Evidence map›Paper›PMID 32274735›Full record

ReviewAdvances in experimental medicine and biology2020

The Lacritin-Syndecan-1-Heparanase Axis in Dry Eye Disease.

Karina Dias-Teixeira, Xavier Horton, Robert McKown, Jeffrey Romano, Gordon W Laurie

Open access · greenAbstract readReview
In one paragraph

Review in Advances in experimental medicine and biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Site-specific O-glycans influence lacritin structure and multimerization in tears.Protein science : a publication of the Protein Society · 2026
    Article
  2. Article
  3. Translating Biomarker Discovery: From Bench to Bedside in Dry Eye Disease.International journal of molecular sciences · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Karina Dias-TeixeiraDepartment of Cell Biology, University of Virginia, Charlottesville, VA, USA.
Xavier HortonDepartment of Cell Biology, University of Virginia, Charlottesville, VA, USA.
Robert McKownSchool of Integrated Sciences, James Madison University, Harrisonburg, VA, USA.
Jeffrey RomanoDepartment of Cell Biology, University of Virginia, Charlottesville, VA, USA.
Gordon W LaurieDepartments of Cell Biology, Biomedical Engineering and Ophthalmology, University of Virginia, Charlottesville, VA, USA. glaurie@virginia.edu.
University of Virginia · USJames Madison University · US

Funding

BIOTECHNOLOGY TRAINING PROGRAMT32GM008715 · NIGMS · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI LAURIE, GORDON WILLIAM · 2000 to 2019
$6.6M
Tear Protein Microbial RegulationR01EY026171 · NEI · UNIVERSITY OF VIRGINIA · PI LAURIE, GORDON WILLIAM · 2016 to 2025
$3.6M
Lacritin Regulated Ocular Surface HomeostasisR01EY024327 · NEI · UNIVERSITY OF VIRGINIA · PI LAURIE, GORDON WILLIAM · 2014 to 2017
$1.8M
NEI NIH HHS R01 EY024327NEI NIH HHS R01 EY026171NIGMS NIH HHS T32 GM008715
6 · The paper itself

Abstract

Homeostasis and visual acuity of the surface of the eye are dependent on tears, a thin film comprising at least 1800 different extracellular proteins and numerous species of lipids through which 80% of entering light is refracted at the air interface. Loss of homeostasis in dry eye disease affects 5-7% of the world's population, yet little is known about key molecular players. Our story began as an unbiased screen for regulators of tearing that led to the discovery of homeostasis-restorative 'lacritin', a tear protein whose active form is selectively deficient in dry eye. Heparanase acts as a novel 'on-switch' for lacritin ligation of syndecan-1 necessary to trigger basal tearing, as well as pertussis toxin-sensitive and FOXO-dependent signaling pathways for healing of inflammation-damaged epithelia and restoring epithelial oxidative phosphorylation by mitochondrial fusion downstream of transiently accelerated autophagy. A phase 2 clinical trial has tested the applicability of this mechanism to the resolution of dry eye disease. Results are not yet available. With lacritin proteoforms detected in cerebral spinal fluid, plasma, and urine, the capacity of the lacritin-syndecan-1-heparanase axis to restore homeostasis might have wide systemic relevance to other organs.

Indexed as

Dry Eye SyndromesGlucuronidaseGlycoproteinsHeparanaseHomeostasisHumansSyndecan-1TearsGlucuronidaseGlycoproteinsHeparanaseLACRT protein, humanSyndecan-1Dry eyeHeparanaseHomeostasisLacritinSyndecan-1

Identifiers

PMID32274735
PMCPMC7398572
OpenAlexW3015276909

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.