Tear secretion via a paracellular pathway in lacrimal gland is regulated by myosin-mediated modulation of tight junction permeability

"Dry eye", characterized by symptoms of ocular discomfort and visual disturbances due to decreased tear secretion, affects 16 million Americans. Yet, there is currently no cure for dry eye as the mechanistic details of water secretion in the tear-producing lacrimal gland have not been fully elucidated. While a transcellular water secretion pathway via water channels like AQP5 has been reported, the existence and function of a paracellular pathway via tight junctions between epithelial cells remains controversial. The actomyosin cytoskeleton localizes to the apical junctions of epithelial cells across organs and regulates tight junction integrity. Here, we report that non-muscle myosin IIC (NMIIC) is enriched at apical junctions of ductal epithelial cells in the lacrimal gland, leading us to hypothesize that NMIIC regulates tear secretion through modulation of tight junction permeability. Consistent with this hypothesis, we found that tear volume after carbachol stimulation was significantly increased in mice lacking NMIIC, and levels of the tight junction protein ZO-1 were significantly reduced. Furthermore, pharmacological activation of NMIIC by 4-Hydroxyacetophenone in wildtype mice significantly inhibited tear secretion. In summary, our findings reveal a paracellular water secretion pathway in the lacrimal gland, which is regulated by NMIIC-mediated modulation of ductal cell tight junctional permeability, and can be targeted by small molecules. Significance StatementWhile dry eye affects more than 16 million Americans, there is currently no cure as the mechanisms underlying tear secretion are incompletely understood. Here, we report first evidence for the existence and function of a paracellular water pathway, in which water flows between cells, in the lacrimal gland. We also show that this pathway is directly regulated by the modulation of tight junction permeability by non-muscle myosin IIC (NMIIC). This study thus identifies a new mechanism for exocrine secretion, which can be targeted towards developing treatments for dry eye/mouth syndrome.