Department of Chinese Medicine, Hualien Tzu Chi Hospital, Hualien 970, Taiwan.
School of Postbaccalaureate Chinese Medicine, Tzu Chi University, Hualien 970, Taiwan.
Medicina (Kaunas). 2022 Aug 21;58(8):1134. doi: 10.3390/medicina58081134.
: Dry eye disease (DED) is a relatively common disorder associated with abnormal tear film and the ocular surface that causes ocular irritation, dryness, visual impairment, and damage to the cornea. DED is not a life-threatening disease but causes discomfort and multifactorial disorders in vision that affect daily life. It has been reported that all traditional medicinal plants exhibit anti-inflammatory effects on several diseases. We hypothesized that the decoction ameliorated ocular irritation and decreased cytokine expression in the cornea. This study aimed to investigate the molecular mechanisms of DED and discover a therapeutic strategy to reduce corneal inflammation. : We used a DED mouse model with extraorbital lacrimal gland (ELG) excision and treated the mice with a decoction of five traditional medicines: , , , , and for 3 months. The tear osmolarity and the ocular surface staining were evaluated as indicators of DED. Immunohistochemistry was used to detect the level of inflammation on the cornea. : After treatment with the decoction for three months, epithelial erosions and desquamation were reduced, the intact of corneal endothelium was maintained, and tear osmolarity was restored in the eyes. The IL-1β-associated inflammatory response was reduced in the cornea in the DED model. These data suggested that a mixture of traditional medicines might be a novel therapy to treat DED.
干眼症(DED)是一种与异常泪膜和眼表面相关的常见疾病,可引起眼部刺激、干燥、视力障碍和角膜损伤。DED 虽然不会危及生命,但会引起不适和多种视觉障碍,影响日常生活。据报道,所有传统药用植物对多种疾病都具有抗炎作用。我们假设该方剂可改善眼部刺激并降低角膜细胞因子表达。本研究旨在探讨 DED 的分子机制并发现减少角膜炎症的治疗策略。
我们使用了一种经眶外泪腺(ELG)切除的 DED 小鼠模型,并用五种传统药物的方剂( 、 、 、 、 )对其进行了 3 个月的治疗。泪液渗透压和眼表面染色被评估为 DED 的指标。免疫组织化学用于检测角膜的炎症水平。
经过三个月的方剂治疗后,眼部的上皮糜烂和脱落减少,角膜内皮完整,泪液渗透压恢复正常。DED 模型中,与 IL-1β 相关的炎症反应减少。
这些数据表明,传统药物的混合物可能是治疗 DED 的一种新疗法。