Analysis of tear protein patterns of dry-eye patients using fluorescent staining dyes and two-dimensional...

Tear proteins of nonstimulated tears of 29 patients (healthy subjects, n = 8; dry-eye syndrome patients, n = 12; diabetic dry-eye patients, n = 9) were electrophoretically separated and stained by SYPRO Orange, followed by Coomassie blue staining. Both, the fluorescent and the Coomassie stains were subsequently analyzed by an automated two-dimensional algorithm for finding and quantification of peaks and by a discriminant analysis. Using SYPRO Orange, an average number of peaks/sample between three (at 200 ms) and 15 (at 3000 ms) could be found. In comparison, Coomassie staining resulted only in an average number of six peaks/sample. This corresponds to a sensitivity obtained at approx. 400-600 ms exposure time of SYPRO Orange stained gels. For all exposure times, the protein patterns of the three clinical groups were statistically significantly different from each other (P < 0.05). Only at 200 ms the distances between the groups decreased slightly. The Coomassie-stained gels revealed only a mid range discrimination power similar to that of 200-400 ms exposure in the fluorescing gels. The use of SYPRO Orange provides faster results than those obtained by Coomassie staining. In addition, the sensitivity of staining can be varied even in the same gel by changing the exposure time. The use of the two-dimensional algorithm allows to distinguish between the three clinical groups in accordance to earlier studies using one-dimensional densitographic raw data. Thus, the high speed of evaluation and the more sensitive results as compared to earlier studies could be a step further in the use of tear protein patterns in the diagnosis of DRY.