Evidence map›Paper›PMID 28358962›Full record

ArticleInvestigative ophthalmology & visual science2017

VEGF as a Paracrine Regulator of Conventional Outflow Facility.

Ester Reina-Torres, Joanne C Wen, Katy C Liu, Guorong Li, Joseph M Sherwood, Jason Y H Chang, Pratap Challa, Cassandra M Flügel-Koch, W Daniel Stamer, R Rand Allingham and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.4field-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.

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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Anti-VEGF Agents Clearance Through the Aqueous Outflow Pathway in a Rat Model.Investigative ophthalmology & visual science · 2025
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. VEGF-A-induced changes in distal outflow tract structure and function.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  17. Article
  18. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Ester Reina-TorresDepartment of Bioengineering, Imperial College London, London, United Kingdom.
Joanne C WenDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
Katy C LiuDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
Guorong LiDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
Joseph M SherwoodDepartment of Bioengineering, Imperial College London, London, United Kingdom.
Jason Y H ChangDepartment of Bioengineering, Imperial College London, London, United Kingdom.
Pratap ChallaDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
Cassandra M Flügel-KochDepartment of Anatomy II, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany.
W Daniel StamerDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
R Rand AllinghamDepartment of Ophthalmology, Duke University, Durham, North Carolina, United States.
Darryl R OverbyDepartment of Bioengineering, Imperial College London, London, United Kingdom.
Duke University · USImperial College London · GBFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
eNOS-Dependent Mechanoregulation of Intraocular PressureR01EY022359 · NEI · DUKE UNIVERSITY · PI STAMER, W DANIEL · 2012 to 2025
$5.6M
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY022359
6 · The paper itself

Abstract

Purpose: Vascular endothelial growth factor (VEGF) regulates microvascular endothelial permeability, and the permeability of Schlemm's canal (SC) endothelium influences conventional aqueous humor outflow. We hypothesize that VEGF signaling regulates outflow facility. Methods: We measured outflow facility (C) in enucleated mouse eyes perfused with VEGF-A164a, VEGF-A165b, VEGF-D, or inhibitors to VEGF receptor 2 (VEGFR-2). We monitored VEGF-A secretion from human trabecular meshwork (TM) cells by ELISA after 24 hours of static culture or cyclic stretch. We used immunofluorescence microscopy to localize VEGF-A protein within the TM of mice. Results: VEGF-A164a increased C in enucleated mouse eyes. Cyclic stretch increased VEGF-A secretion by human TM cells, which corresponded to VEGF-A localization in the TM of mice. Blockade of VEGFR-2 decreased C, using either of the inhibitors SU5416 or Ki8751 or the inactive splice variant VEGF-A165b. VEGF-D increased C, which could be blocked by Ki8751. Conclusions: VEGF is a paracrine regulator of conventional outflow facility that is secreted by TM cells in response to mechanical stress. VEGF affects facility via VEGFR-2 likely at the level of SC endothelium. Disruption of VEGF signaling in the TM may explain why anti-VEGF therapy is associated with decreased outflow facility and sustained ocular hypertension.

Indexed as

AnimalsAqueous HumorCells, CulturedHumansIntraocular PressureMaleMiceMice, Inbred C57BLModels, AnimalOcular HypertensionTrabecular MeshworkVascular Endothelial Growth Factor AVascular Endothelial Growth Factor A

Identifiers

PMID28358962
PMCPMC5374885
OpenAlexW2601303341

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.