Evidence map›Paper›PMID 34686755›Full record

Observational studyScientific reports2021

Keratoconus patients exhibit a distinct ocular surface immune cell and inflammatory profile.

Sharon D'Souza, Archana Padmanabhan Nair, Ganesh Ram Sahu, Tanuja Vaidya, Rohit Shetty, Pooja Khamar, Ritika Mullick, Sneha Gupta, Mor M Dickman, Rudy M M A Nuijts and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.3field-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

40 citing papers in PubMed, 69 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Tear cytokine profiles between children with allergic conjunctivitis at varying eye rubbing frequencies and keratoconus: A cross-sectional study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Tear fluid participates in systemic immunity.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Genetic and immune landscape of keratoconus: insights from Mendelian randomization analysis.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

13 authors at 4 institutions in 3 countries.

Sharon D'Souza *Department of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Archana Padmanabhan Nair *GROW Research Laboratory, Narayana Nethralaya Foundation, 3rd Floor, Narayana Nethralaya, #258/A Hosur Road, Bommasandra, Bangalore, 560099, India.
Ganesh Ram SahuGROW Research Laboratory, Narayana Nethralaya Foundation, 3rd Floor, Narayana Nethralaya, #258/A Hosur Road, Bommasandra, Bangalore, 560099, India.
Tanuja VaidyaGROW Research Laboratory, Narayana Nethralaya Foundation, 3rd Floor, Narayana Nethralaya, #258/A Hosur Road, Bommasandra, Bangalore, 560099, India.
Rohit ShettyDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Pooja KhamarDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Ritika MullickDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Sneha GuptaDepartment of Cornea and Refractive Surgery, Narayana Nethralaya, Bangalore, India.
Mor M DickmanUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.
Rudy M M A NuijtsUniversity Eye Clinic Maastricht, Maastricht University Medical Center, Maastricht, The Netherlands.
Rajiv R MohanDepartment of Veterinary Medicine and Surgery, University of Missouri, 1600 E. Rollins Rd, Columbia, MO, 65211, USA. Mohanr@health.missouri.edu.
Arkasubhra GhoshGROW Research Laboratory, Narayana Nethralaya Foundation, 3rd Floor, Narayana Nethralaya, #258/A Hosur Road, Bommasandra, Bangalore, 560099, India. arkasubhra@narayananethralaya.com.
Swaminathan SethuGROW Research Laboratory, Narayana Nethralaya Foundation, 3rd Floor, Narayana Nethralaya, #258/A Hosur Road, Bommasandra, Bangalore, 560099, India. swaminathansethu@narayananethralaya.com.
Narayana Nethralaya · INMaastricht University · NLManipal Academy of Higher Education · INUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammatory factors have been considered to contribute to keratoconus (KC) pathogenesis. This study aims to determine the immune cells subsets and soluble inflammatory factor profile on the ocular surface of KC patients. 32 KC subjects (51 eyes) across different grades of severity and 15 healthy controls (23 eyes) were included in the study. Keratometry and pachymetry measurements were recorded. Ocular surface immune cells (collected by ocular surface wash) immunophenotyped using flow cytometry include leukocytes, neutrophils, macrophages, natural killer (NK) cells, pan-T cells, gamma delta T (γδT) cells and NKT cells. Tear fluid collected using Schirmer's strip was used to measure 50 soluble factors by multiplex ELISA. Proportions of activated neutrophils, NK cells and γδT cells were significantly increased in KC patients. Significantly higher levels of tear fluid IL-1β, IL-6, LIF, IL-17A, TNFα, IFNα/β/γ, EPO, TGFβ1, PDGF-BB, sVCAM, sL-selectin, granzyme-B, perforin, MMP2, sFasL and IgE, along with significantly lower levels of IL-1α and IL-9 were observed in KC patients. Alterations observed in few of the immuno-inflammatory parameters correlated with grades of disease, allergy, eye rubbing and keratometry or pachymetry measurements. The observation implies a distinct immuno-inflammatory component in KC pathogenesis and its potential as an additional therapeutic target in KC management.

Indexed as

AdultCross-Sectional StudiesCytokinesEnzyme-Linked Immunosorbent AssayEyeFemaleHumansHypersensitivityImmune SystemInflammationKeratoconusMaleTearsYoung AdultCytokines

Identifiers

PMID34686755
PMCPMC8536707
OpenAlexW3205940221

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.