Total of 250 ng of mitochondrial protein in 50 mM NaHCO3 was coated on an enhanced proteinbinding ELISA plate (Caster) by incubating at 4uC for 8 h. Nonspecific binding to the plate was minimized by blocking the wells with 100 ml blocking buffer (3 BSA and 0.1 NaN3 in PBS) at 37uC for 1 h. After the supernatant was removed, 100 ml of anti-DNP 
antibody diluted with buffer G (0.1 BSA, 0.1 gelatin, 0.1 NaN3 and 
1 mM MgCl2 in PBS) was added to each well and incubated at 37uC for 1 h. After the supernatant was removed, the plate was washed four times with PBS and 100 ml of horseradish peroxidase-conjugated secondary antibody diluted with 0.05 Tween 20 in PBS was added followed by incubation at 37uC for 1 h. The plate was washed four times to remove the unbound secondary antibody. After 100 ml of ELISA coloring solution (0.0156 M C6H8O7, 0.1 M Na2HPO4?12H2O, 0.4 mg/ ml o-phenylenediamine dihydrochloride and 0.2 ml/ml 1326631 30 H2O2) was added to each well, the reaction was terminated by the addition of 100 ml of 1 M H2SO4. The absorbance was measured using a computer-controlled spectrophotometric plate reader (Spectra Max 250: Molecular Devices) at a wavelength of 492 nm.Corneal fluorescein stainingCorneal fluorescein staining was performed as described by Rashid et al. [26]. Sodium fluorescein (1 ) was applied to the cornea of mice. Three minutes later, eyes were flushed with PBS to remove excess fluorescein, and corneal staining was evaluated with a hand slit lamp (Kowa, Tokyo, Japan) using cobalt blue light.Oxidative Stress Induced Dry Eye DiseaseOxidative Stress Induced Dry Eye DiseaseFigure 1. Inflammation of the Tramiprosate web lacrimal gland in Tet-mev-1 mice with Dox. A, HE staining shows that Tet-mev-1 mice with Dox (Tet-mev-1/ Dox(+)) typically have multifocal inflammation. The other types of mice (Tet-mev-1/Dox(2), WT/Dox(+) and WT/Dox(2)) have no inflammation in the lacrimal gland. Scale bar, approximately 100 mm. B, Azan staining was used to evaluate the severity of fibrosis in the lacrimal gland. Tet-mev-1/Dox(+) only shows fibrosis around acinar cells in the lacrimal gland. Scale bar, approximately 40 mm. C, Histopathology of the salivary glands shows no inflammation in all types of mice. Scale bar, approximately 100 mm. D, In lacrimal glands of Tet-mev-1/Dox (+) mice, CD4+ T cells, CD8+ T cells, CD19+ cells (B cells) and F4/80+ cells (pan-macrophage) were observed. Scale bar, approximately 100 mm. E, Proinflammatory cytokines were evaluated by 14636-12-5 web Real-time RT-PCR (ratio to WT/Dox(2)). Proinflammatory cytokines (TNF-a, IL-6, IL-1b, and IFN-c) were increased in Tet-mev-1/Dox(+), especially IL-6 and IFN-c, and IL-10 was also increased. F, Row data about Proinflammatory cytokines evaluated by Real-time RT-PCR is shown. doi:10.1371/journal.pone.0045805.gaccumulates with aging [32], and accordingly, 8-OHdG was used as a marker of oxidative damage in DNA in our study. Immunohistological labeling intensity for 8-OHdG was higher in the lacrimal gland of Tet-mev-1/Dox(+) mice compared with that in the other types of mice (Fig. 2d). The aqueous tear quantity values were 2.2660.48 mm/g (n = 14), 2.2360.46 mm/g (n = 6), 2.4760.60 mm/g (n = 6), and 1.3560.48 mm/g (n = 8) for WT/Dox(2) mice, Tet-mev-1/ Dox(2) mice, WT/Dox(+) mice, and Tet-mev-1/Dox(+) mice, respectively. The aqueous tear quantity values for Tet-mev-1/ Dox(+) mice were significantly lower than in the other types of mice (n 6, ANOVA Tukey’s test, p = 0.0024) (Fig. 3a). Corneal fluorescein stain.Total of 250 ng of mitochondrial protein in 50 mM NaHCO3 was coated on an enhanced proteinbinding ELISA plate (Caster) by incubating at 4uC for 8 h. Nonspecific binding to the plate was minimized by blocking the wells with 100 ml blocking buffer (3 BSA and 0.1 NaN3 in PBS) at 37uC for 1 h. After the supernatant was removed, 100 ml of anti-DNP antibody diluted with buffer G (0.1 BSA, 0.1 gelatin, 0.1 NaN3 and 1 mM MgCl2 in PBS) was added to each well and incubated at 37uC for 1 h. After the supernatant was removed, the plate was washed four times with PBS and 100 ml of horseradish peroxidase-conjugated secondary antibody diluted with 0.05 Tween 20 in PBS was added followed by incubation at 37uC for 1 h. The plate was washed four times to remove the unbound secondary antibody. After 100 ml of ELISA coloring solution (0.0156 M C6H8O7, 0.1 M Na2HPO4?12H2O, 0.4 mg/ ml o-phenylenediamine dihydrochloride and 0.2 ml/ml 1326631 30 H2O2) was added to each well, the reaction was terminated by the addition of 100 ml of 1 M H2SO4. The absorbance was measured using a computer-controlled spectrophotometric plate reader (Spectra Max 250: Molecular Devices) at a wavelength of 492 nm.Corneal fluorescein stainingCorneal fluorescein staining was performed as described by Rashid et al. [26]. Sodium fluorescein (1 ) was applied to the cornea of mice. Three minutes later, eyes were flushed with PBS to remove excess fluorescein, and corneal staining was evaluated with a hand slit lamp (Kowa, Tokyo, Japan) using cobalt blue light.Oxidative Stress Induced Dry Eye DiseaseOxidative Stress Induced Dry Eye DiseaseFigure 1. Inflammation of the lacrimal gland in Tet-mev-1 mice with Dox. A, HE staining shows that Tet-mev-1 mice with Dox (Tet-mev-1/ Dox(+)) typically have multifocal inflammation. The other types of mice (Tet-mev-1/Dox(2), WT/Dox(+) and WT/Dox(2)) have no inflammation in the lacrimal gland. Scale bar, approximately 100 mm. B, Azan staining was used to evaluate the severity of fibrosis in the lacrimal gland. Tet-mev-1/Dox(+) only shows fibrosis around acinar cells in the lacrimal gland. Scale bar, approximately 40 mm. C, Histopathology of the salivary glands shows no inflammation in all types of mice. Scale bar, approximately 100 mm. D, In lacrimal glands of Tet-mev-1/Dox (+) mice, CD4+ T cells, CD8+ T cells, CD19+ cells (B cells) and F4/80+ cells (pan-macrophage) were observed. Scale bar, approximately 100 mm. E, Proinflammatory cytokines were evaluated by real-time RT-PCR (ratio to WT/Dox(2)). Proinflammatory cytokines (TNF-a, IL-6, IL-1b, and IFN-c) were increased in Tet-mev-1/Dox(+), especially IL-6 and IFN-c, and IL-10 was also increased. F, Row data about Proinflammatory cytokines evaluated by Real-time RT-PCR is shown. doi:10.1371/journal.pone.0045805.gaccumulates with aging [32], and accordingly, 8-OHdG was used as a marker of oxidative damage in DNA in our study. Immunohistological labeling intensity for 8-OHdG was higher in the lacrimal gland of Tet-mev-1/Dox(+) mice compared with that in the other types of mice (Fig. 2d). The aqueous tear quantity values were 2.2660.48 mm/g (n = 14), 2.2360.46 mm/g (n = 6), 2.4760.60 mm/g (n = 6), and 1.3560.48 mm/g (n = 8) for WT/Dox(2) mice, Tet-mev-1/ Dox(2) mice, WT/Dox(+) mice, and Tet-mev-1/Dox(+) mice, respectively. The aqueous tear quantity values for Tet-mev-1/ Dox(+) mice were significantly lower than in the other types of mice (n 6, ANOVA Tukey’s test, p = 0.0024) (Fig. 3a). Corneal fluorescein stain.