Evidence map›Paper›PMID 41353467›Full record

ArticleScientific reports2025

Association between systemic complement levels and choroidal thickness in advanced non-neovascular age-related macular degeneration.

Talisa E de Carlo Forest, A Itzam Marin, Zafar Gill, Ramya Gnanaraj, Jennifer L Patnaik, Felix Poppelaars, Anne M Lynch, Alan G Palestine, Marc T Mathias, Niranjan Manoharan and 3 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Macular degeneration collection.Scientific reports · 2026
    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

13 authors.

Talisa E de Carlo ForestDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA. Talisa.forest@cuanschutz.edu.ORCID http://orcid.org/0000-0001-7289-1509
A Itzam MarinDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Zafar GillDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Ramya GnanarajDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Jennifer L PatnaikDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Felix PoppelaarsDivision of Nephrology and Hypertension, University of Colorado Denver School of Medicine, Aurora, CO, USA.
Anne M LynchDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Alan G PalestineDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Marc T MathiasDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Niranjan ManoharanDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.
Ashley A Frazer-AbelDivision of Rheumatology, University of Colorado School of Medicine, Aurora, CO, USA.
V Michael HolersDivision of Rheumatology, University of Colorado School of Medicine, Aurora, CO, USA.
Naresh MandavaDepartment of Ophthalmology, University of Colorado Denver School of Medicine, 1675 Aurora Ct, Aurora, 80045, CO, USA.

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Biomarkers of Systemic Inflammation in Intermediate Age-Related Macular DegenerationR01EY032456 · NEI · UNIVERSITY OF COLORADO DENVER · PI LYNCH, ANNE M. · 2021 to 2024
$1.6M
NCATS NIH HHS UL1 TR002535NEI NIH HHS R01 EY032456U.S. Department of Health & Human Services | NIH | National Eye Institute (NEI) R01EY032456
6 · The paper itself

Abstract

To investigate associations between systemic complement activation and choroidal thickness (CT) in advanced non-neovascular age-related macular degeneration (nnAMD). Cross-sectional study of 96 patients (187 eyes) with advanced nnAMD enrolled in the University of Colorado AMD Registry (August 2014-June 2021). Medical histories, multimodal imaging, and plasma samples were collected. Plasma was analyzed via enzyme-linked immunosorbent assay and multiplex Luminex assays for complement factors C1q, monoclonal B-cell lymphocytosis, C2, C4, C4b, C3, C3a, Factor B, Bb, Factor D, Factor H, Factor I, C5 and soluble C5b-9. CT was measured subfoveally and at 1000 μm intervals superiorly, inferiorly, nasally, and temporally using Spectralis OCT. Linear modeling with generalized estimating equations assessed log-transformed OCT and complement factors. The mean age was 82.2 years (± 7.1 SD); 54.2% were female. Average CT was negatively associated with Bb (β=-0.47, SE: 0.12, p = 0.0001) and the Bb/Factor B ratio (β=-0.28, SE: 0.12, p = 0.02), but not other complement markers. Bb levels correlated with alternative pathway components but not with classical or lectin pathway markers. We found a key association between systemic complement activation of Factor B and choroidal thickness in patients with advanced nnAMD, implying the potential involvement of the systemic alternative pathway in nnAMD patients.

Indexed as

ChoroidComplement System ProteinsMacular DegenerationAgedAged, 80 and overComplement ActivationCross-Sectional StudiesFemaleHumansMaleTomography, Optical CoherenceComplement System ProteinsAge-related macular degenerationAlternative pathwayChoroidal thicknessComplement

Identifiers

PMID41353467
PMCPMC12796205

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.