碳氧甲基纤维素人工眼对眼睛表面微生物群多样性和组成的影响,随机对照试验
Yujia Zhou1,2, Gurjit S Sidhu3, Joan A Whitlock3
1Department of Ophthalmology, University of Florida Shands Hospital, Gainesville, FL, USA.
Translational vision science & technology
|August 9, 2023
概括
碳氧甲基纤维素人工眼不会改变眼睛表面微生物群的多样性. 虽然一些细菌种群发生了变化,但这种成分在干眼治疗中并不比聚乙烯糖醇更有效.
科学领域:
- 眼科医生 眼科 眼科
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 碳氧甲基纤维素 (CMC) 是常见的人工眼的成分.
- 摄入的CMC减少了肠道微生物群的多样性.
- CMC对眼睛表面微生物群的影响尚不清楚.
研究的目的:
- 研究CMC人工眼对眼睛表面微生物群多样性和组成的影响.
- 为了比较CMC的人工眼与聚乙烯糖醇 (PEG) 人工眼.
主要方法:
- 一项随机对照试验,涉及80名健康成年人.
- 参与者使用CMC或PEG人工眼七天.
- 用16S rRNA测序分析了结膜拭子的微生物群多样性和组成.
主要成果:
- 无论是CMC还是PEG人工眼都没有显著改变整体微生物群的多样性 (Chao-1,Shannon指数).
- 据LEfSe分析显示,CMC减少了Bacteroides和Lachnoclostridium的含量,但增加了Enterobacteriaceae,Citrobacter和Gordonia的含量.
- 这两种干预措施都改善了眼部表面疾病指数 (OSDI) 的得分,两组之间没有显著差异.
结论:
- CMC人工眼不会影响眼睛表面微生物群的多样性.
- CMC人工眼诱导细菌种群的微小变化,增加了Actinobacteriota,同时减少了Bacteroides和Firmicutes.
- CMC和PEG人工眼在改善干眼症状方面表现出类似的有效性.
相关概念视频
Ophthalmic Drug Delivery Systems
Ophthalmic drug delivery faces major limitations due to poor absorption across the corneal membrane. This process is primarily driven by diffusion and is influenced by two main factors: the physicochemical properties of the drug and tear drainage. Most ophthalmic drugs, such as pilocarpine, epinephrine, atropine, and local anesthetics, are weak bases. They are typically formulated at an acidic pH to enhance chemical stability. However, this leads to high ionization, reducing their ability to...
Microbiome of the Eye
The human eye has a specialized microbiota that reflects its unique anatomical and immunological environment. This low-biomass microbial community predominantly colonizes the conjunctiva and eyelid margins, playing a vital role in ocular surface homeostasis and defense. Despite its proximity to the richly colonized facial skin, the ocular surface maintains a distinct microbial profile due to continuous mechanical and biochemical defense mechanisms.The conjunctival surface hosts fewer microbial...


