Evidence map›Paper›PMID 24709810›Full record

ReviewAmerican journal of ophthalmology2014

Immune responses in age-related macular degeneration and a possible long-term therapeutic strategy for prevention.

Robert B Nussenblatt, Richard W J Lee, Emily Chew, Lai Wei, Baoying Liu, H Nida Sen, Andrew D Dick, Frederick L Ferris

Abstract readReview
In one paragraph

Review in American journal of ophthalmology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.8field-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.

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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Drug Delivery Technologies for the Treatment of Age-Related Macular Degeneration.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 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

8 authors at 2 institutions in 2 countries.

Robert B NussenblattNational Eye Institute, National Institutes of Health, Bethesda, Maryland. Electronic address: DrBob@nei.nih.gov.
Richard W J LeeNational Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital National Health Service Foundation Trust and University College London Institute of Ophthalmology, University Hospitals Bristol National Health Service, Foundation Trust, and University of Bristol, Bristol, England, United Kingdom.
Emily ChewNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Lai WeiNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Baoying LiuNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
H Nida SenNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
Andrew D DickNational Institute for Health Research Biomedical Research Centre at Moorfields Eye Hospital National Health Service Foundation Trust and University College London Institute of Ophthalmology, University Hospitals Bristol National Health Service, Foundation Trust, and University of Bristol, Bristol, England, United Kingdom.
Frederick L FerrisNational Eye Institute, National Institutes of Health, Bethesda, Maryland.
National Institutes of Health · USNational Health Service · GB

Funding

Cellular and molecular mechanisms in Age Related Macular Degeneration & UveitisZIAEY000464 · NEI · NATIONAL EYE INSTITUTE · PI CHAIGNE-DELALANDE, BENJAMIN · 2009 to 2016
$2.4M
ORAL ADMINISTRATION OF ANTIGEN AND THE OCULAR IMMUNE RESPONSEZIAEY000278 · NEI · NATIONAL EYE INSTITUTE · PI NUSSENBLATT, ROBERT · 2010 to 2016
$1.6M
The Age-Related Eye Disease Study 2 (AREDS2)ZIAEY000485 · NEI · NATIONAL EYE INSTITUTE · PI CHEW, EMILY Y · 2009 to 2015
$990k
Rituximab for Autoimmune RetinopathyZIAEY000501 · NEI · NATIONAL EYE INSTITUTE · PI SEN, HATICE · 2010 to 2015
$315k
Intramural NIH HHS Z99 EY999999
6 · The paper itself

Abstract

purposeTo describe the immune alterations associated with age-related macular degeneration (AMD); and, based on these findings, to offer an approach to possibly prevent the expression of late disease.

designPerspective.

methodsReview of the existing literature dealing with epidemiology, models, and immunologic findings in patients.

resultsSignificant genetic associations have been identified and reported, but environmentally induced (including epigenetic) changes are also an important consideration. Immune alterations include a strong interleukin 17 family signature as well as marked expression of these molecules in the eye. Oxidative stress as well as other homeostatic altering mechanisms occur throughout life. With this immune dysregulation there is a rationale for considering immunotherapy. Indeed, immunotherapy has been shown to affect the late stages of AMD.

conclusionImmune dysregulation appears to be an underlying alteration in AMD, as in other diseases thought to be degenerative and attributable to aging. Para-inflammation and immunosenescence may importantly contribute to the development of disease. The role of complement factor H still needs to be better defined, but in light of its association with ocular inflammatory conditions such as sarcoidosis, it does not appear to be unique to AMD but rather may be a marker for retinal pigment epithelium function. With the strong interleukin 17 family signature and the need to treat early on in the disease process, oral tolerance may be considered to prevent disease progression.

Indexed as

ImmunotherapyAdaptive ImmunityAgingGene-Environment InteractionHumansImmune SystemImmunity, InnateMacular Degeneration

Identifiers

PMID24709810
PMCPMC4058353
OpenAlexW2044252570

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.