Evidence map›Paper›PMID 23557732›Full record

ArticleInvestigative ophthalmology & visual science2013

Low-intensity far-red light inhibits early lesions that contribute to diabetic retinopathy: in vivo and in vitro.

Johnny Tang, Yunpeng Du, Chieh Allen Lee, Ramaprasad Talahalli, Janis T Eells, Timothy S Kern

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02457975 (Near-Infrared Photobiomodulation for the Treatment of Diabetic Macular Edema), which is not on this map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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.

NCT02457975 early_phase1completednot on this mapstarted 2015, after this paper: background citation

Near-Infrared Photobiomodulation for the Treatment of Diabetic Macular Edema

TypeinterventionalSponsorMedical College of WisconsinRan2015 to 2019Enrolled16ConditionsDiabetic RetinopathyArms670nm PBM, intravitreous VEGF-inhibitors
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Profound Effect of Light on Cysts in X-Linked Retinoschisis.Investigative ophthalmology & visual science · 2026
    Article
  9. Article
  10. Article
  11. Illuminating eye care: the promise and future of red light therapy in ophthalmology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
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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 3 institutions in 1 country.

Johnny TangCase Western Reserve University, Cleveland, OH 44106, USA.
Yunpeng Du
Chieh Allen Lee
Ramaprasad Talahalli
Janis T Eells
Timothy S Kern
Case Western Reserve University · USLouis Stokes Cleveland VA Medical Center · USUniversity of Wisconsin–Milwaukee · US

Funding

TISSUE CULTURE AND HYBRIDOMA MODULEP30EY011373 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI Irina A Pikuleva · 1997 to 2026
$17.7M
STUDY OF DIABETIC RETINOPATHYR01EY000300 · NEI · UNIVERSITY OF WISCONSIN MADISON · PI KERN, TIMOTHY S · 1985 to 2013
$4.7M
Study of diabetic retinopathyR56EY000300 · NEI · CASE WESTERN RESERVE UNIVERSITY · PI KERN, TIMOTHY S · 2009 to 2009
$353k
NEI NIH HHS EY00300NEI NIH HHS P30 EY011373NEI NIH HHS P30EY11373NEI NIH HHS R01 EY000300NEI NIH HHS R56 EY000300
6 · The paper itself

Abstract

purposeTreatment with light in the far-red to near-infrared region of the spectrum (photobiomodulation [PBM]) has beneficial effects in tissue injury. We investigated the therapeutic efficacy of 670-nm PBM in rodent and cultured cell models of diabetic retinopathy.

methodsStudies were conducted in streptozotocin-induced diabetic rats and in cultured retinal cells. Diabetes-induced retinal abnormalities were assessed functionally, biochemically, and histologically in vivo and in vitro.

resultsWe observed beneficial effects of PBM on the neural and vascular elements of retina. Daily 670-nm PBM treatment (6 J/cm(2)) resulted in significant inhibition in the diabetes-induced death of retinal ganglion cells, as well as a 50% improvement of the ERG amplitude (photopic b wave responses) (both P < 0.01). To explore the mechanism for these beneficial effects, we examined physiologic and molecular changes related to cell survival, oxidative stress, and inflammation. PBM did not alter cytochrome oxidase activity in the retina or in cultured retinal cells. PBM inhibited diabetes-induced superoxide production and preserved MnSOD expression in vivo. Diabetes significantly increased both leukostasis and expression of ICAM-1, and PBM essentially prevented both of these abnormalities. In cultured retinal cells, 30-mM glucose exposure increased superoxide production, inflammatory biomarker expression, and cell death. PBM inhibited all of these abnormalities.

conclusionsPBM ameliorated lesions of diabetic retinopathy in vivo and reduced oxidative stress and cell death in vitro. PBM has been documented to have minimal risk. PBM is noninvasive, inexpensive, and easy to administer. We conclude that PBM is a simple adjunct therapy to attenuate the development of diabetic retinopathy.

Indexed as

AnimalsCell LineDiabetes Mellitus, ExperimentalDiabetic RetinopathyDisease Models, AnimalElectron Transport Complex IVElectroretinographyHumansIn Situ Nick-End LabelingIn Vitro TechniquesLeukostasisLightMaleNeurogliaNitric OxideOxidative StressElectron Transport Complex IVNitric OxideSuperoxidesdiabetic retinopathyphotobiomodulationretinal ganglion cells

Identifiers

PMID23557732
PMCPMC3668802
OpenAlexW1986984829

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.