A 1-hr exposure of bovine lenses in organ culture to H202 concentrations in the range found in the aqueous fluid of patients with cataracts inhibits 86Rb+ influx. At 1 mM H202, complete inhibition was observed and further investigated. Membrane permeability is slightly decreased. Although lactate concentrations increase 2-fold, lens ATP concentrations decrease -10%, suggesting that glycolysis may be stimulated but ATP production is not able to keep up with the demand for energy. Examination of epithelial cell Mg-+-stimulated Na+,K+-ATPase isolated from the cultured lenses indicates H202-induced modification. At 5 mM MgATP, ATP hydrolysis is accelerated 30%; at 3 mM MgATP, hydrolysis is normal; and at 0.75 mM MgATP, it is inhibited 75%. p-Nitrophenyl phosphate hydrolysis and eosin maleimide binding indicate that K+ control of the enzyme is modified. Thus, a very early effect of H202 upon the lens, well before the formation of opacity, appears to be the uncoupling of Na+ and K+ transport from ATP hydrolysis.In cataracts Na', K+, and Ca2" concentrations appear to be altered (1). The change in cation concentrations may reflect either increased membrane permeability or altered function of the major lenticular cation pumps, Mg2+-stimulated Na+/ K+ ATPase and Ca2 ATPase. Recent studies indicate that with cataract development Na+,K+-ATPase appears to be increasingly inhibited (2).With cataract development there also is increased oxidation of certain lens protein amino-acid side chains (3). This fundamental oxidation process, which appears to start at the cell membrane, leads to conformational changes and crosslinking of the lens proteins with plasma membrane polypeptides acting as nucleation points. Eventually the fiber cell membrane ruptures and large aggregates containing membrane fragments, extrinsic membrane protein, and cytosol protein are formed (4).Because the oxidation of the membrane protein appeared to precede the oxidation of the cytoplasmic protein (3), these studies suggested that possibly deleterious oxidizing agents may arise outside the lens. Examination of the aqueous fluid surrounding the lenses indicated that in patients with cataracts, there are dramatically elevated concentrations of H202, ranging from 45 to 663 uM (5). A patient with Marfan syndrome had a H202 concentration >3 mM. These observations suggest that elevated exogenous H202 may be an important oxidizing agent involved in the formation of certain cataracts. This viewpoint is supported by the finding that in organ culture, H202 concentrations comparable to concentrations found in the aqueous fluid of patients with cataracts will cause the development of opacity within 48 hr (6).The lens has a number of defenses against oxidation caused by H202 and other agents (7). These defenses include catalase, glutathione peroxidase, superoxide dismutase, glutathione reductase, methionine sulfoxide reductase (8), a high concentration of glutathione, and a very active hexose monophosphate shunt. However, many of these defenses reside primarily...