Dry
eye syndrome (DES) is a growing public health concern with
a high global prevalence; however, the fundamental processes involved
in its pathogenic mechanisms remain poorly understood. In the present
study, we applied nanoscale liquid chromatography and quadrupole time-of-flight
tandem mass spectrometry (nanoLC/Q-TOF-MS/MS) and ultraperformance
LC/Q-TOF-MS/MS technologies on tear samples obtained from 18 dry eye
patients and 19 healthy controls for integrated proteomic and metabolomic
analyses. Overall, 1031 tear proteins were detected, while 190 proteins
were determined to be significantly expressed in dry eye patients.
Further functional analysis suggested that various biological processes
were highly expressed and involved in the pathogenesis of DES, especially
immune and inflammatory processes. In total, 156 named metabolites
were identified, among which 34 were found to be significantly changed
in dry eye patients. The results highlighted the key elements, especially
inflammatory-related proteins and metabolites that played important
roles in the development of DES. Further, the regulatory roles of
primary pathways, including complement and coagulation cascades, glycolysis/gluconeogenesis,
and amino acid metabolism, were also identified as processes involved
in DES. Collectively, our work not only provided insight into the
potential biomarkers of DES for diagnostic and prognostic purposes
but extended our knowledge of the physiopathology of this syndrome.