Evidence map›Paper›PMID 40471444›Full record

ArticleInternational ophthalmology2025

Exploring the immunomodulatory mechanism of total glucosides of paeony on Sjögren's syndrome dry eye disease based on the "gut-eye axis" pathway.

Tianxiao Fu, Wenwen Lu, Danbin Wu, Li Xu, Guolin Wu

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Article in International ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Protective Effects ofJournal of microbiology and biotechnology · 2025
    Article
4 · The record

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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.

Tianxiao FuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Shangcheng District, Hangzhou City, 310000, Zhejiang Province, China.
Wenwen LuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Shangcheng District, Hangzhou City, 310000, Zhejiang Province, China.
Danbin WuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Shangcheng District, Hangzhou City, 310000, Zhejiang Province, China.
Li XuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Shangcheng District, Hangzhou City, 310000, Zhejiang Province, China.
Guolin WuDepartment of Traditional Chinese Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, No. 79, Qingchun Road, Shangcheng District, Hangzhou City, 310000, Zhejiang Province, China. wuguolin0123@163.com.

Funding

Zhejiang Province Traditional Chinese Medicine Science and Technology Program Project 2023ZL488
6 · The paper itself

Abstract

purposeSjögren's syndrome-related dry eye disease (SS-DED) is an autoimmune disorder characterized by ocular surface inflammation and lacrimal gland dysfunction, with limited clinical treatment options currently available.

methodsBased on the traditional Chinese medicine theory of "the liver opens into the eyes" and the modern "gut-eye axis" hypothesis. This study investigated the therapeutic effects and immunomodulatory mechanisms of total glucosides of paeony (TGP) using a NOD mouse model.

resultsThe results showed that TGP significantly increased tear secretion in SS mice, alleviated corneal and conjunctival damage, improved pathological changes in the Harderian gland, reduced inflammatory infiltration, and restored glandular secretory function. At the molecular level, TGP markedly downregulated pro-inflammatory cytokines such as IL-6 and IL-17 while upregulating anti-inflammatory factors like IL-10 and TGF-β, effectively modulating the Th17/Treg immune balance. Additionally, TGP enhanced the expression of tight junction proteins (ZO-1, Occludin, and Claudin-3) in SS mice, repairing intestinal barrier function. 16S rRNA sequencing analysis revealed that TGP intervention regulated gut microbiota composition in SS mice, reducing the Firmicutes/Bacteroidetes ratio and increasing the abundance of beneficial bacteria such as Lactobacillus. Functional prediction analysis indicated that TGP-modulated gut microbiota primarily participated in key metabolic pathways, including carbohydrate and amino acid metabolism.

conclusionIn conclusion, TGP can ameliorate ocular surface damage in SS mice by regulating gut microecology and immune homeostasis via the "gut-eye axis" pathway. Our study not only provides a novel therapeutic strategy for SS-DED but also offers scientific evidence for the modernization of traditional Chinese medicine theories.

Indexed as

Dry Eye SyndromesGastrointestinal MicrobiomeGlucosidesPaeoniaSjogren's SyndromeAnimalsCytokinesDisease Models, AnimalFemaleMiceMice, Inbred NODTearsCytokinesGlucosidesGut-eye axisGut microbiotaImmunomodulationSjögren’s syndrome-related dry eyeTotal glucosides of paeony

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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.