Clinical detection of precataractous lens protein changes using dynamic light scattering.

Clinical detection of precataractous lens protein changes using dynamic light scattering.
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DOI:
10.1001/archophthalmol.2008.507
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发表时间:
2008-12
影响因子:
--
通讯作者:
Ferris, Frederick L., III
Ferris, Frederick L., III
中科院分区:
其他
文献类型:
--
作者:
Datiles, Manuel B., III;Ansari, Rafat R.;Suh, Kwang I.;Vitale, Susan;Reed, George F.;Zigler, J. Samuel, Jr.;Ferris, Frederick L., III

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To use Dynamic Light Scattering (DLS) to clinically assess early pre-cataractous lens protein changes. We performed a cross sectional study in 380 eyes of 235 subjects aged 7–86 years with AREDS clinical lens nuclear grades ranging from 0–3.8. A DLS device was used to assess α-crystallin, a molecular chaperone protein shown to bind other damaged lens proteins, preventing their aggregation. The outcome measure was the α-crystallin index (ACI), a measure of unbound α-crystallin in each lens. The association of ACI with increasing nuclear opacity and aging was determined. There was a significant decrease in ACI associated with increasing grades of lens nuclear opacity (p<0.0001). There are significant losses of α-crystallin even in clinically clear lenses associated with aging (p<0.0001). The standard error of measurement was 3%. DLS clinically detects loss of α-crystallin proteins even in clinically clear lenses. ACI measurements may be useful in identifying patients at high risk for developing cataract, and as an outcome variable in clinical lens studies. Our studies suggest that the ACI may be a useful measure of the protective α-crystallin molecular chaperone reserve present in a lens, analogous to creatinine clearance in estimating renal function reserve.
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