Evidence map›Paper›PMID 35386624›Full record

ReviewExperimental and therapeutic medicine2022

Serum levels of copper and zinc in diabetic retinopathy: Potential new therapeutic targets (Review).

Ana Maria Dascalu, Anca Anghelache, Daniela Stana, Andreea Cristina Costea, Vanessa Andrada Nicolae, Denisa Tanasescu, Daniel Ovidiu Costea, Laura Carina Tribus, Anca Zgura, Dragos Serban and 5 more

Open access · diamondAbstract readReview
In one paragraph

Review in Experimental and therapeutic medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 47 citations in OpenAlex.

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  10. Novel impact of metal ion-induced cell death on diabetic cardiomyopathy pathogenesis and therapy.Apoptosis : an international journal on programmed cell death · 2025
    Review
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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

15 authors at 7 institutions in 3 countries.

Ana Maria DascaluDepartment of Ophthalmology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Anca AnghelacheDepartment of Ophthalmology, Emergency University Hospital, 050098 Bucharest, Romania.
Daniela StanaDepartment of Ophthalmology, Emergency University Hospital, 050098 Bucharest, Romania.
Andreea Cristina CosteaDepartment of Nephrology and Dialysis, 'Diaverum' Nephrology and Dialysis Clinic, 900612 Constanta, Romania.
Vanessa Andrada NicolaeDepartment of Ophthalmology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Denisa TanasescuFourth Department of Dental Medicine and Nursing, Faculty of Medicine, 'Lucian Blaga' University, 550169 Sibiu, Romania.
Daniel Ovidiu CosteaDepartment of Surgery, Faculty of Medicine, 'Ovidius' University, 900470 Constanta, Romania.
Laura Carina TribusDepartment of Internal Medicine, Ilfov County Emergency Hospital, 022104 Bucharest, Romania.
Anca ZguraDepartment of Oncology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Dragos SerbanDepartment of General Surgery, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Lucian DutaFourth Department of Surgery, Emergency University Hospital, 050098 Bucharest, Romania.
Miruna TudosieDepartment of Ophthalmology, 'Regina Maria' Polyclinic, 061077 Bucharest, Romania.
Simona Andrea BalasescuFourth Department of Surgery, Emergency University Hospital, 050098 Bucharest, Romania.
Ciprian TanasescuDepartment of Clinical Surgery, Faculty of Medicine, 'Lucian Blaga' University, 550169 Sibiu, Romania.
Mihail Silviu TudosieDepartment of Toxicology, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROLucian Blaga University of Sibiu · ROEmergency University · USOvidius University · ROPHV Dialysezentrum · DEPolyclinic Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic retinopathy (DR) is a microvascular disorder occurring due to the long-term effects of diabetes, leading to vision-threatening damage to the retina. The human body has an elaborate system for managing and regulating the number of key trace metals circulating in the blood and stored cells. Inadequate zinc (Zn) and concurrent excess of copper (Cu) levels are associated with an increased level of oxidative stress, which may aggravate the microvascular lesions in diabetes mellitus. Several studies have revealed a significantly lower serum Zn concentration and increased Cu levels in DR when compared with diabetic patients without retinopathy and normal controls. These abnormalities are correlated with the duration of diabetes and higher levels of HbA1C. Multiple pathological mechanisms are proposed to explain these changes including hyperzincuria associated with polyuria, glycosuria, and proteinuria in diabetic patients, as well as impaired absorption of Zn at the gastrointestinal level. Increased levels of free Cu ions may be attributed to glycation and the release of Cu ions from the Cu-binding sites of proteins. Zn supplements and selective Cu chelators may be useful to alleviate oxidative stress and prevent DR progression.

Indexed as

copperdiabetic retinopathyinflammationmicrocirculationoxidative stresstrace elementszinc

Identifiers

PMID35386624
PMCPMC8972839
OpenAlexW4221033796

What OpenQuestion holds

Textmetadata
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.