Abstract
A transparent and pliable lens is critical for good quality vision, effective motor and social development, life-long education and employment, and high quality of life. As individuals live beyond the age of 40 they experience progressive lens hardening, called presbyopia, that results in impaired vision due to a reduced ability to accommodate (i.e. to change focus between near and far objects). Due to its age of onset most people, at least in the developed world, will live roughly half their lives dealing with the vision-impairing consequences of presbyopia. Additionally, tens of millions of people have low vision or blindness due to the formation of lenticular opacities, called cataracts, that reduce lens transparency. Due to population ageing, age-related cataracts are becoming an increasing problem worldwide. Thus presbyopia and age-related cataracts are causing, and will increasingly cause, large social and economic hardship across the globe. While decades of research have provided some understanding of the molecular mechanisms that underpin these blinding conditions, new research and clinical therapies are needed to better treat these extensive, costly and life-altering conditions. Advances in stem cell research and technology provide a real opportunity to identify and develop these much-needed new therapies.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
Abbreviations
- ARN:
-
Age-related nuclear
- BMP:
-
Bone morphogenic protein
- ESC:
-
Embryonic stem cell
- FGF:
-
Fibroblast growth factor
- IGF:
-
Insulin-like growth factor
- IOL:
-
Intraocular lens
- iPSC:
-
Induced pluripotent stem cell
- Nd:YAG:
-
Neodymium-doped yttrium aluminium garnet
- PCO:
-
Posterior capsule opacification
- PSC:
-
Pluripotent stem cell
References
Mann I (1964) The development of the human eye. Grune & Stratton, Inc., New York
Glasser A (2008) Restoration of accommodation: surgical options for correction of presbyopia. Clin Exp Optom 91(3):279–295
von Helmholtz H (1924) Mechanism of accommodation. In: Southall J (ed) Helmholtz’s treatise on physiological optics. Optical Society of America, New York, pp 143–172
Truscott RJ (2005) Age-related nuclear cataract-oxidation is the key. Exp Eye Res 80(5):709–725
Michael R, Bron AJ (2011) The ageing lens and cataract: a model of normal and pathological ageing. Philos Trans R Soc Lond B Biol Sci 366(1568):1278–1292
Truscott RJ (2009) Presbyopia. Emerging from a blur towards an understanding of the molecular basis for this most common eye condition. Exp Eye Res 88(2):241–247
McGinty SJ, Truscott RJ (2006) Presbyopia: the first stage of nuclear cataract? Ophthalmic Res 38(3):137–148
National Advisory Eye Council (1983) Vision research: a national plan 1983-1987. US Department of Health and Human Services, National Institutes of Health, Bethesda, MD
Access Economics Pty Limited (2004) Eye Research Australia. Clear insight. The economic impact and cost of vision loss in Australia, Eye Research Australia, 32 Gisborne St, East Melbourne, Victoria, Australia, 3002
Kupfer C (1985) Bowman lecture. The conquest of cataract: a global challenge. Trans Ophthalmol Soc U K 104(1):1–10
Congdon NG (2001) Prevention strategies for age related cataract: present limitations and future possibilities. Br J Ophthalmol 85(5):516–520
Thomson JA et al (1998) Embryonic stem cell lines derived from human blastocysts. Science 282(5391):1145–1147
Reubinoff BE, Pera MF, Fong CY, Trounson A, Bongso A (2000) Embryonic stem cell lines from human blastocysts: somatic differentiation in vitro. Nat Biotechnol 18(4):399–404
Takahashi K et al (2007) Induction of pluripotent stem cells from adult human fibroblasts by defined factors. Cell 131(5):861–872
Holden BA et al (2008) Global vision impairment due to uncorrected presbyopia. Arch Ophthalmol 126(12):1731–1739
Pascolini D, Mariotti SP (2012) Global estimates of visual impairment: 2010. Br J Ophthalmol 96(5):614–618
Hyman L, Patel I (2012) Chapter 11. Epidemiology of refractive errors and presbyopia. In: Johnson G, Minassian D, Weale R, West S (eds) The epidemiology of eye disease, 3rd edn. Imperial College Press, London, pp 197–226
Bron AJ, Vrensen GF, Koretz J, Maraini G, Harding JJ (2000) The ageing lens. Ophthalmologica 214(1):86–104
Glasser A, Campbell MC (1998) Presbyopia and the optical changes in the human crystalline lens with age. Vision Res 38(2):209–229
Truscott RJ (2003) Human cataract: the mechanisms responsible; light and butterfly eyes. Int J Biochem Cell Biol 35(11):1500–1504
Schachar RA (2006) The mechanism of accommodation and presbyopia. Int Ophthalmol Clin 46(3):39–61
Strenk SA, Strenk LM, Koretz JF (2005) The mechanism of presbyopia. Prog Retin Eye Res 24(3):379–393
Charman WN (2014) Developments in the correction of presbyopia I: spectacle and contact lenses. Ophthalmic Physiol Opt 34(1):8–29
Evans BJ (2007) Monovision: a review. Ophthalmic Physiol Opt 27(5):417–439
Morgan PB, Efron N, Woods CA, International Contact Lens Prescribing Survey Consortium (2011) An international survey of contact lens prescribing for presbyopia. Clin Exp Optom 94(1):87–92
Bennett ES (2008) Contact lens correction of presbyopia. Clin Exp Optom 91(3):265–278
Kook D et al (2013) Advances in lens implant technology. F1000 Med Rep 5:3, Epub 2013 Feb 1
Waring GO IV, Berry DE (2013) Advances in the surgical correction of presbyopia. Int Ophthalmol Clin 53(1):129–152
Torricelli AA, Junior JB, Santhiago MR, Bechara SJ (2012) Surgical management of presbyopia. Clin Ophthalmol 6:1459–1466
Schachar RA (2001) Theoretical basis for the scleral expansion band procedure for surgical reversal of presbyopia [SRP]. Compr Ther 27(1):39–46
Mathews S (1999) Scleral expansion surgery does not restore accommodation in human presbyopia. Ophthalmology 106(5):873–877
Ostrin LA, Kasthurirangan S, Glasser A (2004) Evaluation of a satisfied bilateral scleral expansion band patient. J Cataract Refract Surg 30(7):1445–1453
Malecaze FJ, Gazagne CS, Tarroux MC, Gorrand JM (2001) Scleral expansion bands for presbyopia. Ophthalmology 108(12):2165–2171
Hamilton DR, Davidorf JM, Maloney RK (2002) Anterior ciliary sclerotomy for treatment of presbyopia: a prospective controlled study. Ophthalmology 109(11):1970–1976, discussion 1976–7
Gower E, West S (2012) Chapter 10. Age-related cataract. In: Johnson G, Minassian D, Weale R, West S (eds) The epidemiology of eye disease, 3rd edn. Imperial College Press, London, pp 177–196
Rochtchina E et al (2003) Projected prevalence of age-related cataract and cataract surgery in Australia for the years 2001 and 2021: pooled data from two population-based surveys. Clin Experiment Ophthalmol 31(3):233–236
World Health Organisation Fact Sheet No 135: Population Ageing-A Public Health Challenge - Revised September 1998 (WHO, 1998, 4 p.). Geneva, Switzerland
McGavin D (1999) The global initiative for the elimination of avoidable blindness—vision 2020: the right to sight. Community Eye Health 12(30):32
Michael R, Barraquer RI, Willekens B, van Marle J, Vrensen GF (2008) Morphology of age-related cuneiform cortical cataracts: the case for mechanical stress. Vision Res 48(4):626–634
Gilliland KO, Freel CD, Lane CW, Fowler WC, Costello MJ (2001) Multilamellar bodies as potential scattering particles in human age-related nuclear cataracts. Mol Vis 7:120–130
Costello MJ, Johnsen S, Gilliland KO, Freel CD, Fowler WC (2007) Predicted light scattering from particles observed in human age-related nuclear cataracts using Mie scattering theory. Invest Ophthalmol Vis Sci 48(1):303–312
Costello MJ et al (2012) Electron tomography of fiber cell cytoplasm and dense cores of multilamellar bodies from human age-related nuclear cataracts. Exp Eye Res 101:72–81
Beebe DC, Holekamp NM, Shui YB (2010) Oxidative damage and the prevention of age-related cataracts. Ophthalmic Res 44(3):155–165
Hejtmancik JF, Kantorow M (2004) Molecular genetics of age-related cataract. Exp Eye Res 79(1):3–9
Truscott RJ (2000) Age-related nuclear cataract: a lens transport problem. Ophthalmic Res 32(5):185–194
Wormstone IM, Wang L, Liu CS (2009) Posterior capsule opacification. Exp Eye Res 88(2):257–269
Ravindran RD et al (2011) Inverse association of vitamin C with cataract in older people in India. Ophthalmology 118(10):1958–1965.e2
Christen WG, Liu S, Glynn RJ, Gaziano JM, Buring JE (2008) Dietary carotenoids, vitamins C and E, and risk of cataract in women: a prospective study. Arch Ophthalmol 126(1):102–109
Mares JA et al (2010) Healthy diets and the subsequent prevalence of nuclear cataract in women. Arch Ophthalmol 128(6):738–749
Christen W, Glynn R, Sperduto R, Chew E, Buring J (2004) Age-related cataract in a randomized trial of beta-carotene in women. Ophthalmic Epidemiol 11(5):401–412
Christen WG, Glynn RJ, Chew EY, Buring JE (2008) Vitamin E and age-related cataract in a randomized trial of women. Ophthalmology 115(5):822–829.e1
Christen WG et al (2010) Age-related cataract in a randomized trial of vitamins E and C in men. Arch Ophthalmol 128(11):1397–1405
Gritz DC et al (2006) The Antioxidants in Prevention of Cataracts Study: effects of antioxidant supplements on cataract progression in South India. Br J Ophthalmol 90(7):847–851
Taylor HR, Vu HT, Keeffe JE (2006) Visual acuity thresholds for cataract surgery and the changing Australian population. Arch Ophthalmol 124(12):1750–1753
Taylor HR, Pezzullo ML, Keeffe JE (2006) The economic impact and cost of visual impairment in Australia. Br J Ophthalmol 90(3):272–275
Taylor HR et al (2005) Vision loss in Australia. Med J Aust 182(11):565–568
Rein DB et al (2006) The economic burden of major adult visual disorders in the United States. Arch Ophthalmol 124(12):1754–1760
Gimbel HV, Dardzhikova AA (2011) Consequences of waiting for cataract surgery. Curr Opin Ophthalmol 22(1):28–30
Coombes A, Gantry D (2003) Fundamentals of clinical ophthalmology: cataract surgery. In: Lightman S (ed). BMJ Books, London, p 233
Lichtinger A, Rootman DS (2012) Intraocular lenses for presbyopia correction: past, present, and future. Curr Opin Ophthalmol 23(1):40–46
Santaella R, Afshari N (2010) Presbyopia-correcting intraocular lenses: ‘one lens does not fit all’. Curr Opin Ophthalmol 21(1):1–3
Buznego C, Trattler WB (2009) Presbyopia-correcting intraocular lenses. Curr Opin Ophthalmol 20(1):13–18
Olson RJ (2008) Presbyopia correcting intraocular lenses: what do I do? Am J Ophthalmol 145(4):593–594
Pepose JS (2008) Maximizing satisfaction with presbyopia-correcting intraocular lenses: the missing links. Am J Ophthalmol 146(5):641–648
Awasthi N, Guo S, Wagner BJ (2009) Posterior capsular opacification: a problem reduced but not yet eradicated. Arch Ophthalmol 127(4):555–562
Rabsilber TM, Limberger IJ, Reuland AJ, Holzer MP, Auffarth GU (2007) Long-term results of sealed capsule irrigation using distilled water to prevent posterior capsule opacification: a prospective clinical randomised trial. Br J Ophthalmol 91(7):912–915
Steinberg EP et al (1993) The content and cost of cataract surgery. Arch Ophthalmol 111(8):1041–1049
Lundqvist B, Monestam E (2010) Ten-year longitudinal visual function and nd: YAG laser capsulotomy rates in patients less than 65 years at cataract surgery. Am J Ophthalmol 149(2):238–244.e1
Vock L et al (2009) Posterior capsule opacification and neodymium: YAG laser capsulotomy rates with a round-edged silicone and a sharp-edged hydrophobic acrylic intraocular lens 10 years after surgery. J Cataract Refract Surg 35(3):459–465
Olsen T, Jeppesen P (2012) The incidence of retinal detachment after cataract surgery. Open Ophthalmol J 6:79–82
Lois N, Wong D (2003) Pseudophakic retinal detachment. Surv Ophthalmol 48(5):467–487
Wride MA (2011) Lens fibre cell differentiation and organelle loss: many paths lead to clarity. Philos Trans R Soc Lond B Biol Sci 366(1568):1219–1233
Danysh BP, Duncan MK (2009) The lens capsule. Exp Eye Res 88(2):151–164
Kuszak JR, Zoltoski RK, Tiedemann CE (2004) Development of lens sutures. Int J Dev Biol 48(8–9):889–902
Taylor VL et al (1996) Morphology of the normal human lens. Invest Ophthalmol Vis Sci 37(7):1396–1410
Kuszak JR, Zoltoski RK, Sivertson C (2004) Fibre cell organization in crystalline lenses. Exp Eye Res 78(3):673–687
Pierscionek BK, Regini JW (2012) The gradient index lens of the eye: an opto-biological synchrony. Prog Retin Eye Res 31(4):332–349
Lynnerup N, Kjeldsen H, Heegaard S, Jacobsen C, Heinemeier J (2008) Radiocarbon dating of the human eye lens crystallines reveal proteins without carbon turnover throughout life. PLoS One 3(1):e1529
Dahm R, van Marle J, Quinlan RA, Prescott AR, Vrensen GF (2011) Homeostasis in the vertebrate lens: mechanisms of solute exchange. Philos Trans R Soc Lond B Biol Sci 366(1568):1265–1277
Hanna C, O’Brien JE (1961) Cell production and migration in the epithelial layer of the lens. Arch Ophthalmol 66:103–107
Persons BJ, Modak SP (1970) The pattern of DNA synthesis in the lens epithelium and the annular pad during development and growth of the chick lens. Exp Eye Res 9(1):144–151
Rafferty NS, Rafferty KA Jr (1981) Cell population kinetics of the mouse lens epithelium. J Cell Physiol 107(3):309–315
Zhou M, Leiberman J, Xu J, Lavker RM (2006) A hierarchy of proliferative cells exists in mouse lens epithelium: implications for lens maintenance. Invest Ophthalmol Vis Sci 47(7):2997–3003
Yamamoto N, Majima K, Marunouchi T (2008) A study of the proliferating activity in lens epithelium and the identification of tissue-type stem cells. Med Mol Morphol 41(2):83–91
Gwon A (2006) Lens regeneration in mammals: a review. Surv Ophthalmol 51(1):51–62
Coulombre JL, Coulombre AJ (1963) Lens development: fiber elongation and lens orientation. Science 142(3598):1489–1490
Yamamoto Y (1976) Growth of lens and ocular environment: role of neural retina in the growth of mouse lens as revealed by an implantation experiment. Dev Growth Differ 18(3):273–278
Kappelhof JP, Vrensen GF, de Jong PT, Pameyer J, Willekens BL (1987) The ring of Soemmerring in man: an ultrastructural study. Graefes Arch Clin Exp Ophthalmol 225(1):77–83
Kappelhof JP, Vrensen GF (1992) The pathology of after-cataract. A minireview. Acta Ophthalmol Suppl 205:13–24
Piatigorsky J (1973) Insulin initiation of lens fiber differentiation in culture: elongation of embryonic lens epithelial cells. Dev Biol 30(1):214–216
Bassas L, Zelenka PS, Serrano J, de Pablo F (1987) Insulin and IGF receptors are developmentally regulated in the chick embryo eye lens. Exp Cell Res 168(2):561–566
Beebe DC et al (1987) Lentropin, a protein that controls lens fiber formation, is related functionally and immunologically to the insulin-like growth factors. Proc Natl Acad Sci U S A 84(8):2327–2330
McAvoy JW (1980) Beta- and gamma-crystallin synthesis in rat lens epithelium explanted with neural retinal. Differentiation 17(2):85–91
Walton J, McAvoy J (1984) Sequential structural response of lens epithelium to retina-conditioned medium. Exp Eye Res 39(2):217–229
Campbell MT, McAvoy JW (1984) Onset of fibre differentiation in cultured rat lens epithelium under the influence of neural retina-conditioned medium. Exp Eye Res 39(1):83–94
Chamberlain CG, McAvoy JW (1987) Evidence that fibroblast growth factor promotes lens fibre differentiation. Curr Eye Res 6(9):1165–1169
Chamberlain CG, McAvoy JW (1989) Induction of lens fibre differentiation by acidic and basic fibroblast growth factor (FGF). Growth Factors 1(2):125–134
Lovicu FJ, Overbeek PA (1998) Overlapping effects of different members of the FGF family on lens fiber differentiation in transgenic mice. Development 125(17):3365–3377
Stolen CM, Jackson MW, Griep AE (1997) Overexpression of FGF-2 modulates fiber cell differentiation and survival in the mouse lens. Development 124(20):4009–4017
Robinson ML et al (1998) Disregulation of ocular morphogenesis by lens-specific expression of FGF-3/int-2 in transgenic mice. Dev Biol 198(1):13–31
de Iongh RU, Lovicu FJ, Hanneken A, Baird A, McAvoy JW (1996) FGF receptor-1 (flg) expression is correlated with fibre differentiation during rat lens morphogenesis and growth. Dev Dyn 206(4):412–426
de Iongh RU, Lovicu FJ, Chamberlain CG, McAvoy JW (1997) Differential expression of fibroblast growth factor receptors during rat lens morphogenesis and growth. Invest Ophthalmol Vis Sci 38(9):1688–1699
Zhao H et al (2008) Fibroblast growth factor receptor signaling is essential for lens fiber cell differentiation. Dev Biol 318(2):276–288
Schulz MW, Chamberlain CG, de Iongh RU, McAvoy JW (1993) Acidic and basic FGF in ocular media and lens: implications for lens polarity and growth patterns. Development 118(1):117–126
Lovicu FJ, McAvoy JW (2005) Growth factor regulation of lens development. Dev Biol 280(1):1–14
Wu W et al (2014) A gradient of matrix-bound FGF-2 and perlecan is available to lens epithelial cells. Exp Eye Res 120:10–14
Chamberlain C, McAvoy J (1997) Fiber differentiation and polarity in the mammalian lens: a key role for FGF. Prog Retin Eye Res 16:443–478
O’Connor MD, McAvoy JW (2007) In vitro generation of functional lens-like structures with relevance to age-related nuclear cataract. Invest Ophthalmol Vis Sci 48(3):1245–1252
O’Connor MD, Wederell ED, de Iongh R, Lovicu FJ, McAvoy JW (2008) Generation of transparency and cellular organization in lens explants. Exp Eye Res 86(5):734–745
Chamberlain CG, McAvoy JW, Richardson NA (1991) The effects of insulin and basic fibroblast growth factor on fibre differentiation in rat lens epithelial explants. Growth Factors 4(3):183–188
Lovicu FJ, McAvoy JW, de Iongh RU (2011) Understanding the role of growth factors in embryonic development: insights from the lens. Philos Trans R Soc Lond B Biol Sci 366(1568):1204–1218
Kerr CL, Huang J, Williams T, West-Mays JA (2012) Activation of the hedgehog signaling pathway in the developing lens stimulates ectopic FoxE3 expression and disruption in fiber cell differentiation. Invest Ophthalmol Vis Sci 53(7):3316–3330
Tsonis PA, Del Rio-Tsonis K (2004) Lens and retina regeneration: transdifferentiation, stem cells and clinical applications. Exp Eye Res 78(2):161–172
Henry JJ, Tsonis PA (2010) Molecular and cellular aspects of amphibian lens regeneration. Prog Retin Eye Res 29(6):543–555
Hayashi T, Mizuno N, Ueda Y, Okamoto M, Kondoh H (2004) FGF2 triggers iris-derived lens regeneration in newt eye. Mech Dev 121(6):519–526
Del Rio-Tsonis K, Trombley MT, McMahon G, Tsonis PA (1998) Regulation of lens regeneration by fibroblast growth factor receptor 1. Dev Dyn 213(1):140–146
Maki N et al (2009) Expression of stem cell pluripotency factors during regeneration in newts. Dev Dyn 238(6):1613–1616
Greiling TM, Aose M, Clark JI (2010) Cell fate and differentiation of the developing ocular lens. Invest Ophthalmol Vis Sci 51(3):1540–1546
Dahm R, Schonthaler HB, Soehn AS, van Marle J, Vrensen GF (2007) Development and adult morphology of the eye lens in the zebrafish. Exp Eye Res 85(1):74–89
Schmitt EA, Dowling JE (1994) Early eye morphogenesis in the zebrafish, brachydanio rerio. J Comp Neurol 344(4):532–542
Greiling TM, Clark JI (2009) Early lens development in the zebrafish: a three-dimensional time-lapse analysis. Dev Dyn 238(9):2254–2265
McDevitt DS, Brahma SK (1973) Ontogeny and localization of the crystallins during embryonic lens development in Xenopus laevis. J Exp Zool 186(2):127–140
Tsonis PA (2008) Animal models in eye research. Academic Press, 525 B Street, Suite 1900, San Diego, CA 92101-4495, USA
Wistow GJ, Piatigorsky J (1988) Lens crystallins: the evolution and expression of proteins for a highly specialized tissue. Annu Rev Biochem 57:479–504
Piatigorsky J (1993) Puzzle of crystallin diversity in eye lenses. Dev Dyn 196(4):267–272
Pera MF, Trounson AO (2004) Human embryonic stem cells: prospects for development. Development 131(22):5515–5525
West PR, Weir AM, Smith AM, Donley EL, Cezar GG (2010) Predicting human developmental toxicity of pharmaceuticals using human embryonic stem cells and metabolomics. Toxicol Appl Pharmacol 247(1):18–27
Hirano M et al (2003) Generation of structures formed by lens and retinal cells differentiating from embryonic stem cells. Dev Dyn 228(4):664–671
Yang C et al (2010) Efficient generation of lens progenitor cells and lentoid bodies from human embryonic stem cells in chemically defined conditions. FASEB J 24(9):3274–3283
Mengarelli I, Barberi T (2013) Derivation of multiple cranial tissues and isolation of lens epithelium-like cells from human embryonic stem cells. Stem Cells Transl Med 2(2):94–106
Gunhaga L (2011) The lens: a classical model of embryonic induction providing new insights into cell determination in early development. Philos Trans R Soc Lond B Biol Sci 366(1568):1193–1203
Zhang H et al (2007) Arsenic trioxide initiates ER stress responses, perturbs calcium signalling and promotes apoptosis in human lens epithelial cells. Exp Eye Res 85(6):825–835
Liu Y, Wong T, Mehta J (2013) Intraocular lens as a drug delivery reservoir. Curr Opin Ophthalmol 24(1):53–59
Sampath S et al (2012) The use of rat lens explant cultures to study the mechanism of drug-induced cataractogenesis. Toxicol Sci 126(1):128–139
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Murphy, P., O’Connor, M.D. (2014). Stem Cells and the Ocular Lens: Implications for Cataract Research and Therapy. In: Pébay, A. (eds) Regenerative Biology of the Eye. Stem Cell Biology and Regenerative Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0787-8_9
Download citation
DOI: https://doi.org/10.1007/978-1-4939-0787-8_9
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-0786-1
Online ISBN: 978-1-4939-0787-8
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)