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What is the best way to describe the effects of post-translational modifications in the lens?
They can have both protective and degenerative effects
When comparing normal lens proteins to cataractous lens proteins, what is seen?
Major increase in insoluble proteins in the cataractous lens
When examining the corneal stroma and scleral collagen, what is difference that accounts for the differed light opacities?
The corneal stroma collagen is highly uniformly arranged and organized, allowing it to be totally clear
In the cornea, the size of primary type I collagen...
depends on the amount of type V fibers that are present (if there's more type V, type I will be smaller)
The lattce structure of Descemet's membrane is attributed to
Type VIII Collagen
What percentage of our bodies are water?
60%
What percentage of an infant's body is water?
75%
How much blood does an adult have?
around 5L
How much blood does an 8 lb. baby have?
around 2.7L
How much blood does a pregnant woman have?
around 30-50% more than an average adult
What are the ocular-specific fluids?
Aqueous, vitreous, precorneal tears
How much of the eye is fluid?
about 80%
Is there normal metabolic activity in cells with 50% water?
No, there must be at least 60-65% water for normal activity to occur
What are the "nearest neighbors" of water?
Ammonia (NH3), hydrogen fluoride (HF), dihydrogen sulfide (H2S)
T/F: Water has a high boiling point
True
T/F: Water has a high melting point
True
T/F: Water has a high heat of vaporization
True
T/F: Water has high surface tension
True
Is water's dielectric constant high or low?
Relatively high for a molecule of its size
What compound has the highest dielectric constant?
Calcium copper titanate (CCTO) - over 10,000
What is dielectric constant?
A measure of a substance/material's ability to store electrical energy
What is another name for dielectric constant?
Relative permittivity
Are hydrogen bonds strong or weak?
Strong when there are many together, relatively weak alone
How much stronger is a covalent bond than a hydrogen bond?
About 25x
Are non-polar substances soluble in water?
No
What is the normal physiologic pH of blood?
7.33-7.45
What gases are carried in blood?
O2, N2, and CO2
What are the functions of blood in the eye?
Nourishment, waste disposal, generation of IOP, homeostasis of retinal functions
T/F: The lens has a direct supply of blood
False
Where is aqueous fluid produced?
Ciliary body
How is the retina nourished?
The choroid and the central retinal artery
The pumping activity of what two ATPases generates the aqueous fluid?
Na/K-ATPase and bicarbonate-ATPase
How many Na/K-ATPases are in each ciliary body cell?
800K-30M
What portion of the aqueous fluid is water?
99.9%
The aqueous is a source of _____________ for the lens
antioxidants
What nourishes the corneal endothelium, stromal keratocytes, corneal epithelium, and the lens?
The aqueous fluid
What is the IOP?
The balance between production and drainage of the aqueous fluid
Is the concentration of ascorbic acid in the aqueous fluid higher or lower than in blood?
higher
Is the concentration of bicarbonate in the aqueous fluid higher or lower than in blood?
unchanged
Is the concentration of globulin in the aqueous fluid higher or lower than in blood?
unchanged
What percentage of the vitreous fluid is water?
98-99.7%
As we age, does the vitreous get more or less gel-like?
Less
What causes the gel-like composition of the vitreous fluid?
Type II collagens and proteoglycans (hyaluronic acid)
What causes the vitreous to become less gel-like as we age?
Degredation of collagens
Is the concentration of bicarbonate in the vitreous fluid higher or lower than in blood?
unchanged
Is the concentration of glucose in the vitreous fluid higher or lower than in blood?
slightly lower
Is the concentration of potassium in the vitreous fluid higher or lower than in blood?
lower
What are the 4 functions of the precorneal tears?
wetting the corneal epithelium, creating a smooth surface, supplying oxygen to the cornea, and destroying bacteria via lysozyme
What are the 3 layers of the precorneal tears?
outer oily layer, aqueous layer, inner mucus layer
What area produces the surface oily layer of the precorneal tears?
The Meibomian glands
The aqueous layer makes up how much of the precorneal tears?
60%
What area produces the aqueous portion of the precorneal tears?
The lacrimal gland
Is the concentration of bicarbonate in the tear film higher or lower than in blood?
unchanged
Is the concentration of sodium in the tear film higher or lower than in blood?
slightly lower
Is the concentration of potassium in the tear film higher or lower than in blood?
MUCH higher (nearly 7x)
What is the average thickness of the adult human lens?
5mm
What is the average diameter of the adult human lens?
9mm
How many layers of epithelial cells are found in the outer edge of the lens?
one
Do the lens epithelia divide normally?
No, only when undergoing repair
What is the lens capsule composed of?
Type IV collagen and sulfated GAGs
Which portion of the lens regulates most of the homeostatic functions?
The lens epithelium
What are the average diameters of the lens fiber cells?
4-7 microns
What are the average lengths of the lens fiber cells?
up to 12mm
How are the lens fibers arranged?
Lengthwise from posterior to anterior poles
What protein makes up more than 90% of the lens?
Crystallins
What type of proteins are crystallins?
Water soluble
Do crystallins increase or decrease the index of refraction of the lens?
Increase
What type of proteins are ⍺-crystallins related to?
Heat shock proteins
What type of proteins are β-crystallins related to?
Bacterial spore coat proteins
Where all have crystallins been found?
Heart, brain, lung, retina, and cornea
What are the largest crystallins?
⍺-crystallins
What is the molecular wright of ⍺-crystallins?
750,000 d
What is the molecular weight of β-crystallins?
70,000 d
What is the molecular weight of γ-crystallins?
20,000 d
What type of crystallins are found in the lens epithelium?
Only ⍺-crystallins
What two types of crystallins have N-terminus acetylation?
⍺- and β-crystallins
What is the secondary structure of ⍺-crystallins?
⍺ helices and β pleated sheets
What is the secondary structure of β- and γ-crystallins?
β pleated sheets
What is the simplest form of crystallins?
γ-crystallins
What type of crystallin has chaperone activity?
⍺-crystallins
What are the age-related cataracts?
Cortical cataracts, nuclear cataracts, and posterior subcapsular cataracts
What is the "repeating triplet" of collagen?
Glycine-Proline-Hydroxyproline
What are class I collagens?
banded, fibrillar collagens
What are class II collagens?
FACIT collagen
What are class III collagens?
Those that are not attached to fibers such as anchoring rods
What is the most abundant type of collagen in the human body?
Type I
What type of collagen is the basis for cartilage?
Type II
Which GAG is found primarily in the central cornea?
Keratan sulfate
Which GAG is found primarliy in the peripheral cornea?
Dermatan sulfate
Are type V fibers acidic at the N- or C- terminus?
N-terminus
What types of collagen makes up Bowman's membrane?
types I, III, and VII
What types of collagen makes up Descemet's membrane?
types V, VIII, IX, and XII
Where are type II collagen fibers attached the strongest in the vitreous fluid?
The ciliary body and the posterior retina
Is there more collagen in the vitreous fluid or in the corneal stroma?
The corneal stroma
What GAG is found in the vitreous?
Hyaluronic acid
What is the non-collagenous area that associates with hyaluronate?
NC4