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Galactitol is not a cause of senile cataract

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Abstract

It has been postulated that the accumulation of sugar alcohol, galactitol, from milk induces cataract in the eye lens through an osmotic mechanism. In this study the concentrations of galactitol and other sugar alcohols (sorbitol, mannitol and inositol) were measured by sensitive gas chromatography in the lenses of 15 patients operated on for senile idiopathic cataracts and in 14 clear lenses removed at autopsy. Large amounts of inositol (mean ± SD, 4.1 ± 3.1 vs 4.7 ± 3.0 μmol/g lens wet weight) and small amounts of mannitol and sorbitol were detected in both study groups. Galactitol levels remained clearly below the detection limit (2 nmol/g) in all lenses. It seems unlikely that senile cataract is a result of the accumulation of galactitol in the eye lens.

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References

  1. Aaltola H, Antila P, Salminen S, Urho U-M (1986) Milk in nourishment. Valio. Yhteiskirjapaino, Helsinki, pp 1–31 (in Finnish)

    Google Scholar 

  2. Arola H, Koivula T, Jokela H, Isokoski M (1982) Simple urinary test for lactose malabsorption. Lancet II:524–525

    Google Scholar 

  3. Barth CA, Kopra N (1986) Oral intake of glucose plus galactose and erythrocyte galactose-1-phosphate. A nutritional evaluation of hydrolyzed lactose. Z Ernährungswiss 25:171–179

    Google Scholar 

  4. Bengtsson B, Steen B, Dahlqvist A, Jägerstad M (1984) Does lactose intake induce cataract in man? Lancet 1:1293–1294

    Google Scholar 

  5. Bhatnagar R, Sharma YR, Vajpayee RB, Madan M, Chhabra VK, Ram N, Mukesh K, Azad RV, Sharma R (1989) Does milk have a cataractogenic effect? Weighing of clinical evidence. Dig Dis Sci 34:1745–1750

    Google Scholar 

  6. Birlouez-Aragon I, Alloussi S, Morawiec M, Fevrier C (1989) The effects of 5% and 25% galactose diets on lens polyols, glutathione and protein glycation in male and female pigs. Curr Eye Res 8:449–457

    Google Scholar 

  7. Brivet M, Migayron F, Roger J, Cheron G, Lemonnier A (1989) Lens hexitols and cataract formation during lactation in a woman heterozygote for galactosaemia. J Inher Metab Dis 12 [Suppl 2]:343–345

    Google Scholar 

  8. Bunce GE, Kinoshita J, Horwitz J (1990) Nutritional factors in cataract. Annu Rev Nutr 10:233–254

    Google Scholar 

  9. Chen TT, Hockwin O, Dobbs R (1988) Cataract and health status: A case study. Ophthalmic Res 20:1–9

    Google Scholar 

  10. Dixon WJ (1983) BMDP statistical software. University of California Press, Berkeley

    Google Scholar 

  11. Gitzelmann R, Curtius H-C, Schneller I (1967) Galactitol and galactose-1-phosphate in the lens of a galactosemic infant. Exp Eye Res 6:1–3

    CAS  PubMed  Google Scholar 

  12. Hayman S, Kinoshita JH (1965) Isolation and properties of lens aldose reductase. J Biol Chem 240:877

    Google Scholar 

  13. Heyningen R van (1971) Galactose cataract: a review. Exp Eye Res 11:415–428

    Google Scholar 

  14. Isokoski M, Jussila J, Sarna S (1972) A simple screening test for lactose malabsorption. Gastroenterology 62:28–32

    Google Scholar 

  15. Jedziniak JA, Chylack Jr LT, Cheng H-M, Gillis MK, Kalustian AA, Tung WH (1981) The sorbitol pathway in the human lens: aldose reductase and polyol dehydrogenase. Invest Ophthalmol Vis Sci 20:314–326

    Google Scholar 

  16. Kechrid RM, Adrian J, Poiffait A (1986) Galactose metabolism in male and female rats. II. Eye-ball differences. Int J Vit Nutr Res 56:269–273

    Google Scholar 

  17. Lisker R, Cervantes G, Pérez-Briceño R, Alva G (1988) Lack of relationship between lactose absorption and senile cataracts. Ann Ophthalmol 20:436–438

    Google Scholar 

  18. Mangeot M, Djabal A, Myara I, Cherruau B, Pourci ML, Lemonnier A (1987) Metabolic studies of a sustained galactose overload in rat. Ann Nutr Metab 31:333–341

    Google Scholar 

  19. Quan-Ma R, Wells HJ, Wells WW, Sherman FE, Egan TJ (1966) Galactitol in the tissues of a galactosemic child. Am J Dis Child 112:477–478

    Google Scholar 

  20. Rinaldi E, Albini L, Costagliola C, DeRosa G, Auricchio G, DeVizia B, Auricchio S (1984) High frequency of lactose absorbers among adults with idiopathic senile and presenile cataract in a population with a high prevalence of primary adult lactose malabsorption. Lancet 1:355–357

    Google Scholar 

  21. Segal S (1989) Disorders of galactose metabolism. In: Scriver CR, Beaudet AL, Sly WS, Valle D (eds) The metabolic basis of inherited disease, 6th edn. McGraw-Hill, New York, pp 453–480

    Google Scholar 

  22. Simoons FJ (1978) The geographic hypothesis and lactose malabsorption: a weighing of the evidence. Dig Dis 23:963–980

    Google Scholar 

  23. Simoons FJ (1982) A geographic approach to senile cataracts. Possible links with milk consumption, lactase activity and galactose metabolism. Dig Dis Sci 27:257–264

    Google Scholar 

  24. Spinelli D, Vota MG, Formenti F, Accetta S, Careddu P, Roggero P, Imbriano A, Volpe C (1987) Idiopathic presenile and senile cataract formation and changes in lactase activity. Fortschr Ophthalmol 84:666–668

    Google Scholar 

  25. Sweeley C, Bentley R, Makita M, Wells WW (1963) Gas-liquid chromatography of sugars and related substances. J Am Chem Soc 85:2497–2507

    Google Scholar 

  26. Tengström B (1966) An intravenous galactose tolerance test with an enzymatic determination of galactose. A comparison with other diagnostic aids in hepatobiliary diseases. Scand J Clin Lab Invest 18 [Suppl] 92:132–142

    Google Scholar 

  27. Tomana M, Prchal JT, Garner LC, Skalka HW, Barker SA (1984) Gas chromatographic analysis of lens monosaccharides. J Lab Clin Med 103:137–142

    Google Scholar 

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This study was supported by grants from the Foundation for Nutrition Research, Emil Aaltonen Foundation and Mary och Georg C. Ehrnrooths Stiftelse

Offprint requests to: H. Arola

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Arola, H., Sillanaukee, P., Aine, E. et al. Galactitol is not a cause of senile cataract. Graefe's Arch Clin Exp Ophthalmol 230, 240–242 (1992). https://doi.org/10.1007/BF00176297

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  • DOI: https://doi.org/10.1007/BF00176297

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