Evidence map›Paper›PMID 26822858›Full record

ArticleCardiovascular diabetology2016

High glucose-induced hyperosmolarity contributes to COX-2 expression and angiogenesis: implications for diabetic retinopathy.

Rosalinda Madonna, Gaia Giovannelli, Pamela Confalone, Francesca Vera Renna, Yong-Jian Geng, Raffaele De Caterina

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

58 citing papers in PubMed, 88 citations in OpenAlex.

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  5. Neuroprotection in Diabetes Retinal Disease: An Unmet Medical Need.International journal of molecular sciences · 2026
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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

6 authors at 2 institutions in 2 countries.

Rosalinda MadonnaLaboratory of Experimental Cardiology, Center of Excellence on Aging, Institute of Cardiology, "G. d'Annunzio" University, C/o Ospedale SS. Annunziata, Via dei Vestini, 31, 66013, Chieti, Italy. rmadonna@unich.it.
Gaia GiovannelliDepartment of Neurosciences and Imaging, "G. d'Annunzio" University, Chieti, Italy. gaiagiovannelli@libero.it.
Pamela ConfaloneLaboratory of Experimental Cardiology, Center of Excellence on Aging, Institute of Cardiology, "G. d'Annunzio" University, C/o Ospedale SS. Annunziata, Via dei Vestini, 31, 66013, Chieti, Italy. pamelaausten@libero.it.
Francesca Vera RennaLaboratory of Experimental Cardiology, Center of Excellence on Aging, Institute of Cardiology, "G. d'Annunzio" University, C/o Ospedale SS. Annunziata, Via dei Vestini, 31, 66013, Chieti, Italy. fv.renna@libero.it.
Yong-Jian GengThe University of Texas Health Science Center at Houston and the Texas Heart Institute, Houston, TX, USA. yong-jian.geng@uth.tmc.edu.
Raffaele De CaterinaLaboratory of Experimental Cardiology, Center of Excellence on Aging, Institute of Cardiology, "G. d'Annunzio" University, C/o Ospedale SS. Annunziata, Via dei Vestini, 31, 66013, Chieti, Italy. rdecater@unich.it.
University of Chieti-Pescara · ITThe University of Texas Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe tested the hypothesis that glucose-induced hyperosmolarity, occurring in diabetic hyperglycemia, promotes retinal angiogenesis, and that interference with osmolarity signaling ameliorates excessive angiogenesis and retinopathy in vitro and in vivo. METHODS AND

resultsWe incubated human aortic (HAECs) and dermal microvascular endothelial cells (HMVECs) with glucose or mannitol for 24 h and tested them for protein levels and in vitro angiogenesis. We used the Ins2 Akita mice as a model of type 1 diabetes to test the in vivo relevance of in vitro observations. Compared to incubations with normal (5 mmol/L) glucose concentrations, cells exposed to both high glucose and high mannitol (at 30.5 or 50.5 mmol/L) increased expression of the water channel aquaporin-1 (AQP1) and cyclooxygenase (COX)-2. This was preceded by increased activity of the osmolarity-sensitive transcription factor Tonicity enhancer binding protein (TonEBP), and enhanced endothelial migration and tubulization in Matrigel, reverted by treatment with AQP1 and TonEBP siRNA. Retinas of Ins2 Akita mice showed increased levels of AQP1 and COX-2, as well as angiogenesis, all reverted by AQP1 siRNA intravitreal injections.

conclusionsGlucose-related hyperosmolarity seems to be able to promote angiogenesis and retinopathy through activation of TonEBP and possibly increasing expression of AQP1 and COX-2. Osmolarity signaling may be a target for therapy.

Indexed as

Neovascularization, PathologicAnimalsAquaporin 1Cell MovementCells, CulturedCyclooxygenase 2Diabetes Mellitus, Type 1Diabetic RetinopathyDisease Models, AnimalDose-Response Relationship, DrugEndothelial CellsGlucoseHumansMaleMannitolMice, Inbred C57BLAQP1 protein, humanAqp1 protein, mouseAquaporin 1Cyclooxygenase 2GlucoseMannitolNFAT5 protein, humanPTGS2 protein, humanPtgs2 protein, mouseTranscription Factors

Identifiers

PMID26822858
PMCPMC4731895
OpenAlexW2272023237

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.