Oxidative mechanisms during nuclear sclerosis of the lens are poorly understood, in particular metal-catalyzed oxidation. The lysyl oxidation product adipic semialdehyde (allysine, ALL) and its oxidized end-product 2-aminoadipic acid (2-AAA) were determined as a function of age and presence of diabetes. Surprisingly, whereas both ALL and 2-AAA increased with age and strongly correlated with cataract grade and protein absorbance at 350 nm, only ALL formation but not 2-AAA was increased by diabetes. To clarify the mechanism of oxidation, rabbit lenses were treated with hyperbaric oxygen (HBO) for 48 h, and proteins were analyzed by gas and liquid chromatography mass spectrometry for ALL, 2-AAA, and multiple glycation products. Upon exposure to HBO, rabbit lenses were swollen, and nuclei were yellow. Protein-bound ALL increased 8-fold in the nuclear protein fractions versus controls. A dramatic increase in methylglyoxal hydroimidazolone and carboxyethyl-lysine but no increase of 2-AAA occurred, suggesting more drastic conditions are needed to oxidize ALL into 2-AAA. Indeed the latter formed only upon depletion of glutathione and was catalyzed by H 2 O 2 . Neither carboxymethyl-lysine nor glyoxal hydroimidazolone, two markers of glyco-/lipoxidation, nor markers of lenticular glycemia (fructose-lysine, glucospane) were elevated by HBO, excluding significant lipid peroxidation and glucose involvement. The findings strongly implicate dicarbonyl/metal catalyzed oxidation of lysine to allysine, whereby low GSH combined with ascorbate-derived H 2 O 2 likely contributes toward 2-AAA formation, since virtually no 2-AAA formed in the presence of methylglyoxal instead of ascorbate. An important translational conclusion is that chelating agents might help delay nuclear sclerosis.The aging human lens accumulates a number of postsynthetic protein modifications that are thought to predispose lens crystallins toward aggregation and cataractogenesis. These include glycation by sugars, ascorbic acid, and oxoaldehydes, 3-hydroxy-kynurenination, oxidation, and photooxidation, deamidation, deamination, and protein truncation (reviewed in Ref. 1). Among the oxidative mechanisms, those involving formation of protein disulfides and mixed disulfides with glutathione or cysteine are well understood (2). Similarly, the presence of methionine sulfoxide in human lens crystallins has been known for several years (3, 4). In recent years, however, considerable interest has focused on the formation of so-called protein carbonyls as markers of oxidative stress in biology. Stadtman and co-workers (5) demonstrated that proteins incubated in the presence of redox active metals, such as Cu(II) and Fe(III), with hydrogen peroxide or ascorbic acid, underwent metal-catalyzed oxidation (MCO), 3 whereby histidine, proline, lysine, and arginine are preferentially oxidized. Lysine residues are oxidized into allysine (adipic semialdehyde) (Fig. 1), while proline and arginine residues into glutamic semialdehyde (6, 7). These "protein carbonyls" have been immuno...