Evidence map›Paper›PMID 28874201›Full record

ArticleJournal of neuroinflammation2017

Tetrahydrobiopterin (BH4) deficiency is associated with augmented inflammation and microvascular degeneration in the retina.

José Carlos Rivera, Baraa Noueihed, Ankush Madaan, Isabelle Lahaie, Jingyi Pan, Jaques Belik, Sylvain Chemtob

Abstract read
In one paragraph

Article in Journal of neuroinflammation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Ischemic Retinopathies: Oxidative Stress and Inflammation.Oxidative medicine and cellular longevity · 2017
    Review
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

7 authors.

José Carlos RiveraDepartment of Ophthalmology, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal, 5415 Blvd de l'Assomption, Montréal, Québec, H1T 2M4, Canada. jc.rivera@umontreal.ca.ORCID http://orcid.org/0000-0003-2530-4433
Baraa NoueihedDepartment of Ophthalmology, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal, 5415 Blvd de l'Assomption, Montréal, Québec, H1T 2M4, Canada.
Ankush MadaanDepartment of Pediatrics, Ophthalmology and Pharmacology, CHU Sainte-Justine Research Center, Université de Montréal, Montréal, QC, Canada.
Isabelle LahaieDepartment of Ophthalmology, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal, 5415 Blvd de l'Assomption, Montréal, Québec, H1T 2M4, Canada.
Jingyi PanDepartments of Pediatrics and Physiology, The Hospital For Sick Children, University of Toronto, Toronto, Canada.
Jaques BelikDepartments of Pediatrics and Physiology, The Hospital For Sick Children, University of Toronto, Toronto, Canada.
Sylvain ChemtobDepartment of Ophthalmology, Maisonneuve-Rosemont Hospital Research Center, Université de Montréal, 5415 Blvd de l'Assomption, Montréal, Québec, H1T 2M4, Canada. sylvain.chemtob@umontreal.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTetrahydrobiopterin (BH4) is an essential cofactor in multiple metabolic processes and plays an essential role in maintaining the inflammatory and neurovascular homeostasis. In this study, we have investigated the deleterious effects of BH4 deficiency on retinal vasculature during development.

methodshph-1 mice, which display deficiency in BH4 synthesis, were used to characterize the inflammatory effects and the integrity of retinal microvasculature. BH4 levels in retinas from hph-1 and wild type (WT) mice were measured by LC-MS/MS. Retinal microvascular area and microglial cells number were quantified in hph-1 and WT mice at different ages. Retinal expression of pro-inflammatory, anti-angiogenic, and neuronal-derived factors was analyzed by qPCR. BH4 supplementation was evaluated in vitro, ex-vivo, and in vivo models.

resultsOur findings demonstrated that BH4 levels in the retina from hph-1 mice were significantly lower by ~ 90% at all ages analyzed compared to WT mice. Juvenile hph-1 mice showed iris atrophy, persistent fetal vasculature, significant increase in the number of microglial cells (p < 0.01), as well as a marked degeneration of the retinal microvasculature. Retinal microvascular alterations in juvenile hph-1 mice were associated with a decreased expression in Norrin (0.2-fold) and its receptor Frizzled-4 (FZD4; 0.51-fold), as well as with an augmented expression of pro-inflammatory factors such as IL-6 (3.2-fold), NRLP-3 (4.4-fold), IL-1β (8.6-fold), and the anti-angiogenic factor thrombospondin-1 (TSP-1; 17.5-fold). We found that TSP-1 derived from activated microglial cells is a factor responsible of inducing microvascular degeneration, but BH4 supplementation markedly prevented hyperoxia-induced microglial activation in vitro and microvascular injury in an ex-vivo model of microvascular angiogenesis and an in vivo model of oxygen-induced retinopathy (OIR).

conclusionOur findings reveal that BH4 is a key cofactor in regulating the expression of inflammatory and anti-angiogenic factors that play an important function in the maintenance of retinal microvasculature.

Indexed as

AnimalsInflammationMiceMice, Inbred C57BLMice, TransgenicMicrovesselsPhenylketonuriasPolycomb Repressive Complex 1RetinaRetinal DegenerationRetinal VesselsPhc1 protein, mousePolycomb Repressive Complex 1BH4InflammationMicrogliaMicrovascular degenerationTetrahydrobiopterinThrombospondin-1

Identifiers

PMID28874201
PMCPMC5586016

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.