IOVS Blood
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winkler, J.
Right arrow Articles by Lünsdorf, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winkler, J.
Right arrow Articles by Lünsdorf, H.
(Investigative Ophthalmology and Visual Science. 2001;42:902-907.)
© 2001 by The Association for Research in Vision and Ophthalmology, Inc.

Ultrastructure and Composition of Asteroid Bodies

Jörg Winkler1,2 and Heinrich Lünsdorf2

1 From the Department of Ophthalmology, Medical University of Lübeck; and 2 Department of Microbiology, GBF, German Research Center for Biotechnology, Braunschweig, Germany.


   Abstract
Top
 Abstract
Introduction
 Materials and Methods
 Results
 Discussion
 References
 
PURPOSE. Asteroid hyalosis is a disease of the vitreous, characterized by brilliant reflecting particles, termed asteroid bodies, which are surrounded by a tightly adhering network of fibrils. The composition and mode of formation of asteroid bodies is not yet understood in detail. The purpose of this study was to investigate the ultrastructure of asteroid bodies and to identify the intrinsic inorganic and organic components that contribute to the nature and development of asteroid bodies.

METHODS. Electron energy loss spectroscopy and energy-filtered transmission electron microscopy were used for the elemental analysis of asteroid bodies. The ultrastructural localization of glycosaminoglycans was investigated, using lectin and antibody conjugates in conjunction with transmission electron microscopy and epifluorescence microscopy. Anionic sites of glycosaminoglycans were detected with 15 nm cationic colloidal gold at low pH, applied as a postembedding technique. Ultrastructural details of asteroid bodies were documented using fast Fourier transform analysis of zero-loss filtered images.

RESULTS. Element mapping of asteroid bodies by electron spectroscopic imaging revealed a homogeneous distribution of calcium, phosphorus, and oxygen. The electron energy loss spectra of these elements showed details similar to those found for hydroxyapatite. Additionally, high contrast and sensitivity against a calcium-specific chelator highlighted the crystalline, apatite-like nature of asteroid bodies. Immunofluorescence microscopy revealed the presence of chondroitin-6-sulfate at the periphery of asteroid bodies, which is in agreement with the ultrastructural colocalization of anionic sites. Fast Fourier transform analysis revealed that each 7-nm periodicity of asteroid lamellar stacks is divided by a fine, parallel-oriented line, separating each 7-nm layer into two halves of 3.5-nm thickness. Carbohydrates specific for hyaluronic acid were observed by lectin-gold labeling to be part of the inner matrix of asteroid bodies.

CONCLUSIONS. The results of this study demonstrate the structural and elemental similarity of asteroid bodies with hydroxyapatite. Proteoglycans and their glycosaminoglycan side chains are implicated in playing a role in regulating the biomineralization process.


   Introduction
Top
 Abstract
 Introduction
Materials and Methods
 Results
 Discussion
 References
 
Asteroid hyalosis is a vitreous disease occurring, predominantly, unilaterally without any recognizable predisposition to gender or race but commonly is diagnosed in elderly patients >60 years old.1 The disease is characterized by a deposition of glistening particles, termed asteroid bodies (ABs), in the vitreous of the eye, which have been reported to consist of lipid-containing calcium compounds, often surrounded by an adhering network of fibrils.2 3 Using high resolution transmission electron microscopy (TEM), the ultrastructure of ABs was described as a myelin-like, multilamellar construct with a lamellar periodicity of 6 to 8 nm4 5 or 4.6 nm6 . The positive-staining of ABs with Alcian Blue, colloidal iron, and osmium tetroxide has led to the suggestion that the asteroids are predominantly composed of acidic lipids.3 4 Elemental analysis of ABs, using energy-dispersive x-ray spectroscopy (EDX), demonstrated calcium and phosphorus as the main detectable elements and, in some cases, potassium and sulfur.7 8 Electron diffraction analysis performed by Streeten4 suggested that electron-dense areas lying between the laminar stacks could represent calcium apatite crystals.

Although ABs have been extensively investigated, their composition, origin, and mode of formation is still incompletely elucidated. In an attempt to further unravel the conflicting data reported in the literature, we have reinvestigated the structure, elemental composition, and distribution of anionic sites of ABs.


   Materials and Methods
Top
 Abstract
 Introduction
 Materials and Methods
Results
 Discussion
 References
 
Fixation and Embedding Procedures
The study included four individual vitreous aspirates obtained from two female and two male patients ranging in age from 68 to 83 years, who underwent pars plana vitrectomy. Informed consent was obtained from every patient, and the tenets of the Declaration of Helsinki were followed. Asteroid hyalosis occurred in all patients unilaterally and coincided with other pathologic conditions. Preoperative diagnoses included two eyes with proliferative diabetic retinopathy with posterior retinal detachment, one eye with a pseudophakic retinal detachment and one eye with a macular hole. A posterior vitreous detachment occurred in two eyes. The aspirates were centrifuged (10,000g, 5 minutes) and transferred into Sörensen’s or sodium cacodylate buffer (0.1 M, pH 7.2). Fixation of the samples was performed with 2% paraformaldehyde (PFA), left overnight at 4°C. The samples were embedded in 2% (w/v) noble agar (Difco, Detroit, MI), cut into small cubes, washed, and postfixed in 1% (w/v) osmium tetroxide. Samples that were used for postembedding labeling were washed three times with 40 mM glycine. Subsequent dehydration of samples was performed in a graded series of ethanol (30%–100%). Infiltration of the cubes with LR-White resin (Plano, Marburg, Germany) and curing was performed according to the instructions of the manufacturers. Ultrathin sections were counterstained with 2% (w/v) uranyl acetate and 0.5% (w/v) lead citrate. Examination of the sections was performed with a Zeiss EM9 transmission electron microscope (Oberkochen, Germany) using an accelerating voltage of 60 kV.

Postembedding Labeling with Cationic Gold Conjugates
Ultrathin sections were mounted on Formvar-coated nickel grids and floated mount-side down on drops of reaction buffer. One-step incubation of sections was carried out using poly-L-lysine–coated cationic colloidal gold (CCG, mean diameter: 15 nm; British BioCell, Cardiff, United Kingdom) diluted 1:50 in 0.1 M phosphate buffer (pH 2.0). After incubating for 12 hours at 4°C, unbound gold particles were washed off by rinsing the grids with buffer and distilled water. Controls were carried out with colloidal gold instead of cationic gold conjugate or with poly-L-lysine, to block anionic sites before incubation in CCG. Sections of gold labeling were air-dried and examined by TEM.

Wheat Germ Agglutinin–Gold Labeling
Ultrathin sections of ABs embedded in LR-White were floated on a droplet of phosphate-buffered saline (PBS; pH 7.2), containing 1% (w/v) BSA, for 5 minutes. The sections were incubated for 18 hours at 4°C with lectin (wheat germ agglutinin [WGA])–gold conjugates (mean diameter, 10 nm; British BioCell) diluted 1:50 with PBS. Sections were washed three times with PBS and distilled water, air-dried, and examined by TEM. The specificity of labeling was tested by preincubating the WGA–gold conjugate in a solution of the inhibitory sugar N-acetyl glucosamine at concentrations of 0.1 to 0.4 M.

Chelator Treatment
Ultrathin sections mounted on Formvar-coated nickel grids were incubated on drops of Tris-HCl buffer (0.1 M, pH 7.2) containing 0.1 M Na-EGTA. After incubating for 20 minutes, 3 hours, and 12 hours in the reaction buffer, the sections were washed twice with PBS and distilled water and examined without heavy-metal staining by TEM.

Fluorescence Staining
Vitreous aspirates, containing ABs, were fixed in 4% PFA (in 0.1 M phosphate buffer, pH 7.4) overnight at 4°C, dehydrated in a graded ethanol series, and embedded in paraffin wax, using standard histologic procedures. Paraffin sections were deparaffinized in xylene, immersed in acetone, and washed with PBS. The rehydrated sections were mounted on polylysine-coated slides and placed in a container filled with 0.1 M citrate buffer (pH 6). The jar was irradiated in a microwave oven for 6 minutes (2 x 3 minutes) at 630 W. Subsequently, the sections were cooled to room temperature before immunohistochemical processing. Sections were blocked with a mixture of fetal calf serum/BSA (5% each in PBS) and incubated with monoclonal antibodies specific for chondroitin-6-sulfate (Seikagaku, Tokyo, Japan) overnight at 4°C. Subsequently, the sections were exposed, for 1 hour at 30°C, to fluorescein isothiocyanate (FITC)-conjugated goat anti-mouse IgM (Dianova, Hamburg, Germany). Lectin labeling was performed with FITC-conjugated WGA (British BioCell) diluted 1:75 in PBS (pH 7.2). Sections were rinsed three times with PBS and mounted for fluorescence microscopy. In control experiments the primary antibody was replaced by PBS or an unspecific antibody. The specificity of lectin binding was tested by preincubating the lectin–FITC conjugate with N-acetyl glucosamine at concentrations of 0.1 to 0.4 M. The coverslips were analyzed using a Zeiss Axiophot equipped for epifluorescence microscopy.

Fast Fourier Transform Analysis
Aspects of the asteroid lamellar stack investigated by zero-loss energy-filtered TEM (EFTEM) were digitized with a final resolution of 0.76 nm/pixel and were analyzed using the CRISP-software (Calidris, Sollentuna, Sweden), according to the instructions of the manufacturers. A 256 x 256 matrix window was used to analyze suitable areas of the lamellar stack. Prominent diffraction patterns of the Fast Fourier transform (FFT) were used for building the mask used to calculate the noise-filtered inverse FFT (IFFT).

Electron Energy Loss Spectroscopy
Electron energy loss spectra (EELS) were registered from 30- to 40-nm ultrathin sections of ABs, optical nerve, and hydroxyapatite (Sigma, St. Louis, MO), using an integrated prism-mirror-prism Castaing-Henry spectrometer of an energy-filtered transmission electron microscope (CEM 902; Zeiss). The condenser illumination aperture was 6 x 10-3 rad and 12 x 10-3 rad for the objective illumination aperture. The spectrometer entrance aperture was set to 100 µm, and the slit width was set to 5 eV. Serial EELS were recorded at a magnification range from x50,000 to x85,000, using an electron detector at an energy range from 120 to 600 eV.

Electron Spectroscopic Imaging
Suitable aspects of asteroid bodies were sampled at the element-specific energy settings for calcium, phosphorus, and oxygen, according to the EELS reference atlas.9 Images were captured with a cooled 14-bit CCD camera (Proscan, Scheuring, Germany). Image processing and background correction were carried out using the EsiVision Pro Software 3.0 (Soft Imaging System Ltd, Münster, Germany).


   Results
Top
 Abstract
 Introduction
 Materials and Methods
 Results
Discussion
 References
 
Ultrastructural Characteristics of Asteroid Bodies
Figure 1A shows a low-resolution micrograph of an AB. The particle appeared to be roughly spherical, with electron-dense angular material that tended to crack out of the section. ABs were surrounded, predominantly, by fibrillar collagen-like material. High-resolution ultrastructural analysis of ABs revealed an irregular orientation of their protrusions when observed from ultrathin sections with the EFTEM (Fig. 1B) . This is recognized, on the one hand, as a distinct alignment of many layers in stacks, reflecting a perpendicular orientation relative to the plane of sectioning (Fig. 1B , square box) and, on the other hand, as a diffuse dark-gray region, adjacent to the stack border, changing progressively to lighter gray tones (Fig. 1B , asterisk). These changes of gray levels indicate different degrees of tilted orientations of the lamellar stack, relative to the electron beam. Higher magnifications of ABs revealed additional linear substructures located in a parallel orientation between the main lamellae (Fig. 1B , inset). The spacing of the lamellae (i.e., the lamellar thickness) was determined by FFT analysis of different multilamellar stacks, by the first-order diffraction spot, which has a frequency in reciprocal space of 0.14 nm-1, or a lattice constant of 7.1 nm (Fig. 1C) . A second-order diffraction spot possessed a spatial frequency of 0.28 nm-1 or a spacing of 3.6 nm, followed by a highest diffraction spot at 0.42 nm-1 spatial frequency according to a spacing of 2.4 nm (Fig. 1C , crossed circle). Finally, structural details with a resolution of 0.46 nm-1 or 2.2 nm could be observed (Fig. 1C , circle). Main diffraction spots were used to construct a mask for noise-filtering of the IFFT. The IFFT displays the unit lamella of a regular crystalline array, which is composed of two layer halves of 3.6 nm thickness each (Fig. 1D , arrowheads). These layer halves, showing a grainy particulate substructure (Fig. 1D , circle), are separated by a fine dark line (Fig. 1D , arrow) that corresponds with the linear substructures shown in Figure 1B (inset). At the periphery of ABs, individual asteroid lamellae often appeared, interspersed with collagen-like fibrils, frequently accompanied by a surrounding greyish halo (Fig. 2A ). Because ABs are assumed to be, at least in part, composed of apatite-like material,4 microbeads of hydroxyapatite were prepared for comparison. Most microcrystals were clustered in aggregates and possessed a crystal width of 4.6 to 8.6 nm (Fig. 2B , inset).



View larger version (179K):
[in this window]
[in a new window]
  		Figure 1. High-resolution ultrastructure of AB lamellar stacks. (A) AB comprised of opaque ribbons embedded in an amorphous matrix. The AB is surrounded by fibrillar collagen-like structures (arrowheads). (B) Detailed survey of multilamellar stacks oriented parallel (squared box) or oblique (asterisk) to the incident electron beam. Inset: lamellar stack with a bipartite organization, indicated by the weak interlayer lines (arrowheads). (C) Fourier transform of the 256 x 256 square boxed area from (B), which shows an ultimate resolution of 0.46 nm-1 (circle). Crossed circled spot: a third-order diffraction spot. (D) Inverted Fourier transform, filtered of noise, showing the thickness of the lamellar unit (opposing arrowheads), separated by a dense interlayer (arrow), indicating a sandwich organization. A granular, particulate ultrastructure is obvious (circle).

 


View larger version (162K):
[in this window]
[in a new window]
  		Figure 2. Ultrastructural comparison of AB unit lamella and hydroxyapatite microcrystals. (A) Periphery of an AB, showing individual unit lamella (arrowheads) with a thickness of 5.9 nm to be interspersed with single and aggregated collagen-like fibrils (open arrows). Asterisk: AB matter obliquely oriented to the electron beam. (B) Cluster of hydroxyapatite microcrystals. Inset: the framed area, with a layer width of 8.6 nm indicated by arrowheads.

 
High-Resolution Labeling of Anionic Constituents and Lectin (WGA) Binding Sites
The distribution of anionic components was analyzed using a postembedding procedure performed at low pH to increase the specificity toward sulfated and sialylated glycoconjugates, which are known to be the only matrix constituents dissociated under such acidic conditions.10 Figure 3A shows an AB surrounded by vitreous fibrils. The matrix of the AB revealed only a low label intensity, whereas its periphery displayed several aggregations of gold particles (Fig. 3A , encircled). The surrounding vitreous showed the strongest gold labeling. Clusters of gold particles were frequently associated with collagen-like fibrils, indicating accumulations of anionic sites (Fig. 3A , inset). Additional areas of strong focal gold labeling were scattered irregularly within the vitreous (Fig. 3B , arrows). The distribution of lectin binding sites within the inner matrix of an AB is shown in Figure 3C . Aggregates of gold conjugates were frequently associated with lamellar stacks. Preincubations of WGA–gold conjugates in 0.25 M N-acetyl glucosamine reduced labeling to low amounts, indicating the specificity of binding (data not shown).



View larger version (155K):
[in this window]
[in a new window]
  		Figure 3. CCG and lectin (WGA)–gold labeling of an AB surrounded by vitreous fibrils. (A) Anionic binding sites, indicated by CCG particles, were located predominantly at collagen-like fibrils, whereas the asteroid matrix exhibited only low amounts of gold particles. Clusters of anionic sites were often localized at peripheral regions of ABs (arrowheads) or associated with collagen-like fibrils (inset). (B) Asteroid-free region with focal areas of strong CCG labeling, which were distributed randomly in the vitreous. (C) Lectin (WGA)–gold labeling of the internal asteroid matrix. Clusters of gold particles are concentrated at electron-dense ribbons.

 
Fluorescence Staining of Glycosaminoglycans
The nature of anionic sites found at the periphery of ABs and in the vitreous was further studied, using FITC-conjugated antibodies and lectins specific for carbohydrate moieties of glycosaminoglycans (GAGs; Figs. 4A 4B ). Figure 4A shows the immunocytochemical localization of chondroitin-6-sulfate at the periphery of ABs (arrowheads). Additionally, granules of small size scattered irregularly in the vitreous displayed a positive staining (Fig. 4A , arrows). Both reactions correspond with the distribution of anionic sites shown in Figures 3A and 3B . Control experiments performed with a secondary antibody alone or with unspecific IgMs revealed a low background fluorescence, probably caused by immunoglobulin–mineral interactions (data not shown). WGA-specific binding of N-acetyl glucosamine, typically found in hyaluronic acid, was found to be rather homogeneous, being distributed throughout the vitreous and in ABs (Fig. 4B) . Individual ABs revealed strong peripheral staining (Fig. 4B , arrowheads). Control experiments in which the lectin had been preincubated with the inhibitory sugar (0.3 M) revealed a less intense fluorescence (data not shown).



View larger version (69K):
[in this window]
[in a new window]
  		Figure 4. Immunofluorescence staining of chondroitin sulfate and lectin (WGA) binding sites in ABs. (A) Chondroitin-6-sulfate was located at the periphery of asteroids surrounded by vitreous material (arrowheads). Additionally, small granules distributed in the vitreous displayed a strong fluorescence (arrows). (B) A moderate lectin label was discernible throughout the ABs, but sometimes also concentrated at the periphery (arrowheads).

 
EELS Analysis and Electron Spectroscopic Imaging of ABs
Serial EELS of distinct multilamellar stacks of ABs revealed the presence of characteristic elements, i.e., phosphorus, calcium, and oxygen (Fig. 5) . The chemical composition of ABs was compared with myelinated axons of the optical nerve, as a homologous ultrastructural feature (data not shown), and with hydroxyapatite microcrystals. These materials were treated under the same conditions and analyzed with similar probe volumes under identical measuring conditions. Serial EELS of ABs was in accordance with the spectroscopic data of hydroxyapatite microcrystals with respect to signal intensities and spectrum details (Fig. 5) . In contrast, the myelinated axon did not reveal the similar signal intensities of phosphorus by EELS and, thus, contained lower amounts of this element (data not shown). Interestingly, the energy loss near-edge fine structures (ELNES) at the PL2,3 (Fig. 5 , boxed area) indicate that the phosphorus of ABs and hydroxyapatite shows the same chemical environment (i.e., they are chemically identical). The higher amount of carbon (CK), relative to calcium (CaL2,3) in ABs versus hydroxyapatite indicates a lower amount of calcium in the resin matrix of ABs, relative to the hydroxyapatite reference. The distribution of calcium, phosphorus, and oxygen within ABs was further analyzed in the electron spectroscopic imaging (ESI) mode. Electron spectroscopic images showed a homogeneous distribution of these elements with a mapping resolution of approximately 7 nm, reflecting the size of a single asteroid lamella (Fig. 6 , arrowheads). Particularly, the calcium distribution map demonstrated that the dark-greyish halos at the stack borders (Fig. 6C , asterisks) are composed of asteroid matter, representing the lamellar stack continuum at an inclined angle relative to the electron beam, which is characteristic for the highly irregular shape of ABs.



View larger version (25K):
[in this window]
[in a new window]
  		Figure 5. EELS of an asteroid body and a cluster of hydroxyapatite microcrystals. The spectra show identical edges from oxygen (OK = 532 eV), calcium (CaL2,3 = 346 eV), carbon (CK = 284 eV), and phosphorus (PL1 = 189 eV; PL2,3 = 132 eV). The boxed area outlines the PL2,3 ELNES of the phosphorus atom. The three intensity peaks of both spectra are highly similar in morphology but different in intensity. This indicates an identical chemical environment of the phosphorus in relation to the coordination sphere of its surrounding nearest atom neighbors (i.e., phosphate-oxygen).

 


View larger version (193K):
[in this window]
[in a new window]
  		Figure 6. ESI analysis of an AB revealing the elemental distribution of phosphorus, calcium, and oxygen. (A) High-contrast image (250 eV), printed in reversed contrast, used for orientation. Elemental mapping revealed a homogeneous distribution of net phosphorus (B), net calcium (C), and net oxygen (D). Arrowheads: an individual lamella; asterisks: (A, C) a lamellar stack, obliquely oriented relative to the electron beam, shown as a distinct intensity in the calcium elemental map.

 
Ca-Chelator Sensitivity of ABs
The sensitivity of the lamellar structure of ABs against a Ca-specific chelator (EGTA) was examined. Figure 7 shows the successive structural degradation of the ordered lamellar array of an AB over time. After 20 minutes, the lamellar stacks revealed early disarrangements (Fig. 7A) . Lamellar sheets that detached from the particle surface were superimposed with underlying structures, resulting in a projection of a crosswise pattern (Fig. 7A , arrowheads). After 3 hours, increasing amounts of lamellar stacks started to dissolve (Fig. 7B) . An incubation of 12 hours led to a complete dissolution of the particle (Fig. 7C) . Residual lamellar structures were distributed randomly within electron-dense regions of undefined morphology (Fig. 7D , arrows). The subsequent labeling of decalcified structures with CCG revealed only low amounts of anionic sites (Fig. 7D) .



View larger version (187K):
[in this window]
[in a new window]
  		Figure 7. Na-EGTA–induced degradation of an AB over time. (A) After 20 minutes, lamellar stacks started to detach from the asteroid surface, resulting in a crosswise pattern (arrowheads). (B) After 3 hours, lamellar stacks started to dissolve. (C) After 12 hours, the AB dissolved completely, leaving a hole in the ultrathin section. (D) Subsequent labeling of residual structures with CCG revealed a low binding intensity. Small fragments of lamellar stacks are rarely seen (opposing arrows).

 

   Discussion
Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
References
 
Multiple studies concerning the composition and structure of ABs, using biochemical methods,2 3 light3 or electron microscopy4 5 6 8 , have been reported. The elemental detection of calcium and phosphorus, using EDX analysis,4 8 and the intense reaction of ABs with lipid stains,3 together with the membrane-like appearance of lamellar stacks4 5 6 , supported the hypothesis that Ca-associated phospholipids are the major structural component of asteroids. To further investigate the elemental composition and distribution within ABs we used EELS/ESI analysis, which are of high sensitivity and resolution, especially for the biological important elements of low atomic number, and thus are superior to previously used detection methods such as x-ray8 or electron diffraction techniques.4 The application of ESI demonstrated a homogeneous distribution of calcium, phosphorus, and oxygen in ABs (Fig. 6) , and data from EELS analysis of ABs and hydroxyapatite crystals revealed identical electron energy loss details with similar ELNES features (Fig. 5) . The absence of an osmiophilic reaction of asteroid lamellae, formerly characterized as osmiophilic,4 is a further argument against the suggested lipid character of ABs. Although composed of elements with low atomic mass (Fig. 5) , ABs exhibited a strong contrast in TEM without heavy metal staining, which indicates a high material density. Thus, the dark osmium staining of ABs, which occurred occasionally during postfixation, is the result of a cortical reaction with vitreous material surrounding the asteroid particles. Moreover, the relatively acellular vitreous is not expected to contain sufficient amounts of phospholipids for the formation of hundreds or thousands of ABs often observed in asteroid hyalosis. Vesicles or cells associated with ABs,5 which could serve as a source for lipids, were rarely seen in our preparations. These data, together with the sensitivity of the asteroid lamellar structure against a Ca-specific chelator (Fig. 7) , provide strong evidence that the whole AB, including the multilamellar stacks, is uniquely composed of Ca-apatite-like material.

Miller et al.6 compared the parallel lamellae of asteroid particles with the regular pattern observed in the liquid crystalline phase of phospholipids in water, which, at room temperature only, forms after fixation in OsO411 . In our experiments, the ultrastructure of ABs was proven to be stable at a wide range of temperatures (-80°C, 4°C, and 20°C) and even in the absence of fixative, contradicting the earlier reports. Rodman et al.3 described a positive staining of ABs with lipid stains, such as Sudan black B and Oil red O, and a marked stability of ABs in lipid solvents. Both reactions can be explained, on the one hand, by an inclusion of organic macromolecules (e.g., lipids) commonly found in biological minerals causing defects in the ordered crystal lattice and, on the other hand, by the observation that acidic phospholipids found in dentin, enamel, calcified cartilage and bone could also not be extracted by lipid solvents before demineralization12 13 14 15 .

It is unknown which elements form the nucleation center to initiate apatite crystallization. However, an intense association of vitreous fibrils with single crystalline lamellae and stacks of ABs (Fig. 2) and a low prevalence of vitreous liquefaction associated with asteroid hyalosis16 provides evidence that a relatively intact vitreous may serve as an organic matrix in the formation process of ABs. The aggregation of collagen fibers into bundles of parallel fibrils with aging17 and the association of vitreous fibrils with anionic groups (Fig. 3) results in a strong anionic field, to which calcium ions are attracted and in which apatite crystals could form, aligned parallel to the collagen macromolecules. The interaction of ABs with GAGs (Fig. 4) and, possibly, other acidic matrix molecules is in accordance with the general view that polyanions may interact electrostatically with calcium sites present in the crystal lattice of hydroxyapatite.18 19 In bone and dentin, such interactions greatly influence the precipitation and growth process of calcium phosphates in vivo and may also do so in AB development.20 The reaction of lectin (WGA) with matrix components of ABs (Figs. 3 and 4) indicates that hyaluronic acid, which contains N-acetyl glucosamine as the WGA binding motif, may be included in the calcification process. This hypothesis is further supported by the development of particles similar to ABs in rabbit eyes after intravitreous injection of hyaluronidase21 or hyaluronic acid.22

There has been considerable controversy regarding the relation between asteroid hyalosis and systemic diseases.1 16 23 24 However, a convincing statistically significant association between asteroid hyalosis and diabetes was described by Bergren et al.23 The increased permeability of basal membranes found in diabetic eyes25 might explain a positive correlation with asteroid hyalosis. Because the inner limiting membrane (ILM) revealed structural alterations in diabetic26 27 and aged28 29 eyes, it is conceivable that the ILM becomes more permeable for AB-relevant ions and macromolecules released by vascular changes of the retina, which could initiate the long-term development and growth of ABs. Because biological macromolecules appear to be an integral part of most, if not all, biomineral structures and are often assumed to play a pivotal role for the initial formation of calcium hydroxyapatite crystals, our future studies will include biochemical analysis of organic macromolecules obtained after complete demineralization of ABs.


   Acknowledgements
 
The authors are grateful to Horst Laqua (MUL-Lübeck) for his continuing support, Viktoria Frank (MUL-Lübeck) and Elke Haase (GBF-Braunschweig) for their excellent technical assistance, and Edward R. B. Moore (GBF-Braunschweig) for his helpful comments on this manuscript.


   Footnotes
 
Submitted for publication May 11, 2000; revised November 13, 2000; accepted November 29, 2000.

Commercial relationships policy: N.

Corresponding author: Jörg Winkler, Medizinische Universität zu Lübeck, Labor für experimentelle Ophthalmologie, Ratzeburger Allee 160, D-23538 Lübeck, Germany. jorgw{at}yahoo.com


   References
Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Hatfield, RD, Gastineau, CF, Rucker, CW (1962) Asteroid bodies in the vitreous: relationship to diabetes and hypercholesterolemia Mayo Clin Proc 37,513-514[Medline][Order article via Infotrieve]
  2. Verhoeff, FH (1921) Microscopic findings in a case of asteroid hyalitis Am J Ophthalmol 4,155-160
  3. Rodman, HI, Johnson, FB, Zimmerman, LE (1961) New histopathological and histochemical observations concerning asteroid hyalitis Arch Ophthalmol 66,552-563
  4. Streeten, BW (1982) Vitreous asteroid bodies. Ultrastructural characteristics and composition Arch Ophthalmol. 100,969-975[Abstract]
  5. Topilow, HW, Kenyon, KR, Takahashi, M, MacKenzie-Freeman, H, Tolentino, FI, Hanninen, LA (1982) Asteroid Hyalosis. Biomicroscopy, ultrastructure, and composition Arch Ophthalmol. 100,964-968[Abstract]
  6. Miller, H, Miller, B, Rabinowitz, H, Zonis, S, Nir, I. (1983) Asteroid bodies—an ultrastructural study Invest Ophthalmol Vis Sci 24,133-136[Abstract/Free Full Text]
  7. Adenis, JP, Leboutet, MJ, Loubet, R. (1984) La hyalopathie asteroide. Etude ultrastructurale de trois cas J Fr Ophtalmol 7,8/9,529-534[Medline][Order article via Infotrieve]
  8. March, W, Shoch, D, O’Grady, R. (1974) Composition of asteroid bodies Invest Ophthalmol 13,701-707[Abstract/Free Full Text]
  9. Reimer, L, Zepke, U, Moesch, J, et al (1992) EEL Spectroscopy. A Reference Handbook of Standard Data for Identification and Interpretation of Electron Energy Loss Spectra and for Generation of Electron Spectroscopic Images Carl Zeiss, Electron Optics Division Oberkochen, Germany.
  10. Kashio, N, Tsuyama, S, Ihida, K, Murata, F. (1992) Cationic colloidal gold: a probe for light- and electron-microscopic characterization of acidic glycoconjugates using poly-L-lysine gold complex Histochem J 24,419-430[Medline][Order article via Infotrieve]
  11. Stoeckenius, W. (1962) Some electron microscopical observations on liquid-crystalline phases in lipid-water systems J Cell Biol 12,221-229[Abstract/Free Full Text]
  12. Dirksen, TR, Marinetti, GV (1970) Lipids of bovine enamel and dentin and human bone Calcif Tissue Res 6,1-10[Medline][Order article via Infotrieve]
  13. Odutuga, AA, Prout, RES (1974) Lipid analysis of human enamel and dentine Arch Oral Biol 19,729-731[Medline][Order article via Infotrieve]
  14. Shapiro, IM (1970) The phospholipids of mineralized tissues. I. Mammalian compact bone Calcif Tissue Res. 5,21-30[Medline][Order article via Infotrieve]
  15. Wuthier, RE (1968) Lipids of mineralizing epiphyseal tissues in the bovine fetus J Lipid Res 9,68-78[Abstract]
  16. Wasano, T, Hirokawa, H, Tagawa, H, Trempe, CL, Buzney, SM (1987) Asteroid hyalosis. Posterior vitreous detachment and diabetic retinopathy Ann Ophthalmol. 19,255-258[Medline][Order article via Infotrieve]
  17. Sebag, J. (1987) Ageing of the vitreous Eye 1,254-262
  18. Gorbunoff, MJ (1984) The interaction of proteins with hydroxyapatite. II. Role of acidic and basic groups Anal Biochem. 136,433-439[Medline][Order article via Infotrieve]
  19. Gorbunoff, MJ (1984) The interaction of proteins with hydroxyapatite. I. Role of protein charge and structure Anal Biochem. 136,425-432[Medline][Order article via Infotrieve]
  20. Boskey, AL (1992) Mineral-matrix interactions in bone and cartilage Clin Orthop 281,244-274
  21. Lamba, PA, Shukla, KN (1971) Experimental asteroid hyalopathy Br J Ophthalmol 55,279-283[Free Full Text]
  22. Streeten, B, Wilson, (1994) Disorders of the vitreous Garner, A Klintworth, GK eds. Pathobiology of Ocular Diseases ,701-742 Dekker, Inc. New York: Marcel.
  23. Bergren, RL, Brown, GC, Duker, JS (1991) Prevalence and association of asteroid hyalosis with systemic diseases Am J Ophthalmol ,289-293
  24. Luxenberg, M, Sime, D. (1969) Relationship of asteroid hyalosis to diabetes mellitus and plasma lipid levels Am J Ophthalmol 67,406-413[Medline][Order article via Infotrieve]
  25. Chakrabarti, S, Ma, N, Sima, AAF (1991) Anionic sites in diabetic basement membranes and their possible role in diffusion bariere abnormalities in the BB-rat Diabetologia 34,301-306[Medline][Order article via Infotrieve]
  26. Nagata, M, Robinson, WG (1987) Aldose reductase, diabetes, and thickening of the retinal inner limiting membrane Invest Ophthalmol Vis Sci 28,1867-1869[Abstract/Free Full Text]
  27. Ljubimov, AV, Burgeson, RE, Butkowski, RJ, et al (1996) Basement membrane abnormalities in human eyes with diabetic retinopathy J Histochem Cytochem 44,1469-1479[Abstract]
  28. Heegard, S. (1997) Morphology of the vitreoretinal border region Acta Ophthalmol Scand Suppl 222,1-31
  29. Malecaze, F, Caratero, C, Caratero, A, et al (1985) Some ultrastructural aspects of the vitreoretinal juncture Ophthalmologica 191,22-28[Medline][Order article via Infotrieve]



This article has been cited by other articles:


Home page
 Arch OphthalmolHome page
A. A. Fawzi, B. Vo, R. Kriwanek, H. L. Ramkumar, C. Cha, A. Carts, J. R. Heckenlively, R. Y. Foos, and B. J. Glasgow
Asteroid Hyalosis in an Autopsy Population: The University of California at Los Angeles (UCLA) Experience
Arch Ophthalmol, April 1, 2005; 123(4): 486 - 490.
[Abstract] [Full Text] [PDF]

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Winkler, J.
Right arrow Articles by Lünsdorf, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Winkler, J.
Right arrow Articles by Lünsdorf, H.

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS