Evidence map›Paper›PMID 37958563›Full record

ArticleInternational journal of molecular sciences2023

CD40 Ligand-CD40 Interaction Is an Intermediary between Inflammation and Angiogenesis in Proliferative Diabetic Retinopathy.

Ahmed M Abu El-Asrar, Mohd I Nawaz, Ajmal Ahmad, Luna Dillemans, Mairaj Siddiquei, Eef Allegaert, Priscilla W Gikandi, Gert De Hertogh, Ghislain Opdenakker, Sofie Struyf

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.6field-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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Bibliometric analysis and visualization of inflammation in the field of diabetic retinopathy research (2006-2025).Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
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  3. Biomolecules & biomedicine · 2026
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  15. Flavonoids with Anti-Angiogenesis Function in Cancer.Molecules (Basel, Switzerland) · 2024
    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

10 authors at 3 institutions in 2 countries.

Ahmed M Abu El-AsrarDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.ORCID 0000-0003-2226-8617
Mohd I NawazDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.ORCID 0000-0002-7040-9405
Ajmal AhmadDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.
Luna DillemansLaboratory of Molecular Immunology, Department of Microbiology, Immunology and Transplantation, Rega Institute, University of Leuven, 3000 Leuven, Belgium.
Mairaj SiddiqueiDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.ORCID 0000-0002-5135-9043
Eef AllegaertLaboratory of Histochemistry and Cytochemistry, University of Leuven, 3000 Leuven, Belgium.
Priscilla W GikandiDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.
Gert De HertoghLaboratory of Histochemistry and Cytochemistry, University of Leuven, 3000 Leuven, Belgium.
Ghislain OpdenakkerDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh 11411, Saudi Arabia.ORCID 0000-0003-1714-2294
Sofie StruyfLaboratory of Molecular Immunology, Department of Microbiology, Immunology and Transplantation, Rega Institute, University of Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-4558-0769
King Saud University · SARega Institute for Medical Research · BEUniversitair Ziekenhuis Leuven · BE

Funding

This work was supported by the Deputyship for Research & Innovation, Ministry of Education in Saudi Arabia for funding this research (IFKSURC-1-2101) (AMA). Research in Rega Institute at KU Leuven was supported by C1 grant (C16/17/010) from KU Leuven, project G067123N of FWO Flanders (SS), and by the Rega Foundation (SS and GO). LD obtained a predoctoral fellowship Fundamental Research of FWO Flanders (11L312
6 · The paper itself

Abstract

We aimed to investigate the role of the CD40-CD40 ligand (CD40L) pathway in inflammation-mediated angiogenesis in proliferative diabetic retinopathy (PDR). We analyzed vitreous fluids and epiretinal fibrovascular membranes from PDR and nondiabetic patients, cultures of human retinal microvascular endothelial cells (HRMECs) and Müller glial cells and rat retinas with ELISA, immunohistochemistry, flow cytometry and Western blot analysis. Functional tests included measurement of blood-retinal barrier breakdown, in vitro angiogenesis and assessment of monocyte-HRMEC adherence. CD40L and CD40 levels were significantly increased in PDR vitreous samples. We demonstrated CD40L and CD40 expression in vascular endothelial cells, leukocytes and myofibroblasts in epiretinal membranes. Intravitreal administration of soluble (s)CD40L in normal rats significantly increased retinal vascular permeability and induced significant upregulation of phospho-ERK1/2, VEGF, intercellular adhesion molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1). sCD40L induced upregulation of VEGF, MMP-9, MCP-1 and HMGB1 in cultured Müller cells and phospo-ERK1/2, p65 subunit of NF-ĸB, VCAM-1 and VEGF in cultured HRMECS. TNF-α induced significant upregulation of CD40 in HRMECs and Müller cells and VEGF induced significant upregulation of CD40 in HRMECs. sCD40L induced proliferation and migration of HRMECs. We provide experimental evidence supporting the involvement of the CD40L-CD40 pathway and how it regulates inflammatory angiogenesis in PDR.

Indexed as

Diabetes MellitusDiabetic RetinopathyAnimalsCD40 LigandEndothelial CellsHumansInflammationRatsRats, Sprague-DawleyVascular Cell Adhesion Molecule-1Vascular Endothelial Growth Factor ACD40 LigandVascular Cell Adhesion Molecule-1Vascular Endothelial Growth Factor AangiogenesisCD40 ligandendothelial cellsinflammationproliferative diabetic retinopathy

Identifiers

PMID37958563
PMCPMC10648257
OpenAlexW4388266255

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.