2014
DOI: 10.1167/iovs.14-15512
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Antimicrobial Role of Human Meibomian Lipids at the Ocular Surface

Abstract: This is the first-ever report of the antimicrobial role of human meibomian lipids. These lipids possess antimicrobial properties against both Gram-positive and Gram-negative bacteria and are involved in the innate host defense of tears in protecting the ocular surface against microbial pathogens.

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Cited by 55 publications
(36 citation statements)
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References 44 publications
(42 reference statements)
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“…Meibum is considered an important part of the tear film/tear film lipid layer (TF/TFLL) defense system that protects eyes from microorganisms and desiccation [610]. TF/TFLL combination also serves as a lubricant [11] that smoothes movements of the eyeball and the eyelids, and improves visual acuity [12, 13].…”
Section: Introductionmentioning
confidence: 99%
“…Meibum is considered an important part of the tear film/tear film lipid layer (TF/TFLL) defense system that protects eyes from microorganisms and desiccation [610]. TF/TFLL combination also serves as a lubricant [11] that smoothes movements of the eyeball and the eyelids, and improves visual acuity [12, 13].…”
Section: Introductionmentioning
confidence: 99%
“…Additional lipid classes are triglycerides, sphingosine and ceramides, as well as cholesteryl esters [45] . While a lubricant function has been primarily attributed to tear lipids, a recent study suggested growth inhibitory activity of whole tear lipid extracts against several Gram-positive and Gramnegative bacteria [46] .…”
Section: Meibummentioning
confidence: 99%
“…More recent studies describe rapid membrane depolarization in S. aureus treated with palmitoleate as well as when treated with glycerol ethers, sphingosine, and acyl-amines [60] . As demonstrated by scanning electron microscopy, meibomian lipids from tears cause major structural damage including distortion, loss or regular cell shape, and cell lysis in S. aureus, P. aeruginosa, and Serratia marcescens [46] . The more pronounced antimicrobial activity of unsaturated FFA compared to their saturated counterparts [61] may be at least in part attributed to lipid peroxidation.…”
Section: Mechanisms Of Antimicrobial Actionmentioning
confidence: 99%
“…It has also been associated with the increased chemotaxis of neutrophils and other immune cells during the prolonged period of eyelid closure during sleep 27. Tear lipids can also augment the bactericidal properties of tears, as short‐chain lipids affect the surface properties of the bacterial cell membrane, and long‐chain lipids have a direct effect on bacterial metabolism 20,28. It has been shown that tear film lipids can induce cell lysis, distortion, and cell wall damage in both Gram‐negative and Gram‐positive bacteria 28.…”
Section: Introduction: the Barriers To Topical Ocular Drug Deliverymentioning
confidence: 99%
“…Tear lipids can also augment the bactericidal properties of tears, as short‐chain lipids affect the surface properties of the bacterial cell membrane, and long‐chain lipids have a direct effect on bacterial metabolism 20,28. It has been shown that tear film lipids can induce cell lysis, distortion, and cell wall damage in both Gram‐negative and Gram‐positive bacteria 28. These processes all act as part of a wider complex mechanism of ocular surface protection.…”
Section: Introduction: the Barriers To Topical Ocular Drug Deliverymentioning
confidence: 99%