Department of Ophthalmology, Daping Hospital, Army Medical Center of PLA, Army Medical University, Chongqing, 400042, China; Department of Ophthalmology, The General Hospital of Central Theater Command, Wuhan, Hubei Province, 430000, China.
Department of Ophthalmology, Daping Hospital, Army Medical Center of PLA, Army Medical University, Chongqing, 400042, China; Department of Ophthalmology, The General Hospital of Western Theater Command, Chengdu, Sichuan Province, 610083, China.
Exp Eye Res. 2022 Jun;219:109053. doi: 10.1016/j.exer.2022.109053. Epub 2022 Mar 26.
Dry eye syndrome (DES) is a multifactorial ocular disorder. The possible pathogens and pathogenic mechanisms for virus-related dry eye disease are largely unknown. The current study aimed to provide evidence for mechanisms contributing to DES induced by herpes simplex virus (HSV) infection in the harderian gland (HG) and lacrimal gland (LG).
We recorded the dry eye-like cornea pathology of irf3 mice infected with HSV-1 till 8 months of age. The slit-lamp and confocal microscopy was used to observe the corneal defects. TUNEL was used to detect the corneal apoptosis. Human corneas suffered from herpes stromal keratitis (HSK) were also analyzed as a comparison. Then, we measure the aqueous tear production with a phenol red thread test in irf3mice, and recorded their tear film breakup time. HGs and LGs were sectioned and analyzed using HE and oil-red-O staining. For molecular signaling pathway analysis, we used mRNA sequencing to explore the related gene ontology. Western blotting (WB) and real-time reverse transcription-quantitative polymerase chain reaction were used to verify the level of the Akt signaling pathway and related inflammatory factors.
Inoculated irf3 mice tended to develop dry eye-like symptoms, such as corneal keratinization, corneal cell apoptosis, and tear reduction. The HGs and LGs of irf3 mice showed increased level of HSV-1, and exhibited inflammatory pathological changes and impaired function, which explained the damaged tear film. WB and mRNA sequencing indicated that enhanced PI3K-Akt pathway in irf3 mice might account for the higher susceptibility to HSV infection.
We observed evidence of DES in irf3 mice induced by HSV-1 infection in the HGs and LGs, which may introduce a potential novel target for DES treatment.
干眼症(DES)是一种多因素的眼疾。导致与病毒相关的干燥性眼病的可能病原体和发病机制在很大程度上尚不清楚。本研究旨在为单纯疱疹病毒(HSV)感染引起的干燥性眼综合征(DES)在哈德腺(HG)和泪腺(LG)中的发病机制提供证据。
我们记录了感染 1 型单纯疱疹病毒(HSV-1)直至 8 月龄的 irf3 小鼠的类似干燥性角膜病理。使用裂隙灯和共聚焦显微镜观察角膜缺陷。使用 TUNEL 检测角膜细胞凋亡。还分析了患有疱疹性基质性角膜炎(HSK)的人角膜作为对照。然后,我们用酚红棉线试验测量 irf3 小鼠的房水泪液产生,并记录其泪膜破裂时间。对 HG 和 LG 进行切片,并用 HE 和油红-O 染色进行分析。为了进行分子信号通路分析,我们使用 mRNA 测序来探索相关的基因本体。Western blot(WB)和实时逆转录定量聚合酶链反应用于验证 Akt 信号通路和相关炎症因子的水平。
接种 irf3 小鼠倾向于出现类似干眼症的症状,如角膜角化、角膜细胞凋亡和泪液减少。irf3 小鼠的 HG 和 LG 显示出 HSV-1 水平升高,并表现出炎症性病理变化和功能受损,这解释了受损的泪膜。WB 和 mRNA 测序表明,irf3 小鼠中增强的 PI3K-Akt 通路可能是其对 HSV 感染更易感性的原因。
我们在 irf3 小鼠的 HG 和 LG 中观察到 HSV-1 感染诱导的 DES 证据,这可能为 DES 的治疗提供新的潜在靶点。