Evidence map›Paper›PMID 33579667›Full record

ArticleRedox biology2021

Retinal oxidative stress activates the NRF2/ARE pathway: An early endogenous protective response to ocular hypertension.

Sarah Naguib, Jon R Backstrom, Melanie Gil, David J Calkins, Tonia S Rex

Open access · goldAbstract read
In one paragraph

Article in Redox biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
8.2field-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

36 citing papers in PubMed, 51 citations in OpenAlex.

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  10. Role of reactive oxygen species and oxidative stress in the pathomechanism of glaucoma.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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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

5 authors at 2 institutions in 1 country.

Sarah NaguibDepartment of Ophthalmology & Visual Sciences, Vanderbilt University School of Medicine, Nashville, TN, USA. Electronic address: Sarah.naguib@vanderbilt.edu.
Jon R BackstromVanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: Jon.backstrom@vumc.org.
Melanie GilDepartment of Ophthalmology & Visual Sciences, Vanderbilt University School of Medicine, Nashville, TN, USA. Electronic address: Melanie.gil@vanderbilt.edu.
David J CalkinsDepartment of Ophthalmology & Visual Sciences, Vanderbilt University School of Medicine, Nashville, TN, USA; Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: David.j.calkins@vumc.org.
Tonia S RexDepartment of Ophthalmology & Visual Sciences, Vanderbilt University School of Medicine, Nashville, TN, USA; Vanderbilt Eye Institute, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: Tonia.rex@vumc.org.
Vanderbilt University · USVanderbilt University Medical Center · US

Funding

Shop Module CoreP30EY008126 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI David J. Calkins · 1989 to 2026
$19.6M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Retinal Ganglion Cell Replacement in Clinically Relevant Models of Optic NeuropathyU24EY029893 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARANOV, PETR, REX, TONIA S · 2018 to 2022
$7.2M
Transient Receptor Potential Channels and Retinal Ganglion Cell Death in GlaucomaR01EY017427 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CALKINS, DAVID J. · 2008 to 2020
$4.2M
Role of the Nrf2/ARE pathway in retinal ganglion cells during glaucoma pathogenesis and neuroprotectionR01EY022349 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CALKINS, DAVID J., REX, TONIA S · 2012 to 2021
$3.8M
Mitochondria: controllers of trauma-induced secondary neurodegeneration onsetR01EY036252 · NEI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TONIA S REX · 2024 to 2026
$1.4M
NEI NIH HHS P30 EY008126NEI NIH HHS R01 EY017427NEI NIH HHS R01 EY022349NEI NIH HHS R01 EY036252NEI NIH HHS U24 EY029893NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

Oxidative stress contributes to degeneration of retinal ganglion cells and their axons in glaucoma, a leading cause of irreversible blindness worldwide, through sensitivity to intraocular pressure (IOP). Here, we investigated early elevations in reactive oxygen species (ROS) and a role for the NRF2-KEAP1-ARE endogenous antioxidant response pathway using microbead occlusion to elevate IOP in mice. ROS levels peaked in the retina at 1- and 2-wks following IOP elevation and remained elevated out to 5-wks. Phosphorylation of NRF2 and antioxidant gene transcription and protein levels increased concomitantly at 2-wks after IOP elevation, along with phosphorylation of PI3K and AKT. Inhibiting PI3K or AKT signaling prevented NRF2 phosphorylation and reduced transcription of antioxidant-regulated genes. Ocular hypertensive mice lacking Nrf2 had elevated ROS and a diminished increase in antioxidant gene expression. They also exhibited earlier axon degeneration and loss of visual function. In conclusion, the NRF2-KEAP1-ARE pathway is endogenously activated early in ocular hypertension due to phosphorylation of NRF2 by the PI3K/AKT pathway and serves to slow the onset of axon degeneration and vision loss in glaucoma. These data suggest that exogenous activation of this pathway might further slow glaucomatous neurodegeneration.

Indexed as

GlaucomaOcular HypertensionAnimalsDisease Models, AnimalKelch-Like ECH-Associated Protein 1MiceNF-E2-Related Factor 2Oxidative StressPhosphatidylinositol 3-KinasesRetinaKelch-Like ECH-Associated Protein 1NF-E2-Related Factor 2Phosphatidylinositol 3-KinasesAntioxidant response elementGlaucomaNrf2Optic nerveOxidative stressRetinal ganglion cell

Identifiers

PMID33579667
PMCPMC8113046
OpenAlexW3128475302

What Socratic holds

Textmetadata
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 Socratic graph.