Effects of Lipid Saturation on the Surface Properties of Human Meibum Films.

Elevated levels of acyl chain saturation of meibomian lipids are associated with vastly different effects: from enhanced tear film (TF) stability in infants to shortened TF breakup time in meibomian gland disease patients. Thus it is important to study the effect of saturation on the surface properties of human meibum (MGS). Therefore, MGS films (1, 2, 3, 4, 5, 10, 25, 50, 67, and 100% saturation) were spread at the air/water interface of a Langmuir surface balance. The layers' capability to reorganize during dynamic area changes was accessed via the surface pressure (π)-area (A) compression isotherms and step/relaxation dilatational rheology studies. Film structure was monitored with Brewster angle microscopy. The raise in the % (at ≥10%) of saturation resulted in the formation of stiffer, thicker, and more elastic films at π ≥ 12 mN/m with the effects being proportional to the saturation level. At the same time, at low (≤10 mN/m) π the raise in saturation resulted in altered spreading and heterogeneous structure of MGS layers. The strong impact of saturation on MGS surface properties correlates with our recent spectroscopy study, which demonstrated that saturation induced increase of MGS acyl chain order, phase transition temperature, and cooperativity.

Surface Chemistry Interactions of Cationorm with Films by Human Meibum and Tear Film Compounds.

Cationorm® (CN) cationic nanoemulsion was demonstrated to enhance tear film (TF) stability in vivo possibly via effects on tear film lipid layer (TFLL). Therefore the interactions of CN with human meibum (MGS) and TFLL in vitro and in vivo deserve special study. MGS and CN were spread at the air/water interface of a Langmuir surface balance to ensure a range of MGS/CN oil phase ratios: 20/1, 10/1, 5/1, 3/1, 2/1 and 1/1. The films capability to reorganize during dynamic area changes was evaluated via the surface pressure-area compression isotherms and step/relaxation dilatational rheology studies. Films structure was monitored with Brewster angle microscopy. CN/TFLL interactions at the ocular surface were monitored with non-contact specular microscopy. The in vitro studies of MGS/CN layers showed that (i) CN inclusion (at fixed MGS content) increased film elasticity and thickness and that (ii) CN can compensate for moderate meibum deficiency in MGS/CN films. In vivo CN mixed with TFLL in a manner similar to CN/MGS interactions in vitro, and resulted in enhanced thickness of TFLL. In vitro and in vivo data complement each other and facilitated the study of the composition-structure-function relationship that determines the impact of cationic nanoemulsions on TF.

Surface properties and exponential stress relaxations of mammalian meibum films.

The surface properties of meibomian secretion (MGS), the major constituent of the tear film (TF) lipid layer, are of key importance for TF stability. The interfacial properties of canine, cMGS, and feline, fMGS, meibum films were studied using a Langmuir surface balance. These species were selected because they have blinking frequency and TF stability similar to those of humans. The sample's performance during dynamic area changes was evaluated by surface pressure (π)-area (A) isocycles and the layer structure was monitored with Brewster angle microscopy. The films' dilatational rheology was probed via the stress-relaxation technique. The animal MGS showed similar behavior both between each other and with human MGS (studied previously). They form reversible, non-collapsible, multilayer thick films. The relaxations of canine, feline, and human MGS films were well described by double exponential decay reflecting the presence of two processes: (1) fast elastic process, with characteristic time τ < 10 s and (2) slow viscous process, with τ > 100 s-emphasizing the meibum layers viscoelasticity. The temperature decrease from 35 to 25 °C resulted in decreased thickness and lateral expansion of all MGS layers accompanied with increase of the π/A hysteresis and of the elastic process contribution to π relaxation transients. Thus, MGS films of mammals with similar blinking frequency and TF stability have similar surface properties and stress relaxations unaltered by the interspecies MGS compositional variations. Such knowledge may impact the selection of animal mimics of human MGS and on a better understanding of lipid classes' impact on meibum functionality.

Surface relaxations as a tool to distinguish the dynamic interfacial properties of films formed by normal and diseased meibomian lipids.

The surface properties of human meibomian lipids (MGS), the major constituent of the tear film (TF) lipid layer, are of key importance for TF stability. The dynamic interfacial properties of films by MGS from normal eyes (nMGS) and eyes with meibomian gland dysfunction (dMGS) were studied using a Langmuir surface balance. The behavior of the samples during dynamic area changes was evaluated by surface pressure-area isotherms and isocycles. The surface dilatational rheology of the films was examined in the frequency range 10(-5) to 1 Hz by the stress-relaxation method. A significant difference was found, with dMGS showing slow viscosity-dominated relaxation at 10(-4) to 10(-3) Hz, whereas nMGS remained predominantly elastic over the whole range. A Cole-Cole plot revealed two characteristic processes contributing to the relaxation, fast (on the scale of characteristic time τ < 5 s) and slow (τ > 100 s), the latter prevailing in dMGS films. Brewster angle microscopy revealed better spreading of nMGS at the air-water interface, whereas dMGS layers were non-uniform and patchy. The distinctions in the interfacial properties of the films in vitro correlated with the accelerated degradation of meibum layer pattern at the air-tear interface and with the decreased stability of TF in vivo. These results, and also recent findings on the modest capability of meibum to suppress the evaporation of the aqueous subphase, suggest the need for a re-evaluation of the role of MGS. The probable key function of meibomian lipids might be to form viscoelastic films capable of opposing dilation of the air-tear interface. The impact of temperature on the meibum surface properties is discussed in terms of its possible effect on the normal structure of the film.