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Aldose reductase expression as a risk factor for cataract.

Anson Snow1, Biehuoy Shieh1, Kun-Che Chang1

  • 1Department of Ophthalmology, University of Colorado Denver, CO, USA.

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|December 27, 2014
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Summary

High aldose reductase (AR) gene expression may increase the risk of diabetic eye disease. Overexpression of AR in mice led to cataract formation and altered cell signaling pathways, suggesting a link between AR levels and diabetic complications.

Keywords:
AKR1B1Aldose reductaseCataractDiabetes

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Area of Science:

  • Biochemistry
  • Ophthalmology
  • Genetics

Background:

  • Diabetic eye diseases like cataracts and retinopathy are linked to aldose reductase (AR).
  • Individual susceptibility to diabetic eye complications varies, suggesting other risk factors are involved.
  • Elevated AR gene expression is hypothesized to increase the risk of developing these complications.

Purpose of the Study:

  • To investigate the hypothesis that elevated AR gene expression confers a higher risk for diabetic eye disease.
  • To examine the onset and severity of diabetes-induced cataract in transgenic mice with varying levels of human AR transgene expression.

Main Methods:

  • Utilized transgenic mice (AR-TG) engineered to overexpress the human AR (AKR1B1) gene.
  • Induced experimental diabetes in AR-TG mice (homozygous and heterozygous) and compared them to non-transgenic controls.
  • Assessed lens structural changes, sorbitol levels, and signaling pathways (ERK1/2, JNK1/2) in response to diabetes and AR overexpression.

Main Results:

  • Homozygous AR-TG mice developed cataracts and lens vacuoles specifically after diabetes induction.
  • Nondiabetic AR-TG mice showed high lenticular sorbitol levels without structural changes.
  • AR overexpression increased activated ERK1/2 and JNK1/2; diabetes induction decreased these signaling molecules in AR-TG mice.

Conclusions:

  • High AR expression, in conjunction with hyperglycemia and insulin deficiency, may predispose the lens to cataract formation.
  • Disturbances in ERK and JNK signaling pathways due to AR overexpression can disrupt the balance of cell growth and apoptosis in the lens.
  • AR may be a significant risk factor for diabetic eye disease, influencing lens homeostasis and transparency.