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2007
DOI: 10.1136/bjo.2007.126144
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Differences in meibomian fatty acid composition in patients with meibomian gland dysfunction and aqueous-deficient dry eye

Abstract: The increase in branched-chain fatty acids may reflect greater quantities of wax and cholesterol esters and triglycerides in meibomian gland excreta. Since wax and cholesterol esters are the main lipids of meibum, these differences may have physical consequences for tear-film lipid-layer fluidity and stability. Meibomian fatty acid composition and particularly the increase in branched chains could be a marker for meibomian gland dysfunction.

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Cited by 110 publications
(104 citation statements)
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References 28 publications
(24 reference statements)
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“…These results confi rmed independent observations from a number of research laboratories on the presence of large amounts of CEs and WEs in human meibum (18)(19)(20)(21)(22)(23). However, we could not concur on the reported fi ndings on oleamide ( 24 ), Cer, and other typical polar lipids ( 25,26 ).…”
Section: Discussionsupporting
confidence: 71%
“…These results confi rmed independent observations from a number of research laboratories on the presence of large amounts of CEs and WEs in human meibum (18)(19)(20)(21)(22)(23). However, we could not concur on the reported fi ndings on oleamide ( 24 ), Cer, and other typical polar lipids ( 25,26 ).…”
Section: Discussionsupporting
confidence: 71%
“…Therefore, they could not be a major source of the LCFA and VLCFA either. Our current findings show that such a source is Chl-E. Interestingly, our data show that the longest fatty acid detected in Chl-E of human meibum has up to 34 carbons, far longer than 26 carbons reported by Joffre et al (29,30) and, possibly, even longer than that if the Chlcontaining HPLC peaks 19 and 20 are indeed Chl-E. Also, a large portion of the LCFA and VLCFA were monounsaturated. This discrepancy has most likely to do with the well-known fact that long chain fatty acids are unstable under the conditions of GC-MS analysis and quickly decompose at high temperatures at which the GC columns typically operate.…”
Section: Discussionsupporting
confidence: 58%
“…The VLCFA also suffer from low volatility, which is inversely proportional to their length and molecular mass. Therefore, the notable absence of VLCFA beyond C 26 for saturated compounds, and anything beyond C 18:1 for unsaturated VLCFA in the data by Joffre et al (29,30) can be related to these limitations of the GC-MS technique. The exact location and geometry of the double bonds in the structures of monounsaturated Chl-E from meibum remain to be investigated.…”
Section: Discussionmentioning
confidence: 94%
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