2019
DOI: 10.1038/s41591-019-0531-2
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Multiscale reverse engineering of the human ocular surface

Abstract: Here we present a miniaturized analog of a blinking human eye to reverse engineer the complexity of the interface between the ocular system and the external environment. Our model comprises human cells and provides unique capabilities to replicate multiscale structural organization, biological phenotypes and dynamically regulated environmental homeostasis of the human ocular surface. Using this biomimetic system, we discovered new biological effects of blink-induced mechanical forces. Furthermore, we developed… Show more

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Cited by 113 publications
(88 citation statements)
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“…innovations have helped mitigate some of the drawbacks of traditional laboratory species-for instance providing manual blinking and supplementary tear flow in anesthetized rabbits, 324 or reverse-engineering the ocular surface using human cells in vitro 325 -however, the authors believe the complexity of the ocular surface and integrated lacrimal functional unit cannot be fully recreated without in vivo conditions in awake subjects.…”
Section: Discussionmentioning
confidence: 99%
“…innovations have helped mitigate some of the drawbacks of traditional laboratory species-for instance providing manual blinking and supplementary tear flow in anesthetized rabbits, 324 or reverse-engineering the ocular surface using human cells in vitro 325 -however, the authors believe the complexity of the ocular surface and integrated lacrimal functional unit cannot be fully recreated without in vivo conditions in awake subjects.…”
Section: Discussionmentioning
confidence: 99%
“…Engineers are attempting to mimic these dynamic processes to build more life‐like tissues using microfluidic, 3D bioprinting, and organoid technologies. [ 1–4 ] Organoids, 3D tissues grown from stem cells, are an essential approach because of the remarkable cellular diversity and spatial structure that can be achieved through processes of “self‐organization,” including spontaneous cell sorting and spatially varied cell differentiation. [ 5 ] However, organoids have largely not addressed longer length‐scale (>0.5 mm) tissue developmental processes beyond local self‐organization.…”
Section: Figurementioning
confidence: 99%
“…[ 446,447,449 ] In addition to BRB, the corneal epithelium (cornea‐on‐a‐chip), which experiences blinking‐induced pulsatile forces and cyclic rehydration of lachrymal fluid in an air‐liquid interface, has also been used to investigate the differentiation of corneal epithelial cells, dry eye disease‐induced epithelial stress, and eye drop‐assisted drug permeation, lubrication, and mass transport. [ 451 ] Overall, the intricate and complex ocular niche presents great potential for further improvement of these microfluidic platforms which could eventually assist in high‐content screening of drugs for ocular diseases.…”
Section: Modeling Vascular Mechanopathology In Vascularized Microphysmentioning
confidence: 99%