2010
DOI: 10.1167/iovs.09-4744
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Cold-Sensitive Corneal Afferents Respond to a Variety of Ocular Stimuli Central to Tear Production: Implications for Dry Eye Disease

Abstract: These results demonstrate that innocuous "cold" cornea thermoreceptors are activated by drying of the ocular surface and hyperosmotic solutions, conditions that are consistent with a role in tear production. The authors hypothesize that the dysfunction of these corneal afferents and the lacrimation reflex pathway they activate lead to some forms of dry eye disease.

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Cited by 94 publications
(99 citation statements)
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“…14 In addition to cool temperatures, cool cell activity is increased by the application of menthol, the transient receptor potential melastatin-8 (TRPM8) agonist, and by the application of hypertonic artificial tears to the cornea. 10,12,15,16 The TRPM8 channel is a thermally gated, nonselective cation channel that is activated by moderate cold (15-308C) and by compounds, such as menthol.…”
Section: Resultsmentioning
confidence: 99%
See 2 more Smart Citations
“…14 In addition to cool temperatures, cool cell activity is increased by the application of menthol, the transient receptor potential melastatin-8 (TRPM8) agonist, and by the application of hypertonic artificial tears to the cornea. 10,12,15,16 The TRPM8 channel is a thermally gated, nonselective cation channel that is activated by moderate cold (15-308C) and by compounds, such as menthol.…”
Section: Resultsmentioning
confidence: 99%
“…[18][19][20] Previously, our laboratory reported that cool cells are activated when the ocular surface fluid status is altered by reducing the layer of artificial tears covering cornea, leading to the hypothesis that these neurons contribute to basal tearing. 15 More recently, cooling of the ocular surface in humans and mice has been shown to increase tearing. 14 Furthermore, it has been reported that TRPM8 knockout mice have a lower level of basal tear flow.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Cold thermoreceptors are the most recently described fibers responding to a reduction in temperature (eg, evaporative cooling, cold). 32,33 Transient receptor protein (TRP) channels are found in the terminal cell membranes of nociceptors and are responsible for detecting these various stimuli. For example, TRPV1 channels detect a variety of noxious stimuli including abnormal pH, heat, and chemicals.…”
Section: Dry Eye As a Pain Disordermentioning
confidence: 99%
“…It has been shown that the application of NaCl, capsicum, and nicotine into the corneal surface produce a vigorous response in the nociceptive neurons in the trigeminal subnucleus caudalis in rat [20]. Hyperosmotic solution like NaCl by activating transient receptor potential (TRP) vanilloid 1 and TRP melastatin 8 receptors on corneal nociceptors could induce chemical nociception [21,22].…”
Section: Discussionmentioning
confidence: 99%