Date of Award
Master of Science (MS)
Dr. Ajay Sharma
Dr. Surya Nauli
Dr. Khaled Elsaid
Introduction: Diabetes mellitus is the disease of the century that affects many body organs. In the eye, diabetes mellitus causes retinopathy, cataract, glaucoma, papillopathy, and ocular surface disease. Ocular surface abnormalities in patients of diabetes mullites include impairment of corneal epithelial barrier function, conjunctival defects, increased incidence of corneal and conjunctival infections and higher prevalence of dry eye disease. Impairment of tight junctions and glycocalyx, which are critical for ocular surface barrier function, may underlie these diabetes-associated ocular surface defects. Therefore, the present study was designed to investigate the effect of high glucose exposure and type I diabetes mellitus on the conjunctival tight junction proteins, tear secretion and corneal glycocalyx.
Methods: Cultured human conjunctival epithelial cells were exposed to high glucose (15 mM and 30mM) concentrations for 24 and 72 hours. Trans-epithelial electrical resistance and scratch assay were performed to quantify barrier functions and cell migration. Gene and protein expression of tight junction proteins: claudin-1, claudin-2, claudin-3, ZO-1, ZO-2, ZO-3, and occludin was quantified using real time PCR and western blotting. Type I diabetes was induced in mice by streptozotocin injection. Phenol red thread test, fluorescein staining and wheat-germ agglutinin corneal staining and confocal microscopy of whole mount corneas were performed to quantify tears, keratopathy and corneal glycocalyx area.
Results: Our data demonstrates that high glucose causes a significant decrease in transepithelial electrical resistance of cultured human conjunctival epithelial cells. However, high glucose did not modulate the cellular migration or protein expression of claudin-1, ZO-1,-2,-3 or occludin. Interestingly, an increase in gene expression of all the tight junction proteins was observed at 72-hour exposure with 15 mM glucose. This effect on gene expression is likely due to the cellular osmotic stress caused by glucose since mannitol also caused the similar increase after 72 hours exposure. Type I diabetes caused a significant decreased in the tear film volume which was accompanied by corneal keratopathy and a decrease in the area of corneal glycocalyx. In summary, our data demonstrates that high glucose impairs the conjunctival epithelial cell barrier functions, but the alterations in cellular migration and tight junction proteins are not the likely cause of conjunctival epithelial barrier dysfunction. Type I diabetes mellitus causes tear film abnormalities and corneal keratopathy which is accompanied by a concurrent decrease in corneal glycocalyx.
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Alfuraih, SM. Effect of Diabetes Mellitus on Ocular Surface Tight Junctions and Glycocalyx. [master’s thesis]. Irvine, CA: Chapman University; https://doi.org/10.36837/chapman.000128