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Neuroptis Dry Eye Project with ML 7 (Myosin Light Chain Inhibitor)
12 mai 2015

NEW PUBLICATIONS UPTO MAY 11th 2015

 

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Cont Lens Anterior Eye. 2015 May 5. pii: S1367-0484(15)00058-2. doi: 10.1016/j.clae.2015.04.004. [Epub ahead of print]

Author information: 

  • 1Department of Ophthalmology, University of São Paulo, School of Medicine (Hospital das Clínicas of da Universidade de São Paulo-São Paulo - HC-USP), Brazil; Department of Ophthalmology, Santa Casa de São Paulo, Brazil. Electronic address: bernardokaplan@yahoo.com.br.
  • 2Department of Ophthalmology, University of São Paulo, School of Medicine (Hospital das Clínicas of da Universidade de São Paulo-São Paulo - HC-USP), Brazil; Department of Ophthalmology, Santa Casa de São Paulo, Brazil.
  • 3Department of Ophthalmology, University of São Paulo, School of Medicine (Hospital das Clínicas of da Universidade de São Paulo-São Paulo - HC-USP), Brazil.

 

Abstract
OBJECTIVE: 

To describe the clinical efficacy of the treatment of Sjögren's syndrome dry eye using 0.03% tacrolimus eye drop.

DESIGN: 

Prospective double-blind randomized study.

SETTING: 

Institutional outpatient clinic.

PARTICIPANTS: 

Forty-eight eyes of twenty-four patients with dry eye related to Sjögren syndrome were enrolled in this study. The patients were randomized in 2 groups: tacrolimus (n=14) and vehicle (n=10) group.

INTERVENTION: 

The tacrolimus group received a vial containing tacrolimus 0.03% (almond oil as vehicle) and the other group received the almond oil vehicle. All patients were instructed to use the eye drops every 12h in the lower conjunctival sac.

MAIN OUTCOME MEASURES: 

Schirmer I test, break-up-time (BUT), corneal fluorescein and Rose Bengal staining scores were evaluated in all patients one day before the treatment (baseline), 7, 14, 28 and 90 days after treatment with the eye drops.

RESULTS: 

The average fluorescein and Rose Bengal scores improved statistically after 7 days of treatment and even more after 90 days. The average Schirmer I and BUT values were unchanged after 7, 14 and 21 days but did show an improvement relative to baseline after 28 days of treatment. Schirmer I, BUT, fluorescein and Rose Bengal did not show any statistical significance in the vehicle group.

CONCLUSION: 

Topical 0.03% tacrolimus eye drop improved tear stability and ocular surface status in cases of inflammatory or SS-related dry eye.

TRIAL REGISTRATION: 

ClinicalTrials.gov Identifier: NCT01850979.

Copyright © 2015 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

  PMID: 25956572 [PubMed - as supplied by publisher]
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2. Optom Vis Sci. 2015 May 7. [Epub ahead of print]

Author information: 

  • 1*BOptom †PhD, MCOptom, FAAO Departments of Ophthalmology (all authors) and Optometry and Vision Science (ZJ, SML), New Zealand National Eye Centre, The University of Auckland, Auckland, New Zealand.

 

Abstract
PURPOSE: 

To compare the effects on ocular temperature, lipid layer grade, tear film stability, and tear meniscus height after a single application of two commercially available warm compresses in mild-to-moderate dry eye and to report participant treatment preference.

METHODS: 

Forty-one subjects with mild-to-moderate dry eye symptoms were enrolled in a randomized, paired-eye, investigator-masked trial. Heat was applied simultaneously to one eye (randomized) with a portable eye mask (EyeGiene) and to the contralateral eye with a microwave-heated flaxseed eye bag (MGDRx Eye Bag). Outer and inner eyelid temperatures, tear film lipid layer grade (LLG), and noninvasive tear film breakup time (NIBUT) were measured at baseline and immediately after 10 minutes of device application.

RESULTS: 

Outer and inner eyelid temperatures, LLG, and NIBUT did not differ before treatment between eyes assigned to eye mask and eye bag therapy. All measurements were significantly increased from baseline, after warming with both devices (all p < 0.05). Outer and inner eyelid temperature changes were significantly greater with the eye bag than with the eye mask (outer eyelid, +3.5 ± 1.0°C vs. +2.4 ± 0.8°C; inner eyelid, +3.5 ± 1.0°C vs. +2.5 ± 0.9°C; all p < 0.001), although there was no significant difference in LLG and NIBUT improvement between treatments (all p > 0.05). A majority of subjects (78%) preferred the application of heat with the eye bag over the eye mask.

CONCLUSIONS: 

Both the EyeGiene mask and the MGDRx Eye Bag are convenient eyelid warming devices that result in clinically and statistically significant increases in NIBUT and LLG in patients with mild-to-moderate dry eye symptoms. The MGDRx Eye Bag is more effective in raising ocular temperature and is the preferred treatment method among subjects.

  PMID: 25955642 [PubMed - as supplied by publisher]
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3. Eye (Lond). 2015 May 8. doi: 10.1038/eye.2015.62. [Epub ahead of print]
Ye J1Xu YF1Lou LX1Jin K1Miao Q1Ye X1Xi Y1.

Author information: 

  • 1Department of Ophthalmology, The Second Affiliated Hospital of Zhejiang University, College of Medicine, Hangzhou, Zhejiang, China.

 

Abstract

PurposeThis study assessed the anti-inflammatory effect and mechanism of action of hinokitiol in human corneal epithelial (HCE) cells.MethodsHCE cells were incubated with different concentrations of hinokitiol or dimethylsulfoxide (DMSO), which served as a vehicle control. Cell viability was evaluated using Cell Counting Kit-8 (CCK-8) assay. After polyriboinosinic:polyribocytidylic acid (poly(I:C)) stimulus, cells with or without hinokitiol were evaluated for the mRNA and protein levels of interleukin-8 (IL-8), interleukin-6 (IL-6), and interleukin-1β (IL-1β) using real-time PCR analysis and an enzyme-linked immunosorbent assay (ELISA), respectively. Nuclear and cytoplasmic levels of nuclear factor kappa B (NF-κB) p65 protein and an inhibitor of NF-κB α (IκBα) were evaluated using western blotting.ResultsThere were no significant differences among the treatment concentrations of hinokitiol compared with cells incubated in medium only. Incubating with 100 μM hinokitiol significantly decreased the mRNA levels of IL-8 to 58.77±10.41% (P<0.01), IL-6 to 64.64±12.71% (P<0.01), and IL-1β to 54.19±8.10% (P<0.01) compared with cells stimulated with poly(I:C) alone. The protein levels of IL-8, IL-6, and IL-1β had similar trend. Further analysis revealed that hinokitiol maintained the levels of IκBα and significantly reduced NF-κB p65 subunit translocation to the nucleus which significantly inhibiting the activation of the NF-κB signal pathway.ConclusionHinokitiol showed a significant protective effect against ocular surface inflammation through inhibiting the NF-κB pathway, which may indicate the possibility to relieve the ocular surface inflammation of dry eye syndrome (DES).Eye advance online publication, 8 May 2015; doi:10.1038/eye.2015.62.

  PMID: 25952949 [PubMed - as supplied by publisher]
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4. Br J Ophthalmol. 2015 May 6. pii: bjophthalmol-2014-306496. doi: 10.1136/bjophthalmol-2014-306496. [Epub ahead of print]

Author information: 

  • 1Department of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 2Department of Ophthalmology, Severance Hospital, Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea Yonsei University Graduate School of Medicine, Seoul, Korea.

 

Abstract
AIMS: 

To investigate the effect of silicone stent intubation (SI) on the quality of life of patients diagnosed with nasolacrimal duct stenosis and dry eye syndrome.

METHODS: 

This study is a prospective, interventional case series. Consecutive 30 patients diagnosed with nasolacrimal duct stenosis and reflex tearing due to dry eye syndrome were included. Eligible subjects underwent SI and were asked to complete the Glasgow Benefit Inventory (GBI) questionnaire. Surgical outcomes and GBI scores were investigated 6 months postoperatively.

RESULTS: 

The surgical success rate determined by the patients' subjective symptoms was 76.7% (23/30). Mean total GBI score was +17.19 (95% CI 8.34 to 26.03). The general subscale score was +20.36 (95% CI 10.19 to 30.54), the social support scale score was +21.54 (95% CI 11.37 to 31.71) and the physical health score was -0.56 (95% CI -8.92 to 7.80).

CONCLUSIONS: 

SI could be an effective treatment option for reflex tearing in patients diagnosed with dry eye syndrome and nasolacrimal duct stenosis.

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  PMID: 25947552 [PubMed - as supplied by publisher]
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5. J Drugs Dermatol. 2015 May 1;14(5):486-91.
Abstract
BACKGROUND: 

Botulinum toxin (BTX) and soft tissue fillers continue to gain in popularity due to their safety, affordability, quick effects, and short recovery times. With the excellent safety profile of BTX and soft tissue fillers, patients may develop a nonchalant attitude towards treatment with injectables. However, it is important for both patient and physician to be familiar with all the possible complications, both common and uncommon.

OBJECTIVE: 

This article aims to review the rare but serious complications associated with the injectables used in cosmetic dermatology, and the pathogenesis, diagnosis, and management of each.

METHODS AND MATERIALS: 

A literature review for case reports pertaining to rare adverse events following botulinum toxin or soft tissue fillers was performed using the MEDLINE database.

RESULTS: 

Complications of BTX included dry eye syndrome, strabismus and diplopia, superficial temporal artery pseudoaneurysm, neck weakness, hoarseness, and dysphagia. Complications associated with soft tissue fillers included tissue necrosis, inflammatory nodules, hypersensitivity reaction, and blindness and cerebral ischemia.

CONCLUSION: 

The injector should be comfortable in diagnosing and managing the above complications, and the patient should be counseled about these potentially harmful adverse events prior to injection.

J Drugs Dermatol. 2015;14(5):486-491.

  PMID: 25942667 [PubMed - in process]
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6. Stem Cell Reports. 2015 Apr 29. pii: S2213-6711(15)00105-8. doi: 10.1016/j.stemcr.2015.04.005. [Epub ahead of print]

Author information: 

  • 1Department of Ophthalmology, CHA Bundang Medical Center, CHA University, Seongnam-si, Gyeonggi-do 463-712, Republic of Korea. Electronic address: songwkmd@daum.net.
  • 2Development Division, CHA Biotech Co., Ltd., Seoul 135-907, Republic of Korea.
  • 3CHA Stem Cell Institute, CHA Biotech Co., Ltd., Seoul 135-907, Republic of Korea.
  • 4Division of Rheumatology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam-si, Gyeonggi-do 463-712, Republic of Korea.
  • 5Division of Hematology-Oncology, Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam-si, Gyeonggi-do 463-712, Republic of Korea.
  • 6Department of Biomedical Science, CHA University, Seoul 135-081, Republic of Korea.
  • 7Albert Florens Storm Eye Institute, Medical University of South Carolina, Charleston, SC 29425, USA.
  • 8Ocata Therapeutics, Marlborough, MA 01752, USA. Electronic address: rlanza@ocata.com.

 

Abstract

Embryonic stem cells hold great promise for various diseases because of their unlimited capacity for self-renewal and ability to differentiate into any cell type in the body. However, despite over 3 decades of research, there have been no reports on the safety and potential efficacy of pluripotent stem cell progeny in Asian patients with any disease. Here, we report the safety and tolerability of subretinal transplantation of human embryonic-stem-cell (hESC)-derived retinal pigment epithelium in four Asian patients: two with dry age-related macular degeneration and two with Stargardt macular dystrophy. They were followed for 1 year. There was no evidence of adverse proliferation, tumorigenicity, ectopic tissue formation, or other serious safety issues related to the transplanted cells. Visual acuity improved 9-19 letters in three patients and remained stable (+1 letter) in one patient. The results confirmed that hESC-derived cells could serve as a potentially safe new source for regenerative medicine.

Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.

Free Article 
  PMID: 25937371 [PubMed - as supplied by publisher]
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7. Clin Exp Immunol. 2015 Apr;180(1):19-27. doi: 10.1111/cei.12480.

Author information: 

  • 1The Arthritis and Immunology Program, Oklahoma Medical Research Foundation, Oklahoma City, OK, USA; The Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.

 

Abstract

Sjögren's syndrome (SS) is an autoimmune inflammatory disease that primarily affects the lacrimal and salivary glands causing dry eyes and mouth. Antibodies to Ro60 are observed frequently in patients with SS; however, the role of these antibodies in SS initiation and progression remains unclear. The sequence Ro60 273-289 (Ro274) is a known B cell epitope of Ro60 and antibodies to this epitope have been observed in a subset of SS patients and in animals immunized with Ro60 protein. Animals immunized with Ro274 linear peptide develop a Sjögren's-like illness. We hypothesized that passive transfer of anti-Ro274-specific immunoglobulin (Ig)G would induce a Sjögren's-like phenotype. To evaluate this hypothesis, we adoptively transferred affinity-purified Ro274 antibodies into naive BALB/c animals, then evaluated salivary gland histology, function and IgG localization 4 days post-transfer. At this time-point, there was no demonstrable mononuclear cell infiltration and salivary glands were histologically normal, but we observed a functional deficit in stimulated salivary flow of animals receiving Ro274 antibodies compared to animals receiving control IgG. Cellular fractionation and enzyme-linked immunosorbent assay revealed Ro274-specific antibodies in the nucleus and cytoplasmic fractions of isolated parotid salivary gland cells that was confirmed by immunohistochemistry. These data support the hypothesis that antibodies to Ro274 deposit in salivary glands can enter intact salivary gland cells and are involved in the dysregulation of salivary flow in SS. 

© 2014 British Society for Immunology.

PMCID: PMC4367090 [Available on 2016-04-01]
  PMID: 25370295 [PubMed - indexed for MEDLINE]
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8. Zhonghua Yan Ke Za Zhi. 2014 Apr;50(4):244-6.
[Article in Chinese]

Author information: 

  • 1Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab, Beijing 100005, China.
  • 2Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology & Visual Sciences Key Lab, Beijing 100005, China. Email:wningli@vip.163.com.

 

Abstract

Meibomian gland dysfunction (MGD) is one of the most common conditions in the elderly. Most of MGD patients undergoing cataract surgery were found to have significant dry eye symptoms and ocular surface disease. The severe cases with ocular surface disease are also at higher risk of postoperative complications, namely infections and corneal ulcers. To improve the operation effect and achieve the best visual outcome and life quality in cataract patients, it is important to evaluate the ocular surface and meibomian glands in MGD patients preoperatively, pay attention to the intraoperative care and detect the postoperative complications carefully and use medicine properly. 

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