Evidence map›Paper›PMID 34964803›Full record

ArticleInvestigative ophthalmology & visual science2021

Compositional Analysis of Extracellular Aggregates in the Eyes of Patients With Exfoliation Syndrome and Exfoliation Glaucoma.

Alicia De Maria, Keith D Zientek, Larry L David, Phillip A Wilmarth, Anjali M Bhorade, George J Harocopos, Andrew J W Huang, Augustine R Hong, Carla J Siegfried, Linda M Tsai and 2 more

Open access · goldAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Protein misfolding and mitochondrial dysfunction in glaucoma.Frontiers in cell and developmental biology · 2025
    Review
  5. In Search of Mouse Models for Exfoliation Syndrome.American journal of ophthalmology · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

12 authors at 2 institutions in 1 country.

Alicia De MariaDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Keith D ZientekProteomics Shared Resource, Oregon Health and Science University, Portland, Oregon, United States.
Larry L DavidDepartment of Chemical Physiology & Biochemistry, Oregon Health and Science University, Portland, Oregon, United States.
Phillip A WilmarthProteomics Shared Resource, Oregon Health and Science University, Portland, Oregon, United States.
Anjali M BhoradeDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
George J HarocoposDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Andrew J W HuangDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Augustine R HongDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Carla J SiegfriedDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Linda M TsaiDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Arsham SheybaniDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Steven BassnettDepartment of Ophthalmology & Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, United States.
Oregon Health & Science University · USWashington University in St. Louis · US

Funding

Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Grace B Gill · 1997 to 2026
$60.5M
Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Kate E Keller · 1995 to 2026
$19.4M
WASHINGTON UNIVERSITY CENTER VISION RESEARCHP30EY002687 · NEI · WASHINGTON UNIVERSITY · PI Philip Raymond Williams · 1985 to 2026
$18.4M
FIBER CELL FORMATION IN NORMAL AND CATARACTOUS LENSESR01EY009852 · NEI · WASHINGTON UNIVERSITY · PI BASSNETT, STEVEN · 1992 to 2021
$7.8M
STRUCTURAL, MECHANICAL, AND CELL BIOLOGICAL PROPERTIES OF THE CILIARY ZONULER01EY029130 · NEI · WASHINGTON UNIVERSITY · PI Steven Bassnett · 2018 to 2026
$3.4M
LTQ Orbitrap VelosS10OD012246 · OD · OREGON HEALTH & SCIENCE UNIVERSITY · PI DAVID, LARRY L · 2012 to 2012
$854k
NCI NIH HHS P30 CA069533NEI NIH HHS P30 EY002687NEI NIH HHS P30 EY010572NEI NIH HHS R01 EY009852NEI NIH HHS R01 EY029130NIH HHS S10 OD012246
6 · The paper itself

Abstract

Purpose: Exfoliation syndrome (XFS) is a condition characterized by the production of insoluble fibrillar aggregates (exfoliation material; XFM) in the eye and elsewhere. Many patients with XFS progress to exfoliation glaucoma (XFG), a significant cause of global blindness. We used quantitative mass spectrometry to analyze the composition of XFM in lens capsule specimens and in aqueous humor (AH) samples from patients with XFS, patients with XFG and unaffected individuals. Methods: Pieces of lens capsule and samples of AH were obtained with consent from patients undergoing cataract surgery. Tryptic digests of capsule or AH were analyzed by high-performance liquid chromatography-mass spectrometry and relative differences between samples were quantified using the tandem mass tag technique. The distribution of XFM on the capsular surface was visualized by SEM and super-resolution light microscopy. Results: A small set of proteins was consistently upregulated in capsule samples from patients with XFS and patients with XFG, including microfibril components fibrillin-1, latent transforming growth factor-β-binding protein-2 and latent transforming growth factor-β-binding protein-3. Lysyl oxidase-like 1, a cross-linking enzyme associated with XFS in genetic studies, was an abundant XFM constituent. Ligands of the transforming growth factor-β superfamily were prominent, including LEFTY2, a protein best known for its role in establishing the embryonic body axis. Elevated levels of LEFTY2 were also detected in AH from patients with XFG, a finding confirmed subsequently by ELISA. Conclusions: This analysis verified the presence of suspected XFM proteins and identified novel components. Quantitative comparisons between patient samples revealed a consistent XFM proteome characterized by strong expression of fibrillin-1, lysyl oxidase-like-1, and LEFTY2. Elevated levels of LEFTY2 in the AH of patients with XFG may serve as a biomarker for the disease.

Indexed as

AdipokinesAgedAged, 80 and overAmino Acid OxidoreductasesAqueous HumorChromatography, High Pressure LiquidCrystallinsEnzyme-Linked Immunosorbent AssayExfoliation SyndromeFemaleFibrillin-1Fluorescent Antibody Technique, IndirectGlaucoma, Open-AngleHumansLatent TGF-beta Binding ProteinsLeft-Right Determination FactorsAdipokinesAmino Acid OxidoreductasesCrystallinsFBN1 protein, humanFibrillin-1Latent TGF-beta Binding ProteinsLeft-Right Determination FactorsLEFTY2 protein, humanLOXL1 protein, humanLTBP2 protein, humanLTBP3 protein, humanProtein Aggregates

Identifiers

PMID34964803
PMCPMC8740535
OpenAlexW4200014473

What OpenQuestion holds

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Registered trials

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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.