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ARTICLE |

Aldose Reductase in Diabetic Cataracts FREE

Jin H. Kinoshita, PhD; Peter Kador, PhD; Manuel Catiles, MD
[+] Author Affiliations

Reprint requests to Bldg 6, Room 222, National Eye Institute, National Institutes of Health, Bethesda, MD 20205 (Dr Kinoshita).


JAMA. 1981;246(3):257-261. doi:10.1001/jama.1981.03320030049032
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AN ASSOCIATION between cataracts and diabetes in humans has been suspected for about two centuries. This in turn has resulted in considerable laboratory research in the development of animal models in which the eye disease process could be studied in detail. From these studies, it was observed that diabetes produced either by pancreatomy or by chemical destruction of beta cells of the pancreas leads to cataracts in dogs, rats, rabbits, monkeys, and other animals. Moreover, the rapidity of cataract development paralleled the severity of the diabetes.1 Thus, this diabetic complication appears directly related to the glucose level.

The cataractous process, first appearing as vacuoles in the equatorial region, proceeds to opacification of the lens nucleus and finally the entire lens (Fig 1). An understanding of the mechanism involved in the development of diabetic cataracts was greatly accelerated by the fact that the process could be duplicated in rats fed

REFERENCES

Patterson JW:  Effect of blood supply on development of cataracts . Am J Physiol 1955;; 180:495-501.
Friedenwald JS, Rytel D:  Contribution to the histopathology of cataract . Arch Ophthalmol 1955;;53:825-833.
Van Heyningen R:  Formation of polyols by the lens of the rat with sugar cataract . Nature 1959;;184:194-196.
Hers LG:  Aldose reductase . Biochim Biophys Acta 1960;;37:120-126.
Kinoshita JH:  Cataracts in galactosemia . Invest Ophthalmol 1965;;4:786-799.
Kinoshita JH:  Mechanism of cataract formation . Invest Ophthalmol 1974;;13:713-724.
Varma S, Kinoshita JH:  The absence of cataracts in mice with congenital cataracts . Exp Eye Res 1974;;19:577-582.
Varma S, Mizuno A, Kinoshita JH:  Diabetic cataracts and flavonoids . Science 1977;;195:205-206.
Dvornik D, Simard-Duquesne N, Kraml M:  Polyol accumulation in galactosemic and diabetic rats . Science 1973;;182:1146-1147.
Peterson MJ, Sarges R, Aldinger CG, et al:  CP-45634: A novel aldose reductase inhibitor . Metabolism 1979;;28:456-461.
Fukushi S, Merola LO, Kinoshita JH:  Altering the course of cataracts in diabetic rats . Invest Ophthalmol Vis Sci 1980;;19:313-315.
Gabbay KM:  The sorbitol pathway and the complications of diabetes . N Engl J Med 1973;; 288:831-836.
Varma SD, Kinoshita JH:  Sorbitol pathway in diabetic and galactosemic rat lens . Biochim Biophys Acta 1970;;338:632-640.
Heath H, Hamleh YC:  The sorbitol pathway . Diabetologia 1976;;12:43-46.
Buzney SM, Frank RN, Varma SD:  Aldose reductase in retinal mural cells . Invest Ophthalmol 1977;;16:392-396.

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Patterson JW:  Effect of blood supply on development of cataracts . Am J Physiol 1955;; 180:495-501.
Friedenwald JS, Rytel D:  Contribution to the histopathology of cataract . Arch Ophthalmol 1955;;53:825-833.
Van Heyningen R:  Formation of polyols by the lens of the rat with sugar cataract . Nature 1959;;184:194-196.
Hers LG:  Aldose reductase . Biochim Biophys Acta 1960;;37:120-126.
Kinoshita JH:  Cataracts in galactosemia . Invest Ophthalmol 1965;;4:786-799.
Kinoshita JH:  Mechanism of cataract formation . Invest Ophthalmol 1974;;13:713-724.
Varma S, Kinoshita JH:  The absence of cataracts in mice with congenital cataracts . Exp Eye Res 1974;;19:577-582.
Varma S, Mizuno A, Kinoshita JH:  Diabetic cataracts and flavonoids . Science 1977;;195:205-206.
Dvornik D, Simard-Duquesne N, Kraml M:  Polyol accumulation in galactosemic and diabetic rats . Science 1973;;182:1146-1147.
Peterson MJ, Sarges R, Aldinger CG, et al:  CP-45634: A novel aldose reductase inhibitor . Metabolism 1979;;28:456-461.
Fukushi S, Merola LO, Kinoshita JH:  Altering the course of cataracts in diabetic rats . Invest Ophthalmol Vis Sci 1980;;19:313-315.
Gabbay KM:  The sorbitol pathway and the complications of diabetes . N Engl J Med 1973;; 288:831-836.
Varma SD, Kinoshita JH:  Sorbitol pathway in diabetic and galactosemic rat lens . Biochim Biophys Acta 1970;;338:632-640.
Heath H, Hamleh YC:  The sorbitol pathway . Diabetologia 1976;;12:43-46.
Buzney SM, Frank RN, Varma SD:  Aldose reductase in retinal mural cells . Invest Ophthalmol 1977;;16:392-396.
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