PMID- 30658033 OWN - NLM STAT- MEDLINE DCOM- 20190510 LR - 20190510 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 59 IP - 13 DP - 2018 Nov 1 TI - Sleep Deprivation Induces Dry Eye Through Inhibition of PPARalpha Expression in Corneal Epithelium. PG - 5494-5508 LID - 10.1167/iovs.18-24504 [doi] AB - PURPOSE: To determine if sleep deprivation induces dry eye through altering peroxisome proliferator-activated receptor alpha (PPARalpha) expression in mice. METHODS: The "stick over water" sleep deprivation-induced dry eye (SDE) model evaluated PPARalpha involvement in inducing this condition. Scanning electron microscopy (SEM) examined microvilli morphology in superficial corneal epithelial cells (SCECs) in SDE and PPARalpha-/- mice. Quantitative RT-PCR (qRT-PCR) and Western blot (WB) or immunostaining evaluated PPARalpha, carnitine palmitoyl transferase 1alpha (CPT1alpha), and transient receptor potential vanilloid 6 (TRPV6) expression levels and Ezrin phosphorylation status. Hematoxylin-eosin and Oil Red O staining characterized meibomian gland morphology and corneal lipid accumulation, respectively. Phenol red cotton threads measured tear production. In cultured corneal epithelial sheets, qRT-PCR, WB, and SEM determined the individual effects of fenofibrate and MK886 (PPARalpha agonist and antagonist, respectively) on PPARalpha, TRPV6 expression, and SCEC microvilli morphology. RESULTS: Corneal epithelial lipid accumulation, microvilli morphologic changes, and decreased tear production were associated with marked declines in PPARalpha, CPT1alpha, and TRPV6 expression levels as well as Ezrin phosphorylation status, whereas meibomian glands were unaltered in SDE mice. These effects of SDE mice mimicked those in their nonstressed PPARalpha-/-counterpart. Topical application of fenofibrate reversed these effects in SDE corneas. In cultured corneal epithelial sheets, fenofibrate increased PPARalpha and TRPV6 gene and protein expression levels and restored microvilli morphology, whereas MK886 attenuated these changes. CONCLUSIONS: Sleep deprivation induces dry eye through abnormal SCEC microvilli morphology, which is caused by sequential downregulation of PPARalpha, TRPV6 expression, and Ezrin phosphorylation status in mice. FAU - Tang, Liying AU - Tang L AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Wang, Xue AU - Wang X AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Wu, Jieli AU - Wu J AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Li, San Ming AU - Li SM AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Zhang, Zhaoqiang AU - Zhang Z AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Wu, Sangang AU - Wu S AD - Department of Radiation Oncology, Xiamen Cancer Hospital, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China. FAU - Su, Ting AU - Su T AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Lin, Zhirong AU - Lin Z AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. AD - Xiamen University Affiliated Xiamen Eye Center, Xiamen, Fujian, China. FAU - Chen, Xueting AU - Chen X AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Liao, Xulin AU - Liao X AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Bai, Ting AU - Bai T AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Qiu, Yan AU - Qiu Y AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Reinach, Peter Sol AU - Reinach PS AD - Wenzhou Medical University, Wenzhou, Zhejiang, China. FAU - Li, Wei AU - Li W AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. AD - Xiamen University Affiliated Xiamen Eye Center, Xiamen, Fujian, China. AD - The Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China. FAU - Chen, Yongxiong AU - Chen Y AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. FAU - Liu, Zuguo AU - Liu Z AD - Eye Institute of Xiamen University, Fujian Provincial Key Laboratory of Ophthalmology and Visual Science, Medical College, Xiamen University, Xiamen, Fujian, China. AD - Xiamen University Affiliated Xiamen Eye Center, Xiamen, Fujian, China. AD - The Affiliated Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 RN - 0 (Calcium Channels) RN - 0 (Cytoskeletal Proteins) RN - 0 (Hypolipidemic Agents) RN - 0 (Indoles) RN - 0 (Lipoxygenase Inhibitors) RN - 0 (PPAR alpha) RN - 0 (Ppara protein, mouse) RN - 0 (TRPV Cation Channels) RN - 0 (Trpv6 protein, mouse) RN - 0 (ezrin) RN - 080626SQ8C (MK-886) RN - EC 2.3.1.21 (CPT1B protein, mouse) RN - EC 2.3.1.21 (Carnitine O-Palmitoyltransferase) RN - U202363UOS (Fenofibrate) SB - IM MH - Animals MH - Blotting, Western MH - Calcium Channels/genetics/metabolism MH - Carnitine O-Palmitoyltransferase/genetics/metabolism MH - Cells, Cultured MH - Cytoskeletal Proteins/metabolism MH - Disease Models, Animal MH - Dry Eye Syndromes/*etiology/metabolism MH - Epithelium, Corneal/drug effects/*metabolism MH - Fenofibrate/pharmacology MH - Hypolipidemic Agents/pharmacology MH - Indoles/pharmacology MH - Lipoxygenase Inhibitors/pharmacology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Microscopy, Electron, Scanning MH - PPAR alpha/*antagonists & inhibitors/metabolism MH - Phosphorylation MH - Real-Time Polymerase Chain Reaction MH - Sleep Deprivation/*complications/metabolism MH - TRPV Cation Channels/genetics/metabolism MH - Tears/physiology EDAT- 2019/01/19 06:00 MHDA- 2019/05/11 06:00 CRDT- 2019/01/19 06:00 PHST- 2019/01/19 06:00 [entrez] PHST- 2019/01/19 06:00 [pubmed] PHST- 2019/05/11 06:00 [medline] AID - 2716365 [pii] AID - 10.1167/iovs.18-24504 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2018 Nov 1;59(13):5494-5508. doi: 10.1167/iovs.18-24504.