Evidence map›Paper›PMID 41821064›Full record

ArticleInternational journal of retina and vitreous2026

C3a and C5a plasma concentrations in patients with diabetic retinopathy: a cross-sectional study.

Paula Basso Dias, Iara Messias-Reason, Germano Ramos Boff, Kenzo Hokazono, Renato Nisihara

Abstract read
In one paragraph

Article in International journal of retina and vitreous, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Paula Basso DiasInternal Medicine Post Graduate, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-3163-8854
Iara Messias-ReasonInternal Medicine Post Graduate, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-5573-260X
Germano Ramos BoffDepartment of Ophthalmology, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0003-2897-6833
Kenzo HokazonoDepartment of Ophthalmology, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil.ORCID http://orcid.org/0000-0002-1234-8093
Renato NisiharaInternal Medicine Post Graduate, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil. renatonisihara@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic retinopathy (DR) is the leading cause of irreversible blindness in adults, with inflammation playing a critical role in its pathogenesis, particularly involving the complement system (CS). Components of the complement cascade, such as C3a and C5a, have been identified in both vitreous and plasma samples from individuals with DR. This study aimed to evaluate plasma concentrations of C3a and C5a in relation to DR onset and severity.

methodsA total of 150 patients with diabetes mellitus (DM) underwent ophthalmic examination and were categorized into groups: without DR (control group), mild/moderate/severe non-proliferative DR (NPDR) and proliferative DR (PDR). Plasma C3a and C5a levels were measured using sandwich enzyme-linked immunosorbent assays (ELISA).

resultsSignificant elevations in C3a levels were found in severe NPDR (p = 0.02) and PDR (p < 0.05) groups compared to controls. Furthermore, severe/proliferative DR exhibited higher C3a levels than mild/moderate NPDR (p = 0.015). No significant differences in C5a concentrations were observed among the groups.

conclusionThese findings suggest the involvement of complement in the pathogenesis of DR, and the association of C3a with DR severity highlights its potential as a prognostic biomarker and therapeutic target.

Indexed as

AnaphylatoxinsC3aC5aComplement systemDiabetic retinopathy

Identifiers

PMID41821064
PMCPMC13097885

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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.