Apical corneal barrier disruption in experimental murine dry eye is abrogated by methylprednisolone and doxycycline

Cintia S De Paiva1, Rosa M Corrales, Arturo L Villarreal

  • 1Ocular Surface Center, Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas 77030, USA.

Abstract

Insights

Experimental dry eye disrupts the corneal epithelial barrier, increasing desquamation and protein expression. Anti-inflammatory treatments like methylprednisolone and doxycycline preserve barrier function in dry eye models.

Area of Science:

  • Ophthalmology
  • Corneal Biology
  • Dry Eye Disease Research

Background:

  • The apical corneal epithelial barrier is crucial for ocular surface health.
  • Dry eye disease (DED) involves disruption of this barrier, leading to discomfort and vision impairment.
  • Understanding the mechanisms of barrier disruption and potential therapeutic interventions is vital for DED management.

Purpose of the Study:

  • To investigate the cellular mechanisms underlying corneal epithelial barrier disruption in experimental dry eye (EDE).
  • To assess the efficacy of topical methylprednisolone and doxycycline in mitigating barrier disruption in EDE.
  • To evaluate the impact of these anti-inflammatory agents on epithelial desquamation and cornified envelope protein expression.

Main Methods:

  • Experimental dry eye was induced in C57BL/6 mice.
  • Mice received topical treatments of methylprednisolone, doxycycline, or saline solution.
  • Corneal barrier function was assessed using Oregon green dextran (OGD) permeability and surface smoothness measurements.
  • Epithelial desquamation and expression of cornified envelope proteins (involucrin, SPRR-2) were analyzed via confocal microscopy and real-time PCR.

Main Results:

  • EDE significantly increased corneal OGD permeability, surface irregularity, and apical epithelial desquamation.
  • Desiccating stress elevated the expression of involucrin and SPRR-2 in the corneal epithelium.
  • Both methylprednisolone and doxycycline treatments effectively reduced OGD permeability, improved corneal smoothness, and decreased the expression of these proteins compared to saline treatment.

Conclusions:

  • Corneal epithelial barrier disruption in dry eye is characterized by increased apical desquamation and cornified envelope protein expression.
  • Topical anti-inflammatory agents, methylprednisolone and doxycycline, demonstrate a protective effect on the apical corneal barrier in experimental dry eye.
  • These findings highlight the therapeutic potential of anti-inflammatory strategies in managing dry eye-associated barrier dysfunction.