Comparison of structural components and functional mechanisms within the skin vs. the conjunctival surface

Curr Opin Allergy Clin Immunol. 2021 Oct 1;21(5):472-479. doi: 10.1097/ACI.0000000000000775.

Abstract

Purpose of review: The purpose of this review is to highlight and compare the structural and functional differences between the ocular surface and the skin. The goal is to further understand how these components interact from an immunobiological standpoint, which may inform future therapeutic uses.

Recent findings: Treatment agents, such as Dupilumab and Apremilast are traditionally indicated for integumentary conditions, such as atopic dermatitis and psoriasis, respectively. Both were also found to have potent effects on the conjunctival surface and ocular glands, which may be attributed to the similarities in structure.

Summary: Surfaces of the eyes and the skin are found to have similar composition in terms of immunohistology, steroidogenic properties, and allergic mechanisms. These translate directly into both the adverse effects and therapeutic benefits that overlap when treating these surfaces.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized
  • Conjunctiva*
  • Dermatitis, Atopic*
  • Eczema*
  • Humans
  • Psoriasis
  • Skin*
  • Thalidomide / analogs & derivatives
  • Treatment Outcome

Substances

  • Antibodies, Monoclonal, Humanized
  • dupilumab
  • Thalidomide
  • apremilast