Multidimensional immunotherapy for dry eye disease: current status and future directions.

Front Ophthalmol (Lausanne)

Department of Ophthalmology, People's Hospital of Zhengzhou University, Henan Provincial People's Hospital, Zhengzhou, China.

Published: November 2024

AI Article Synopsis

  • Dry Eye Disease (DED) is a complex condition influenced by tear film issues, immune system imbalances, and nerve interactions, resulting in inflammation and damage to the eye surface.
  • Traditional therapies provide temporary relief but have limitations due to side effects, leading to interest in modern treatments like biologics, stem cell therapy, and gene therapy.
  • Future research aims to uncover new therapeutic targets and assess the effectiveness of these advanced immunotherapies while considering the role of the ocular microbiome in personalized treatment approaches.

Article Abstract

Dry Eye Disease (DED) is a multifactorial condition driven by tear film hyperosmolarity, immune dysregulation, and neuro-immune interactions. The immune system plays a central role in its pathogenesis, influencing both inflammation and ocular surface damage. While traditional immunotherapies like anti-inflammatory agents and immunosuppressants offer symptom relief, their long-term use is limited by side effects. This review focuses on emerging immunotherapies, including biologics, stem cell therapy, gene therapy, nanotechnology, and exosome-based treatments, all of which hold promise in modulating immune responses and promoting tissue repair. The relationship between the ocular microbiome and DED is also explored, with an emphasis on personalized immunotherapy. Key challenges for future research include identifying novel therapeutic targets, optimizing clinical translation, and evaluating the long-term efficacy of these innovative treatments.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564177PMC
http://dx.doi.org/10.3389/fopht.2024.1449283DOI Listing

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