Evidence map›Paper›PMID 26284556›Full record

ArticleInvestigative ophthalmology & visual science2015

Protective Effects of L-Carnitine Against Oxidative Injury by Hyperosmolarity in Human Corneal Epithelial Cells.

Xia Hua, Ruzhi Deng, Jin Li, Wei Chi, Zhitao Su, Jing Lin, Stephen C Pflugfelder, De-Quan Li

Open access · hybridAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2015. 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
4.0field-weighted citation impact, top 7% 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, 73 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Hydroxypropyl-Methylcellulose and GlicoProOphthalmology and therapy · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Potential New Target for Dry Eye Disease-Oxidative Stress.Antioxidants (Basel, Switzerland) · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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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 3 institutions in 2 countries.

Xia HuaOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States 2Tianjin Eye Hospital, Tianjin Key Lab of Ophthalmology and Visual Science, Clinical College of Ophthalmology, Tianjin Medic.
Ruzhi DengOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States 3School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, China.
Jin LiOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States 3School of Optometry and Ophthalmology, Wenzhou Medical University, Wenzhou, China.
Wei ChiOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States 4Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China.
Zhitao SuOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States.
Jing LinOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States.
Stephen C PflugfelderOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States.
De-Quan LiOcular Surface Center Cullen Eye Institute, Department of Ophthalmology, Baylor College of Medicine, Houston, Texas, United States.
Baylor College of Medicine · USOcular Surface Center · USTianjin Medical University Eye Hospital · CN

Funding

VISION RESEARCH CENTERP30EY002520 · NEI · BAYLOR COLLEGE OF MEDICINE · PI Samuel M Wu · 1985 to 2026
$14.8M
PATHOGENESIS OF CONJUNCTIVAL SQUAMOUS METAPLASIAR01EY011915 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PFLUGFELDER, STEPHEN C · 1997 to 2023
$8.0M
TLR4-DEPENDENT INNATE IMMUNITY IN POLLEN-TRIGGERED OCULAR ALLERGIC INFLAMMATIONR01EY023598 · NEI · BAYLOR COLLEGE OF MEDICINE · PI LI, DE-QUAN · 2014 to 2018
$2.1M
NEI NIH HHS EY002520NEI NIH HHS EY011915NEI NIH HHS EY023598NEI NIH HHS P30 EY002520NEI NIH HHS R01 EY011915NEI NIH HHS R01 EY023598
6 · The paper itself

Abstract

purposeL-carnitine suppresses inflammatory responses in human corneal epithelial cells (HCECs) exposed to hyperosmotic stress. In this study, we determined if L-carnitine induces this protective effect through suppression of reactive oxygen species (ROS)-induced oxidative damage in HCECs.

methodsPrimary HCECs were established from donor limbal explants. A hyperosmolarity dry-eye model was used in which HCECs are cultured in 450 mOsM medium with or without L-carnitine for up to 48 hours. Production of reactive oxygen species (ROS), oxidative damage markers, oxygenases and antioxidative enzymes were analyzed by 2',7'-dichlorofluorescein diacetate (DCFDA) kit, semiquantitative PCR, immunofluorescence, and/or Western blotting.

resultsReactive oxygen species production increased in HCECs upon substitution of the isotonic medium with the hypertonic medium. L-carnitine supplementation partially suppressed this response. Hyperosmolarity increased cytotoxic membrane lipid peroxidation levels; namely, malondialdehyde (MDA) and hydroxynonenal (HNE), as well as mitochondria DNA release along with an increase in 8-OHdG and aconitase-2. Interestingly, these oxidative markers were significantly decreased by coculture with L-carnitine. Hyperosmotic stress also increased the mRNA expression and/or protein production of heme oxygenase-1 (HMOX1) and cyclooxygenase-2 (COX2), but inhibited the levels of antioxidant enzymes, superoxide dismutase-1 (SOD1), glutathione peroxidase-1 (GPX1), and peroxiredoxin-4 (PRDX4). However, L-carnitine partially reversed this altered imbalance between oxygenases and antioxidant enzymes induced by hyperosmolarity.

conclusionsOur findings demonstrate for the first time that L-carnitine protects HCECs from oxidative stress by lessening the declines in antioxidant enzymes and suppressing ROS production. Such suppression reduces membrane lipid oxidative damage markers and mitochondrial DNA damage.

Indexed as

CarnitineCells, CulturedEpithelium, CornealHumansOsmolar ConcentrationOxidative StressReactive Oxygen SpeciesReal-Time Polymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionRNAVitamin B ComplexCarnitineReactive Oxygen SpeciesRNAVitamin B Complex

Identifiers

PMID26284556
PMCPMC4544189
OpenAlexW1480343271

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.