Evidence map›Paper›PMID 32509962›Full record

ArticleBMJ open ophthalmology2020

Complement factors and reticular pseudodrusen in intermediate age-related macular degeneration staged by multimodal imaging.

Anne M Lynch, Alan G Palestine, Brandie D Wagner, Jennifer L Patnaik, Ashley A Frazier-Abel, Marc T Mathias, Frank S Siringo, Vernon Michael Holers, Naresh Mandava

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

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  18. Subretinal drusenoid deposits: An update.Taiwan journal of ophthalmology
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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

9 authors at 2 institutions in 1 country.

Anne M LynchDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA anne.lynch@ucdenver.edu.ORCID http://orcid.org/0000-0001-6508-8136
Alan G PalestineDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Brandie D WagnerDepartment of Biostatistics and Informatics, University of Colorado School of Public Health, Aurora, Colorado, USA.
Jennifer L PatnaikDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Ashley A Frazier-AbelExsera BioLabs, University of Colorado School of Medicine, Aurora, Colorado, USA.
Marc T MathiasDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Frank S SiringoDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
Vernon Michael HolersDepartments of Medicine and Immunology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Naresh MandavaDepartment of Ophthalmology, University of Colorado Denver School of Medicine, Aurora, Colorado, USA.
University of Colorado Denver · USColorado School of Public Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSystemic activation of the complement system in intermediate age-related macular degeneration (AMD) is understudied. Moreover, links between the presence of reticular pseudodrusen (RPD) and systemic complement dysregulation have not been studied. The aim of this study was to determine if there is a difference in plasma complement factor levels in intermediate AMD compared with controls, and if complement levels are related to the presence of RPD. METHODS AND ANALYSIS: Levels of complement factors C1q (µg/mL), C4 (µg/mL), C2 (µg/mL), Mannose Binding Lectin (ng/mL), C4b (µg/mL), C3 (µg/mL), factor B (µg/mL), factor D (µg/mL), properdin (µg/mL), C3a (ng/mL), iC3b/C3b (ng/mL), Ba (ng/mL), factor H (µg/mL), factor I (µg/mL), C5 (µg/mL), C5a (pg/mL) and SC5b-9 (ng/mL) were measured in plasma.

results109 cases and 65 controls were included in the study. Thirty-nine (36%) cases had RPD. Significantly lower systemic levels of: C1q (OR 0.96, 95% CI 0.94 to 0.98), factor B (OR 0.98, 95% CI 0.96 to 0.99), iC3b/C3b (OR 0.97, 95% CI 0.95 to 0.98), factor H (OR 0.99, 95% CI 0.98 to 0.99), factor I (OR 0.83, 95% CI 0.77 to 0.89) and C5 (OR 0.94, 95% CI 0.90 to 0.98) were found in cases versus controls. Significantly elevated levels of: C2 (OR 1.29, 95% CI 1.07 to 1.59), C3a (OR 1.03, 95% CI 1.01 to 1.05) Ba (OR 1.03, 95% CI 1.01 to 1.05) and C5a (OR 1.04, 95% CI 1.02 to 1.07) were found in cases versus controls. Systemic levels of complement factors measured were not related to the presence of RPD.

conclusionsLevels of several systemic complement pathway factors were found to be altered in intermediate AMD. Systemic levels of complement factors were not related to RPD.

Indexed as

epidemiologyimmunologyinflammationmacularetina

Identifiers

PMID32509962
PMCPMC7254108
OpenAlexW2999399775

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.