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The Ophthalmologist / Issues / 2026 / January / Rebuilding the Lacrimal Blueprint
Research & Innovations Anterior Segment News

Rebuilding the Lacrimal Blueprint

Autophagy: an unexpected gatekeeper of lacrimal gland development

1/15/2026 2 min read

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Objective:

To investigate the role of autophagy in the development and function of human lacrimal gland-like organoids.

Approach:
    Key Findings:
    • Autophagy is essential for proper lacrimal gland differentiation and function.
    • ATG5 knockout led to reduced expression of key markers and diminished secretory function.
    • Autophagy-deficient organoids exhibited signs of cellular stress and degeneration.
    • NMN effectively reversed deeper cellular abnormalities and improved secretion, while melatonin also showed beneficial effects.
    Interpretation:

    The study highlights the critical role of autophagy in lacrimal gland health and suggests potential therapeutic avenues for dry eye disease through NMN and melatonin.

    Limitations:
    • Translation from organoid models to clinical applications requires further validation.
    • The long-term effects and safety of NMN and melatonin in humans are not yet established.
    Conclusion:

    This research provides a new perspective on maintaining and restoring lacrimal gland health, with implications for treating dry eye disease.

    This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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