2024-12-2920241057-082910.1097/IJG.00000000000024842-s2.0-85201797584https://doi.org/10.1097/IJG.0000000000002484https://hdl.handle.net/20.500.14288/23674Purpose Pseudoexfoliation Syndrome (PEX) is a condition in which aberrant fibrillary protein builds up in various components of the eye and other extraocular tissues. In this study, we aim to investigate the functionality of intracellular auto-degradative machinery -especially mitophagy- and related genes and proteins in PEX. Methods Anterior lens capsules were obtained from cataracts patients with and without PEX to constitute the PEX group and age-matched controls during microincision cataracts surgery. PINK1-mediated mitophagy markers were evaluated on the transcriptional and translational level via RT-qPCR and immunohistochemistry analysis, respectively. Results The lens epithelial cells of PEX patients were characterized by significantly higher PINK1 gene expression compared to that of the controls (p<0.05). In terms of intensity of staining of expressed proteins, PINK1 (p<0.05), Parkin (p<0.01) and LC3B (p<0.01) were all statistically higher in PEX, compared to the controls. Conclusion Altered auto-degradative response -specifically mitophagy- is a component of increased oxidative stress in PEX patients. The role of this mechanism in emerging complications warrants further research.MedicineJournal articleN/A41817