Evidence map›Paper›PMID 20823101›Full record

ArticleDiabetes2010

High levels of serum prolactin protect against diabetic retinopathy by increasing ocular vasoinhibins.

Edith Arnold, José C Rivera, Stéphanie Thebault, Daniel Moreno-Páramo, Hugo Quiroz-Mercado, Andrés Quintanar-Stéphano, Nadine Binart, Gonzalo Martínez de la Escalera, Carmen Clapp

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Diabetes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03161652 (Clinical Trial to Evaluate the Safety and Efficacy of Levosulpiride to Improve Retinal Alterations in Patients With Diabetic Retinopathy and Diabetic Macular Edema.), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.4field-weighted citation impact, top 8% 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.

NCT03161652 phase2recruitingnot on this mapstarted 2017, after this paper: background citation

Clinical Trial to Evaluate the Safety and Efficacy of Levosulpiride to Improve Retinal Alterations in Patients With Diabetic Retinopathy and Diabetic Macular Edema.

TypeinterventionalSponsorCarmen ClappRan2017 to 2027Enrolled120ConditionsDiabetic Macular Edema, Diabetic RetinopathyArmsDME lactose pill, DME levosulpiride, DR lactose pill, DR levosulpiride, DR vitrectomy lactose pill
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Diabetic macular edema: Upcoming therapies.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  5. Prolactin: structure, receptors, and functions.Reviews in endocrine & metabolic disorders · 2024
    Review
  6. Article
  7. Article
  8. Prolactin Expression in the Baboon (Animals : an open access journal from MDPI · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. A review on vasohibin and ocular neovascularization.International journal of ophthalmology · 2020
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

9 authors at 3 institutions in 2 countries.

Edith ArnoldNeurobiology Institute, National University of Mexico (UNAM), Campus UNAM-Juriquilla, Juriquilla, Queretaro, Mexico.
José C Rivera
Stéphanie Thebault
Daniel Moreno-Páramo
Hugo Quiroz-Mercado
Andrés Quintanar-Stéphano
Nadine Binart
Gonzalo Martínez de la Escalera
Carmen Clapp
Universidad Nacional Autónoma de México · MXAsociacion Para Evitar la Ceguera en México Hospital Dr. Luis Sánchez Bulnes · MXAutonomous University of Aguascalientes · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIncreased retinal vasopermeability (RVP) occurs early in diabetes and is crucial for the development of sight-threatening proliferative diabetic retinopathy (DR). The hormone prolactin (PRL) is proteolytically processed to vasoinhibins, a family of peptides that inhibit the excessive RVP related to DR. Here, we investigate the circulating levels of PRL in association with DR in men and test whether increased circulating PRL, by serving as a source of ocular vasoinhibins, can reduce the pathological RVP in diabetes. RESEARCH DESIGN AND

methodsSerum PRL was evaluated in 40 nondiabetic and 181 diabetic men at various stages of DR. Retinal vasoinhibins were measured in rats rendered hyperprolactinemic by placing two anterior pituitary grafts under the kidney capsule and in PRL receptor-null mice. RVP was determined in hyperprolactinemic rats subjected to the intraocular injection of vascular endothelial growth factor (VEGF) or made diabetic with streptozotocin.

resultsThe circulating levels of PRL increased in diabetes and were higher in diabetic patients without retinopathy than in those with proliferative DR. In rodents, hyperprolactinemia led to vasoinhibin accumulation within the retina; genetic deletion of the PRL receptor prevented this effect, indicating receptor-mediated incorporation of systemic PRL into the eye. Hyperprolactinemia reduced both VEGF-induced and diabetes-induced increase of RVP. This reduction was blocked by bromocriptine, an inhibitor of pituitary PRL secretion, which lowers the levels of circulating PRL and retinal vasoinhibins.

conclusionsCirculating PRL influences the progression of DR after its intraocular conversion to vasoinhibins. Inducing hyperprolactinemia may represent a novel therapy against DR.

Indexed as

AnimalsBiomarkersCell Cycle ProteinsDiabetes Mellitus, ExperimentalDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic RetinopathyHumansHyperprolactinemiaMaleMiceMiddle AgedProlactinRatsRats, WistarVascular Endothelial Growth Factor ABiomarkersCell Cycle ProteinsProlactinVascular Endothelial Growth Factor AVash1 protein, mouse

Identifiers

PMID20823101
PMCPMC2992782
OpenAlexW2097364296

What OpenQuestion holds

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Registered trials

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.