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Purpose  The purpose of our study was to investigate alterations in the meibomian gland (MG) in Cu, Zn-Superoxide Dismutase-1 knockout ( Sod1   −/− ) mouse.    Methods  Tear function tests [Break up time (BUT) and cotton thread] and ocular vital staining test were performed on  Sod1   −/−  male mice (n = 24) aged 10 and 50 weeks, and age and sex matched wild–type (+/+) mice (n = 25). Tear and serum samples were collected at sacrifice for inflammatory cytokine assays. MG specimens underwent Hematoxylin and Eosin staining, Mallory staining for fibrosis, Oil Red O lipid staining, TUNEL staining, immunohistochemistry stainings for 4HNE, 8-OHdG and CD45. Transmission electron microscopic examination (TEM) was also performed.    Results  Corneal vital staining scores in the  Sod1   −/−  mice were significantly higher compared with the wild type mice throughout the follow-up. Tear and serum IL-6 and TNF-α levels also showed significant elevations in the 10 to 50 week  Sod1   −/−  mice. Oil Red O staining showed an accumulation of large lipid droplets in the  Sod1   −/−  mice at 50 weeks. Immunohistochemistry revealed both increased TUNEL and oxidative stress marker stainings of the MG acinar epithelium in the  Sod1   −/−  mice compared to the wild type mice. Immunohistochemistry staining for CD45 showed increasing inflammatory cell infiltrates from 10 to 50 weeks in the  Sod1   −/−  mice compared to the wild type mice. TEM revealed prominent mitochondrial changes in 50 week  Sod1   −/−  mice.    Conclusions  Our results suggest that reactive oxygen species might play a vital role in the pathogensis of meibomian gland dysfunction. The  Sod1   −/−  mouse appears to be a promising model for the study of reactive oxygen species associated MG alterations.

Oxidative Stress Induced Age Dependent Meibomian Gland Dysfunction in Cu, Zn-Superoxide Dismutase-1 (Sod1) Knockout Mice