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Publication : Deficiency in Acyl-CoA:Wax Alcohol Acyltransferase 2 causes evaporative dry eye disease by abolishing biosynthesis of wax esters.

First Author  Widjaja-Adhi MAK Year  2020
Journal  FASEB J Volume  34
Issue  10 Pages  13792-13808
PubMed ID  32851726 Mgi Jnum  J:308387
Mgi Id  MGI:6714548 Doi  10.1096/fj.202001191R
Citation  Widjaja-Adhi MAK, et al. (2020) Deficiency in Acyl-CoA:Wax Alcohol Acyltransferase 2 causes evaporative dry eye disease by abolishing biosynthesis of wax esters. FASEB J 34(10):13792-13808
abstractText  Lipids secreted by the meibomian glands (MGs) of the eyelids are essential to the protection of the eye's surface. An altered meibum composition represents the primary cause of evaporative dry eye disease (DED). Despite the critical importance of the meibum, its biosynthetic pathways and the roles of individual lipid components remain understudied. Here, we report that the genetic deletion of Acyl-CoA:wax alcohol acyltransferase 2 (AWAT2) causes the obstruction of MGs and symptoms of evaporative DED in mice. The lipid composition of the meibum isolated from Awat2(-/-) mice revealed the absence of wax esters, which was accompanied by a compensatory overproduction of cholesteryl esters. The resulting increased viscosity of meibum led to the dilation of the meibomian ducts, and the progressive degeneration of the MGs. Overall, we provide evidence for the main physiological role of AWAT2 and establish Awat2(-/-) mice as a model for DED syndrome that can be used in studies on tear film-oriented therapies.
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