Evidence map›Paper›PMID 33827374›Full record

ArticleOphthalmic epidemiology2022

Association of Systemic Inflammatory Factors with Progression to Advanced Age-related Macular Degeneration.

Brandie D Wagner, Jennifer L Patnaik, Alan G Palestine, Ashley A Frazer-Abel, Rebecca Baldermann, V Michael Holers, Marc T Mathias, Naresh Mandava, Anne M Lynch

Open access · greenAbstract read
In one paragraph

Article in Ophthalmic epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

22 citing papers in PubMed, 25 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

9 authors at 2 institutions in 1 country.

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 School of Medicine, Aurora, Colorado, USA.
Alan G PalestineDepartment of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Ashley A Frazer-AbelExsera BioLabs, University of Colorado School of Medicine, Aurora, Colorado, USA.
Rebecca BaldermannColorado Clinical and Translational Sciences Institute, University of Colorado, Anschutz Medical Campus, Aurora, Colorado, USA.
V Michael HolersDepartments of Medicine and Immunology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Marc T MathiasDepartment of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Naresh MandavaDepartment of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Anne M LynchDepartment of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado, USA.
University of Colorado Denver · USColorado Clinical and Translational Sciences Institute

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
NCATS NIH HHS UL1 TR002535
6 · The paper itself

Abstract

purposeAge-related macular degeneration (AMD) is a leading cause of vision loss in the elderly. The role of systemic inflammation in AMD remains unclear specifically in patients with intermediate AMD (iAMD). We sought to determine whether systemic inflammation was associated with future iAMD progression.

methodsCombinations of 27 circulating inflammatory markers including complement factors, cytokines, chemokines, and high-sensitivity C-reactive protein (hsCRP) were evaluated in iAMD patients recruited into a Colorado AMD registry. Systemic inflammatory markers were combined using principal component analysis. Risk factors for AMD progression were evaluated using Cox regression models.

resultsThis study included 99 subjects with iAMD, 21 of which progressed to advanced AMD. Two principal components (PCs) were identified that contributed to the risk of progression to advanced AMD, after adjusting for age and bilateral reticular pseudodrusen. The strongest associated PC was explained largely by the pro-inflammatory cytokine TNFα and the anti-inflammatory IL1ra antagonist of IL1. The additional PC was largely explained by IL6, IL8, C3 and factor D in the positive direction and CRP, MCP1, factor B and factor I in the negative direction.

conclusionWhen evaluated through multivariate analyses, combinations of biomarkers distinguished patients who did and did not progress to future advanced AMD. Increased risk could result from different combinations of analyte levels indicating a complex relationship rather than a simple increase in a few markers. This suggests that studying systemic inflammation in iAMD can provide insights into early pathologic events and potentially identify patients at highest risk for the development of severe AMD.

Indexed as

Macular DegenerationRetinal DrusenAgedAnti-Inflammatory AgentsBiomarkersHumansInflammationAnti-Inflammatory AgentsBiomarkerschronic inflammationclassical and alternative complement pathwaysreticular pseudodrusenSystems-based analysis

Identifiers

PMID33827374
PMCPMC8497647
OpenAlexW3147021847

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.