Evidence map›Paper›PMID 21715348›Full record

ArticleInvestigative ophthalmology & visual science2011

Combined blockade of VEGFR-3 and VLA-1 markedly promotes high-risk corneal transplant survival.

Hui Zhang, Sammy Grimaldo, Don Yuen, Lu Chen

Open access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 31 citations in OpenAlex.

  1. The Immunopathogenesis of uveitis.Frontiers in medicine · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Angiopoietin-2 Blockade Promotes Survival of Corneal Transplants.Investigative ophthalmology & visual science · 2017
    Article
  6. Article
  7. Article
  8. High-risk corneal allografts: A therapeutic challenge.World journal of transplantation · 2016
    Review
  9. Article
  10. Article
  11. Article
  12. Soluble vascular endothelial growth factor receptor-3 suppresses allosensitization and promotes corneal allograft survival.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2014
    Article
  13. Article
  14. Role of angiopoietin-2 in corneal lymphangiogenesis.Investigative ophthalmology & visual science · 2014
    Article
  15. Corneal lymphatic valve formation in relation to lymphangiogenesis.Investigative ophthalmology & visual science · 2014
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

4 authors at 1 institution in 1 country.

Hui ZhangCenter for Eye Disease and Development, Program in Vision Science and School of Optometry, University of California, Berkeley, USA.
Sammy Grimaldo
Don Yuen
Lu Chen
University of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PURPOSE. High-risk corneal transplantation refers to grafting performed on inflamed and highly vascularized host beds. It represents a clinical dilemma because the rejection rate can be as high as 90%, irrespective of current treatment modalities. This study was conducted to investigate whether combined blockade of VEGFR-3 (vascular endothelial growth factor receptor-3) and VLA-1 (very late antigen-1) promotes high-risk transplant survival and how it correlates with corneal lymphangiogenesis and hemangiogenesis before and after transplantation. METHODS. High-risk corneal transplantation was performed between normal C57BL/6 (donor) and inflamed BALB/c (recipient) mice. The recipients were randomized to receive intraperitoneal injections of VEGFR-3 and VLA-1-neutralizing antibodies or their controls twice a week for up to 8 weeks after transplantation. Corneal grafts were evaluated by ophthalmic slit-lamp biomicroscopy and analyzed by Kaplan-Meier survival curve. Additionally, whole-mount corneas before and after transplantation were examined by immunofluorescent microscopic assays, and the correlation between lymphatic or blood vessel distribution and transplant outcome was analyzed. RESULTS. The combined blockade markedly promotes 90% survival of high-risk transplants. This strategy specifically modified host beds by selective inhibition of lymphangiogenesis but not hemangiogenesis. A strong correlation was also identified between high-risk transplant rejection and severe lymphatic invasion reaching the donor-graft border. CONCLUSIONS. These novel findings not only provide a new and potentially powerful strategy to promote high-risk transplant survival, they also confirm a critical role of high-degree lymphangiogenesis in mediating high-risk transplant rejection. Results from this study may also shed new light on our understanding and management of other lymphatic- and immune-related diseases in general.

Indexed as

Corneal TransplantationAnimalsAntibodies, NeutralizingCorneaCorneal NeovascularizationGraft SurvivalInjections, IntraperitonealIntegrin alpha1beta1LymphangiogenesisLymphatic VesselsMaleMiceMice, Inbred BALB CMice, Inbred C57BLMicroscopy, FluorescenceRisk FactorsAntibodies, NeutralizingIntegrin alpha1beta1Vascular Endothelial Growth Factor Receptor-3

Identifiers

PMID21715348
PMCPMC3176031
OpenAlexW2026144624

What OpenQuestion holds

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Registered trials

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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.