2015
DOI: 10.1016/j.jtos.2014.06.002
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The Presence and Significance of Polar Meibum and Tear Lipids

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Cited by 65 publications
(42 citation statements)
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“…Their findings, summarized in several recent reviews [(Green-Church et al, 2011), (Butovich, 2011a), (Pucker and Haworth, 2015), (Butovich, 2013), (Butovich, 2009c), and references cited therein], demonstrated that meibum is mostly comprised of neutral lipids, such as wax esters (WE), cholesteryl esters (CE), free cholesterol (Chl), and triacylglycerols (TAG), and smaller amounts of more polar compounds, such as free fatty acids (FFA), phospholipids (PL), sphingomyelins (SM), ceramides (Cer), and others. Most of the meibomian lipids are complex, featuring at least one or more ester bonds.…”
Section: Lipids Of Meibummentioning
confidence: 99%
See 1 more Smart Citation
“…Their findings, summarized in several recent reviews [(Green-Church et al, 2011), (Butovich, 2011a), (Pucker and Haworth, 2015), (Butovich, 2013), (Butovich, 2009c), and references cited therein], demonstrated that meibum is mostly comprised of neutral lipids, such as wax esters (WE), cholesteryl esters (CE), free cholesterol (Chl), and triacylglycerols (TAG), and smaller amounts of more polar compounds, such as free fatty acids (FFA), phospholipids (PL), sphingomyelins (SM), ceramides (Cer), and others. Most of the meibomian lipids are complex, featuring at least one or more ester bonds.…”
Section: Lipids Of Meibummentioning
confidence: 99%
“…Meibum and aqueous tears mix during the blink to form the tear film. Currently, the predominant view is that the tear film is a rather stratified structure, the upper sublayer of which is formed mostly of meibum, and, possibly, smaller amounts of polar and nonpolar lipids of other origins (Butovich, 2008) (Butovich, 2013) (Pucker and Haworth, 2015), while the inner part that faces the ocular surface epithelium, is aqueous (Fig. 2) (Green-Church et al, 2011) (Butovich, 2011a).…”
Section: Introductionmentioning
confidence: 99%
“…Lipids supplied principally by the meibomian glands provide the tear film lipid layer (TFLL), a complex mixture of lipids that create a thin hydrophobic film that serves to protect the tear film from evaporation. The physical properties of the tear film such as its stability and spreading are greatly influenced by the molecular lipid composition of the TFLL [3][4][5][6] . Deviations in the composition of the TFLL are likely to modulate the physical properties of the tear film and in turn effect a change in evaporation of the aqueous tear 7 .…”
Section: Introductionmentioning
confidence: 99%
“…10 Despite their small proportion relative to nonpolar lipids, PLs seem to have an essential impact on the function of the TFLL and, consequently, on the health of the ocular surface. 11 Cholesteryl esters and WEs are classified as nonpolar since they lack the large highly hydrophilic head group of polar lipids. Polar lipids in aqueous environment orient in such fashion that the contact of water with the hydrophobic parts of the molecule, the acyl chains, is minimized, whereas the head group remains in contact with water.…”
mentioning
confidence: 99%