Biomaterial Database

Tear changes in contact lens wearers following overnight eye closure. 1998

F Stapleton, and M D Willcox, and C A Morris, and D F Sweeney

Cornea and Contact Lens Research Unit, School of Optometry, University of New South Wales, Sydney, Australia. f.stapleton@cclru.unsw.edu.au

OBJECTIVE Tear protein composition alters during eye closure, by becoming rich in secretory IgA (sIgA) and certain complement proteins. This may reflect altered ocular defense mechanisms during eye closure. Since overnight wear of contact lenses (CLs) is associated with an increased risk of corneal infection and inflammation, this study aimed to quantify tear protein changes with overnight soft CL wear. METHODS Non-stimulated tears were collected from 9 CL wearers prior to CL wear (baseline), after daily CL wear, and after 8 h sleep. Lenses were removed following wear and were extracted in 80% urea at 95 degrees C. Secretory IgA, complement C3 and C4, were measured using ELISA and total protein using the Pierce BCA assay. Assays were performed on tear samples and CL extracts. RESULTS Baseline tear protein concentrations were: 0 total tear protein (9.37 +/- 2.97 mg/mL), C3 (4.4 +/- 2.1 micrograms/mL), C4 (0.1 +/- 0.1 micrograms/mL), and sIgA (0.84 +/- 0.34 mg/mL). There were no differences in any protein levels between daily CL wear and no CL wear (p > 0.05). Following sleep, protein concentrations were: total tear protein (43.64 +/- 24.30 mg/mL), C3 (72.5 +/- 49.9 micrograms/mL), C4 (6.7 +/- 5.2 micrograms/mL), and sIgA (5.53 +/- 5.15 mg/mL). Total protein extracted from CLs after daily wear was 90 +/- 27 micrograms/CL and, after overnight wear, 152 +/- 24 micrograms/CL. Negligible levels of C3, C4 and sIgA were recovered from CL extracts. CONCLUSIONS Uncomplicated daily use of soft CLs does not appear to alter certain tear proteins compared with baseline levels. Uptake of these proteins by the CL does not appear to deplete the tear protein levels. Overnight levels of all tear proteins were increased, compared to daily CL wear.

UI	MeSH Term	Description	Entries
D007071	Immunoglobulin A, Secretory	The principle immunoglobulin in exocrine secretions such as milk, respiratory and intestinal mucin, saliva and tears. The complete molecule (around 400 kD) is composed of two four-chain units of IMMUNOGLOBULIN A, one SECRETORY COMPONENT and one J chain (IMMUNOGLOBULIN J-CHAINS).	Colostral IgA,IgA, Exocrine,IgA, Secretory,SIgA,Secretory IgA,Secretory Immunoglobulin A,Exocrine IgA,IgA, Colostral
D008297	Male		Males
D011485	Protein Binding	The process in which substances, either endogenous or exogenous, bind to proteins, peptides, enzymes, protein precursors, or allied compounds. Specific protein-binding measures are often used as assays in diagnostic assessments.	Plasma Protein Binding Capacity,Binding, Protein
D003176	Complement C3	A glycoprotein that is central in both the classical and the alternative pathway of COMPLEMENT ACTIVATION. C3 can be cleaved into COMPLEMENT C3A and COMPLEMENT C3B, spontaneously at low level or by C3 CONVERTASE at high level. The smaller fragment C3a is an ANAPHYLATOXIN and mediator of local inflammatory process. The larger fragment C3b binds with C3 convertase to form C5 convertase.	C3 Complement,C3 Precursor,Complement 3,Complement C3 Precursor,Complement Component 3,Precursor-Complement 3,Pro-C3,Pro-Complement 3,C3 Precursor, Complement,C3, Complement,Complement, C3,Component 3, Complement,Precursor Complement 3,Precursor, C3,Precursor, Complement C3,Pro C3,Pro Complement 3
D003181	Complement C4	A glycoprotein that is important in the activation of CLASSICAL COMPLEMENT PATHWAY. C4 is cleaved by the activated COMPLEMENT C1S into COMPLEMENT C4A and COMPLEMENT C4B.	C4 Complement,C4 Complement Component,Complement 4,Complement C4, Precursor,Complement Component 4,Pro-C4,Pro-complement 4,C4, Complement,Complement Component, C4,Complement, C4,Component 4, Complement,Component, C4 Complement,Pro C4,Pro complement 4
D003262	Contact Lenses, Extended-Wear	Hydrophilic contact lenses worn for an extended period or permanently.	Contact Lens, Extended-Wear,Contact Lens, Extended Wear,Contact Lenses, Extended Wear,Extended-Wear Contact Lens,Extended-Wear Contact Lenses,Lens, Extended-Wear Contact,Lenses, Extended-Wear Contact
D003263	Contact Lenses, Hydrophilic	Soft, supple contact lenses made of plastic polymers which interact readily with water molecules. Many types are available, including continuous and extended-wear versions, which are gas-permeable and easily sterilized.	Lenses, Contact, Hydrophilic,Soft Contact Lenses,Hydrophilic Contact Lens,Soft Contact Lens,Contact Lens, Hydrophilic,Contact Lens, Soft,Contact Lenses, Soft,Hydrophilic Contact Lenses,Lens, Hydrophilic Contact,Lens, Soft Contact,Lenses, Hydrophilic Contact,Lenses, Soft Contact
D004797	Enzyme-Linked Immunosorbent Assay	An immunoassay utilizing an antibody labeled with an enzyme marker such as horseradish peroxidase. While either the enzyme or the antibody is bound to an immunosorbent substrate, they both retain their biologic activity; the change in enzyme activity as a result of the enzyme-antibody-antigen reaction is proportional to the concentration of the antigen and can be measured spectrophotometrically or with the naked eye. Many variations of the method have been developed.	ELISA,Assay, Enzyme-Linked Immunosorbent,Assays, Enzyme-Linked Immunosorbent,Enzyme Linked Immunosorbent Assay,Enzyme-Linked Immunosorbent Assays,Immunosorbent Assay, Enzyme-Linked,Immunosorbent Assays, Enzyme-Linked
D005136	Eye Proteins	PROTEINS derived from TISSUES of the EYE.	Proteins, Eye
D005260	Female		Females