Aldose reductase and glutathione in senile cataract nucleus of diabetics and non-diabetics

Kanishk Khare, Teena Mendonca, Gladys Rodrigues*, Manjunath Kamath, Anupama Hegde, Shyamala Nayak, Ajay Kamath, Sumana Kamath

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Purpose: The aim is to evaluate the aldose reductase (AR) and glutathione (GSH) activity in the nucleus of senile cataract in type 2 diabetes and non-diabetic group of patients. Methods: A total of 62 patients including 31 diabetics and 31 non- diabetics who were undergoing cataract surgery were included. Nucleus extracted was sent for analysis of AR and GSH activity while blood sample was taken for glycated haemoglobin (HbA1c) levels. Statistical analysis: Data were analysed using IBM SPSS 25. Comparison was carried out by unpaired T-test and correlations were established by Pearson’s correlation. The p value less than 0.05 was considered significant for all analyses. Study design: This is a prospective cross-sectional comparative study. Results: In this study, diabetic group patients showed earlier progression of cataract as compared to the non-diabetic group (p-value 0.0310). Mean HbA1c in the diabetic group was 7.34% compared to the non-diabetic group of 5.7% (p value < 0.001). AR in the diabetic patients was 2.07 mU/mg while the non-diabetic group was 0.22 mU/mg (p-value < 0.001). GSH in the diabetic group was 3.38 μMol/g and the non-diabetic group was 7.47 μMol/g (p value < 0.001). HbA1c showed positive correlation with AR among the diabetic group (p-value 0.028). Conclusion: Elevated oxidative stress can be strongly attributed to high AR and low GSH activity among the diabetic group as compared to the non-diabetic group and can lead to early cataract formation.

Original languageEnglish
Pages (from-to)3673-3680
Number of pages8
JournalInternational Ophthalmology
Volume43
Issue number10
DOIs
Publication statusPublished - 10-2023

All Science Journal Classification (ASJC) codes

  • Ophthalmology

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