Evidence map›Paper›PMID 12759255›Full record

ArticleThe American journal of pathology2003

Experimental diabetes causes breakdown of the blood-retina barrier by a mechanism involving tyrosine nitration and increases in expression of vascular endothelial growth factor and urokinase plasminogen activator receptor.

Azza B El-Remessy, M Ali Behzadian, Gamal Abou-Mohamed, Telina Franklin, Robert W Caldwell, Ruth B Caldwell

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 202 citations in OpenAlex.

  1. Review
  2. Neuroprotection in Diabetes Retinal Disease: An Unmet Medical Need.International journal of molecular sciences · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Wnt Signaling in Inner Blood-Retinal Barrier Maintenance.International journal of molecular sciences · 2021
    Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Tangeretin Inhibition of High-Glucose-Induced IL-1Journal of diabetes research · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Probucol prevents the attenuation of βNaunyn-Schmiedeberg's archives of pharmacology · 2017
    Article
  20. Review

37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Azza B El-RemessyVascular Biology Center, Medical College of Georgia, Augusta, Georgia 30909, USA.
M Ali Behzadian
Gamal Abou-Mohamed
Telina Franklin
Robert W Caldwell
Ruth B Caldwell
Augusta University · USOphthalmology Associates (United States) · US

Funding

Cellular Mechanisms of Retinopathy: Role of ArginaseR01EY011766 · NEI · MEDICAL COLLEGE OF GEORGIA (MCG) · PI CALDWELL, ROBERT WILLIAM, CALDWELL, RUTH B · 1998 to 2021
$6.7M
BLOOD/RETINAL BARRIER CHANGES IN RETINOPATHYR01EY004618 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI CALDWELL, RUTH B · 1985 to 2010
$3.0M
NEI NIH HHS EY04618NEI NIH HHS EY11766NEI NIH HHS R01 EY004618NEI NIH HHS R01 EY011766
6 · The paper itself

Abstract

The purpose of these experiments was to determine the specific role of reactive oxygen species (ROS) in the blood-retinal barrier (BRB) breakdown that characterizes the early stages of vascular dysfunction in diabetes. Based on our data showing that high glucose increases nitric oxide, superoxide, and nitrotyrosine formation in retinal endothelial cells, we hypothesized that excess formation of ROS causes BRB breakdown in diabetes. Because ROS are known to induce increases in expression of the well-known endothelial mitogen and permeability factor vascular endothelial growth factor (VEGF) we also examined their influence on the expression of VEGF and its downstream target urokinase plasminogen activator receptor (uPAR). After 2 weeks of streptozotocin-induced diabetes, analysis of albumin leakage confirmed a prominent breakdown of the BRB. This permeability defect was correlated with significant increases in the formation of nitric oxide, lipid peroxides, and the peroxynitrite biomarker nitrotyrosine as well as with increases in the expression of VEGF and uPAR. Treatment with a nitric oxide synthase inhibitor (N-omega-nitro-L-arginine methyl ester, 50 mg/kg/day) or peroxynitrite scavenger (uric acid, 160 mg/kg/day) blocked the breakdown in the BRB and prevented the increases in formation of lipid peroxides and tyrosine nitration as well as the increases in expression of VEGF and uPAR. Taken together, these data indicate that early diabetes causes breakdown of the BRB by a mechanism involving the action of reactive nitrogen species in promoting expression of VEGF and uPAR.

Indexed as

AnimalsBlood-Retinal BarrierBody WeightDiabetes Mellitus, ExperimentalEndothelial Growth FactorsEnzyme InhibitorsGene ExpressionIntercellular Signaling Peptides and ProteinsLipid PeroxidationLymphokinesNG-Nitroarginine Methyl EsterNitratesNitric Oxide SynthaseNitritesOxidative StressPeroxynitrous Acid3-nitrotyrosineEndothelial Growth FactorsEnzyme InhibitorsIntercellular Signaling Peptides and ProteinsLymphokinesNG-Nitroarginine Methyl EsterNitratesNitric Oxide SynthaseNitritesPeroxynitrous AcidPlaur protein, ratReactive Nitrogen SpeciesReceptors, Cell SurfaceReceptors, Urokinase Plasminogen ActivatorRNA, MessengerTyrosineUric AcidVascular Endothelial Growth Factor AVascular Endothelial Growth Factors

Identifiers

PMID12759255
PMCPMC1868147
OpenAlexW2090535353

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.