Evidence map›Paper›PMID 23951261›Full record

ArticlePloS one2013

Diabetes-induced superoxide anion and breakdown of the blood-retinal barrier: role of the VEGF/uPAR pathway.

Azza B El-Remessy, Telina Franklin, Nagla Ghaley, Jinling Yang, Michael W Brands, Ruth B Caldwell, Mohamed Ali Behzadian

RetractedErratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
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  6. Macular vessel density in patients with refractory diabetic macular edema in different stages of nonproliferative diabetic retinopathy.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Wnt Signaling in Inner Blood-Retinal Barrier Maintenance.International journal of molecular sciences · 2021
    Review
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  12. Observational
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  14. Article
  15. Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Azza B El-RemessyVascular Biology Center, Medical College of Georgia, Georgia Regents University, Augusta, Georgia, United States of America.
Telina Franklin
Nagla Ghaley
Jinling Yang
Michael W Brands
Ruth B Caldwell
Mohamed Ali Behzadian
Augusta University · USCharlie Norwood VA Medical Center · USDiscovery Institute · 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
Mechanisms for Cardiovascular Control Early in DiabetesR01HL056259 · NHLBI · MEDICAL COLLEGE OF GEORGIA (MCG) · PI BRANDS, MICHAEL W. · 2003 to 2016
$4.4M
BLOOD/RETINAL BARRIER CHANGES IN RETINOPATHYR01EY004618 · NEI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI CALDWELL, RUTH B · 1985 to 2010
$3.0M
Molecular Mechanisms of diabetic retinopathyR01EY022408 · NEI · UNIVERSITY OF GEORGIA · PI EL-REMESSY, AZZA B · 2012 to 2016
$1.5M
NEI NIH HHS EY04618NEI NIH HHS EY11766NEI NIH HHS R01 EY004618NEI NIH HHS R01 EY011766NEI NIH HHS R01 EY022408
6 · The paper itself

Abstract

Diabetes-induced breakdown of the blood-retinal barrier (BRB) has been linked to hyperglycemia-induced expression of vascular endothelial growth factor (VEGF) and is likely mediated by an increase in oxidative stress. We have shown that VEGF increases permeability of retinal endothelial cells (REC) by inducing expression of urokinase plasminogen activator receptor (uPAR). The purpose of this study was to define the role of superoxide anion in VEGF/uPAR expression and BRB breakdown in diabetes. Studies were performed in streptozotocin diabetic rats and mice and high glucose (HG) treated REC. The superoxide dismutase (SOD) mimetic tempol blocked diabetes-induced permeability and uPAR expression in rats and the cell permeable SOD inhibited HG-induced expression of uPAR and VEGF in REC. Inhibiting VEGFR blocked HG-induced expression of VEGF and uPAR and GSK-3β phosphorylation in REC. HG caused β-catenin translocation from the plasma membrane into the cytosol and nucleus. Treatment with HG-conditioned media increased REC paracellular permeability that was blocked by anti-uPA or anti-uPAR antibodies. Moreover, deletion of uPAR blocked diabetes-induced BRB breakdown and activation of MMP-9 in mice. Together, these data indicate that diabetes-induced oxidative stress triggers BRB breakdown by a mechanism involving uPAR expression through VEGF-induced activation of the GSK3β/β-catenin signaling pathway.

Indexed as

AnimalsAntioxidantsbeta CateninBlood-Retinal BarrierBlotting, WesternCapillary PermeabilityCattleCell Membrane PermeabilityCells, CulturedCyclic N-OxidesDiabetes Mellitus, ExperimentalEndothelial CellsGlucoseGlycogen Synthase Kinase 3MaleMiceAntioxidantsbeta CateninCyclic N-OxidesGlucoseGlycogen Synthase Kinase 3Receptors, Urokinase Plasminogen ActivatorSpin LabelsSuperoxide DismutaseSuperoxidestempolVascular Endothelial Growth Factor A

Identifiers

PMID23951261
PMCPMC3737203
OpenAlexW2048116574

What OpenQuestion holds

Textmetadata
LicenceCC0
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.