Evidence map›Paper›PMID 25975734›Full record

ReviewProgress in retinal and eye research2015

Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy.

Renu A Kowluru, Anjan Kowluru, Manish Mishra, Binit Kumar

Abstract readReview
In one paragraph

Review in Progress in retinal and eye research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 203 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
203citing papers in PubMed, 3 pooled it
21.6field-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

203 citing papers in PubMed, 3 syntheses or guidelines pooled it, 315 citations in OpenAlex.

  1. Pooled it
  2. Association between diabetic retinopathy and age-related macular degeneration: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Regulation of Glutathione Peroxidase 4 in Diabetic Retinopathy.International journal of molecular sciences · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Long Noncoding RNAs as Blood-Based Biomarkers of Diabetic Retinopathy.Translational vision science & technology · 2026
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article

143 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

4 authors at 1 institution in 1 country.

Renu A KowluruDepartment of Ophthalmology, Wayne State University, Detroit, MI, USA; Department of Anatomy/Cell Biology, Wayne State University, Detroit, MI, USA. Electronic address: rkowluru@med.wayne.edu.
Anjan KowluruDepartment of Pharmaceutical Sciences, Wayne State University, Detroit, MI, USA; John D Dingell VA Medical Center, Detroit, MI, USA.
Manish MishraDepartment of Ophthalmology, Wayne State University, Detroit, MI, USA.
Binit KumarDepartment of Ophthalmology, Wayne State University, Detroit, MI, USA.
Wayne State University · US

Funding

Role of Ras in Retinal Cell Death in DiabetesR01EY014370 · NEI · WAYNE STATE UNIVERSITY · PI KOWLURU, RENU A. · 2004 to 2023
$4.8M
Glycemic Control and Progression of Diabetic RetinopathyR01EY017313 · NEI · WAYNE STATE UNIVERSITY · PI KOWLURU, RENU A. · 2007 to 2022
$4.2M
NADPH Oxidase, Mitochondrial Dysfunction and Diabetic RetinopathyR01EY022230 · NEI · WAYNE STATE UNIVERSITY · PI KOWLURU, ANJANEYULU, KOWLURU, RENU A. · 2012 to 2022
$3.4M
Protein Prenyltransferases in Glucose-Stimulated Insulin SecretionR01DK074921 · NIDDK · WAYNE STATE UNIVERSITY · PI KOWLURU, ANJANEYULU · 2007 to 2010
$1.0M
Novel Regulators of Islet Beta-Cell Function in Health and DiabetesI01BX002801 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI KOWLURU, ANJANEYULU · 2015 to 2018
–
BLRD VA I01 BX000469BLRD VA I01 BX002801NEI NIH HHS EY014370NEI NIH HHS EY017313NEI NIH HHS EY022230NEI NIH HHS R01 EY014370NEI NIH HHS R01 EY017313NEI NIH HHS R01 EY022230NIDDK NIH HHS DK74921NIDDK NIH HHS R01 DK074921
6 · The paper itself

Abstract

Diabetic retinopathy remains the major cause of blindness among working age adults. Although a number of metabolic abnormalities have been associated with its development, due to complex nature of this multi-factorial disease, a link between any specific abnormality and diabetic retinopathy remains largely speculative. Diabetes increases oxidative stress in the retina and its capillary cells, and overwhelming evidence suggests a bidirectional relationship between oxidative stress and other major metabolic abnormalities implicated in the development of diabetic retinopathy. Due to increased production of cytosolic reactive oxygen species, mitochondrial membranes are damaged and their membrane potentials are impaired, and complex III of the electron transport system is compromised. Suboptimal enzymatic and nonenzymatic antioxidant defense system further aids in the accumulation of free radicals. As the duration of the disease progresses, mitochondrial DNA (mtDNA) is damaged and the DNA repair system is compromised, and due to impaired transcription of mtDNA-encoded proteins, the integrity of the electron transport system is encumbered. Due to decreased mtDNA biogenesis and impaired transcription, superoxide accumulation is further increased, and the vicious cycle of free radicals continues to self-propagate. Diabetic milieu also alters enzymes responsible for DNA and histone modifications, and various genes important for mitochondrial homeostasis, including mitochondrial biosynthesis, damage and antioxidant defense, undergo epigenetic modifications. Although antioxidant administration in animal models has yielded encouraging results in preventing diabetic retinopathy, controlled longitudinal human studies remain to be conducted. Furthermore, the role of epigenetic in mitochondrial homeostasis suggests that regulation of such modifications also has potential to inhibit/retard the development of diabetic retinopathy.

Indexed as

Diabetic RetinopathyDisease ProgressionDNA DamageDNA MethylationDNA, MitochondrialEpigenesis, GeneticHumansMitochondriaOxidative StressReactive Oxygen SpeciesRisk FactorsTranscriptional ActivationTranscription FactorsDNA, MitochondrialReactive Oxygen SpeciesTranscription FactorsDiabetic retinopathyEpigenetic modificationsMitochondriaOxidative stressReactive oxygen speciesTranscriptional regulation

Identifiers

PMID25975734
PMCPMC6697077
OpenAlexW220518476

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.