Evidence map›Paper›PMID 22484808›Full record

ArticleNature medicine2012

NLRP3 has a protective role in age-related macular degeneration through the induction of IL-18 by drusen components.

Sarah L Doyle, Matthew Campbell, Ema Ozaki, Robert G Salomon, Andres Mori, Paul F Kenna, Gwyneth Jane Farrar, Anna-Sophia Kiang, Marian M Humphries, Ed C Lavelle and 3 more

Abstract read
In one paragraph

Article in Nature medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 245 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
245citing papers in PubMed, 1 pooled it
36.4field-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

245 citing papers in PubMed, 1 synthesis or guideline pooled it, 413 citations in OpenAlex.

  1. Pooled it
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  17. Immunosenescence: signaling pathways, diseases and therapeutic targets.Signal transduction and targeted therapy · 2025
    Review
  18. Review
  19. Article
  20. TREM2-Mediated Myeloid Cells Protect Against Pathological Choroidal Neovascularization.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Sarah L DoyleSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Ireland.
Matthew Campbell
Ema Ozaki
Robert G Salomon
Andres Mori
Paul F Kenna
Gwyneth Jane Farrar
Anna-Sophia Kiang
Marian M Humphries
Ed C Lavelle
Luke A J O'Neill
Joe G Hollyfield
Peter Humphries
Trinity College Dublin · IECase Western Reserve University · USCleveland Clinic Lerner College of Medicine · US

Funding

Preprostaglandin Endoperoxides (supplement)R01GM021249 · NIGMS · CASE WESTERN RESERVE UNIVERSITY · PI SALOMON, ROBERT GERD · 1985 to 2014
$5.2M
Initiating Events in AMD: An Animal Model for the Human DiseaseR01EY014240 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI HOLLYFIELD, JOE GILBERT · 2002 to 2015
$4.9M
REACTIVE INTERMEDIATES OF OXIDATIVE LIPID FRAGMENTATIONR01EY016813 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI SALOMON, ROBERT GERD · 2006 to 2018
$3.9M
Initiating Events in AMD: An Animal Model for the Human DiseaseR56EY014240 · NEI · CLEVELAND CLINIC LERNER COM-CWRU · PI HOLLYFIELD, JOE GILBERT · 2007 to 2007
$386k
NEI NIH HHS EY014240NEI NIH HHS EY016813NEI NIH HHS R01 EY014240NEI NIH HHS R01 EY016813NEI NIH HHS R56 EY014240NIGMS NIH HHS GM021249NIGMS NIH HHS R01 GM021249
6 · The paper itself

Abstract

Age-related macular degeneration (AMD) is the leading cause of central vision loss worldwide. Drusen accumulation is the major pathological hallmark common to both dry and wet AMD. Although activation of the immune system has been implicated in disease progression, the pathways involved are unclear. Here we show that drusen isolated from donor AMD eyes activates the NACHT, LRR and PYD domains-containing protein 3 (NLRP3) inflammasome, causing secretion of interleukin-1b (IL-1b) and IL-18. Drusen component C1Q also activates the NLRP3 inflammasome. Moreover, the oxidative-stress-related protein-modification carboxyethylpyrrole (CEP), a biomarker of AMD, primes the inflammasome. We found cleaved caspase-1 and NLRP3 in activated macrophages in the retinas of mice immunized with CEP-adducted mouse serum albumin, modeling a dry-AMD–like pathology. We show that laser-induced choroidal neovascularization (CNV), a mouse model of wet AMD, is exacerbated in Nlrp3(-/-) but not Il1r1(-/-) mice, directly implicating IL-18 in the regulation of CNV development. These findings indicate a protective role for NLRP3 and IL-18 in the progression of AMD.

Indexed as

AnimalsCarrier ProteinsCells, CulturedChoroidal NeovascularizationComplement C1qImmunizationInterleukin-18Interleukin-1betaMacular DegenerationMiceMice, Inbred C3HMice, Inbred C57BLNLR Family, Pyrin Domain-Containing 3 ProteinOptic Disk DrusenPhagosomesCarrier ProteinsComplement C1qInterleukin-18Interleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinNlrp3 protein, mouse

Identifiers

PMID22484808
PMCPMC3984677
OpenAlexW1985144223

What OpenQuestion holds

Textmetadata
LicenceTDM
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.