国际眼科纵览 ›› 2022, Vol. 46 ›› Issue (4): 318-323.doi: 10.3760/cma.j.issn.1673-5803.2022.04.005

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他克莫司治疗干眼的作用机制和临床应用

张姊杰  贾喆  赵少贞   

  1. 天津医科大学眼科医院 眼视光学院 眼科研究所 国家眼耳鼻喉疾病临床医学研究中心天津市分中心天津市视网膜功能与疾病重点实验室 300000

  • 收稿日期:2021-12-24 出版日期:2022-08-22 发布日期:2022-08-22
  • 通讯作者: 赵少贞,Email:zhaosz1997@sina.com
  • 基金资助:
    天津滨海新区卫生健康委员会青年项目(2019BWKQ034);天津市临床重点学科项目(TJLCZDXKT002)

Mechanism and clinical application of tacrolimus in treatment of dry eye disease

Zhang Zijie, Jia Zhe, Zhao Shaozhen   

  1. Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300000, China

  • Received:2021-12-24 Online:2022-08-22 Published:2022-08-22
  • Contact: Zhao Shaozhen, Email: zhaosz1997@sina.com
  • Supported by:
    Youth Project of Health Commission of Tianjin Binhai New Area (2019BWKQ034); Clinical Key Discipline Project of Tianjin (TJLCZDXKT002)

摘要: 免疫相关性炎性反应在干眼的发病机制中起重要作用。他克莫司(FK506)通过抑制T淋巴细胞内的钙调神经磷酸酶或丝裂原活化蛋白激酶信号通路,抑制眼表细胞中的核因子-κB通路,抑制眼表细胞凋亡等机制发挥对干眼眼表炎症的治疗作用。目前局部使用他克莫司治疗干眼的研究主要为全身免疫疾病相关性干眼,包括慢性移植物抗宿主病、Sjgren综合征、瘢痕性类天疱疮、Steven-Johnson综合征等。(国际眼科纵览,2022, 46:318-323)


关键词: 干眼, 他克莫司 

Abstract: Dry eye disease (DED) is widely believed that immune-related inflammation plays an important role in its pathogenesis. Tacrolimus (FK506) has a certain therapeutic effect on ocular inflammation in dry eye by inhibiting calcineurin or MAPK pathway in T lymphocytes, NF-κB pathway in ocular surface cells, and apoptosis of ocular surface cells. Currently, studies on the topical use of tacrolimus in the treatment of dry eye have focused on dry eye with systemic immune diseases, including chronic graft-versus-host disease, Sjgren's syndrome, cicatoid pemphigoid, Steven-Johnson syndrome, etc.(Int Rev Ophthalmol, 2022, 46:  318-323)


Key words: dry eye disease, tacrolimus