Evidence map›Paper›PMID 33469209›Full record

ReviewNature reviews. Endocrinology2021

Current understanding of the molecular and cellular pathology of diabetic retinopathy.

David A Antonetti, Paolo S Silva, Alan W Stitt

Erratum issuedOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 363 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
363citing papers in PubMed, 1 pooled it
68.1field-weighted citation impact, top 1% 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

363 citing papers in PubMed, 1 synthesis or guideline pooled it, 562 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Systemic Diseases and the Eye: A Translational Perspective on Diabetes.Chronic diseases and translational medicine · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Glycosylation of the retina.Biochemical Society transactions · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Regulation of Glutathione Peroxidase 4 in Diabetic Retinopathy.International journal of molecular sciences · 2026
    Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article

303 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

David A AntonettiDepartment of Ophthalmology and Visual Sciences, Department of Molecular and Integrative Physiology, Kellogg Eye Center, University of Michigan, Ann Arbor, MI, USA. dantonet@med.umich.edu.ORCID http://orcid.org/0000-0003-1130-6577
Paolo S SilvaDepartment of Ophthalmology, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8024-9348
Alan W StittCentre for Experimental Medicine, Queen's University, Belfast, UK.
Joslin Diabetes Center · USQueen's University Belfast · GBUniversity of Michigan · US

Funding

Unraveling the role of tPA in the neurovascular unitR01HL055374 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti, Daniel A Lawrence · 1995 to 2026
$8.6M
MECHANISMS OF RETINAL VASCULAR PERMEABILITY IN DIABETESR01EY012021 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANTONETTI, DAVID · 1998 to 2024
$8.6M
Inflammatory Resolution and Vascular Restoration in Diabetic RetinopathyR01EY029349 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABCOUWER, STEVEN F, ANTONETTI, DAVID · 2018 to 2022
$2.4M
Medical Research Council MC_PC_19023NEI NIH HHS R01 EY012021NEI NIH HHS R01 EY029349NHLBI NIH HHS R01 HL055374
6 · The paper itself

Abstract

Diabetes mellitus has profound effects on multiple organ systems; however, the loss of vision caused by diabetic retinopathy might be one of the most impactful in a patient's life. The retina is a highly metabolically active tissue that requires a complex interaction of cells, spanning light sensing photoreceptors to neurons that transfer the electrochemical signal to the brain with support by glia and vascular tissue. Neuronal function depends on a complex inter-dependency of retinal cells that includes the formation of a blood-retinal barrier. This dynamic system is negatively affected by diabetes mellitus, which alters normal cell-cell interactions and leads to profound vascular abnormalities, loss of the blood-retinal barrier and impaired neuronal function. Understanding the normal cell signalling interactions and how they are altered by diabetes mellitus has already led to novel therapies that have improved visual outcomes in many patients. Research highlighted in this Review has led to a new understanding of retinal pathophysiology during diabetes mellitus and has uncovered potential new therapeutic avenues to treat this debilitating disease.

Indexed as

AnimalsBlood-Retinal BarrierDiabetic RetinopathyHumansNeuronsNeurovascular CouplingSignal Transduction

Identifiers

PMID33469209
PMCPMC9053333
OpenAlexW3121608322

What OpenQuestion holds

Textmetadata
LicenceTDM
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.