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1From the Agriculture and Life Sciences, Lincoln University, Canterbury, New Zealand; 2Research Laboratory, Senju Pharmaceutical Co., Ltd., Nishi-ku, Kobe, Japan; and 3Department of Integrative Biosciences, Oregon Health and Sciences University, Portland, Oregon.
| Abstract |
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METHODS. Sheep with genetic cataracts were examined for cataract severity. Calcium in normal and cataract lenses was measured. The presence of calpain was detected by casein zymography and immunoblotting. Calpain activity was assayed using BODIPY-casein as a substrate. Degradation of calpain substrates spectrin and vimentin was assessed by immunoblotting. The calpain inhibitor SJA6017 was applied to the left eye of cataract lambs, leaving the right eye as an untreated control. Both eyes were monitored by slit-lamp microscopy for cataract progression.
RESULTS. Cortical cataracts were first observed in lambs at 1 to 2 months of age. Lens calcium concentration increased in the early stages of cataract formation and was >10-fold higher in mature cataract than normal lenses. Three calpain isoforms were detected in young lamb lenses. Calpain activity decreased as cataracts progressed. Both spectrin and vimentin were degraded with cataract maturity, which could indicate calpain proteolysis. Cataract lambs treated with SJA6017 eyedrops over a period of 4 months showed significantly smaller cataracts in the left treated eye over the right untreated eye.
CONCLUSIONS. The presence of calpains and calcium elevation during cataract formation suggests that proteolysis may play a role in opacification in ovine lens. This hypothesis is supported by the delay in opacification with SJA6017 treatment. The results also suggested that the ovine hereditary cataract is a useful nonrodent model to test the role of calpains in cataractogenesis.
Cataracts have been studied in several animal models, including the guinea pig and the rabbit,6 7 with rat and mouse being the most common models.8 9 10 Both congenital and inducible cataract models exist in these species. At Lincoln University we have produced a cataract sheep flock as an alternative model for cataractogenesis. The ovine cataract, initially found in New Zealand Romney sheep, was first reported by Brooks et al.11 12 These investigations showed evidence that the genetic defect was inherited as an autosomal dominant trait. The formation of ovine cataracts follows reproducible stages, therefore, these sheep provide a useful model to study cataract mechanisms, which may be relevant to human cataractogenesis.
Experimental cataracts in rodents have been associated with a loss of calcium homeostasis, activation of the calcium dependent neutral proteases (calpains), and precipitation of partially degraded crystallins.13 While calpains have also been demonstrated in human and bovine lenses,14 evidence of their activation and participation in cataract formation in these species is lacking. This is because crystallins in human lenses become extremely heterogenous with age,15 16 which complicates detection of calpain-induced proteolysis in human cataract. Cortical cataracts are often associated with a rise in calcium levels. Although the genetic basis for the ovine cataract remains unknown, the cortical nature of the cataract may suggest a possible role for calpain in the opacification process.
This article has several objectives: (1) determine whether total calcium concentrations in the ovine lens increase during cataract formation, (2) detect if calpains are present in the ovine lens, (3) examine if cataracts are associated with increased proteolysis, and (4) determine whether the calpain inhibitor SJA6017 slows the rate of cataract formation.
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Cataract Progression and Classification
To establish a cataract flock at Lincoln University, a cataractous Romney ram was obtained from Massey University11 and was mated with normal-eyed, unrelated Coopworth ewes. To generate a time frame and a pattern of cataract formation in the Lincoln University Coopworth flock, the eyes of lambs born over three breeding seasons were carefully monitored. The number of progeny was recorded, together with information on how many lambs developed opacities and at what time after birth. The pattern of cataract formation and the time to maturity was noted.
All sheep eyes were examined in a darkened room to determine cataract location and severity. Eye pupils were dilated with atropine (1% atropine sulfate; Sigma Pharmaceuticals Pty Ltd, South Croydon, Australia), and the lenses were inspected using a slit lamp microscope (Kowa Co. Ltd, Tokyo, Japan) and an ophthalmoscope (Vista Diagnostic Instruments, Kellar, UK). A description of each cataract, including the location of the opacity, and the degree of cortical involvement were recorded. Lenses were also photographed to provide a permanent visual record of each cataract stage (Fig. 1) .
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Biochemistry.
For each experiment, the eyes of lambs were selected by cataract stage by using the above method. All animals were killed using captive bolt stunning and exsanguination. Whole-eye globes were removed immediately after slaughter, and the lenses were dissected from the globes by using a posterior approach.
Calcium Concentration in Ovine Lens.
Normal and cataract lenses of stages 1, 3, and 6 were freeze-dried, and dry weights were recorded. Nitric acid (69%, Aristar, 10 mL) was added to each sample and mixed thoroughly before sonication for 45 minutes (Transonic T460 sonic bath; Elma, Germany) and overnight digestion. The samples were analyzed without further dilution on an atomic absorption spectrophotometer (Avanta; GBC Scientific Equipment Ltd. [GBC], Victoria, Australia) using emission mode plus C2H2/N2O gas mixture. Standards were made from calcium nitrate AAS standard (1000 ppm; Spectrosol; BDH Lab Supplies, Poole, UK) and double deionized water acidified with HNO3. Data were analyzed by ANOVA, and then individual cataract stages were compared by the Students t-test.
Plasma Glucose Concentration.
After an overnight fast, blood samples were collected by venipuncture from 12 one-year-old sheep with normal eyes and 16 one-year-old sheep that displayed mature cataracts. Plasma glucose concentration for each sample was determined by spectrophotometric analysis using the hexokinase method (Catalog No. 115-A; Sigma Diagnostics Inc, St Louis, MO).
Casein Zymography.
Groups of lenses were collected immediately postmortem from lambs with normal lenses and lenses with cataracts at stages 1 to 2, 3 to 4, and 5 to 6. Lenses were dissected into nucleus and cortex fractions of approximately equal weight, except in lenses with a cataract stage of 5 to 6, because these samples were too liquid to separate. Lens fractions were homogenized in a glass tissue homogenizer with 2 mL of dissection buffer (20 mM sodium phosphate, 1 mM EGTA; pH 7) containing one tablet of Minicomplete protease inhibitor cocktail (Roche Diagnostics GmbH, Mannheim, Germany). Total homogenates were centrifuged at 4°C for 1 hour (11,200g). The pellets were washed twice in dissection buffer (no protease inhibitors) to remove residual soluble proteins and then were resuspended in 500 µL of lysis buffer17 by sonication. Protein concentrations for each sample were measured in each fraction using the BCA Protein Assay Reagent (Pierce, Rockford, IL).
Ten percent nondenaturing polyacrylamide gels containing 0.05% casein were prepared and run according to Ma et al.18 Two hundred µg total protein from each lens cortex and nuclear fraction (soluble and insoluble) was applied to the gel. After electrophoresis, gels were incubated in calcium buffer (20 mM Tris-HCl, pH 7.4; 20 mM Ca2+; 10 mM dithiothreitol [DTT]) overnight, then rinsed with distilled water and stained with GelCode Blue Stain Reagent (Pierce). Bands of caseinolytic activity appear white on a stained background.
Native Immunoblotting.
Immunoblots using antibodies to calpain I (1:2000; Catalog MA3 to 942; Affinity Bioreagents Inc., Golden, CO), calpain II (1:2000; Catalog MA3 to 940; Affinity), and Lp82 (1:1000; supplied by Hong Ma; OHSU, Portland, OR) were used to assign bands of caseinolytic activity to specific calpain isoforms. Immunoblotting was performed by electroblotting proteins from casein-absent gels onto a polyvinylidene fluoride (PVDF) membrane at 100 V (constant) for 1 hour in cold (4°C) transfer buffer (25 mM Tris, pH 8.3; 192 mM glycine; 20% v/v methanol). After the transfer, the membrane was blocked with 3% nonfat dry milk in Tween 20 Tris buffered saline (TTBS) (20 mM Tris, pH 7.5; 500 mM NaCl; 0.05% Tween 20) for 45 minutes Membranes were then incubated with primary antibodies in 1% blocking buffer for 1 hour, followed by alkaline phosphatase-conjugated secondary antibodies for 1 hour. Immunoreactivity was visualized with an alkaline phosphatase conjugate substrate kit (Bio-Rad, Hercules, CA).
SDS PAGE and Immunoblotting.
SDS-PAGE of the soluble and insoluble cataract (stage 6) lens proteins and age-matched controls was performed on a 12% gel (16 x 16 cm) and then stained with Coomassie Brilliant Blue (Sigma Chemical Company, St. Louis, MO). Immunoblots for
II-spectrin (Affiniti Research Products Ltd., Exeter, UK) and vimentin (V9 clone; Santa Cruz Biotechnology Inc., Santa Cruz, CA) were performed by running protein from normal and cataract (stage 6) samples on gels (NuPAGE; Invitrogen Life Technologies, Carlsbad, CA) for 50 minutes at 200 V using the MOPS buffer system. Proteins were electrotransferred onto PVDF membrane at 100 V for 1 hour at ice-cold temperatures using Tris-glycine buffer. All antibodies were used at 1:1000 dilutions, and immunoreactivity was visualized using the Western Breeze anti-mouse kit (Invitrogen).
Calpain II Activity.
Lamb lenses at different stages of cataract formation (normal and cataract, stages 1 to 6) were weighed, immediately placed in 6 volumes of ice cold Buffer A (20 mM Tris-HCl, pH 7.5; 1 mM EDTA; 1 mM EGTA; 2 mM DTT), and homogenized as for calcium samples. Particulate and insoluble material was removed by centrifugation for 30 minutes at 48,500g (4°C). The supernatant was collected, and 2 mL was loaded onto a 90 x 16-mm DEAE-Sepharose Fast Flow ion-exchange column (Pharmacia LKB, Uppsala, Sweden). Unbound proteins were washed from the column with 18 mL Buffer A at 3 mL/min, and bound proteins were eluted with a 90-mL linear gradient from 00.5 M NaCl in Buffer A. Forty 3-mL fractions were collected and assayed, and those containing calpain were pooled.
Calpain was assayed using BODIPY-FL casein as the substrate. BODIPY-FL was purchased from Molecular Probes (Eugene, OR), and the BODIPY-FL casein was prepared as described by Thompson et al.19 In triplicate assays, 50 µL of pooled sample was diluted to 100 µL with Buffer A and combined with 100 µL substrate solution (5 µg BODIPY-casein/mL, 10 mM CaCl2, 0.1 mM NaN3, 0.1% mercaptoethanol, 10 mM Tris-HCl, pH 7.5). Calcium blanks contained 100 µL Buffer A and 100 µL substrate solution. Calcium-independent changes in fluorescence were determined by assaying the sample in the presence of 12.5 mM EDTA.
Relative calpain activity was measured as the change in fluorescence caused by calpain per minute. The significance of calpain activity differences between cataract groups and the controls was determined by using the Students t-test.
Application of Calpain Inhibitor SJA6017
SJA6017 Uptake into Sheep Lens.
Before initiating treatment of lambs with SJA6017, a single lamb was treated with SJA6017, and the treated eye was monitored closely for signs of irritation. The lamb (aged 2 months) was housed indoors for 8 hours. A single eyedrop containing 0.5% SJA6017 in a liposome preparation (3.5% egg yolk lethicin; 1.5% cholesterol; PBS, pH 7.0) was applied topically to the left eye only, hourly for 8 hours.
Penetration of SJA6017 into ovine lens was measured by applying SJA6017 eyedrops to lambs in two dosing regimes. Six young lambs (6 to 8 weeks old) received a single eyedrop in the left eye every 15 minutes for 4 hours. A further six lambs of the same age were treated with a single eyedrop three times (3 hourly intervals) per day for 7 days. In both cases, the right untreated eye served as a control.
Fifteen minutes after the last eyedrop, lambs were killed and the eye globes were removed. Aqueous humor was collected by corneal puncture with an insulin syringe and was stored in 1.5 mL Eppendorf tubes, while lenses were dissected. Aqueous humor (500 µL) was mixed with 5 volumes of distilled water and SJA6017 extracted with 20 mL ethyl acetate by using a separating funnel. Whole lenses were homogenized with 1 mL distilled water and SJA6017 was extracted from lens homogenates with the addition of 10 mL ethyl acetate by using a separating funnel. Ethyl acetate extracts were dehydrated under vacuum for analysis.
All SJA6017 extracts were dissolved with 0.5-mL solution of water/acetonitrile/formic acid (50:50:0.5 volume ratio), then filtered through a filter of 0.45-µm pore size. Forty µL volumes of the filtrates were injected into an API-4000 LC/MS/MS system (Applied Biosystems, Foster City, CA) for detection of SJA6017. An SJA6017 recovery experiment was performed where control lens and aqueous humor samples were spiked with 26.5 ng and 13.25 ng SJA6017, respectively, before the extraction procedure above.
Topical Application of SJA6017 Treatment to Sheep Eyes In Vivo.
Eighty-two lambs (2 to 3 months old), bred from two cataract sires and normal-eyed unrelated ewes, were housed in grass paddocks at Lincoln University. For four consecutive months, the lambs were yarded three times daily to receive SJA6017 eyedrop treatment. The left eyes of all lambs were treated with a single eyedrop (approximately 42 µL, 0.5% SJA6017), while the right eye served as an untreated control. The dose rate during the third month was raised to one eyedrop four times per day. No other intervention was imposed on the lambs other than tailing, weaning, and yarding for veterinary assessment of cataract score. Although less than half of the lambs formed cataracts, all 82 lambs were treated, because the lambs forming cataracts could not be predicted. The control group receiving no eyedrops consisted of an additional 41 lambs. All lambs were yarded monthly to assess cataract formation by using the technique described above. Cataract scores were recorded for both left and right eyes of each lamb. The Wilcoxon signed rank test was used to detect differences between the cataract progression of the left and right eyes of all sheep.
| Results |
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Mechanism of Cataract Formation
To assess if cataract formation was a result of diabetes, the plasma glucose levels of normal and cataract lambs were measured but were not significantly different. Plasma glucose of lambs with cataracts (stage 6) was 56 mg/dL compared with 51 mg/dL from lambs with normal eyes. However, analysis of normal and cataract lenses revealed that cataract formation was associated with a highly significant rise in total lens calcium concentration (P < 0.001). Total calcium content of the cataract lenses at stage 1, stage 3, and stage 6 were all significantly higher (P < 0.05) than in normal lamb lenses (Table 1) . The rise in calcium concentration as the cataract progresses from stage 1 (early cataract) to a stage 6 (mature cataract) is also significant (P < 0.05).
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II spectrin was completely degraded, as was the vimentin band at approximately 56 kDa (Fig. 3) .
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II spectrin, the 280 kDa intact band was missing in the cataract lens. A 150 kDa breakdown product was observed in both the normal and cataract lens, but this band had almost disappeared with cataract development. The cataract lens had a lower 145 kDa breakdown product, which is often attributable to calpain (Fig. 4) . The intact band for vimentin decreased dramatically with cataract formation (Fig. 5) .
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| Discussion |
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Cortical cataracts in many species, including humans, have been associated with imbalances in ions and, in particular, calcium levels.21 Further work is required to determine whether the high calcium concentrations found in the ovine cataract are generalized or localized to a particular part of the lens. The ovine cataract has also displayed increased degradation of lens proteins, which is a characteristic feature of cortical cataracts.22 The production of degraded proteins suggests there is a possible role for the calcium-dependent proteases or calpains in cataract development. Calpains have been found in the lenses from many species.2 23 24 25 The ovine lens appears similar to the lenses of other species in that calpain II is the dominant calpain isoform followed by lower levels of calpain I activity.25 The lens-specific calpain isoform, Lp82, has been reported in young rats,18 mice,26 and cattle.27 Calpain is involved in regulating the proteolysis of several proteins that are required for the normal development of a lens, including crystallins,14 28 29 connexins,30 and major intrinsic protein.31 The rise in calcium levels observed in cataractogenesis may lead to the overactivation of calpain and the degradation of lens proteins. For example, the profile of spectrin breakdown in the lenses with cataracts, particularly bands at 145 and 150 kDa, are indicative of calpain proteolysis6 32 33 compared with normal lenses, which have an abundant 120kDa breakdown typical of caspase 3 proteolytic activity. The decline in extractable calpain activity with progression of the cataract is an indication of its activation and subsequent autolysis. A similar, although more pronounced pattern is seen for calpain I in postmortem meat.34
If calpain proteolysis is a cause of ovine cataract, then inhibition of calpain may prevent or retard any cataract progression. SJA6017, a cell-permeable peptide aldehyde, has been reported to be effective in preventing opacities in cultured rat and pig lenses,35 36 and in slowing induced cataracts in rats.37 In the present study, SJA6017 was applied as an eyedrop to the left eye of sheep over a 4-month period. The inhibitor appeared to slow the progression of cataractogenesis in the first month (Wilcoxon signed rank test, P < 0.01), but, after this period, both lenses progressed at similar rates (Fig. 9) . This is consistent with in vitro studies in which SJA6017 was only partially effective in reducing cataract formation in lens culture systems.35 In vivo studies have shown the systemic uptake of SJA6017 was initially able to slow cataract formation in selenite-induced cataracts in rats.37 The SJA6017 effect was temporary, and the cataracts progressed to the mature stage. The limited effectiveness of SJA6017 may be because of its low concentration in lens. The levels obtained in these reported experiments were <10 nM, and are well below the IC50 of 80 nM.37 Similar results were obtained in the lens of SJA6017 peritoneally injected rats, where SJA6017 concentrations were measured at 30 nM.37 It is possible that any SJA6017 reaching the lens becomes localized in the lens epithelium and the cortex, where most of the calpain II activity resides in rat lens.18
In conclusion, this study has characterized the calpains in ovine lens and provided evidence that calpains have a role in the inherited ovine cataract. Topical application of a calpain inhibitor has been shown to slow but not prevent cataractogenesis in sheep, which inherit cataracts. Further research is continuing to determine the suitability of this naturally inherited ovine cataract as a model for cataract formation in humans.
| Acknowledgements |
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| Footnotes |
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Submitted for publication November 3, 2004; revised January 5 and May 31, 2005; accepted September 28, 2005.
Disclosure: L.J.G. Robertson, None; J.D. Morton, Senju Pharmaceutical Co., Ltd. (F); M. Yamaguchi, Senju Pharmaceutical Co., Ltd. (E); R. Bickerstaffe, Senju Pharmaceutical Co., Ltd. (F); T.R. Shearer, Senju Pharmaceutical Co., Ltd. (C, F); M. Azuma, Senju Pharmaceutical Co., Ltd. (E, P)
The publication costs of this article were defrayed in part by page charge payment. This article must therefore be marked "advertisement" in accordance with 18 U.S.C.
1734 solely to indicate this fact.
Corresponding author: Lucinda J. G. Robertson, Agriculture and Life Sciences, PO Box 84, Lincoln University, Canterbury 8150, NZ; roberl{at}lincoln.ac.nz.
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