The Effect of TNF-α Blocker HL036337 and Its Best Concentration to Inhibit Dry Eye Inflammation
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Purpose: Dry eye syndrome is commonly thought of as an inflammatory disease, and we have previously presenteddata showing the effectiveness of topical TNF-α blocker agents for the treatment of this condition. Thepurpose of this study was to investigate the effectiveness of the TNF-α blocking agent HL036337 comparedto cyclosporine A for the treatment of dry eye induced inflammation in order to establish whether HL036337represents a more effective method for suppressing inflammation. The efficacy of HL036337 and cyclosporineA was determined using an experimental murine dry eye model. Methods: The TNF-α blocker HL036337 is a modified form of TNF receptor I. Using dry eye induced C57BL/6mice (n = 45), corneal erosion was measured at day 4 and 7 after topical treatment with cyclosporine A orHL036337. To determine the effective treatment dose, 0.25, 0.5, 1, 2.5, and 5 mg/mL of HL036337 were topicallyadministered twice per day to dry eye induced murine corneas for 1 week. Results: The optimal concentration of the TNF-α blocker HL036337 for treatment of dry eye induced cornealerosion was determined to be 1 mg/mL. Dry eye induced corneal erosion was improved after 1 week with topicallyapplied cyclosporine A and HL036337 at 1 mg/mL. Conclusions: HL036337 administered topically at 1 mg/mL effectively improved corneal erosion induced by dryeye. This finding may also suggest that inhibition of TNF-α can improve dry eye syndrome.
Abstract
Purpose: Dry eye syndrome is commonly thought of as an inflammatory disease, and we have previously presenteddata showing the effectiveness of topical TNF-α blocker agents for the treatment of this condition. Thepurpose of this study was to investigate the effectiveness of the TNF-α blocking agent HL036337 comparedto cyclosporine A for the treatment of dry eye induced inflammation in order to establish whether HL036337represents a more effective method for suppressing inflammation. The efficacy of HL036337 and cyclosporineA was determined using an experimental murine dry eye model. Methods: The TNF-α blocker HL036337 is a modified form of TNF receptor I. Using dry eye induced C57BL/6mice (n = 45), corneal erosion was measured at day 4 and 7 after topical treatment with cyclosporine A orHL036337. To determine the effective treatment dose, 0.25, 0.5, 1, 2.5, and 5 mg/mL of HL036337 were topicallyadministered twice per day to dry eye induced murine corneas for 1 week. Results: The optimal concentration of the TNF-α blocker HL036337 for treatment of dry eye induced cornealerosion was determined to be 1 mg/mL. Dry eye induced corneal erosion was improved after 1 week with topicallyapplied cyclosporine A and HL036337 at 1 mg/mL. Conclusions: HL036337 administered topically at 1 mg/mL effectively improved corneal erosion induced by dryeye. This finding may also suggest that inhibition of TNF-α can improve dry eye syndrome.
참고문헌 (24)
- Uchino M, "Prevalence of dry eye disease among Japanese visual display terminal users", Ophthalmology, 115, pp.1982~1988 (2008)
- Guo B, "Prevalence of dry eye disease in Mongolians at high altitude in China: the Henan eye study", Ophthalmic Epidemiol, 17, pp.234~241 (2010)
- 김웅재, "설문조사에 의한 국내 건성안 환자의 진단 및 치료 현황", 대한안과학회지, 48(12), pp.1614~1622 (2007), 대한안과학회
- Schiffman RM, "Utility assessment among patients with dry eye disease", Ophthalmology, 110, pp.1412~1419 (2003)
- Buchholz P, "Utility assessment to measure the impact of dry eye disease", Ocul Surf, 4, pp.155~161 (2006)
- 송종석, "Current Practice Pattern for Dry Eye Patients in South Korea: A Multicenter Study", Korean Journal of Ophthalmology, 28(2), pp.115~121 (2014), 대한안과학회
- Brignole F, "Flow cytometric analysis of inflammatory markers in conjunctival epithelial cells of patients with dry eyes", Invest Ophthalmol Vis Sci, 41, pp.1356~1363 (2000)
- Stern ME, "The pathology of dry eye: the interaction between the ocular surface and lacrimal glands", Cornea, 17, pp.584~589 (1998)
- Massingale ML, "Analysis of inflammatory cytokines in the tears of dry eye patients", Cornea, 28, pp.1023~1027 (2009)
- Boehm N, "Proinflammatory cytokine profiling of tears from dry eye patients by means of antibody microarrays", Invest Ophthalmol Vis Sci, 52, pp.7725~7730 (2011)
- Lam H, "Tear cytokine profiles in dysfunctional tear syndrome", Am J Ophthalmol, 147, pp.198~205 (2009)
- Chen Y, "Decreased PPAR-γ expression in the conjunctiva and increased expression of TNF-α and IL-1β in the conjunctiva and tear fluid of d ry eye mice", Mol Med Rep, 9, pp.2015~2023 (2014)
- Aggarwal BB, "Signalling pathways of the TNF superfamily:a double-edged sword", Nat Rev Immunol, 3, pp.745~756 (2003)
- Cope AP, "Chronic exposure to tumor necrosis factor (TNF) in vitro impairs the activation of T cells through the T cell receptor", CD3 complex; reversal in vivo by anti-TNF antibodies in patients with rheumatoid arthritis, 1994, pp.94, 749~760
- Braun J, "Biological therapies in the spondyloarthritides:the current state", Rheumatology (Oxford), 43, pp.1072~1084 (2004)
- Ji YW, "Neutralization of ocular surface TNF-α reduces ocular surface and lacrimal gland inflammation induced by in vivo dry eye", Invest Ophthalmol Vis Sci, 54, pp.7557~7566 (2013)
- Barabino S, "The controlled-environment chamber: a new mouse model of dry eye", Invest Ophthalmol Vis Sci, 46, pp.2766~2771 (2005)
- Moutsopoulos NM, "Lack of efficacy of etanercept in Sjogren syndrome correlates with failed suppression of tumour necrosis factor alpha and systemic immune activation", Ann Rheum Dis, 67, pp.1437~1443 (2008)
- Ramos-Casals M, "Treatment of primary Sjogren syndrome: a systematic review", JAMA, 304, pp.452~460 (2010)
- Sankar V, "Etanercept in Sjogren’s syndrome: a twelve-week randomized, double-blind, placebo-controlled pilot clinical trial", Arthritis Rheum, 50, pp.2240~2245 (2004)
- Mah F, "PERSIST: physician’s Evaluation of Restasis(R) Satisfaction in Second Trial of topical cyclosporine ophthalmic emulsion 0.05% for dry eye: a retrospective review", Clin Ophthalmol, 6, pp.1971~1976 (2012)
- Branisteanu DE, "Adverse reactions of biological therapy for psoriasis", Rev Med Chir Soc Med Nat Iasi, 119, pp.38~44 (2015)
- Ramos-Casals M, "Autoimmune diseases induced by biological agents: a double-edged sword?", Autoimmun Rev, 9, pp.188~193 (2010)
- Matsuda S, "Mechanisms of action of cyclosporine", Immunopharmacology, 47, pp.119~125 (2000)
