Membrane array and multiplex bead analysis of tear cytokines in systemic sclerosis

Abstract

Although serious ocular manifestations of systemicsclerosis (SSc) have been described, tear analysis ofpatients with SSc has not been performed in previousstudies. Our aim was to measure a wide panel of cytokinesand chemokines in tears of patients with SSc and to assessthe most significant molecules with a more sensitive andspecific method. Unstimulated tear samples were collectedfrom nine patients with SSc and 12 age- and gender-matchedhealthy controls. The relative levels of 102 differentcytokines were determined by a cytokine array, and thenabsolute levels of four key cytokines were determined by amagnetic bead assay. Array results revealed shifted cytokineprofile characterized by predominance of inflammatorymediators. Of the 102 analyzed molecules, nine weresignificantly increased in tears of patients with SSc. Basedon the multiplex bead results, C-reactive protein, interferon-c-inducible protein-10, and monocyte chemoattractant protein-1 levels were significantly higher in tears of patients with SSc. Our current data depict a group of inflammatory mediators, which play a significant role in ocular pathology of SSc; furthermore, they might function as excellent candidates for future therapeutic targets in SSc patients with ocular manifestations.