Evidence map›Paper›PMID 36640318›Full record

ArticleCell reports2023

HIF-1α accumulation in response to transient hypoglycemia may worsen diabetic eye disease.

Chuanyu Guo, Monika Deshpande, Yueqi Niu, Isha Kachwala, Miguel Flores-Bellver, Haley Megarity, Taylor Nuse, Savalan Babapoor-Farrokhran, Michael Ramada, Jaron Sanchez and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
12.8field-weighted citation impact, top 1% 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, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Response to anti-VEGF injections for diabetic macular edema among patients on chronic exogenous insulin therapy.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Molecular stress and neurovascular injury in the diabetic retina.The Journal of clinical investigation · 2026
    Review
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  10. Article
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  12. Article
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  14. Article
  15. SUMOylation is a Translatable Target in Hypoxic MNPs Regulating Retinal Vasculopathy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Ref-1 redox activity regulates retinal neovascularization by modulating transcriptional activation of HIF-1α.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    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

15 authors at 3 institutions in 1 country.

Chuanyu GuoWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Monika DeshpandeWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Yueqi NiuWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Isha KachwalaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Miguel Flores-BellverCellSight Ocular Stem Cell and Regeneration Research Program, Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Haley MegarityWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Taylor NuseWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Savalan Babapoor-FarrokhranWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Michael RamadaWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Jaron SanchezWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Neelay InamdarWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Thomas V JohnsonWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Maria Valeria Canto-SolerCellSight Ocular Stem Cell and Regeneration Research Program, Department of Ophthalmology, Sue Anschutz-Rodgers Eye Center, University of Colorado School of Medicine, Aurora, CO 80045, USA.
Silvia MontanerDepartment of Oncology and Diagnostic Sciences, School of Dentistry, Greenebaum Cancer Center, University of Maryland, Baltimore, MD 21201, USA.
Akrit SodhiWilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. Electronic address: asodhi1@jhmi.edu.
Johns Hopkins University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Maryland, Baltimore · US

Funding

Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Ji Yi · 1985 to 2026
$22.1M
Promotion of retinal vascular hyperpermeability and macular edema by ANGPTL4R01EY025705 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI MONTANER, SILVIA V · 2016 to 2020
$2.6M
Divergent Roles for Hypoxia-Inducible Factor-1 and -2 in Ischemic Retinal DiseaseR01EY029750 · NEI · JOHNS HOPKINS UNIVERSITY · PI SODHI, AKRIT SINGH · 2019 to 2023
$2.6M
Elucidation of novel anti-angiogenic therapies for the prevention and treatment of neovascular glaucomaR01EY032104 · NEI · UNIVERSITY OF MARYLAND BALTIMORE · PI MONTANER, SILVIA V, SODHI, AKRIT SINGH · 2021 to 2024
$2.3M
NEI NIH HHS P30 EY001765NEI NIH HHS R01 EY025705NEI NIH HHS R01 EY029750NEI NIH HHS R01 EY032104
6 · The paper itself

Abstract

Tight glycemic control (TGC), the cornerstone of diabetic management, reduces the incidence and progression of diabetic microvascular disease. However, TGC can also lead to transient episodes of hypoglycemia, which have been associated with adverse outcomes in patients with diabetes. Here, we demonstrate that low glucose levels result in hypoxia-inducible factor (HIF)-1-dependent expression of the glucose transporter, Glut1, in retinal cells. Enhanced nuclear accumulation of HIF-1α was independent of its canonical post-translational stabilization but instead dependent on stimulation of its translation and nuclear localization. In the presence of hypoxia, this physiologic response to low glucose resulted in a marked increase in the secretion of the HIF-dependent vasoactive mediators that promote diabetic retinopathy. Our results provide a molecular explanation for how early glucose control, as well as glycemic variability (i.e., oscillating serum glucose levels), contributes to diabetic eye disease. These observations have important implications for optimizing glucose management in patients with diabetes.

Indexed as

Diabetes MellitusDiabetic RetinopathyHypoglycemiaGlucoseHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitVascular Endothelial Growth Factor AGlucoseHypoxia-Inducible Factor 1, alpha SubunitVascular Endothelial Growth Factor AAktangiogenesisangiopoietin-like 4CP: Cell biologyCP: Metabolismdiabetic retinopathyglucose transporterglycemic variabilityhypoglycemiahypoxia-inducible factormTORvascular endothelial growth factor

Identifiers

PMID36640318
PMCPMC9960808
OpenAlexW4315433088

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.