PURPOSE.We investigated the accumulation of amyloid b (Ab 1-40 , Ab 1-42 , Ab ) in the lens epithelium of patients with opacification of five different types (cortical cataract [COR]; nuclear cataract [NUC]; posterior subcapsular cataract [PSC]; retrodots [RD]; and water clefts [WC]).METHODS. Samples were collected from Japanese patients taken during cataract surgery; Ab levels and mRNA expression were determined by ELISA and a real-time RT-PCR method, respectively.RESULTS. Levels of Ab 1-40 and Ab 1-42 in the lens epithelium of patients with COR, NUC, PSC, RD, and WC showed no significant differences in comparison with transparent lens epithelium. Levels of Ab 1-43 in the lens epithelium of patients with PSC and WC were not detected, and NUC and RD were slightly elevated. In contrast to the results in these cataract types, high Ab 1-43 levels were observed in the lens epithelium of patients with COR, and a close relationship was observed between Ab 1-43 levels and the degree of lens opacification (R ¼ 0.8229, n ¼ 6). The levels of Ab 1-43 were also higher in the lens epithelium of patients with mixed-cataract showing cortical opacification, and the Ab 1-43 levels in the lens epithelium of mixed-cataract patients with cortical opacification was significantly higher than in that of mixed-cataract patients without cortical opacification. In addition, the level of an amyloid precursor protein mRNA in the lens epithelium of mixed-cataract patients with cortical opacification was significantly higher than in transparent lens and mixed-cataract patients without cortical opacification.
CONCLUSIONS.We found high levels of Ab 1-43 accumulation in the lens epithelium of Japanese patients with cortical opacification.Keywords: amyloid b, cortical cataract, human, lens epithelium, Japanese A ge-related cataracts are the most common cause of vision loss in the elderly, and the principal cause of blindness in the world. Age-related cataracts are classified by the location of the opacity within the lens: cortical cataracts (COR); nuclear cataracts (NUC); and posterior subcapsular cataracts (PSC). In addition, retrodots (RD) and water clefts (WC) have been found to be associated with visual impairment. Cataracts represent a complex disease with numerous genetic and environmental contributing factors, including smoking, ultraviolet irradiation, diabetes, the cumulative effect of X-rays, nutrition, vitamin C deficiency, hypertension, and alterations in both endocrine and enzymatic equilibria.1-8 On the other hand, it has recently been reported that the accumulation of amyloid b (Ab) peptides in the human lens may be related to the onset of lens opacification, 9-11 but this involvement in terms of etiology and Ab levels is not fully understood. 12 The enzymes a-secretase (a disintegrin and metalloproteinase, ADAM10) 13-15 ; b-secretase (b site APP cleaving enzyme, called BACE1) 16 ; and c-secretase (a presenilin complex, PS1 and PS2) 17 are known to be related to Ab production by cleaving an amyloid precursor protein (APP). The...