Topical TSG-6 Administration Protects the Ocular Surface in Two Mouse Models of Inflammation-Related Dry Eye

Min Joung Lee1, Dong Hyun Kim2, Jin Suk Ryu3

  • 1Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang, Korea.

Abstract

Insights

Topical Tumor Necrosis Factor-alpha Stimulated Gene/Protein 6 (TSG-6) therapy improved dry eye symptoms in mouse models. TSG-6 treatment reduced ocular inflammation and enhanced corneal healing.

Area of Science:

  • Ophthalmology
  • Immunology
  • Cell Biology

Background:

  • Dry eye syndrome (DES) is a prevalent ocular surface disease characterized by inflammation.
  • Current treatments for DES have limitations, necessitating the exploration of novel therapeutic agents.
  • Tumor Necrosis Factor-alpha Stimulated Gene/Protein 6 (TSG-6) is an anti-inflammatory protein with potential therapeutic applications.

Purpose of the Study:

  • To evaluate the efficacy of topical TSG-6 in ameliorating inflammation and promoting ocular surface repair in two distinct mouse models of dry eye syndrome.
  • To investigate the impact of TSG-6 on tear production, corneal integrity, goblet cell density, and inflammatory cytokine expression.
  • To assess the in vitro effects of TSG-6 on corneal epithelial cell proliferation and migration.

Main Methods:

  • Two mouse models of inflammation-mediated DES were established: concanavalin A (ConA) injection into lacrimal glands and the NOD.B10.H2b model for Sjögren's syndrome.
  • Recombinant TSG-6 or vehicle (PBS) was administered topically to the eyes four times daily for one week.
  • Ocular surface parameters including tear production, corneal epithelial defects, goblet cell density, and cytokine levels were analyzed. In vitro assays assessed corneal epithelial cell behavior.

Main Results:

  • Topical TSG-6 significantly improved tear production and reduced corneal epithelial defects in both DES models.
  • TSG-6 treatment led to increased goblet cell density in the conjunctiva.
  • TSG-6 suppressed proinflammatory cytokine expression in ocular tissues and promoted corneal epithelial cell migration in vitro.

Conclusions:

  • Topical TSG-6 demonstrates significant therapeutic potential for dry eye syndrome by mitigating ocular surface inflammation.
  • TSG-6 promotes corneal epithelial wound healing, suggesting a role in ocular surface repair mechanisms.
  • TSG-6 represents a promising novel therapeutic strategy for managing inflammation-mediated dry eye disease.