Skip to main content

Tears: Potential Window for Monitoring Systemic Conditions

  • Chapter
  • First Online:
Urine
  • 433 Accesses

Abstract

Tears covering the ocular surface is an important biofluid containing thousands of molecules, including proteins, lipids, metabolites, nucleic acids, and electrolytes. Tears are valuable resources for biomarker research of ocular and even systemic diseases. For application in biomarker studies, tear samples should ideally be stored using a simple, low-cost, and efficient method along with the patient’s medical records. For this purpose, we developed a novel Schirmer’s strip-based dry method that allows for storage of tear samples in vacuum bags at room temperature. This dry method facilitates sample transportation and enables the storage of tear samples on a large scale, increasing the availability of samples for studying disease biomarkers in tears. Using this method, tear protein patterns can also be preserved. Liquid chromatography-mass spectrometry/mass spectrometry analysis of proteins recovered from the dry method and traditional wet method showed no significant difference. Some tissue-/organ-enriched proteins were identified in tear; thus tear might be a good window for monitoring the change of these tissues or organs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Böhm D, Keller K, Pieter J, et al. Comparison of tear protein levels in breast cancer patients and healthy controls using a de novo proteomic approach. Oncol Rep. 2012;28:429–38.

    Article  Google Scholar 

  • Chen L, Zhou L, Chan EC, et al. Characterization of the human tear metabolome by LC-MS/MS. J Proteome Res. 2011;10:4876–82.

    Article  CAS  Google Scholar 

  • Hagan S, Martin E, Enriquez-de-Salamanca A. Tear fluid biomarkers in ocular and systemic disease: potential use for predictive, preventive and personalised medicine. EPMA J. 2016;7:15.

    Article  Google Scholar 

  • Lam SM, Tong L, Duan X, et al. Extensive characterization of human tear fluid collected using different techniques unravels the presence of novel lipid amphiphiles. J Lipid Res. 2014;55:289–98.

    Article  CAS  Google Scholar 

  • Lebrecht A, Boehm D, Schmidt M, et al. Diagnosis of breast cancer by tear proteomic pattern. Cancer Genomics Proteomics. 2009a;6:177–82.

    CAS  PubMed  Google Scholar 

  • Lebrecht A, Boehm D, Schmidt M, et al. Surface-enhanced laser desorption/ionisation time-of-flight mass spectrometry to detect breast cancer markers in tears and serum. Cancer Genomics Proteomics. 2009b;6:75–83.

    CAS  PubMed  Google Scholar 

  • Liang A, Qin W, Zhao C, et al. Unilateral relapse of Behcet’s disease-associated uveitis does not appear to cause asymmetric tear protein profiles. BIORXIV/2018/449074. 2018

    Google Scholar 

  • Pieragostino D, D’Alessandro M, di Ioia M, et al. Unraveling the molecular repertoire of tears as a source of biomarkers: beyond ocular diseases. Proteomics Clin Appl. 2015a;9:169–86.

    Article  CAS  Google Scholar 

  • Pieragostino D, D’Alessandro M, di Ioia M, et al. Unraveling the molecular repertoire of tears as a source of biomarkers: beyond ocular diseases. Proteomics Clin Appl. 2015b;9(1–2):169–86.

    Article  CAS  Google Scholar 

  • Posa A, Brauer L, Schicht M, et al. Schirmer strip vs. capillary tube method: non-invasive methods of obtaining proteins from tear fluid. Ann Anat Anat Anz. 2013;195:137–42.

    Article  CAS  Google Scholar 

  • Quah JHM, Tong L, Barbier S. Patient acceptability of tear collection in the primary healthcare setting. Optom Vis Sci. 2014;91:452–8.

    Article  Google Scholar 

  • Uhlen M, Fagerberg L, Hallstrom BM, et al. Proteomics. Tissue-based map of the human proteome. Science. 2015;347:1260419.

    Article  Google Scholar 

  • von Thun Und Hohenstein-Blaul N, Funke S, Grus FH. Tears as a source of biomarkers for ocular and systemic diseases. Exp Eye Res. 2013;117:126–37.

    Article  Google Scholar 

  • Weiwei Q, Chan Z, Ting W, et al. A dry method for preserving tear protein samples. Biopreserv Biobank. 2017;15(5):417–21.

    Article  Google Scholar 

  • Zhou L, Beuerman RW. Tear analysis in ocular surface diseases. Prog Retin Eye Res. 2012;31:527–50.

    Article  CAS  Google Scholar 

  • Zhou L, Zhao SZ, Koh SK, et al. In-depth analysis of the human tear proteome. J Proteome. 2012;75:3877–85.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Qin, W., Zhao, C. (2019). Tears: Potential Window for Monitoring Systemic Conditions. In: Gao, Y. (eds) Urine. Springer, Singapore. https://doi.org/10.1007/978-981-13-9109-5_20

Download citation

Publish with us

Policies and ethics