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Comparative Analysis of Age-Associated Changes in Meibum Composition, Distribution, and Function in Mice With Altered
Sudhir Verma1,2, Paola A Guevara Montoya1, Mingxia Sun1
1College of Optometry, University of Houston, Houston, Texas, United States.
Investigative Ophthalmology & Visual Science
|July 30, 2025
Summary
Mice lacking hyaluronan synthase 1 and 3 maintain healthy meibomian glands and meibum production with age. This protects them from developing dry eye disease, highlighting hyaluronan
Area of Science:
- Ophthalmology
- Biochemistry
- Genetics
Background:
- Meibomian gland (MG) dysfunction is a primary cause of dry eye disease (DED).
- Hyaluronan (HA) synthase 1 and 3 (Has1 and Has3) are key enzymes in HA production.
- Mice lacking Has1 and Has3 are known to resist MG atrophy.
Purpose of the Study:
- To investigate the impact of lacking hyaluronan synthase 1 and 3 on meibum composition and distribution with aging.
- To determine if Has1-/-; Has3-/- mice are protected from developing dry eye disease.
Main Methods:
- Lipid composition and meibum distribution were analyzed in wild-type (wt) and Has1-/-; Has3-/- mice.
- Expression of meibum biosynthetic enzymes was assessed via real-time PCR.
- Tear film stability and DED symptoms were evaluated using a benzalkonium chloride model and aged mice.
Main Results:
- Has1-/-; Has3-/- mice exhibited sustained meibum production and composition with aging compared to wt mice.
- These mice showed significantly fewer age-related changes in meibum lipids.
- Has1-/-; Has3-/- mice displayed reduced corneal opacity and epithelial erosions, indicating protection from DED.
Conclusions:
- Overexpression of an HA-rich matrix prevents MG atrophy and promotes healthy meibum production.
- This supports tear film stability and protects the ocular surface from age-related DED.
- Targeting hyaluronan synthesis may offer a therapeutic strategy for DED.

