Evidence map›Paper›PMID 32737203›Full record

ArticleThe Journal of biological chemistry2020

High-density lipoproteins are a potential therapeutic target for age-related macular degeneration.

Una L Kelly, Daniel Grigsby, Martha A Cady, Michael Landowski, Nikolai P Skiba, Jian Liu, Alan T Remaley, Mikael Klingeborn, Catherine Bowes Rickman

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.4field-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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. CETP Renaissance with Obicetrapib.Current atherosclerosis reports · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Truncated complement factor H Y402 gene therapy rescues C3 glomerulonephritis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  7. Review
  8. Article
  9. Bruch's membrane heparan sulfate retains lipoproteins in the early stages of age-related macular degeneration.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
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  18. Article
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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 4 institutions in 1 country.

Una L KellyDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Daniel GrigsbyDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Martha A CadyDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Michael LandowskiDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Nikolai P SkibaDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA.
Jian LiuDivision of Chemical Biology and Medicinal Chemistry, Eshelman School of Pharmacy, University of North Carolina, Chapel Hill, North Carolina, USA.
Alan T RemaleyLipoprotein Metabolism Section, Pulmonary and Vascular Medicine Branch, NHLBI, National Institutes of Health, Bethesda, Maryland, USA.
Mikael KlingebornDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA. Electronic address: mikael.klingeborn@duke.edu.
Catherine Bowes RickmanDepartment of Ophthalmology, Duke University Medical Center, Durham, North Carolina, USA; Department of Cell Biology, Duke University Medical Center, Durham, North Carolina, USA. Electronic address: bowes007@duke.edu.
Duke Medical Center · USDuke University · USNational Institutes of Health · USUniversity of North Carolina at Chapel Hill · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
Genetics Training Grant-Year 26T32GM007754 · NIGMS · DUKE UNIVERSITY · PI HAASE, STEVEN B · 1985 to 2019
$8.3M
In vitro synthesis of recombinant heparan sulfateR01HL094463 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, JIAN, PAWLINSKI, RAFAL L · 2009 to 2021
$5.2M
Innate immunity, lipoproteins and AMD progressionR01EY026161 · NEI · DUKE UNIVERSITY · PI BOWES RICKMAN, CATHERINE · 2016 to 2019
$2.0M
Synthesis and Pharmacological Evaluation of Homogenous Ultra-Low Molecular Weight HeparinsR01HL144970 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LIU, JIAN · 2019 to 2021
$946k
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY026161NHLBI NIH HHS R01 HL094463NHLBI NIH HHS R01 HL144970NIGMS NIH HHS T32 GM007754
6 · The paper itself

Abstract

Strong evidence suggests that dysregulated lipid metabolism involving dysfunction of the retinal pigmented epithelium (RPE) underlies the pathogenesis of age-related macular degeneration (AMD), the leading cause of irreversible blindness in the elderly. A hallmark of AMD is the overproduction of lipid- and protein-rich extracellular deposits that accumulate in the extracellular matrix (Bruch's membrane (BrM)) adjacent to the RPE. We analyzed apolipoprotein A-1 (ApoA-1)-containing lipoproteins isolated from BrM of elderly human donor eyes and found a unique proteome, distinct from high-density lipoprotein (HDL) isolated from donor plasma of the same individuals. The most striking difference is higher concentrations of ApoB and ApoE, which bind to glycosaminoglycans. We hypothesize that this interaction promotes lipoprotein deposition onto BrM glycosaminoglycans, initiating downstream effects that contribute to RPE dysfunction/death. We tested this hypothesis using two potential therapeutic strategies to alter the lipoprotein/protein profile of these extracellular deposits. First, we used short heparan sulfate oligosaccharides to remove lipoproteins already deposited in both the extracellular matrix of RPE cells and aged donor BrM tissue. Second, an ApoA-1 mimetic, 5A peptide, was demonstrated to modulate the composition and concentration of apolipoproteins secreted from primary porcine RPE cells. Significantly, in a mouse model of AMD, this 5A peptide altered the proteomic profile of circulating HDL and ameliorated some of the potentially harmful changes to the protein composition resulting from the high-fat, high-cholesterol diet in this model. Together, these results suggest that targeting HDL interactions with BrM represents a new strategy to slow AMD progression in humans.

Indexed as

AnimalsApolipoprotein A-IBruch MembraneCells, CulturedHumansLipoproteins, HDLMacular DegenerationMiceRetinal Pigment EpitheliumSwineApolipoprotein A-ILipoproteins, HDLage-related macular degenerationagingapolipoproteincomplementcomplement factor Hglycosaminoglycanheparan sulfateheparan sulfate proteoglycanshigh-density lipoprotein (HDL)lipoproteinoligosaccharideretinal degenerationretinal pigmented epithelium

Identifiers

PMID32737203
PMCPMC7521644
OpenAlexW3046648668

What OpenQuestion holds

Textmetadata
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.