Evidence map›Paper›PMID 33783352›Full record

ArticleeLife2021

Anti-fibrotic activity of a rho-kinase inhibitor restores outflow function and intraocular pressure homeostasis.

Guorong Li, Chanyoung Lee, A Thomas Read, Ke Wang, Jungmin Ha, Megan Kuhn, Iris Navarro, Jenny Cui, Katherine Young, Rahul Gorijavolu and 7 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
10.1field-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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

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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

17 authors at 4 institutions in 1 country.

Guorong LiDepartment of Ophthalmology, Duke University, Durham, United States.
Chanyoung LeeDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, United States.
A Thomas ReadDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, United States.
Ke WangDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, United States.
Jungmin HaDepartment of Mechanical Engineering, Georgia Institute of Technology, Atlanta, United States.
Megan KuhnDepartment of Ophthalmology, Duke University, Durham, United States.
Iris NavarroDepartment of Ophthalmology, Duke University, Durham, United States.
Jenny CuiDepartment of Ophthalmology, Duke University, Durham, United States.
Katherine YoungDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, United States.
Rahul GorijavoluDepartment of Ophthalmology, Duke University, Durham, United States.
Todd SulchekDepartment of Mechanical Engineering, Georgia Institute of Technology, Atlanta, United States.
Casey KopczynskiAerie Pharmaceuticals, Inc, Durham, United States.ORCID 0000-0002-2173-8309
Sina FarsiuDepartment of Ophthalmology, Duke University, Durham, United States.
John SamplesWashington State University Floyd Elson School of Medicine, Spokane, United States.
Pratap ChallaDepartment of Ophthalmology, Duke University, Durham, United States.
C Ross EthierDepartment of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, United States.
W Daniel StamerDepartment of Ophthalmology, Duke University, Durham, United States.ORCID 0000-0002-2504-8997
Duke University · USGeorgia Institute of Technology · USAerie Pharmaceuticals (United States) · USWashington State University Spokane · US

Funding

VISION RESEARCHP30EY005722 · NEI · DUKE UNIVERSITY · PI Vadim Y Arshavsky · 1985 to 2026
$19.3M
Quantitative assessment of glaucomatous conventional outflow dynamicsR01EY030124 · NEI · DUKE UNIVERSITY · PI C ROSS ETHIER, Sina Farsiu · 2019 to 2026
$4.0M
Transcriptional and Biomechanical Analysis of Segmental Outflow in GlaucomaR01EY031710 · NEI · GEORGIA INSTITUTE OF TECHNOLOGY · PI ETHIER, C ROSS, GUPTA, DIVAKAR · 2020 to 2023
$2.4M
NEI NIH HHS P30 EY005722NEI NIH HHS R01 EY030124NEI NIH HHS R01 EY031710
6 · The paper itself

Abstract

Glucocorticoids are widely used as an ophthalmic medication. A common, sight-threatening adverse event of glucocorticoid usage is ocular hypertension, caused by dysfunction of the conventional outflow pathway. We report that netarsudil, a rho-kinase inhibitor, decreased glucocorticoid-induced ocular hypertension in patients whose intraocular pressures were poorly controlled by standard medications. Mechanistic studies in our established mouse model of glucocorticoid-induced ocular hypertension show that netarsudil both prevented and reduced intraocular pressure elevation. Further, netarsudil attenuated characteristic steroid-induced pathologies as assessed by quantification of outflow function and tissue stiffness, and morphological and immunohistochemical indicators of tissue fibrosis. Thus, rho-kinase inhibitors act directly on conventional outflow cells to prevent or attenuate fibrotic disease processes in glucocorticoid-induced ocular hypertension in an immune-privileged environment. Moreover, these data motivate the need for a randomized prospective clinical study to determine whether netarsudil is indeed superior to first-line anti-glaucoma drugs in lowering steroid-induced ocular hypertension.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsAntihypertensive AgentsBenzoatesbeta-AlanineFemaleHumansInfant, NewbornIntraocular PressureMaleMiceMice, Inbred C57BLMiddle AgedAntihypertensive AgentsBenzoatesbeta-Alaninenetarsudilrho-Associated Kinasescontractilityfibrosisglaucoma medicationshumanmedicinemousesteroid glaucomatrabecular meshwork

Identifiers

PMID33783352
PMCPMC8009676
OpenAlexW3143239351

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.