Evidence map›Paper›PMID 31323682›Full record

ArticleInvestigative ophthalmology & visual science2019

Arginine and Carnitine Metabolites Are Altered in Diabetic Retinopathy.

Katherine Sumarriva, Karan Uppal, Chunyu Ma, David J Herren, Yating Wang, Isaac M Chocron, Cassandra Warden, Sabrina L Mitchell, L Goodwin Burgess, Megan P Goodale and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06914778 (Investigating the Metabolic and Lipidomic Profiles That Are Associated With Varying Grades of Diabetic Maculopathy and Retinopathy in South Wales), which is not on this map. Cited by 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT06914778 recruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Metabolic and Lipidomic Profiles That Are Associated With Varying Grades of Diabetic Maculopathy and Retinopathy in South Wales

TypeobservationalSponsorHywel Dda Health BoardRan2025 to 2030Enrolled120ConditionsDiabetic Retinopathy (DR), Diabetic Retinopathy Associated With Type 2 Diabetes Mellitus, Diabetic Macular Edema (DME)ArmsBlood draw for the laboratory assessment, Urine sample
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  3. Metabolomics in Diabetic Retinopathy: A Systematic Review.Investigative ophthalmology & visual science · 2021
    Pooled it
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2 more citing papers are in PubMed but not listed here.

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

16 authors at 2 institutions in 1 country.

Katherine SumarrivaVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Karan UppalDepartment of Medicine, Emory University, Atlanta, Georgia, United States.
Chunyu MaDepartment of Medicine, Emory University, Atlanta, Georgia, United States.
David J HerrenVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Yating WangDepartment of Medicine, Emory University, Atlanta, Georgia, United States.
Isaac M ChocronVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Cassandra WardenVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Sabrina L MitchellVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
L Goodwin BurgessVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Megan P GoodaleVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Melissa P OsbornVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Allison J FerreiraVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Janice C LawVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Edward F CherneyVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Dean P JonesDepartment of Medicine, Emory University, Atlanta, Georgia, United States.
Milam A BrantleyVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Vanderbilt University Medical Center · USEmory University · US

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Shop Module CoreP30EY008126 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI David J. Calkins · 1989 to 2026
$19.6M
U2C Experimental CoreU2CES030163 · NIEHS · EMORY UNIVERSITY · PI MORGAN, EDWARD THOMAS · 2018 to 2021
$3.6M
Metabolomic and Genetic Interactions in Age-Related Macular DegenerationR01EY022618 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRANTLEY, MILAM A · 2013 to 2017
$2.3M
Orbitrap Elite/H-ESI BundleS10OD018006 · OD · EMORY UNIVERSITY · PI JONES, DEAN PAUL · 2014 to 2014
$600k
NEI NIH HHS P30 EY008126NEI NIH HHS R01 EY022618NIEHS NIH HHS P30 ES019776NIEHS NIH HHS U2C ES030163NIH HHS S10 OD018006
6 · The paper itself

Abstract

Purpose: To determine plasma metabolite and metabolic pathway differences between patients with type 2 diabetes with diabetic retinopathy (DR) and without retinopathy (diabetic controls), and between patients with proliferative DR (PDR) and nonproliferative DR (NPDR). Methods: Using high-resolution mass spectrometry with liquid chromatography, untargeted metabolomics was performed on plasma samples from 83 DR patients and 90 diabetic controls. Discriminatory metabolic features were identified through partial least squares discriminant analysis, and linear regression was used to adjust for age, sex, diabetes duration, and hemoglobin A1c. Pathway analysis was performed using Mummichog 2.0. Results: In the adjusted analysis, 126 metabolic features differed significantly between DR patients and diabetic controls. Pathway analysis revealed alterations in the metabolism of amino acids, leukotrienes, niacin, pyrimidine, and purine. Arginine, citrulline, glutamic γ-semialdehyde, and dehydroxycarnitine were key contributors to these pathway differences. A total of 151 features distinguished PDR patients from NPDR patients, and pathway analysis revealed alterations in the β-oxidation of saturated fatty acids, fatty acid metabolism, and vitamin D3 metabolism. Carnitine was a major contributor to the pathway differences. Conclusions: This study demonstrates that arginine and citrulline-related pathways are dysregulated in DR, and fatty acid metabolism is altered in PDR patients compared with NPDR patients.

Indexed as

AgedAged, 80 and overArginineBiomarkersCarnitineCase-Control StudiesChromatography, LiquidDiabetes Mellitus, Type 2Diabetic RetinopathyDisease ProgressionFemaleFollow-Up StudiesHumansMaleMass SpectrometryMiddle AgedArginineBiomarkersCarnitine

Identifiers

PMID31323682
PMCPMC6645705
OpenAlexW2962927362

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.