Evidence map›Paper›PMID 39563679›Full record

ArticleMolecular vision2024

Increased inflammatory mediators in the ocular surface tissue in keratoconus.

Albert Santos, José A P M Filho, Marcos A Cenedeze, Meire I Hiyane, Mariane T Amano, Mario C Cruz, Flavio E Hirai, Niels O S Camara, Luciene B de Sousa, Lauro A de Oliveira

Abstract read
In one paragraph

Article in Molecular vision, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Tear cytokine profiles between children with allergic conjunctivitis at varying eye rubbing frequencies and keratoconus: A cross-sectional study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. 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

10 authors.

Albert SantosDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
José A P M FilhoDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
Marcos A CenedezeNephrology Division, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
Meire I HiyaneDepartment of Immunology, Institute of Biomedical Sciences IV, University of São Paulo, São Paulo, Brazil.
Mariane T AmanoInstituto de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, Brazil.
Mario C CruzDepartment of Immunology, Institute of Biomedical Sciences IV, University of São Paulo, São Paulo, Brazil.
Flavio E HiraiDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
Niels O S CamaraNephrology Division, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
Luciene B de SousaDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.
Lauro A de OliveiraDepartment of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil, UNIFESP.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to characterize the inflammatory mediators present in the tear film of patients with keratoconus (KC). It also aimed to investigate the gene expression of these mediators in corneal epithelial cells and their immune activity in conjunctival epithelial cells in patients with KC compared to a control group. Methods: This transversal study included 30 patients with KC and 23 control group participants. Tear samples were collected by washing the ocular surface with 60 μL of sterile buffered saline solution. The levels of interleukin IL-5, IL-13, IL-2, IL-6, IL-10, interferon-gamma, tumor necrosis factor-alpha, and IL-4 were measured using a LEGEND plex HU Th1/Th2 panel kit and analyzed using flow cytometry. Corneal epithelial samples were obtained via manual keratectomy from KC patients scheduled for corneal crosslinking and from individuals scheduled for photorefractive keratectomy (control group). These samples were immediately stored at -70 °C for mRNA extraction and subsequent reverse transcription polymerase chain reaction analysis to measure Results: Our study found no statistically significant differences in the tear film cytokine concentrations between the two groups. In addition, the gene expression of Conclusions: In this study, despite higher levels of IL-5 and IL-6 in the tear film of patients with KC, there was no statistically significant difference compared to the control group. However, there was heightened immune activity in the corneal and conjunctival epithelial cells of patients with KC based on IL-5 and IL-6 gene expression and their immunodetection, respectively.

Indexed as

ConjunctivaInflammation MediatorsInterleukin-6KeratoconusTearsAdultCase-Control StudiesCorneaCytokinesEpithelium, CornealFemaleGene Expression RegulationHumansInterleukin-5MaleRNA, MessengerCytokinesInflammation MediatorsInterleukin-5Interleukin-6RNA, Messenger

Identifiers

PMID39563679
PMCPMC11575844

What OpenQuestion holds

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Registered trials

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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.