Caffeine's protective role in dry eye disease and meibomian gland dysfunction: insights from clinical and

Yu-Zhi Li1, Chao Wang1, Xi Peng1

  • 1Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

PubMed
Abstract

Insights

Caffeine intake may protect the ocular surface by reducing inflammation and apoptosis, offering a potential new treatment for dry eye disease (DED) and meibomian gland dysfunction (MGD).

Area of Science:

  • Ophthalmology
  • Cell Biology
  • Immunology

Background:

  • Dry eye disease (DED) and meibomian gland dysfunction (MGD) are linked to ocular surface inflammation and cell death.
  • Current treatments for DED and MGD have limitations.

Purpose of the Study:

  • To investigate the therapeutic potential of caffeine on the ocular surface.
  • To examine caffeine's effects on tear inflammatory cytokines, inflammation, and apoptosis in DED and MGD models.

Main Methods:

  • Clinical study comparing participants receiving caffeine versus a control.
  • In vitro experiments using rat meibomian gland epithelial cells (RMGECs) and human corneal epithelial cells (HCECs) treated with caffeine and lipopolysaccharide (LPS).
  • In vivo study using apolipoprotein E knockout (ApoE-/-) mice fed a caffeine-containing diet.

Main Results:

  • Caffeine consumption led to a healthier ocular surface, reduced tear inflammatory cytokines, and lower DED prevalence in clinical participants.
  • In vitro studies showed caffeine attenuated inflammation and apoptosis in LPS-stimulated RMGECs and HCECs.
  • In vivo studies demonstrated improved meibomian gland and corneal morphology, with reduced inflammation and apoptosis in caffeine-fed mice. Caffeine inactivated nuclear factor kappa B (NF-κB) phosphorylation.

Conclusions:

  • Caffeine exhibits protective effects on the ocular surface.
  • Caffeine presents a novel therapeutic avenue for managing DED and MGD.

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