Evidence map›Paper›PMID 40747314›Full record

ArticleFrontiers in endocrinology2025

A key role of the PGC-1α/ERR-α pathway in regulation of angiogenic factors in proliferative diabetic retinopathy.

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

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ahmed M Abu El-AsrarDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mohd I NawazDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Ajmal AhmadDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Mairaj M SiddiqueiDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Eef AllegaertLaboratory of Histochemistry and Cytochemistry, University of Leuven, Leuven, Belgium.
Priscilla W GikandiDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Gert De HertoghLaboratory of Histochemistry and Cytochemistry, University of Leuven, Leuven, Belgium.
Ghislain OpdenakkerDepartment of Ophthalmology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: PGC-1α is induced by hypoxia and interacts with the receptor ERR-α to stimulate angiogenic factors expression and promote angiogenesis. We investigated the possible role of the PGC-1α/ERR-α pathway in regulating angiogenic factors expression in proliferative diabetic retinopathy (PDR). Methods: We analysed vitreous fluid samples from PDR and non-diabetic patients and epiretinal fibrovascular membranes from PDR patients. Streptozotocin-treated rats were used as a model of diabetic retinopathy. Vitreous samples, epiretinal membranes, rat retinas, human retinal Müller glial cells and human retinal microvascular endothelial cells (HRMECs) were studied by Western blot analysis, ELISA and immunohistochemistry. Levels of reactive oxygen species (ROS) were determined with spectrofluorometric analysis. Results: Immunohistochemical analysis demonstrated co-expression of PGC-1α and ERR-α in endothelial cells and leukocytes in epiretinal membranes. Angiogenic activity, determined by the numbers of CD31-positive vessels, correlated significantly with PGC-1α and ERR-α expression levels. PGC-1α, ERR-α and the angiogenic biomarkers vascular endothelial growth (VEGF) and angiopoietin 2 were significantly increased in PDR vitreous samples. Diabetes induced upregulation of PGC-1α and ERR-α immunoreactive proteoforms in rat retinas. Cultured Müller cells and HRMECs constitutively expressed PGC-1α and ERR-α. In Müller cells, the PGC-1α inhibitor SR-18292 and the ERR-α selective inverse agonist XCT790 significantly attenuated VEGF, angiopoietin 2 and MCP-1/CCL2 upregulation induced by diabetic mimetic conditions. Treatment of Müller cells with the PGC-1α activator XLN005 induced significant upregulation of VEGF and attenuated ROS production induced by diabetic mimetic conditions. Conclusions: Our findings suggest that suppression of the PGC-1α/ERR-α pathway might impair the upregulation of angiogenic factors in PDR.

Indexed as

Angiogenesis Inducing AgentsDiabetic RetinopathyPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaReceptors, EstrogenAgedAnimalsDiabetes Mellitus, ExperimentalEndothelial CellsERRalpha Estrogen-Related ReceptorFemaleHumansMaleMiddle AgedNeovascularization, PathologicRatsRats, Sprague-DawleyAngiogenesis Inducing AgentsERRalpha Estrogen-Related ReceptorPeroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alphaPPARGC1A protein, humanReactive Oxygen SpeciesReceptors, EstrogenVascular Endothelial Growth Factor AangiogenesisERR-αPGC1-αproliferative diabetic retinopathyVEGF

Identifiers

PMID40747314
PMCPMC12310499

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