Evidence map›Paper›PMID 26524704›Full record

ArticleThe American journal of medicine2016

Mining Retrospective Data for Virtual Prospective Drug Repurposing: L-DOPA and Age-related Macular Degeneration.

Murray H Brilliant, Kamyar Vaziri, Thomas B Connor, Stephen G Schwartz, Joseph J Carroll, Catherine A McCarty, Steven J Schrodi, Scott J Hebbring, Krishna S Kishor, Harry W Flynn and 4 more

4 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The American journal of medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
4.5field-weighted citation impact, top 6% 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.

NCT02837640 phase2unknown statusnot on this map

The Effect of L-Dopa on the Progression of Retinitis Pigmentosa

TypeinterventionalSponsorBeirut Eye Specialist HospitalRan2016 to 2021Enrolled50ConditionsRetinitis PigmentosaArmslevodopa-carbidopa
NCT02873351 phase2withdrawnnot on this mapstarted 2019, after this paper: background citation

Pilot Study of L-DOPA Safety and Tolerability in Patients With AMD, and Proof of Concept That L-DOPA Improves Surrogate Biomarkers in Patients With Moderate to Advanced AMD

TypeinterventionalSponsorSnyder, Robert W., M.D., Ph.D., P.C.Ran2019 to 2020Enrolled0ConditionsAge-related Macular DegenerationArmscarbidopa-levodopa 25-100 mg, placebo for carbidopa-levodopa 25-100 mg
NCT03022318 phase2completednot on this mapstarted 2017, after this paper: background citation

Short Term Effects of Carbidopa-levodopa in Neovascular AMD

TypeinterventionalSponsorSnyder, Robert W., M.D., Ph.D., P.C.Ran2017 to 2020Enrolled20ConditionsAge-related Macular DegenerationArmscarbidopa-levodopa 25-100 mg tablets
NCT03023059 phase2completednot on this mapstarted 2017, after this paper: background citation

Proof of Concept and Dose Ranging Study of Carbidopa-levodopa in Neovascular AMD

TypeinterventionalSponsorSnyder, Robert W., M.D., Ph.D., P.C.Ran2017 to 2020Enrolled35ConditionsAge-related Macular DegenerationArmsCarbidopa-Levodopa, 25 Mg-100 Mg Oral Tablet
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Functional polymorphisms in pigmentation-related genesBiochemistry and biophysics reports · 2026
    Article
  6. Article
  7. Article
  8. Zinc in eye health, retinal biology and disease.Progress in retinal and eye research · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Different Therapeutic Approaches for Dry and Wet AMD.International journal of molecular sciences · 2024
    Review
  15. Article
  16. Immunogenetic and Environmental Factors in Age-Related Macular Disease.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. Repurposing Drugs for Treatment of Age-Related Macular Degeneration.Advances in experimental medicine and biology · 2023
    Article
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

14 authors at 8 institutions in 1 country.

Murray H BrilliantCenter for Human Genetics, Marshfield Clinic Research Foundation, Marshfield, Wis.
Kamyar VaziriDepartment of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Palm Beach Gardens, Fla.
Thomas B ConnorDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee.
Stephen G SchwartzDepartment of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Palm Beach Gardens, Fla.
Joseph J CarrollDepartment of Ophthalmology, Medical College of Wisconsin, Milwaukee; Department of Cell Biology, Neurobiology & Anatomy, Medical College of Wisconsin, Milwaukee.
Catherine A McCartyEssentia Institute of Rural Health, Duluth, Minn.
Steven J SchrodiCenter for Human Genetics, Marshfield Clinic Research Foundation, Marshfield, Wis.
Scott J HebbringCenter for Human Genetics, Marshfield Clinic Research Foundation, Marshfield, Wis.
Krishna S KishorDepartment of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Palm Beach Gardens, Fla.
Harry W FlynnDepartment of Ophthalmology, Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Palm Beach Gardens, Fla.
Andrew A MoshfeghiDepartment of Ophthalmology, USC Eye Institute, Keck School of Medicine of USC, University of Southern California, Los Angeles.
Darius M MoshfeghiDepartment of Ophthalmology, Byers Eye Institute, Stanford University School of Medicine, Palo Alto, Calif.
M Elizabeth FiniUSC Institute for Genetic Medicine, Keck School of Medicine of USC, University of Southern California, Los Angeles; Department of Cell & Neurobiology, Keck School of Medicine of USC, University of Southern California, Los Angeles; Department of Ophthalmology, Keck School of Medicine of USC, University of Southern California, Los Angeles.
Brian S McKayDepartment of Ophthalmology and Vision Science, University of Arizona, Tucson; Department of Cellular and Molecular Medicine, University of Arizona, Tucson. Electronic address: bsmckay@eyes.arizona.edu.
University of Miami · USCenter for Human Genetics · USMedical College of Wisconsin · USEssentia Health · USSmith-Kettlewell Eye Research Institute · USSouthern California Eye Institute · USUniversity of Arizona · USUniversity of Southern California · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Victor L Perez · 2004 to 2026
$12.2M
Clincal and Translational Science AwardUL1TR000055 · NCATS · MEDICAL COLLEGE OF WISCONSIN · PI SHAKER, REZA NONE · 2012 to 2015
$11.3M
MORPHOLOGY MODULEP30EY001931 · NEI · MEDICAL COLLEGE OF WISCONSIN · PI CARROLL, JOSEPH · 1985 to 2016
$9.8M
IRIS: Incorporating Research Into SightU01HG006389 · NHGRI · ESSENTIA INSTITUTE OF RURAL HEALTH · PI MCCARTY, CATHERINE ANNE · 2011 to 2014
$4.1M
Development and Application of Phenome-wide Scan of Heritability (PheSH)K22LM011938 · NLM · MARSHFIELD CLINIC RESEARCH FOUNDATION · PI HEBBRING, SCOTT JOSEPH · 2014 to 2016
$405k
NCATS NIH HHS UL1 TR000055NCATS NIH HHS UL1TR000055NCATS NIH HHS UL1 TR000427NCATS NIH HHS UL1TR000427NEI NIH HHS P30 EY001931NEI NIH HHS P30EY001931NEI NIH HHS P30 EY014801NEI NIH HHS P30EY014801NHGRI NIH HHS 1U01HG006389-01NHGRI NIH HHS U01 HG006389NLM NIH HHS K22 LM011938
6 · The paper itself

Abstract

backgroundAge-related macular degeneration (AMD) is a leading cause of visual loss among the elderly. A key cell type involved in AMD, the retinal pigment epithelium, expresses a G protein-coupled receptor that, in response to its ligand, L-DOPA, up-regulates pigment epithelia-derived factor, while down-regulating vascular endothelial growth factor. In this study we investigated the potential relationship between L-DOPA and AMD.

methodsWe used retrospective analysis to compare the incidence of AMD between patients taking vs not taking L-DOPA. We analyzed 2 separate cohorts of patients with extensive medical records from the Marshfield Clinic (approximately 17,000 and approximately 20,000) and the Truven MarketScan outpatient and databases (approximately 87 million) patients. We used International Classification of Diseases, 9th Revision codes to identify AMD diagnoses and L-DOPA prescriptions to determine the relative risk of developing AMD and age of onset with or without an L-DOPA prescription.

resultsIn the retrospective analysis of patients without an L-DOPA prescription, AMD age of onset was 71.2, 71.3, and 71.3 in 3 independent retrospective cohorts. Age-related macular degeneration occurred significantly later in patients with an L-DOPA prescription, 79.4 in all cohorts. The odds ratio of developing AMD was also significantly negatively correlated by L-DOPA (odds ratio 0.78; confidence interval, 0.76-0.80; P <.001). Similar results were observed for neovascular AMD (P <.001).

conclusionsExogenous L-DOPA was protective against AMD. L-DOPA is normally produced in pigmented tissues, such as the retinal pigment epithelium, as a byproduct of melanin synthesis by tyrosinase. GPR143 is the only known L-DOPA receptor; it is therefore plausible that GPR143 may be a fruitful target to combat this devastating disease.

Indexed as

AgedAge DistributionAge of OnsetAntiparkinson AgentsCohort StudiesData MiningEye ProteinsHumansLevodopaMacular DegenerationMembrane GlycoproteinsRetrospective StudiesUnited StatesAntiparkinson AgentsEye ProteinsGPR143 protein, humanLevodopaMembrane GlycoproteinsAge-related macular degeneration (AMD)GPR143L-DOPAMovement disorderParkinson's diseaseRetinal pigment epithelium (RPE)Retrospective study

Identifiers

PMID26524704
PMCPMC4841631
OpenAlexW1924182355

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.