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利福平格拉斯特抑制 Th1 介导的干燥性角膜结膜炎。

Suppression of Th1-Mediated Keratoconjunctivitis Sicca by Lifitegrast.

机构信息

Department of Ophthalmology, Baylor College of Medicine , Houston, Texas.

出版信息

J Ocul Pharmacol Ther. 2018 Sep;34(7):543-549. doi: 10.1089/jop.2018.0047. Epub 2018 Jun 29.

Abstract

PURPOSE

Increased interferon gamma (IFN-γ) expression in dry eye causes ocular surface epithelial disease termed keratoconjunctivitis sicca (KCS). The purpose of this study was to investigated the effects of the LFA-1 antagonist, lifitegrast, in a mouse desiccating stress (DS) dry eye model that develops KCS similar to Sjögren syndrome.

METHODS

Mice were treated with vehicle or lifitegrast twice daily for 5 days and expression of Th1 family genes (IFN-γ, CXCL9, and CXCL11) was evaluated by real-time polymerase chain reaction. Cornea barrier function was assessed by Oregon Green dextran staining and goblet cell number and area were measured.

RESULTS

Compared to the vehicle-treated group, the lifitegrast-treated group had significantly lower expression of Th1 family genes, less corneal barrier disruption, and greater conjunctival goblet cell density/area.

CONCLUSIONS

These findings indicate that lifitegrast inhibits DS-induced IFN-γ expression and KCS. This suggests that ICAM-LFA-1 signaling is involved with generation of Th1 inflammation in KCS.

摘要

目的

干眼症中干扰素 γ(IFN-γ)表达增加会导致眼表面上皮疾病,称为干燥性角结膜炎(KCS)。本研究旨在研究 LFA-1 拮抗剂,lifitegrast,在一种类似于干燥综合征的 KCS 发展的小鼠干燥应激(DS)干眼症模型中的作用。

方法

小鼠用载体或 lifitegrast 每日两次处理 5 天,并通过实时聚合酶链反应评估 Th1 家族基因(IFN-γ、CXCL9 和 CXCL11)的表达。通过 Oregon Green 葡聚糖染色评估角膜屏障功能,并测量杯状细胞数量和面积。

结果

与载体处理组相比,lifitegrast 处理组 Th1 家族基因的表达明显降低,角膜屏障破坏减少,结膜杯状细胞密度/面积增加。

结论

这些发现表明 lifitegrast 抑制 DS 诱导的 IFN-γ 表达和 KCS。这表明 ICAM-LFA-1 信号参与了 KCS 中 Th1 炎症的产生。

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