Evidence mapPaperPMID 31350303Full record

ArticleDiabetes2019

Montelukast Prevents Early Diabetic Retinopathy in Mice.

Reena Bapputty, Ramaprasad Talahalli, Simona Zarini, Ivy Samuels, Robert Murphy, Rose Gubitosi-Klug

Open access · greenAbstract read
In one paragraph

Article in Diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. [Diabetic Nephropathy Treatment by Zn Supplementation in a Murine Model of Type 1 Diabetes Mellitus: Potential Role of Nrf2 Signaling Pathway].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  3. Review
  4. Diabetes-inducing effects of bronchial asthma.World journal of diabetes · 2025
    Article
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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 1 country.

Reena BapputtyDepartment of Pediatrics, School of Medicine, Case Western Reserve University, University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH.
Ramaprasad TalahalliDepartment of Pediatrics, School of Medicine, Case Western Reserve University, University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH.
Simona ZariniDepartment of Pharmacology, University of Colorado, Aurora, CO.
Ivy SamuelsResearch Service, Louis Stokes Cleveland Veterans Affairs Medical Center, Cleveland, OH.
Robert MurphyDepartment of Pharmacology, University of Colorado, Aurora, CO.
Rose Gubitosi-KlugDepartment of Pediatrics, School of Medicine, Case Western Reserve University, University Hospitals Rainbow Babies & Children's Hospital, Cleveland, OH rose.gubitosi-klug@case.edu.ORCID 0000-0002-7376-6870
Rainbow Babies & Children's Hospital · USUniversity of Colorado Anschutz Medical Campus · USLouis Stokes Cleveland VA Medical Center · US

Funding

TRANSLOCATION AND TRANSCELLULAR BIOSYNTHESISP01HL034303 · NATIONAL JEWISH HEALTH · 1985 to 2005
$9.9M
The Specialized Animal Resources CoreP30EY011373 · CASE WESTERN RESERVE UNIVERSITY · 1997 to 2025
$3.9M
BLRD VA I01 BX002754NEI NIH HHS P30 EY011373NEI NIH HHS R01 EY021535NHLBI NIH HHS P01 HL034303
6 · The paper itself

Abstract

Chronic inflammation and oxidative stress are critical components in the pathogenic cascade of early diabetic retinopathy, characterized by neuronal and vascular degeneration. We investigated pharmacologic inhibition of the proinflammatory leukotriene cascade for therapeutic benefit in early diabetic retinopathy. Using the streptozotocin-induced diabetes mouse model, we administered montelukast, a leukotriene receptor antagonist, and diabetes-related retinal pathology was assessed. Early biochemical and cellular function measures were evaluated at 3 months' diabetes duration and included vascular permeability, superoxide production, leukotriene generation, leukocyte-induced microvascular endothelial cell death, and retinal function by electroretinography. Histopathology assessments at 9 months' diabetes duration included capillary degeneration and retinal ganglion cell loss. Leukotriene receptor antagonism resulted in a significant reduction of early, diabetes-induced retinal capillary leakage, superoxide generation, leukocyte adherence, and leukotriene generation. After 9 months of diabetes, the retinal microvasculature from untreated diabetic mice demonstrated a nearly threefold increase in capillary degeneration compared with nondiabetic mice. Montelukast inhibited the diabetes-induced capillary and neuronal degeneration, whether administered as a prevention strategy, immediately after induction of diabetes, or as an intervention strategy starting at 4.5 months after confirmation of diabetes. Pharmacologic blockade of the leukotriene pathway holds potential as a novel therapy to prevent or slow the development of diabetic retinopathy.

Indexed as

AcetatesAnimalsCapillary PermeabilityCyclopropanesDiabetes Mellitus, ExperimentalDiabetic RetinopathyElectroretinographyInflammationLeukotriene AntagonistsMaleMiceQuinolinesRetinaRetinal VesselsSulfidesSuperoxidesAcetatesCyclopropanesLeukotriene AntagonistsmontelukastQuinolinesSulfidesSuperoxides

Identifiers

PMID31350303
PMCPMC6754245
OpenAlexW2965229477

What Socratic holds

Textmetadata
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 Socratic graph.