Evidence map›Paper›PMID 37631272›Full record

ArticlePharmaceutics2023

Sustained Inhibition of VEGF and TNF-α Achieves Multi-Ocular Protection and Prevents Formation of Blood Vessels after Severe Ocular Trauma.

Chengxin Zhou, Fengyang Lei, Jyoti Sharma, Pui-Chuen Hui, Natalie Wolkow, Claes H Dohlman, Demetrios G Vavvas, James Chodosh, Eleftherios I Paschalis

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.0field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 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

9 authors at 1 institution in 1 country.

Chengxin ZhouDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.
Fengyang LeiDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.
Jyoti SharmaDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0001-6344-3085
Pui-Chuen HuiDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.
Natalie WolkowDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.
Claes H DohlmanDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.
Demetrios G VavvasDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-8622-6478
James ChodoshDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-7463-1599
Eleftherios I PaschalisDepartment of Ophthalmology, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0002-4544-4452
Massachusetts Eye and Ear Infirmary · US

Funding

Immunopathogenesis of Adenovirus KeratitisR01EY013124 · NEI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI James Chodosh, Jaya Rajaiya · 2001 to 2026
$10.8M
Novel Mechanisms in Adenoviral Ocular PathogenesisR01EY021558 · NEI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI James Chodosh, Jaya Rajaiya · 2011 to 2026
$7.1M
NEI NIH HHS R01 EY013124
6 · The paper itself

Abstract

purposeThis study aimed to develop a clinically feasible and practical therapy for multi-ocular protection following ocular injury by using a thermosensitive drug delivery system (DDS) for sustained delivery of TNF-α and VEGF inhibitors to the eye.

methodsA thermosensitive, biodegradable hydrogel DDS (PLGA-PEG-PLGA triblock polymer) loaded with 0.7 mg of adalimumab and 1.4 mg of aflibercept was injected subconjunctivally into Dutch-belted pigmented rabbits after corneal alkali injury. Control rabbits received 2 mg of IgG-loaded DDS or 1.4 mg of aflibercept-loaded DDS. Animals were followed for 3 months and assessed for tolerability and prevention of corneal neovascularization (NV), improvement of corneal re-epithelialization, inhibition of retinal ganglion cell (RGC) and optic nerve axon loss, and inhibition of immune cell infiltration into the cornea. Drug-release kinetics was assessed in vivo using an aqueous humor protein analysis.

resultsA single subconjunctival administration of dual anti-TNF-α/anti-VEGF DDS achieved a sustained 3-month delivery of antibodies to the anterior chamber, iris, ciliary body, and retina. Administration after corneal alkali burn suppressed CD45

conclusionsConcomitant inhibition of TNF-α and VEGF prevents corneal neovascularization and ameliorates subsequent irreversible damage to the retina and optic nerve after severe ocular injury. A single subconjunctival administration of this therapy, using a biodegradable, slow-release thermosensitive DDS, achieved the sustained elution of therapeutic levels of antibodies to all ocular tissues for 3 months. This therapeutic approach has the potential to dramatically improve the outcomes of severe ocular injuries in patients and improve the therapeutic outcomes in patients with retinal vascular diseases.

Indexed as

biologicsburncorneadegenerationinjuryneovascularizationretinaTNFVEFG

Identifiers

PMID37631272
PMCPMC10458495
OpenAlexW4385429187

What OpenQuestion holds

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LicenceCC BY
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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.