Evaluation of a novel dry eye model induced by oral administration of finasteride
Kai Li1, Chuanwei Zhang1, Zichao Yang1
1Department of Ophthalmology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, P.R. China.
Abstract:
Dry eye is a common eye disease, and suitable animal models are indispensable for investigating the pathogenesis and developing treatments for dry eye. The present study was conducted to develop an androgen deficiency dry eye model induced by finasteride, and to evaluate ocular surface status and inflammatory cytokine gene expression in the lacrimal gland using a cytokine antibody array system. The results revealed that the antiandrogenic drug finasteride induced significant tear deficiency, and the histopathology results revealed significant inflammatory cell infiltration in the lacrimal gland. The cytokine antibody array system identified increased B7‑2 (also known as cluster of differentiation 86), interleukin (IL)‑1β, IL‑4, IL‑6, IL‑10, matrix metalloproteinase‑8, Fas ligand, tumor necrosis factor (TNF)‑α and metalloproteinase inhibitor 1 levels in the lacrimal gland of the dry eye model. These cytokines were validated as candidate markers through the use of western blot analysis and reverse transcription‑quantitative polymerase chain reaction. Both analyses confirmed a significant increase in proinflammatory cytokines, including IL‑1β, IL‑6 and TNF‑α, and anti‑inflammatory cytokines, including IL‑4 and IL‑10. The aforementioned data suggested that inflammation in antiandrogenic models resulted from a balance between inflammatory and anti‑inflammatory responses. Thus, direct finasteride administration may produce an applicable model for dry eye mediated by androgen deficiency. In addition, there may be a correlation between sex, steroid deficiency and the inflammatory response. The findings of the present study have provided useful information for the pathogenesis and diagnosis of dry eye mediated by androgen deficiency.
Insights
Finasteride, an anti-androgen drug, effectively created an androgen deficiency dry eye model in animal studies. This model showed significant tear deficiency and lacrimal gland inflammation, offering insights into dry eye pathogenesis.
Area of Science:
- Ophthalmology
- Immunology
- Pharmacology
Background:
- Dry eye disease (DED) is prevalent, necessitating reliable animal models for research.
- Understanding the role of androgens and inflammation in DED pathogenesis is crucial for developing effective treatments.
Purpose of the Study:
- To develop a novel androgen deficiency dry eye model using finasteride.
- To investigate the ocular surface status and inflammatory cytokine profiles in the lacrimal gland of this model.
Main Methods:
- Induction of androgen deficiency using finasteride in an animal model.
- Evaluation of tear secretion and lacrimal gland histopathology.
- Analysis of inflammatory cytokine expression using cytokine antibody arrays, Western blot, and RT-qPCR.
Main Results:
- Finasteride administration induced significant tear deficiency and lacrimal gland inflammation.
- Elevated levels of pro-inflammatory cytokines (IL-1β, IL-6, TNF-α) and anti-inflammatory cytokines (IL-4, IL-10) were observed.
- The study identified increased expression of B7-2, MMP-8, Fas ligand, and TIMP-1.
Conclusions:
- Finasteride-induced androgen deficiency provides a viable animal model for studying dry eye.
- Inflammation in this model involves a balance between pro- and anti-inflammatory responses.
- Findings suggest a link between sex hormones, steroid deficiency, and ocular inflammatory responses in dry eye.


