Evidence map›Paper›PMID 30669482›Full record

ArticleJournal of clinical medicine2019

Homocysteine: A Potential Biomarker for Diabetic Retinopathy.

Amany Tawfik, Riyaz Mohamed, Nehal M Elsherbiny, Margaret M DeAngelis, Manuela Bartoli, Mohamed Al-Shabrawey

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
9.2field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. [Neutrophil-lymphocyte ratio and retinopathy in patients with type 2 diabetes mellitus].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Observational
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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

6 authors at 3 institutions in 2 countries.

Amany TawfikDepartment of Oral Biology and Diagnostic Sciences, Dental College of Medicine, Augusta University, Augusta, GA 30912, USA. amtawfik@augusta.edu.ORCID 0000-0002-0245-8256
Riyaz MohamedDepartment of Physiology and Endocrinology, MCG, Augusta University, Augusta, GA 30912, USA. rmohamed@augusta.edu.
Nehal M ElsherbinyDepartment of Biochemistry, Faculty of Pharmacy, Mansoura University, Mansoura 35516, Egypt. drnehal@hotmail.com.
Margaret M DeAngelisDepartment of Ophthalmology, Department of Population Health Sciences, University of Utah School of Medicine, Department of Pharmacotherapy, School of Pharmacy, Salt Lake City, UT 84132, USA. margaret.deangelis@utah.edu.ORCID 0000-0003-3731-142X
Manuela BartoliDepartment of Ophthalmology, MCG, Augusta University, Augusta, GA 30912, USA. mbartoli@augusta.edu.
Mohamed Al-ShabraweyDepartment of Oral Biology and Diagnostic Sciences, Dental College of Medicine, Augusta University, Augusta, GA 30912, USA. MALSHABRAWEY@augusta.edu.
Augusta University · USMansoura University · EGUniversity of Utah · US

Funding

Regulation of endogenous antioxidant systems in diabetic retinopathyR01EY022416 · NEI · AUGUSTA UNIVERSITY · PI BARTOLI, MANUELA · 2013 to 2017
$1.9M
Role of lipoxygenase pathway in early microvascular dysfunction during diabetic rR01EY023315 · NEI · AUGUSTA UNIVERSITY · PI AL-SHABRAWEY, MOHAMED AL-SAYED · 2013 to 2017
$1.8M
American Heart Association (AHA) 16SDG30700016NEI NIH HHS R01 EY022416NEI NIH HHS R01 EY023315
6 · The paper itself

Abstract

Diabetic retinopathy (DR) is the most common cause of blindness in people under the age of 65. Unfortunately, the current screening process for DR restricts the population that can be evaluated and the disease goes undetected until irreversible damage occurs. Herein, we aimed to evaluate homocysteine (Hcy) as a biomarker for DR screening. Hcy levels were measured by enzyme-linked immuno sorbent assay (ELISA) and immunolocalization methods in the serum, vitreous and retina of diabetic patients as well as in serum and retina of different animal models of DM representing type 1 diabetes (streptozotocin (STZ) mice, Akita mice and STZ rats) and db/db mice which exhibit features of human type 2 diabetes. Our results revealed increased Hcy levels in the serum, vitreous and retina of diabetic patients and experimental animal models of diabetes. Moreover, optical coherence tomography (OCT) and fluorescein angiography (FA) were used to evaluate the retinal changes in mice eyes after Hcy-intravitreal injection into normal wild-type (WT) and diabetic (STZ) mice. Hcy induced changes in mice retina which were aggravated under diabetic conditions. In conclusion, our data reported Hcy as a strong candidate for use as a biomarker in DR screening. Targeting the clearance of Hcy could also be a future therapeutic target for DR.

Indexed as

biomarkerdiabetic retinopathyhomocysteine

Identifiers

PMID30669482
PMCPMC6352029
OpenAlexW2908553539

What Socratic 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 Socratic graph.