1. Introduction
Cataracts are a leading cause of blindness worldwide. With the increasing lifespan worldwide, the number of individuals whose sight is threatened by this disease is expected to increase. There are four major types of cataracts: cortical, nuclear, posterior subcapsular, and mixed. Different risk factors were associated with each risk type. Epidemiological research has identified multiple factors that are linked to an elevated risk of developing nuclear cataracts (NUCs), including greater sunlight exposure, lower socioeconomic status, poorer nutrition, smoking, cortical cataracts due to diabetes, greater sunlight exposure, and female sex [
1,
2,
3,
4]. NUCs have the greatest clinical significance because they are the most common type of cataracts and occur along the visual axis. Treatments that prevent the appearance or delay the progression of NUCs have significant therapeutic value. Previous research has shown that the prevalence of NUCs, graded at level ≥1 according to the World Health Organization (WHO) cataract grading system, was notably higher in tropical and subtropical regions than in temperate and subarctic regions, regardless of racial factors [
5,
6,
7]. Therefore, elevated lens temperatures resulting from higher environmental temperatures may contribute to an increased risk of NUC formation.
Thus, we hypothesized that the occurrence of cataracts is associated with environmental temperature. The supporting evidence includes a study on ambient temperature effects, where the lens temperature of monkeys exposed to direct sunlight at 49 °C increased to 41 °C within 10 min [
8]. Similarly, in rabbits, the lens temperature decreased by 7 °C when maintained in an environment at 4 °C [
9]. Another rabbit-based experiment demonstrated significant correlations between ambient temperature under sunlight and the temperatures of the lens and posterior chamber aqueous humor [
8].
In this study, we investigated the relationship between environmental temperature and lens temperature through an in silico computer simulation. The lens temperature was estimated to range between 35 °C and 37.5 °C depending on the ambient temperature surrounding the eyeball. However, when the ambient temperature exceeded 30 °C, the estimated lens temperature varied with age, showing an increase in older individuals [
10]. Our study showed that, as environmental temperatures rise, the temperature of the eye lens increases to 35–37.5 °C or higher, which correlates with the development of NUCs. The temperature increase, particularly in the lens nucleus, coincides with the opacity area of the cataract. When the lens temperature exceeds 37.5 °C, cumulative heat exposure is positively correlated with NUC incidence [
5,
10]. This suggests that prolonged exposure to elevated temperatures, especially with aging, may increase the risk of developing NUCs. In addition, we previously investigated the relationship between temperature and NUC incidence in the rat whole lens (including the epithelium, cortex, and nucleus) using a shotgun proteomic analysis approach and showed that the levels of actin, tubulin, vimentin, filensin, and fatty acid-binding protein 5 decreased under warming-temperatures (37.5 °C) [
11]. However, it remains unclear whether similar results can be obtained in the human lens, and the detailed mechanisms underlying these findings have yet to be elucidated.
Based on this background, identifying the expression of proteins that fluctuate under warming conditions in human lens cells and discussing preventive measures could contribute to the clinical prevention of NUCs. In this study, we employed a shotgun proteomic analysis approach [
12,
13] in iHLEC-NY2 (human lens epithelial cells) to investigate the cataractous factors that are relevant to normal and warming conditions.
4. Discussion
Previous research has shown that the prevalence of NUCs, graded at level ≥1 according to the WHO cataract grading system, was notably higher in tropical and subtropical regions than in temperate and subarctic regions regardless of racial factors [
5,
6,
7]. In addition, it was reported that cumulative heat exposure is positively corelated with NUC incidence when the lens temperature exceeds 37.5 °C [
5,
10]. Thus, elevated lens temperatures resulting from higher environmental temperatures may contribute to an increased risk of NUC formation. However, the exact connection between NUCs and temperature is yet to be fully understood. We demonstrated the types of proteins expressed under normal and warming conditions by using shotgun proteomic analysis and found a decrease in the specific proteins involved in actin, tubulin, ubiquitin, ribosome, and histone under warming conditions in this study.
First, we determined the incubation temperature at normal-temp and warming-temp following a previous computer simulation in silico study [
14] and identified 30 proteins exhibiting > 2-fold changes in expression between iHLEC-NY2 under normal-temp and warming-temp. Furthermore, the effect on the expression system is typically more significant when a protein is underexpressed compared to when it is overexpressed. Therefore, we have focused on variations in the expression of 11 factors (the specific proteins concerned were actin, tubulin, ubiquitin, ribosome, and histone), as described in
Table 6. Decreased actin and tubulin expression was observed under warming conditions (
Table 1). The cytoskeleton of the human eye, comprising actin microfilaments, intermediate filaments, microtubules, and their associated proteins, is essential for cellular growth, maturation, differentiation, integrity, and function. Actin microfilaments are composed of F-actin helices, which are built from G-actin subunits (47 kD) [
23,
24]. These filaments are distributed throughout the cytoplasm, form a fine mesh under the plasma membrane, or organize into stress fibers. The processes of actin polymerization and depolymerization are modulated by actin-regulatory proteins such as gelsolin. Additionally, various associated proteins bind actin filaments to the plasma membrane, supporting the cellular architecture [
23,
24]. Therefore, a decrease in actin levels may weaken cell membrane protein binding, resulting in lens opacity.
The putative tubulin-like protein alpha-4B is a cytoskeletal protein that constitutes a part of a structure known as microtubules. Microtubules play a crucial role in maintaining cell shape, cell division, and intracellular transport. Tubulin forms microtubules by dimerizing α-tubulin and β-tubulin, thereby providing structural stability within cells. The lens cells rely on microtubules to maintain their morphology [
25]. Tubulin dysfunction can compromise microtubule stability, thus leading to alterations in cell shape and function, which may result in the loss of lens transparency. Furthermore, microtubules are essential for the proper transport of proteins within cells, including lens cells, where their functions are critical [
26]. Abnormalities in putative tubulin-like protein alpha-4B may disrupt protein transport, potentially causing protein aggregation within the lens. This aggregation contributes to lens opacification. Additionally, because microtubules are involved in the proliferation and maintenance of lens cells, tubulin defects can lead to cellular dysfunction, which may contribute to lens opacity. Therefore, the putative tubulin-like protein alpha-4B plays a vital role in maintaining the structural integrity of lens cells and protein transport. A reduction in putative tubulin-like protein alpha-4B under high-temperature conditions may be one of the factors that contribute to lens opacification.
In addition, the expression of the proteins related to ubiquitin and ribosome in warming-temp-incubated iHLEC-NY2 was also lower than that in normal-temp-incubated iHLEC-NY2. Many of the signals that maintain lens epithelia appear to be substrates of the ubiquitin–proteasome pathway [
27]. Ubiquitin C-terminal hydrolase L17-like protein 1 is an enzyme that is responsible for protein degradation and is particularly involved in the ubiquitin–proteasome system, a key protein quality control mechanism [
28,
29]. This system is essential for preserving cellular homeostasis by facilitating the elimination of damaged or misfolded proteins.
The eL40 fusion protein consists of ubiquitin, which tags damaged or unnecessary proteins for degradation, and the ribosomal protein eL40, which is involved in protein synthesis [
30]. The BMS1 homolog is crucial for ribosome assembly, particularly ribosomal RNA (rRNA) processing and ribosomal subunit assembly [
31]. Ribosomes are essential for protein synthesis within cells, and proteins such as BMS1 are indispensable for the proper formation of functional ribosomes [
32]. Impairment of ribosome biogenesis can lead to increased production of misfolded proteins, especially in long-lived cells such as lens cells, which can contribute to cataract formation. Therefore, dysfunctions or mutations in BMS1 may increase the risk of cataract development.
Histones are key proteins involved in DNA packaging within the nuclei of eukaryotic cells. They wrap DNA to form chromatin, thus enabling it to be compactly stored and to regulate gene expression [
33]. If histone modifications or structural changes adversely affect the expression of genes that are critical for maintaining lens transparency, improper protein folding and aggregation within the lens may occur, leading to loss of lens transparency.
Moreover, we examined their functions by analyzing the four GO terms (
Table 1,
Table 2,
Table 3 and
Table 4). The GO analysis indicated that the most common factors identified in the molecular function, cellular component, biological processes, and KEGG pathway categories were “protein binding”, “extracellular exosome”, “nucleosome assembly”, and “neutrophil extracellular trap formation”, respectively (
Table 1,
Table 2,
Table 3 and
Table 4). The proteins involved in protein binding were actin and alpha cardiac muscle 1. The proteins associated with extracellular exosomes included actin, alpha cardiac muscle 1, actin-related protein 2, ribosome biogenesis protein BMS1 homolog, histone H2B type 1-M, and histone H2B type 1-M. Additionally, the protein involved in nucleosome assembly was histone H2B type 1-M. Taken together, it is possible that factors associated with actin, ribosomes, and histones are specifically involved in the onset of cataracts due to temperature changes. However, the present results also show that the expression of other proteins related to tubulin and histones, such as tubulin alpha-1C chain and histone-H2B type 1-C/E/F/G/I, -H2B type F-S, -H2B type 1-D, -H2A type 1-H, and -H3.1, increases at warming-temp (
Table 5). Therefore, changes in the tubulin and histone levels may be associated with homeostatic maintenance. Further investigations are required in order to determine whether the decrease or increase in these proteins at higher ambient temperatures plays a dominant role.
It is crucial to explore whether the overexpression of certain proteins and the reduction in others at elevated temperatures are associated with lens dysfunction. In our previous study utilizing a similar shotgun proteomic analysis, we demonstrated that heating the rat whole lens (including the epithelium, cortex, and nucleus) at warming-temp resulted in reductions in actin, tubulin, vimentin, filensin, and fatty acid-binding protein 5 [
11]. Among these, both actin and tubulin were found to decrease upon heating in both the rat lens and iHLEC-NY2. These findings suggest that the observed reductions in actin and tubulin may at least be attributable to epithelial cells. Thus, this study has successfully screened lens proteins that change in response to elevated temperature, which were previously unidentified as potential causes of NUCs. As a result, it is now possible to consider temperature-related factors in NUC development, contributing to future research advancements. However, this study does not fully reflect the changes occurring in the nuclear or cortical regions of the lens since human epithelial cells were used. Moreover, additional research is required to assess the relationship between the onset of NUCs and changes in the proteins involved in actin, tubulin, ubiquitin, ribosomes, and histones. Therefore, we are planning to measure the localization and expression of the specific proteins concerning actin, tubulin, ubiquitin, ribosomes, and histones under warming-temp by using Western blotting and an immunostaining method.