PURPOSE. Lens epithelial cells transdifferentiate to myofibroblasts during
the formation of anterior subcapsular cataracts and secondary cataracts. On
e of the defining characteristics of myofibroblasts is the expression of al
pha-smooth muscle actin (alpha-SMA). This study investigated some of the fa
ctors that influence alpha-SMA expression in lens epithelial cells.
METHODS. Bovine, rabbit, and human lens epithelial explants or cells were c
ultured with or without serum. Immunohistochemistry and immunoblotting were
used to detect and quantitate alpha-SMA expression.
RESULTS. Cells from all species studied expressed alpha-SMA in primary expl
ant culture with or without serum. Immunostaining for alpha-SMA first appea
red in a diffuse granular pattern, then accumulated at the cell cortex, and
eventually was detected along stress fibers. When lens epithelial cells mi
grated onto cell-free regions of the capsule or were transferred to a plast
ic culture dish, alpha-SMA expression increased significantly. Expression o
f alpha-SMA positively correlated with cell size and cell migration.
CONCLUSIONS. Expression of alpha-SMA is a common feature of cultured mammal
ian lens epithelial cells. Because alpha-SMA expression occurred without th
e addition of exogenous factors, the fibrosis seen in anterior subcapsular
cataracts or secondary cataracts may reflect the intrinsic properties of le
ns epithelial cells. Interaction between lens epithelial cells and their su
bstratum appears to be an important regulator of myofibroblast formation. U
nderstanding the factors that regulate alpha-SMA expression in lens epithel
ial cells could lead to the development of methods for preventing secondary
cataracts and anterior subcapsular cataracts.