Evidence map›Paper›PMID 29743491›Full record

ArticleScientific reports2018

Classical and alternative complement activation on photoreceptor outer segments drives monocyte-dependent retinal atrophy.

Kenneth J Katschke, Hongkang Xi, Christian Cox, Tom Truong, Yann Malato, Wyne P Lee, Brent McKenzie, Rommel Arceo, Jianhua Tao, Linda Rangell and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. 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 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

52 citing papers in PubMed, 73 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. EREG-secreting THBS1Hepatobiliary surgery and nutrition · 2026
    Article
  6. Review
  7. Review
  8. Complement in brain and eye disease: shared mechanisms, convergent pathologies, and common therapeutic opportunities.Mammalian genome : official journal of the International Mammalian Genome Society · 2026
    Review
  9. Article
  10. Time Course of Structural, Functional, Complement Changes and Inflammatory Processes in a Sodium Iodate Rat Model of Geographic Atrophy.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  11. Article
  12. Geographic atrophy in Asia.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Kenneth J KatschkeDepartment of Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Hongkang XiDepartment of Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Christian CoxDepartment of Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Tom TruongDepartment of Translational Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Yann MalatoDepartment of Translational Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Wyne P LeeDepartment of Translational Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Brent McKenzieDepartment of Translational Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Rommel ArceoDepartment of Pathology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Jianhua TaoDepartment of Pathology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Linda RangellDepartment of Pathology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Mike ReicheltDepartment of Pathology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Lauri DiehlDepartment of Pathology, Genentech, Inc, South San Francisco, CA, 94080, USA.
Justin ElstrottDepartment of Biomedical Imaging, Genentech, Inc, South San Francisco, CA, 94080, USA.
Robby M WeimerDepartment of Biomedical Imaging, Genentech, Inc, South San Francisco, CA, 94080, USA.
Menno van Lookeren CampagneDepartment of Immunology, Genentech, Inc, South San Francisco, CA, 94080, USA. menno@gene.com.
Gene Therapy Laboratory · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Geographic atrophy (GA), the advanced form of dry age-related macular degeneration (AMD), is characterized by progressive loss of retinal pigment epithelium cells and photoreceptors in the setting of characteristic extracellular deposits and remains a serious unmet medical need. While genetic predisposition to AMD is dominated by polymorphisms in complement genes, it remains unclear how complement activation contributes to retinal atrophy. Here we demonstrate that complement is activated on photoreceptor outer segments (POS) in the retina peripheral to atrophic lesions associated with GA. When exposed to human serum following outer blood-retinal barrier breakdown, POS act as potent activators of the classical and alternative complement pathway. In mouse models of retinal degeneration, classical and alternative pathway complement activation on photoreceptors contributed to the loss of photoreceptor function. This was dependent on C5a-mediated recruitment of peripheral blood monocytes but independent of resident microglia. Genetic or pharmacologic inhibition of both classical and alternative complement C3 and C5 convertases was required to reduce progressive degeneration of photoreceptor rods and cones. Our study implicates systemic classical and alternative complement proteins and peripheral blood monocytes as critical effectors of localized retinal degeneration with potential relevance for the contribution of complement activation to GA.

Indexed as

AnimalsAtrophyComplement ActivationComplement C3Complement C4Geographic AtrophyHumansMacular DegenerationMiceMice, Inbred C57BLMice, KnockoutMonocytesPhotoreceptor CellsRetinaRetinal DegenerationRetinal Pigment EpitheliumComplement C3Complement C4

Identifiers

PMID29743491
PMCPMC5943270
OpenAlexW2806653131

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.