Evidence map›Paper›PMID 36253797›Full record

ArticleOrphanet journal of rare diseases2022

Immunological consequences of compromised ocular immune privilege accelerate retinal degeneration in retinitis pigmentosa.

K Varsha Mohan, Alaknanda Mishra, Abaranjitha Muniyasamy, Prakriti Sinha, Parul Sahu, Ashwani Kesarwani, Kshama Jain, Perumal Nagarajan, Vinod Scaria, Manisha Agarwal and 3 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-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

16 citing papers in PubMed, 36 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

13 authors at 3 institutions in 1 country.

K Varsha MohanNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Alaknanda MishraNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Abaranjitha MuniyasamyNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Prakriti SinhaNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Parul SahuNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Ashwani KesarwaniNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Kshama JainNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Perumal NagarajanNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India.
Vinod ScariaCSIR Institute of Genomics and Integrative Biology, South Campus, Mathura Road, New Delhi, 110025, India.
Manisha AgarwalDr Shroff's Charity Eye Hospital, Kedarnath Lane, Daryaganj, New Delhi, Delhi, 110002, India.
Naseem S AkhterDr Shroff's Charity Eye Hospital, Kedarnath Lane, Daryaganj, New Delhi, Delhi, 110002, India.
Chanda GuptaDr Shroff's Charity Eye Hospital, Kedarnath Lane, Daryaganj, New Delhi, Delhi, 110002, India.
Pramod UpadhyayNational Institute of Immunology, Aruna Asaf Ali Marg, New Delhi, 110067, India. pkumar@nii.ac.in.ORCID 0000-0002-5560-822X
National Institute of Immunology · INDr. Shroff’s Charity Eye Hospital · INInstitute of Genomics and Integrative Biology · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetinitis pigmentosa (RP) is a hereditary retinal disease which leads to visual impairment. The onset and progression of RP has physiological consequences that affects the ocular environment. Some of the key non-genetic factors which hasten the retinal degeneration in RP include oxidative stress, hypoxia and ocular inflammation. In this study, we investigated the status of the ocular immune privilege during retinal degeneration and the effect of ocular immune changes on the peripheral immune system in RP. We assessed the peripheral blood mononuclear cell stimulation by retinal antigens and their immune response status in RP patients. Subsequently, we examined alterations in ocular immune privilege machineries which may contribute to ocular inflammation and disease progression in rd1 mouse model.

resultsIn RP patients, we observed a suppressed anti-inflammatory response to self-retinal antigens, thereby indicating a deviated response to self-antigens. The ocular milieu in rd1 mouse model indicated a significant decrease in immune suppressive ligands and cytokine TGF-B1, and higher pro-inflammatory ocular protein levels. Further, blood-retinal-barrier breakdown due to decrease in the expression of tight junction proteins was observed. The retinal breach potentiated pro-inflammatory peripheral immune activation against retinal antigens and caused infiltration of the peripheral immune cells into the ocular tissue.

conclusionsOur studies with RP patients and rd1 mouse model suggest that immunological consequences in RP is a contributing factor in the progression of retinal degeneration. The ocular inflammation in the RP alters the ocular immune privilege mechanisms and peripheral immune response. These aberrations in turn create an auto-reactive immune environment and accelerate retinal degeneration.

Indexed as

Retinal DegenerationRetinitis PigmentosaAnimalsAnti-Inflammatory AgentsAutoantigensCytokinesDisease Models, AnimalImmune PrivilegeInflammationLeukocytes, MononuclearMiceTight Junction ProteinsAnti-Inflammatory AgentsAutoantigensCytokinesTight Junction ProteinsBlood brain barrier (BRB)Immune infiltrationRetinal Degeneration 1 (rd1)Retinitis pigmentosaTight junction protein (TJP)Transforming growth factor—beta 1 (TGF-B1)

Identifiers

PMID36253797
PMCPMC9575261
OpenAlexW4306404269

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.