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Veernala I, Jaffet J, Fried J, Mertsch S, Schrader S, Basu S, Vemuganti G, Singh V. Lacrimal gland regeneration: The unmet challenges and promise for dry eye therapy. Ocul Surf 2022; 25:129-141. [PMID: 35753665 DOI: 10.1016/j.jtos.2022.06.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 06/20/2022] [Accepted: 06/20/2022] [Indexed: 11/29/2022]
Abstract
DED (Dry eye disease) is a common multifactorial disease of the ocular surface and the tear film. DED has gained attention globally, with millions of people affected.. Although treatment strategies for DED have shifted towards Tear Film Oriented Therapy (TFOT), all the existing strategies fall under standard palliative care when addressed as a long-term goal. Therefore, different approaches have been explored by various groups to uncover alternative treatment strategies that can contribute to a full regeneration of the damaged lacrimal gland. For this, multiple groups have investigated the role of lacrimal gland (LG) cells in DED based on their regenerating, homing, and differentiating capabilities. In this review, we discuss in detail therapeutic mechanisms and regenerative strategies that can potentially be applied for lacrimal gland regeneration as well as their therapeutic applications. This review mainly focuses on Aqueous Deficiency Dry Eye Disease (ADDE) caused by lacrimal gland dysfunction and possible future treatment strategies. The current key findings from cell and tissue-based regenerative therapy modalities that could be utilised to achieve lacrimal gland tissue regeneration are summarized. In addition, this review summarises the available literature from in vitro to in vivo animal studies, their limitations in relation to lacrimal gland regeneration and the possible clinical applications. Finally, current issues and unmet needs of cell-based therapies in providing complete lacrimal gland tissue regeneration are discussed.
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Affiliation(s)
- Induvahi Veernala
- School of Medical Sciences, University of Hyderabad, Prof C R Rao Road, Gachibowli, Hyderabad, 500046, India
| | - Jilu Jaffet
- Centre for Ocular Regeneration, Brien Holden Eye Research Centre, Champalimaud Translational Centre for Eye Research, LV Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Hyderabad, 500 034, India; Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India
| | - Jasmin Fried
- Laboratory of Experimental Ophthalmology, Department of Ophthalmology, Pius-Hospital, Carl von Ossietzky University Oldenburg, Germany
| | - Sonja Mertsch
- Laboratory of Experimental Ophthalmology, Department of Ophthalmology, Pius-Hospital, Carl von Ossietzky University Oldenburg, Germany
| | - Stefan Schrader
- Laboratory of Experimental Ophthalmology, Department of Ophthalmology, Pius-Hospital, Carl von Ossietzky University Oldenburg, Germany
| | - Sayan Basu
- Centre for Ocular Regeneration, Brien Holden Eye Research Centre, Champalimaud Translational Centre for Eye Research, LV Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Hyderabad, 500 034, India
| | - Geeta Vemuganti
- School of Medical Sciences, University of Hyderabad, Prof C R Rao Road, Gachibowli, Hyderabad, 500046, India.
| | - Vivek Singh
- Centre for Ocular Regeneration, Brien Holden Eye Research Centre, Champalimaud Translational Centre for Eye Research, LV Prasad Eye Institute, Kallam Anji Reddy Campus, L V Prasad Marg, Hyderabad, 500 034, India.
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Klećkowska-Nawrot JE, Goździewska-Harłajczuk K, Darska M, Barszcz K, Janeczek M. Microstructure of the eye tunics, eyelids and ocular glands of the Sulawesi bear cuscus (Ailurops ursinusTemminck, 1824) (Phalangeridae: Marsupialia) based on anatomical, histological and histochemical studies. ACTA ZOOL-STOCKHOLM 2018. [DOI: 10.1111/azo.12251] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Joanna E. Klećkowska-Nawrot
- Department of Biostructure and Animal Physiology; Faculty of Veterinary Medicine; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Karolina Goździewska-Harłajczuk
- Department of Biostructure and Animal Physiology; Faculty of Veterinary Medicine; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Marta Darska
- Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Karolina Barszcz
- Department of Morphological Sciences; Faculty of Veterinary Medicine; Warsaw University of Life Sciences; Warsaw Poland
| | - Maciej Janeczek
- Department of Biostructure and Animal Physiology; Faculty of Veterinary Medicine; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
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Klećkowska-Nawrot JE, Goździewska-Harłajczuk K, Łupicki D, Marycz K, Nawara T, Barszcz K, Kowalczyk A, Rosenberger J, Łukaszewicz E. The differences in the eyelids microstructure and the conjunctiva-associated lymphoid tissue between selected ornamental and wild birds as a result of adaptation to their habitat. ACTA ZOOL-STOCKHOLM 2017. [DOI: 10.1111/azo.12223] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Joanna E. Klećkowska-Nawrot
- Department of Animal Physiology and Biostructure; Faculty of Veterinary Medicine; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Karolina Goździewska-Harłajczuk
- Department of Animal Physiology and Biostructure; Faculty of Veterinary Medicine; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Dariusz Łupicki
- Museum of Natural History of the Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Krzysztof Marycz
- Electron Microscopy Laboratory; Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Tomasz Nawara
- Electron Microscopy Laboratory; Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Karolina Barszcz
- Department of Morphological Sciences; Faculty of Veterinary Medicine; Warsaw University of Life Sciences; Warsaw Poland
| | - Artur Kowalczyk
- Division of Poultry Breeding; Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Joanna Rosenberger
- Division of Poultry Breeding; Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
| | - Ewa Łukaszewicz
- Division of Poultry Breeding; Faculty of Biology and Animal Science; Wroclaw University of Environmental and Life Sciences; Wroclaw Poland
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