Evidence map›Paper›PMID 30442817›Full record

ArticleThe British journal of ophthalmology2019

Genetic variants in a sodium-dependent vitamin C transporter gene and age-related cataract.

Ravilla D Ravindran, Periasamy Sundaresan, Tiruvengada Krishnan, Praveen Vashist, Giovanni Maraini, Vijayan Saravanan, Usha Chakravarthy, Liam Smeeth, Dorothea Nitsch, Ian S Young and 1 more

Open access · hybridAbstract read
In one paragraph

Article in The British journal of ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

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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

11 authors at 5 institutions in 3 countries.

Ravilla D RavindranCataract Services, Aravind Eye Hospital, Madurai, India.
Periasamy SundaresanDepartment of Genetics, Dr.G.Venkataswamy Eye Research Institute, Aravind Medical Research Foundation, Madurai, India.
Tiruvengada KrishnanCataract Services, Aravind Eye Hospital, Pondicherry, India.
Praveen VashistCommunity Ophthalmology Department, Dr.Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Delhi, India.
Giovanni MarainiDipartimento di Scienze Otorino-Odonto-Oftalmologiche e Cervico Facciali, Universitá degli Studi di Parma, Parma, Italy.
Vijayan SaravananDepartment of Genetics, Dr.G.Venkataswamy Eye Research Institute, Aravind Medical Research Foundation, Madurai, India.
Usha ChakravarthyCentre for Public Health, Queen's University Belfast, Belfast, UK.
Liam SmeethFaculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Dorothea NitschFaculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Ian S YoungCentre for Public Health, Queen's University Belfast, Belfast, UK.
Astrid E FletcherFaculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, UK astrid.fletcher@lshtm.ac.uk.
Aravind Eye Hospital · INLondon School of Hygiene & Tropical Medicine · GBQueen's University Belfast · GBAll India Institute of Medical Sciences · INUniversity of Parma · IT

Funding

Wellcome TrustWellcome Trust G073300Wellcome Trust G082571
6 · The paper itself

Abstract

backgroundCataract is a major health burden in many countries and a significant problem in India. While observational studies show lower cataract risk with increasing dietary or plasma vitamin C, randomised controlled trials of supplements have been negative. Genetic variants in vitamin C transporter proteins (

methodsWe used data from a randomly selected population-based study in people aged 60 years and above in north and south India. Of 7518 sampled, 5428 (72%) were interviewed for socioeconomic and lifestyle factors, attended hospital for lens imaging and blood collection and were subsequently genotyped for rs33972313 and rs6596473. Mixed or pure types of cataract were graded by the Lens Opacity Classification System III as nuclear (2404), cortical (494) or posterior subcapsular cataract (PSC) (1026); 1462 had no significant cataract and no history of cataract surgery and 775 had bilateral aphakia/pseudophakia.

resultsrs33972313 was associated with cortical (OR 2.16; 95% CI 1.34 to 3.49, p=0.002) and PSC (OR 1.68; 95% CI 1.06 to 2.65, p=0.03) but not with nuclear cataract. In analyses of pure cataracts, associations were found only between rs33972313 and pure cortical cataracts (OR 2.29; 95% CI 1.12 to 4.65, p=0.03) and with a standardised cortical opacity score. There was no association with rs6596473 and any cataract outcomes.

conclusionsUsing an established genetic variant as a proxy for lifetime ascorbate concentrations, our results support a causal association of vitamin C with cataract.

Indexed as

AgedCataractFemaleGenotypeHumansIndiaLife StyleMaleMiddle AgedRisk FactorsSocioeconomic FactorsSodium-Coupled Vitamin C TransportersSodium-Coupled Vitamin C Transportersascorbateepidemiologygeneticslens and zonules

Identifiers

PMID30442817
PMCPMC6709767
OpenAlexW2900885492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.