Evidence map›Paper›PMID 24711457›Full record

ArticleThe Journal of biological chemistry2014

Smoke exposure causes endoplasmic reticulum stress and lipid accumulation in retinal pigment epithelium through oxidative stress and complement activation.

Kannan Kunchithapautham, Carl Atkinson, Bärbel Rohrer

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 1 pooled it
12.5field-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

100 citing papers in PubMed, 1 synthesis or guideline pooled it, 162 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Complement C3 Activation in the Human Retinal Pigment Epithelium.Investigative ophthalmology & visual science · 2025
    Article
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  19. New insight of complement system in the process of vascular calcification.Journal of cellular and molecular medicine · 2023
    Review
  20. Article

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

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

3 authors at 2 institutions in 1 country.

Kannan KunchithapauthamFrom the Departments of Ophthalmology and.
Carl AtkinsonMicrobiology and Immunology, Medical University of South Carolina, Charleston, South Carolina 29425 and.
Bärbel RohrerFrom the Departments of Ophthalmology and the Research Service, Ralph H. Johnson Veterans Affairs Medical Center, Charleston, South Carolina 29401 rohrer@musc.edu.
Medical University of South Carolina · USRalph H. Johnson VA Medical Center · US

Funding

Alternative Pathway of Complement Activation in Age-Related Macular DegenerationR01EY019320 · NEI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ROHRER, BAERBEL · 2010 to 2014
$2.1M
MUSC FACIL EXPANSION &RENOV: SLE C06RR015455 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2002 to 2002
$2.0M
The Role of Complement in the Pathogenesis of EmphysemaR01HL091944 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATKINSON, CARL · 2010 to 2014
$1.8M
Complement Factor H Haplotypes and Smoking in Age-Related Macular DegenerationI01RX000444 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI Baerbel Rohrer · 2011 to 2026
–
NCRR NIH HHS C06 RR015455NCRR NIH HHS C06RR015455NEI NIH HHS R01 EY019320NEI NIH HHS R01EY019320NHLBI NIH HHS R01 HL091944PHS HHS R01 091944RRD VA I01 RX000444
6 · The paper itself

Abstract

Age-related macular degeneration (AMD) is a complex disease caused by genetic and environmental factors, including genetic variants in complement components and smoking. Smoke exposure leads to oxidative stress, complement activation, endoplasmic reticulum (ER) stress, and lipid dysregulation, which have all been proposed to be associated with AMD pathogenesis. Here we examine the effects of smoke exposure on the retinal pigment epithelium (RPE). Mice were exposed to cigarette smoke or filtered air for 6 months. RPE cells grown as stable monolayers were exposed to 5% cigarette smoke extract (CSE). Effects of smoke were determined by biochemical, molecular, and histological measures. Effects of the alternative pathway (AP) of complement and complement C3a anaphylatoxin receptor signaling were analyzed using knock-out mice or specific inhibitors. ER stress markers were elevated after smoke exposure in RPE of intact mice, which was eliminated in AP-deficient mice. To examine this relationship further, RPE monolayers were exposed to CSE. Short term smoke exposure resulted in production and release of complement C3, the generation of C3a, oxidative stress, complement activation on the cell membrane, and ER stress. Long term exposure to CSE resulted in lipid accumulation, and secretion. All measures were reversed by blocking C3a complement receptor (C3aR), alternative complement pathway signaling, and antioxidant therapy. Taken together, our results provide clear evidence that smoke exposure results in oxidative stress and complement activation via the AP, resulting in ER stress-mediated lipid accumulation, and further suggesting that oxidative stress and complement act synergistically in the pathogenesis of AMD.

Indexed as

SmokeAcetylcysteineAnimalsArginineBenzhydryl CompoundsBlotting, WesternCells, CulturedComplement ActivationComplement Factor BComplement Pathway, AlternativeEndoplasmic Reticulum Chaperone BiPEndoplasmic Reticulum StressFree Radical ScavengersHeat-Shock ProteinsHumansLipid MetabolismAcetylcysteineArginineBenzhydryl Compoundscomplement C3a receptorComplement Factor BDdit3 protein, mouseEndoplasmic Reticulum Chaperone BiPFree Radical ScavengersHeat-Shock ProteinsLipidsNicotineReceptors, ComplementSB 290157SmokeTranscription Factor CHOPAge-related Macular DegenerationComplement SystemER StressLipodystrophyMitochondriaOxidative StressSmokingUnfolded Protein Response

Identifiers

PMID24711457
PMCPMC4031511
OpenAlexW2079786653

What OpenQuestion holds

Textmetadata
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.