# Non-Sjogren's Syndrome-and Sjogren's Syndrome-related Keratoconjunctivitis SICCA: A Spectrum of Inflammatory Dry Eye

> **NIH NIH K23** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2020 · $252,865

## Abstract

NON-SJÖGREN'S SYNDROME AND SJÖGREN'S SYNDROME KERATOCONJUNCTIVITIS SICCA: A
SPECTRUM OF INFLAMMATORY DRY EYE
ABSTRACT
This is an application for a mentored K23 career development award to Dr. John A. Gonzales, a uveitis
specialist at The F.I. Proctor Foundation at the University of California, San Francisco. Dr. Gonzales is
establishing himself as an investigator in patient-oriented research focused on ocular inflammatory conditions
including keratoconjunctivitis sicca and uveitis. This K23 Award will provide Dr. Gonzales the support
necessary to complete the following goals:
(1) to become skilled in epidemiology research by utilizing the Sjögren's International Collaborative Clinical
Alliance (SICCA) Registry's wealth of data; (2) to understand the nuances and utility of high throughput
sequencing technology to; (3) to learn and utilize advanced statistical and epidemiology methods necessary for
success in clinical studies; and (4) to develop the skills needed to transition to an independent investigator.
To achieve these goals Dr. Gonzales has assembled a team of mentors comprised of the following experts:
 • Dr. Tom Lietman, a Professor in both the Departments of Ophthalmology and Epidemiology and
 Biostatistics at UCSF. Dr. Lietman has been awarded NIH-funded grants for seminal randomized
 clinical trials in infectious and inflammatory ocular diseases including Eliminating trachoma with repeat
 mass drug treatment, the Steroids for Cornea Ulcers Trial, and the Mycotic Ulcer Treatment Trial.
 • Dr. Caroline Shiboski, Professor in the Department of Orofacial Sciences is a Sjögren's syndrome
 expert. She has extensive experience leading the SICCA study eading an international effort to obtain
 definitive approval from both ACR and the European League Against Rheumatism (EULAR) of a final
 set of criteria to be used for entry into Sjögren's syndrome clinical trials
 • Dr. Laura Koth, Associate Professor in the Department of Medicine in the Division of Pulmonary and
 Critical Care Medicine. Dr. Koth is an expert in genomics and bioinformatics utilizing high-throughput
 sequencing to characterize autoimmune pulmonary disease.
The research proposed herein seeks to accomplish the following: (1) to examine how non-Sjögren's and
Sjögren's-related keratoconjunctivitis impact quality of life, depression, and mortality; (2) to identify
accompanying features of corneal neuropathology and neuropathic pain when patients convert from non-
Sjögren's keratoconjunctivitis to Sjögren's syndrome; and (4) to characterize Sjögren's syndrome on a gene
expression level.
This research will form the basis for an R01 application before the end of the K award. Dr. Gonzales's passion
and motivation for the proposed project, the environment at the Proctor Foundation and at UCSF, and the
support of his mentors will set the stage for a rigorous and rewarding career development into an independent
researcher.

## Key facts

- **NIH application ID:** 9994295
- **Project number:** 5K23EY026998-05
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** John Alexander Gonzales
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $252,865
- **Award type:** 5
- **Project period:** 2016-09-01 → 2022-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9994295

## Citation

> US National Institutes of Health, RePORTER application 9994295, Non-Sjogren's Syndrome-and Sjogren's Syndrome-related Keratoconjunctivitis SICCA: A Spectrum of Inflammatory Dry Eye (5K23EY026998-05). Retrieved via AI Analytics 2026-06-08 from https://api.ai-analytics.org/grant/nih/9994295. Licensed CC0.

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