Evidence map›Paper›PMID 41543898›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Molecular underpinnings of induced degenerative heterogeneity in the retinal pigment epithelium.

Krishna Kumar Singh, Yang Jin, Ming-Wen Hu, Isabella Palazzo, Marisol Cano, Thanh Hoang, Imran Bhutto, Shusheng Wang, Debasish Sinha, Seth Blackshaw and 2 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. 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. Article
  2. A mutation inMolecular vision · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Krishna Kumar Singh *Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Yang Jin *Department of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Ming-Wen HuDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Isabella PalazzoDepartment of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Marisol CanoDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Thanh HoangDepartment of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Imran BhuttoDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0009-0006-4836-0015
Shusheng WangDepartment of Cell and Molecular Biology, Tulane University, New Orleans, LA 70118.ORCID 0000-0002-8841-5432
Debasish SinhaDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-1739-5577
Seth BlackshawDepartment of Neuroscience, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-1338-8476
Jiang QianDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0002-0476-3596
James T HandaDepartment of Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, MD 21287.ORCID 0000-0003-1314-1745

Funding

Transcriptional regulation of retinal cell differentiation and functionR01EY020560 · NEI · JOHNS HOPKINS UNIVERSITY · PI BLACKSHAW, SETH · 2011 to 2021
$4.4M
Targeting lysosome/RPE heterogeneity in AMD pathobiology as a novel therapyR01EY031594 · NEI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HANDA, JAMES T, SINHA, DEBASISH · 2021 to 2024
$2.4M
The role of epigenetics in RPE heterogeneity with early AMDR01EY033765 · NEI · JOHNS HOPKINS UNIVERSITY · PI HANDA, JAMES T · 2022 to 2025
$1.8M
BrightFocus Foundation (BFF) M2020166Edward N. and Della L. Thome Memorial Foundation (Thome Memorial Foundation) NoneFoundation Fighting Blindness (FFB) NoneHHS | NIH | National Eye Institute (NEI) EY001765HHS | NIH | National Eye Institute (NEI) EY031594HHS | NIH | National Eye Institute (NEI) EY031779HHS | NIH | National Eye Institute (NEI) EY033765HHS | NIH | National Eye Institute (NEI) EY034571HHS | NIH | National Eye Institute (NEI) EY035805HHS | NIH | National Eye Institute (NEI) EY036173Maryland Stem Cell Research Fund (MSCRF) NoneNEI NIH HHS R01 EY020560NEI NIH HHS R01 EY031594NEI NIH HHS R01 EY033765Research to Prevent Blindness (RPB) Stein award
6 · The paper itself

Abstract

Cigarette smoking induces epigenetic changes that can cause degenerative heterogeneity with aging and disease. In disease such as age-related macular degeneration (AMD), the leading worldwide cause of blindness among the elderly, retinal pigment epithelial (RPE) cell heterogeneity is a key change. Since smoking is a powerful risk factor for AMD, we hypothesized that smoke induces epigenetic-mediated degenerative RPE heterogeneity. We administered cigarette smoke condensate (CSC) to young and aged mice. Using snRNA-seq and single nuclear ATAC sequencing, we identified distinct healthy and dedifferentiated RPE clusters in both aged vehicle- and young CSC-treated mice. Dedifferentiated RPE had globally decreased chromatin accessibility and expression of genes linked to "hallmarks of aging." Notably, young, dedifferentiated RPE also exhibited a compensatory upregulation of hallmarks of aging-related genes including mitochondrial function and proteostasis while aged dedifferentiated RPE did not, which decreased their survival following CSC treatment, as experimentally verified with TUNEL labeling. Similar populations of dedifferentiated and healthy RPE were identified both in mice exposed to cigarette smoke for 4 mo and in macular RPE from a donor who smoked and another with early AMD, but not from a nonsmoker donor. Degenerative cellular heterogeneity that includes an abnormal cluster can jeopardize cell survival and represents a hallmark of ocular aging.

Indexed as

Macular DegenerationRetinal Pigment EpitheliumAgingAnimalsEpigenesis, GeneticHumansMiceMice, Inbred C57BLage-related macular degeneration (AMD)agingheterogeneityretinal pigment epithelium (RPE)smoking

Identifiers

PMID41543898
PMCPMC12818571

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.