Evidence map›Paper›PMID 25034602›Full record

ArticleInvestigative ophthalmology & visual science2014

Quantitative autofluorescence and cell density maps of the human retinal pigment epithelium.

Thomas Ach, Carrie Huisingh, Gerald McGwin, Jeffrey D Messinger, Tianjiao Zhang, Mark J Bentley, Danielle B Gutierrez, Zsolt Ablonczy, R Theodore Smith, Kenneth R Sloan and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed
19.7field-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

148 citing papers in PubMed, 213 citations in OpenAlex.

  1. Trial
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  3. Impaired Rod-Mediated Vision is the Functional Hallmark of Ageing and Early and Intermediate Age-Related Macular Degeneration.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Review
  4. An Integrated Multi-omics Single Cell Atlas of the Human RPE and Choroid.bioRxiv : the preprint server for biology · 2026
    Article
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88 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

11 authors at 4 institutions in 1 country.

Thomas AchUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States.
Carrie HuisinghUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States.
Gerald McGwinUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States University of Alabama at Birmingham, Department of Epidemiology, Birmingham, Alabama, United States.
Jeffrey D MessingerUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States.
Tianjiao ZhangUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States.
Mark J BentleyUniversity of Alabama at Birmingham, Department of Computer and Information Sciences, Birmingham, Alabama, United States.
Danielle B GutierrezCenter for Coastal Studies, Texas A&M University-Corpus Christi, Corpus Christi, Texas, United States.
Zsolt AblonczyMedical University of South Carolina, Department of Ophthalmology, Charleston, South Carolina, United States.
R Theodore SmithNew York University School of Medicine, Department of Ophthalmology, New York, New York, United States.
Kenneth R SloanUniversity of Alabama at Birmingham, Department of Computer and Information Sciences, Birmingham, Alabama, United States.
Christine A CurcioUniversity of Alabama at Birmingham, Department of Ophthalmology, Birmingham, Alabama, United States.
University of Alabama at Birmingham · USMedical University of South Carolina · USNew York University · USTexas A&M University – Corpus Christi · US

Funding

Validated Autofluorescence in Age-Related Macular DegenerationR01EY015520 · NEI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SMITH, ROLAND THEODORE · 2005 to 2018
$6.0M
QUANTITATIVE ANAYLSIS OF AGING RETINAR01EY006109 · NEI · UNIVERSITY OF WASHINGTON · PI CURCIO, CHRISTINE A · 1986 to 2012
$3.5M
The Mechanism of the Outer Blood-Retina Barrier BreakdownR01EY019065 · NEI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ABLONCZY, ZSOLT · 2010 to 2014
$1.7M
NEI NIH HHS EY019065NEI NIH HHS R01 EY006109NEI NIH HHS R01 EY015520NEI NIH HHS R01 EY019065NEI NIH HHS R01 EY06109
6 · The paper itself

Abstract

purposeLipofuscin (LF) accumulation within RPE cells is considered pathogenic in AMD. To test whether LF contributes to RPE cell loss in aging and to provide a cellular basis for fundus autofluorescence (AF) we created maps of human RPE cell number and histologic AF.

methodsRetinal pigment epithelium-Bruch's membrane flat mounts were prepared from 20 donor eyes (10 ≤ 51 and 10 > 80 years; postmortem: ≤4.2 hours; no retinal pathologies), preserving foveal position. Phalloidin-binding RPE cytoskeleton and LF-AF (488-nm excitation) were imaged at up to 90 predefined positions. Maps were assembled from 83,330 cells in 1470 locations. From Voronoi regions representing each cell, the number of neighbors, cell area, and total AF intensity normalized to an AF standard was determined.

resultsHighly variable between individuals, RPE-AF increases significantly with age. A perifoveal ring of high AF mirrors rod photoreceptor topography and fundus-AF. Retinal pigment epithelium cell density peaks at the fovea, independent of age, yet no net RPE cell loss is detectable. The RPE monolayer undergoes considerable lifelong re-modeling. The relationship of cell size and AF, a surrogate for LF concentration, is orderly and linear in both groups. Autofluorescence topography differs distinctly from the topography of age-related rod loss.

conclusionsDigital maps of quantitative AF, cell density, and packing geometry provide metrics for cellular-resolution clinical imaging and model systems. The uncoupling of RPE LF content, cell number, and photoreceptor topography in aging challenges LF's role in AMD.

Indexed as

AgedAged, 80 and overCell CountDisease ProgressionFemaleHumansLipofuscinMacular DegenerationMaleMicroscopy, FluorescenceMiddle AgedOptical ImagingRetinal Pigment EpitheliumLipofuscinautofluorescencecytoskeletonlipofuscinphotoreceptorretinal pigment epithelium

Identifiers

PMID25034602
PMCPMC4123894
OpenAlexW2313536763

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.