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天然提取物眼药水对干眼疾病大鼠的影响。

Effect of natural extract eye drops in dry eye disease rats.

作者信息

Choi Soo Youn, Eom Youngsub, Kim Jee Yong, Jang Dong Hoon, Song Jong Suk, Kim Hyo Myung

机构信息

Department of Ophthalmology, Korea University College of Medicine, Seoul 02841, Republic of Korea.

BGN World Tower Eye Clinic, Seoul 05551, Republic of Korea.

出版信息

Int J Ophthalmol. 2020 Jul 18;13(7):1023-1030. doi: 10.18240/ijo.2020.07.02. eCollection 2020.

Abstract

AIM

To investigate the therapeutic effect of natural extract eye drops containing bee venom, musk, and deer antlers in dry eye disease (DED) animal models.

METHODS

Scopolamine-injected DED rats and lacrimal gland-excised rats were allocated into control, saline, and natural extract groups respectively and a normal group (lacrimal gland excision was not performed) in lacrimal gland-excised rats. After eye drop instillation 4 times a day for 5d, corneal fluorescein staining (CFS) scores, tear MUC5AC levels, and tear lactic dehydrogenase (LDH) levels were measured.

RESULTS

In scopolamine-injected rats, the natural extract-treated group had significantly lower CFS scores (1.7±0.5, 4.7±1.4, 3.8±1.9, =0.006) and tear LDH levels (0.10±0.01, 0.19±0.01, 0.16±0.08 OD, =0.014) but higher tear MUC5AC levels (12.9±3.7, 7.9±2.0, 9.7±3.6 ng/mL, =0.041) compared with the control and saline-treated groups. There were no significant differences between the control and saline-treated groups. In lacrimal gland-excised rats, the natural extract-treated group also had lower CFS scores (4.3±1.2, 11.5±2.3, 9.0±1.9, <0.001, =0.001) and tear LDH levels (0.30±0.08, 0.48±0.12, 0.39±0.05 OD, <0.05) but higher tear volume (4.3±0.9, 1.9±0.7, 2.8±1.1 mm, =0.005, =0.124) and tear MUC5AC levels (8.2±2.0, 2.9±1.2, 5.4±2.2 ng/mL, <0.001, =0.047) compared with the control and saline-treated groups. There were no significant differences in the CFS scores, tear MUC5AC level, and tear LDH level between the normal and natural extract-treated groups.

CONCLUSION

The natural extract consisting of bee venom, musk, and deer antlers may have effectiveness in DED treatment by restoring the damaged ocular surface, increasing tear volume, and recovering the tear mucin layer in DED rats.

摘要

目的

研究含有蜂毒、麝香和鹿茸的天然提取物滴眼液对干眼疾病(DED)动物模型的治疗效果。

方法

将注射东莨菪碱的干眼大鼠和摘除泪腺的大鼠分别分为对照组、生理盐水组和天然提取物组,摘除泪腺的大鼠还设有正常组(未进行泪腺摘除)。每天滴眼4次,持续5天,然后测量角膜荧光素染色(CFS)评分、泪液MUC5AC水平和泪液乳酸脱氢酶(LDH)水平。

结果

在注射东莨菪碱的大鼠中,与对照组和生理盐水处理组相比,天然提取物处理组的CFS评分(1.7±0.5、4.7±1.4、3.8±1.9,P = 0.006)和泪液LDH水平(0.10±0.01、0.19±0.01、0.16±0.08 OD,P = 0.014)显著更低,但泪液MUC5AC水平(12.9±3.7、7.9±2.0、9.7±3.6 ng/mL,P = 0.041)更高。对照组和生理盐水处理组之间无显著差异。在摘除泪腺的大鼠中,与对照组和生理盐水处理组相比,天然提取物处理组的CFS评分(4.3±1.2、11.5±2.3、9.0±1.9,P<0.001,P = 0.001)和泪液LDH水平(0.30±0.08、0.48±0.12、0.39±0.05 OD,P<0.05)也更低,但泪液量(4.3±0.9、1.9±0.7、2.8±1.1 mm,P = 0.005,P = 0.124)和泪液MUC5AC水平(8.2±2.0、2.9±1.2、5.4±2.2 ng/mL,P<0.001,P = 0.047)更高。正常组和天然提取物处理组之间的CFS评分、泪液MUC5AC水平和泪液LDH水平无显著差异。

结论

由蜂毒、麝香和鹿茸组成的天然提取物可能通过修复受损眼表、增加泪液量和恢复干眼大鼠泪液黏蛋白层,对干眼治疗有效。

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