Evidence map›Paper›PMID 31667008›Full record

ArticleTranslational vision science & technology2019

Modelling Macular Edema: The Effect of IL-6 and IL-6R Blockade on Human Blood-Retinal Barrier Integrity In Vitro.

Marina Mesquida, Faye Drawnel, Philippa J Lait, David A Copland, Madeleine L Stimpson, Victor Llorenç, Maite Sainz de la Maza, Alfredo Adan, Gabriella Widmer, Pamela Strassburger and 4 more

Open access · goldAbstract read
In one paragraph

Article in Translational vision science & technology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Putative mechanisms of ocular inflammation in syphilis.Journal of ophthalmic inflammation and infection · 2026
    Review
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  14. Human retinal endothelial cells express functional interleukin-6 receptor.Journal of ophthalmic inflammation and infection · 2023
    Article
  15. Review
  16. Mechanisms of macular edema.Frontiers in medicine · 2023
    Review
  17. Review
  18. Increased vitreous levels of B cell activation factor (BAFF) and soluble interleukin-6 receptor in patients with macular edema due to uveitis related to Behçet's disease and sarcoidosis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Article
  19. The correlation between cytokine levels in the aqueous humor and the prognostic value of anti-vascular endothelial growth factor therapy for treating macular edema resulting from retinal vein occlusion.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  20. Systemic contribution of inflammatory mediators to the severity of diabetic and uveitic macular edema.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Observational
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

14 authors at 4 institutions in 3 countries.

Marina MesquidaInstitut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) and Hospital Clínic de Barcelona, Spain.
Faye DrawnelRoche Pharma Research and Early Development, Roche Innocation Centre Basel, Switzerland.
Philippa J LaitAcademic Unit of Ophthalmology, Translational Health Sciences, University of Bristol, Bristol, UK.
David A CoplandAcademic Unit of Ophthalmology, Translational Health Sciences, University of Bristol, Bristol, UK.
Madeleine L StimpsonAcademic Unit of Ophthalmology, Translational Health Sciences, University of Bristol, Bristol, UK.
Victor LlorençInstitut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) and Hospital Clínic de Barcelona, Spain.
Maite Sainz de la MazaInstitut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) and Hospital Clínic de Barcelona, Spain.
Alfredo AdanInstitut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) and Hospital Clínic de Barcelona, Spain.
Gabriella WidmerRoche Pharma Research and Early Development, Roche Innocation Centre Basel, Switzerland.
Pamela StrassburgerRoche Pharma Research and Early Development, Roche Innocation Centre Basel, Switzerland.
Sascha FauserRoche Pharma Research and Early Development, Roche Innocation Centre Basel, Switzerland.
Andrew D DickAcademic Unit of Ophthalmology, Translational Health Sciences, University of Bristol, Bristol, UK.
Richard W J LeeAcademic Unit of Ophthalmology, Translational Health Sciences, University of Bristol, Bristol, UK.
Blanca MolinsInstitut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS) and Hospital Clínic de Barcelona, Spain.
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESRoche (Switzerland) · CHUniversity of Bristol · GBNational Institute for Health Research · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMacular edema (ME) is a leading cause of visual loss in a range of retinal diseases and despite the use of antivascular endothelial growth factor (anti-VEGF) agents, its successful treatment remains a major clinical challenge. Based on the indirect clinical evidence that interleukin-6 (IL-6) is a key additional candidate mediator of ME, we interrogated the effect of IL-6 on blood-retinal barrier (BRB) integrity in vitro.

methodsHuman retinal pigment epithelial cell (ARPE-19) and human retinal microvascular endothelial cell (HRMEC) monolayers were used to mimic the outer and inner BRB, respectively. Their paracellular permeability was assessed by measuring the passive permeation of 40 kDa fluorescein isothiocyanate (FITC)-dextran across confluent cells in the presence of IL-6. Transendothelial/epithelial electrical resistance (TEER) then was measured and the distribution of the tight junction protein ZO-1 was assessed by immunofluorescence using confocal microscopy.

resultsTreatment with IL-6 for 48 hours significantly increased the diffusion rate of FITC-dextran, decreased TEER, and disrupted the distribution of ZO-1 in ARPE-19 cells, which constitutively express the IL-6 transmembrane receptor, and this was reversed with IL-6R blockade. In contrast, IL-6 did not affect the paracellular permeability, TEER, or ZO-1 distribution in HRMECs.

conclusionsThese in vitro data support the hypothesis that IL-6 reversibly disrupts the integrity of ARPE-19 cells, but it does not affect HRMECs. TRANSLATIONAL RELEVANCE: IL-6 is a candidate therapeutic target in the treatment of outer BRB driven ME.

Indexed as

blood retinal barrierinflammationinterleukin-6macular edema

Identifiers

PMID31667008
PMCPMC6819001
OpenAlexW2982316424

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.