Abstract

BackgroundWith the popularity of blue-rich light-emitting diode (LED)-backlit display devices, our eyes are now exposed to more short-wavelength blue light than they were in the past. The goal of this study was to investigate the pathogenesis of cataracts after short-wavelength light exposure.MethodsSprague-Dawley (SD) rats were selected and randomly divided into a control group (10 rats each for the 4-, 8-, and 12-week groups) and an experimental group (10 rats each for the 4-, 8-, and 12-week groups). The rats in the experimental group were exposed to a short-wavelength blue LED lamp for 12 h per day. After exposure to the blue LED lamp, the rats were maintained in total darkness for 12 h, after which a 12-h light/dark cycle was resumed. The intensity of the lamp was 3000 lx. At the end of the short-wavelength blue LED lamp exposure (for 4, 8, and 12 weeks), the expression levels of caspase-1, caspase-11 and gasdermin D (GSDMD) were examined in rat lens epithelial cells (LECs) using qRT-PCR and Western blot analyses. An illuminance of 2500 lx was used to study the potential effect of blue LED light on HLE-B3 hLECs in vitro. AC-YVAD-CMK, a caspase-1 inhibitor, was used to confirm the pyroptosis of LECs by flow cytometry.ResultsAfter 6 weeks, cataracts developed in the experimental rats (4/20 eyes). The clarity of the lens gradually worsened with the duration of exposure. Twelve weeks later, all of the rat eyes had developed cataracts. The expression levels of caspase-1, caspase-11 and GSDMD at 4, 8, and 12 weeks were significantly higher in the samples from rats exposed to a short-wavelength blue LED lamp than in the samples from control rats (p<0.05). The proportions of double-positive hLECs were significantly increased in the 5-h and 10-h short-wavelength blue light exposure subgroups compared with the 5-h and 10-h caspase-1 inhibitor subgroups (p < 0.05).ConclusionThe data indicate that pyroptosis plays a key role in cataract induction after short-wavelength blue light exposure. This study might provide new insights into a novel pathogenic mechanism of cataracts.

Highlights

  • With the popularity of blue-rich light-emitting diode (LED)-backlit display devices, our eyes are exposed to more short-wavelength blue light than they were in the past

  • Expression of caspase-1 To determine whether caspase-1 was associated with changes in rat eyes after exposure to a short-wavelength blue LED lamp, we examined the relative expression of caspase-1 in all control and experimental rat lens epithelial cells (LECs) samples using Quantitative real-time PCR (qRT-PCR)

  • The present study showed that the expression levels of caspase-1, caspase-11 and gasdermin D (GSDMD) were significantly increased in rat LECs after 4, 8, and 12 weeks of exposure to a short-wavelength blue LED lamp

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Summary

Introduction

With the popularity of blue-rich light-emitting diode (LED)-backlit display devices, our eyes are exposed to more short-wavelength blue light than they were in the past. The goal of this study was to investigate the pathogenesis of cataracts after short-wavelength light exposure. In a study in rural northern China, approximately 28.6% of participants aged 50 and older had poor postoperative visual outcomes, and cost was the most common barrier (73.9%) to cataract removal [3]. The only effective therapeutic method for cataracts is surgery, which has the potential for serious postoperative complications, e.g., increased intraocular pressure (IOP) and corneal edema. Studies of cataractogenesis are vital for developing effective therapeutic modalities for the prevention and treatment of cataracts. Cataracts are associated with a number of risk factors, e.g., drugs, malnutrition, aging, exposure to ultraviolet (UV) light, and diabetes mellitus [4,5,6]. The relationship between the formation of cataracts and short-wavelength blue light exposure has been mentioned, but the evidence is inconclusive

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