutes, and warrants additional studies on the effectiveness of the vitamin C -glutathione combination in preventing oxidative stress post-vitrectomy.
“…While vitamin C has been noted as a vital antioxidant in the vitreous humor, it was shown to be toxic to lens and retinal epithelial cells and cause lens protein crosslinking at physiological concentrations (1-2 mM) in vitro. 3,26,[52][53][54][55] Vitamin C also degrades rapidly in solution, limiting its long-term effectiveness. We proposed to use glutathione in conjunction with vitamin C to prolong the antioxidant activity of vitamin C and curtail its cytotoxicity at high concentrations.…”
Section: Discussionmentioning
confidence: 99%
“…Previous studies corroborate the presented data and showed that 0.1 mM was the optimal concentration at preventing oxidative damage. 54,55 Since the reported concentration of vitamin C in the vitreous is between 1 and 2 mM, there must be an explanation for this discrepancy. The hydrogel vitreous substitute did not provide significant reduction to the ROS activity of lens cells compared to the control.…”
Purpose: Tissues in the eye are particularly susceptible to oxidative damage due to light exposure. While vitamin C (ascorbic acid) has been noted as a vital antioxidant in the vitreous humor, its physiological concentration (1-2 mM) has been shown to be toxic to retinal and lens epithelial cells in in vitro cell culture. We have explored adding vitamin C to hydrogel vitreous substitutes as a potential therapeutic to prevent oxidative damage to intraocular tissues after vitrectomy. However, vitamin C degrades rapidly even when loaded at high concentrations, limiting its long-term effectiveness. Glutathione, another antioxidant found abundantly in the lens at concentrations of 2-10 mM, was proposed to be used in conjunction with vitamin C. Methods: Cell viability and reactive oxygen species activity of human retinal and lens epithelial cells treated with various combinations of vitamin C, glutathione, hydrogen peroxide, and a hydrogel vitreous substitute were determined using CellTiter-Glo luminescent cell viability assay and dichlorofluorescein assay, respectively. The vitamin C remaining in hydrogel vitreous substitute or glutathione-vitamin C solutions was determined using a microplate reader at 265 nm wavelength, compared against standard solutions with known concentrations. Results: Glutathione protected the lens and retinal cells from the negative effect of vitamin C on cell viability and prolonged the antioxidant effect of vitamin C in vitro. While the detected reading of pure vitamin C solution decreased rapidly from 100% to 10% by 3 days, glutathione provided a significant extension to vitamin C stability, with 70% remaining after 14 days when the glutathione was used at physiological concentrations found in the lens (2-10 mM). Conclusions: These results indicate glutathione might be an effective addition to vitamin C in intraocular implants, including potential vitreous substitutes, and warrants additional studies on the effectiveness of the vitamin C -glutathione combination in preventing oxidative stress post-vitrectomy.
“…PEGDA‐ co ‐PEGMA hydrogel loaded with vitamin C resulted in the lowest ROS activity, followed by PEGDA hydrogel loaded with vitamin C, and vitamin C alone. Vitamin C is an antioxidant and has been shown to protect cells from ROS . Cells treated with vitamin C showed reduced ROS activity, as anticipated.…”
Current experimental vitreous substitutes only replace the physical functions of the natural vitreous humor. Removal of the native vitreous disrupts oxygen homeostasis in the eye, causing oxidative damage to the lens that likely results in cataract formation. Neither current clinical treatments nor other experimental vitreous substitutes consider the problem of oxidative stress after vitrectomy. To address this problem, biomimetic hydrogels are prepared by free radical polymerization of poly(ethylene glycol) methacrylate and poly(ethylene glycol) diacrylate. These hydrogels have similar mechanical and optical properties to the vitreous. The hydrogels are injectable through small‐gauge needles and demonstrate in vitro biocompatibility with human retinal and lens epithelial cells. The hydrogels and added vitamin C, an antioxidant, show a synergistic effect in protecting ocular cells against reactive oxygen species, which fulfills a chemical function of the natural vitreous. These hydrogels have the potential to prevent post‐vitrectomy cataract formation and reduce the cost of additional surgeries.
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