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(Investigative Ophthalmology and Visual Science. 2002;43:1429-1436.)
© 2002 by The Association for Research in Vision and Ophthalmology, Inc.

Role of Proinflammatory Cytokines in the Impaired Lacrimation Associated with Autoimmune Xerophthalmia

Driss Zoukhri, Robin R. Hodges, Dosek Byon and Claire Larkin Kublin

From the Schepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.

PURPOSE. To determine the effects of the proinflammatory cytokines interleukin (IL)-1{alpha}, IL-1ß, and tumor necrosis factor (TNF)-{alpha} on neurally mediated lacrimal gland protein secretion and to determine whether the amount of IL-1ß protein is upregulated in inflamed lacrimal glands of the MRL/lpr mouse, a murine model of human Sjögren syndrome.

METHODS. Lacrimal gland lobules of BALB/c mice were prepared and incubated for 2 hours in the presence or absence of recombinant human (rh)IL-1{alpha}, rhIL-1ß (10 ng/mL each), or rhTNF{alpha} (50 ng/mL). Peroxidase secretion in response to depolarizing KCl (75 mM) solution was measured by spectrofluorometric assay. In another set of experiments, saline, rhIL-1ß (1 µg), or an antibody against IL-1 receptor type I (IL-1RI), with or without rhIL-1ß, was injected (2 µL) into the lacrimal glands of anesthetized BALB/c mice. Twenty-four hours later, lacrimal gland lobules were prepared and peroxidase secretion was measured. The amount of IL-1ß protein in lacrimal gland acinar cell lysates prepared from 3-, 9-, and 13-week-old BALB/c, MRL/+, and MRL/lpr mice was determined by ELISA.

RESULTS. KCl-induced peroxidase secretion was inhibited in vitro 62%, 66%, and 53% by rhIL-1{alpha}, rhIL-1ß, and rhTNF{alpha}, respectively. In vivo, rhIL-1ß inhibited KCl-induced peroxidase secretion by 72%. This inhibitory effect of IL-1ß was completely reversed by an antibody against IL-1RI. Compared with 3-week-old mice, the amount of IL-1ß protein was upregulated 15- and 21-fold in lacrimal gland acinar cells isolated from 9- and 13-week-old MRL/lpr mice, respectively.

CONCLUSIONS. Proinflammatory cytokines inhibit neurally mediated lacrimal gland secretion. The amount of IL-1ß protein is upregulated in acinar cells prepared from lacrimal glands infiltrated with lymphocytes. These results suggest that elevated levels of IL-1ß, as they occur in Sjögren syndrome exocrine glands, may impair the secretory function of these tissues.




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