Evidence map›Paper›PMID 32947397›Full record

ArticleCornea2020

Effects of Terpinen-4-ol on Meibomian Gland Epithelial Cells In Vitro.

Di Chen, Jingyi Wang, David A Sullivan, Wendy R Kam, Yang Liu

Open access · greenAbstract read
In one paragraph

Article in Cornea, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Tea tree oil action on human corneal epithelial cells biological activity.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  5. Review
  6. Effects of Lotilaner Ophthalmic Solution, 0.25% onClinical ophthalmology (Auckland, N.Z.) · 2026
    Article
  7. Article
  8. Article
  9. Patient-Reported Burden of Illness and Unmet Needs inPatient preference and adherence · 2025
    Article
  10. Article
  11. Modern Technologies inSovremennye tekhnologii v meditsine · 2025
    Review
  12. The Effect of Terpinen-4-ol on Human Corneal Epithelium.Translational vision science & technology · 2024
    Article
  13. Review
  14. Article
  15. Impact of Exposomes on Ocular Surface Diseases.International journal of molecular sciences · 2023
    Review
  16. A review on drug-induced dry eye disease.Indian journal of ophthalmology · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. 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 3 institutions in 2 countries.

Di ChenDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Jingyi WangDepartment of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
David A SullivanSchepens Eye Research Institute, Massachusetts Eye and Ear; and.
Wendy R KamSchepens Eye Research Institute, Massachusetts Eye and Ear; and.
Yang LiuSchepens Eye Research Institute, Massachusetts Eye and Ear; and.
Massachusetts Eye and Ear Infirmary · USPeking Union Medical College Hospital · CNSmith-Kettlewell Eye Research Institute · US

Funding

Sex, sex steroids and dry eye syndromesR01EY005612 · NEI · SCHEPENS EYE RESEARCH INSTITUTE · PI SULLIVAN, DAVID A. · 1985 to 2014
$9.0M
NEI NIH HHS R01 EY005612
6 · The paper itself

Abstract

purposeInfestation with demodex mites has been linked to the development of chalazion, meibomian gland dysfunction, and blepharitis. An effective treatment is the eyelid application of terpinen-4-ol (T4O), a tea tree oil component. However, T4O is also known to be toxic to nonocular epithelial cells. We hypothesize that T4O toxicity also extends to human meibomian gland epithelial cells (HMGECs).

methodsImmortalized (I) HMGECs were cultured with varying concentrations (1.0%-0.001%) of T4O under proliferating or differentiating conditions up to 5 days. Experimental procedures included analyses of cell appearance, survival, P-Akt signaling, lysosome accumulation, and neutral lipid content.

resultsOur findings show that T4O causes a dose- and time-dependent decrease in the cell survival of IHMGECs. After 15 minutes of exposure to 1% T4O, IHMGECs exhibited rounding, atrophy, and poor adherence. Within 90 minutes of such treatment, almost all cells died. Reducing the T4O concentration to 0.1% also led to a marked decrease in P-Akt signaling and cell survival of IHMGECs. Decreasing the T4O amount to 0.01% caused a slight, but significant, reduction in the IHMGEC number after 5 days of culture and did not influence the ability of these cells to differentiate.

conclusionsT4O, even at levels 10-fold to 100-fold lower than demodicidal concentrations, is toxic to HMGECs in vitro.

Indexed as

Cell DifferentiationCell LineCell ProliferationCell SurvivalDose-Response Relationship, DrugElectrophoresis, Polyacrylamide GelEpithelial CellsHumansLipid MetabolismLysosomesMeibomian GlandsProto-Oncogene Proteins c-aktSignal TransductionTerpenesTime FactorsProto-Oncogene Proteins c-aktTerpenesterpinenol-4

Identifiers

PMID32947397
PMCPMC7657986
OpenAlexW3087361032

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.