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  1. Article: Classification of Peripheral Blood Leukocyte Phenotypes and Serum Cytokines in Vogt-Koyanagi-Harada Disease before and after Glucocorticoid Therapy.

    Sato, Tomohito / Taniguchi, Nanae / Nishio, Yoshiaki / Ito, Masataka / Takeuchi, Masaru

    Journal of clinical medicine

    2023  Volume 12, Issue 24

    Abstract: Vogt-Koyanagi-Harada disease (VKH) is an autoimmune disease, and glucocorticoid therapy (GC) is widely used for VKH. We provided a profile of leukocyte populations and serum cytokines in VKH patients under GC. A prospective observational study was ... ...

    Abstract Vogt-Koyanagi-Harada disease (VKH) is an autoimmune disease, and glucocorticoid therapy (GC) is widely used for VKH. We provided a profile of leukocyte populations and serum cytokines in VKH patients under GC. A prospective observational study was conducted on three treatment-naïve VKH patients. Peripheral blood samples were collected from the patients before GC (VKH-acute) and after 6 months (VKH-remission), and healthy individuals were used as controls. Proportions of 37-type leukocytes and levels of 27-kind cytokines were measured by mass cytometry and multiplex bead analysis. Property similarity was analyzed using hierarchical cluster analysis. The leukocytes and cytokines were broadly classified into four and three clusters: (1) a cluster with high intensity in VKH-acute consisting of B cells, Th2-like, Th17-like, basophils, and IL-7 and IP-10; (2) a cluster with high intensity in VKH-remission composed of monocytes, neutrophils, IL-4, and TNFα; in leukocytes, (3) a cluster with low intensity in VKH-acute and -remission consisting of CD8
    Language English
    Publishing date 2023-12-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12247742
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Circadian Neuropeptide-Expressing Clock Neurons as Regulators of Long-Term Memory: Molecular and Cellular Perspectives.

    Inami, Show / Sato, Tomohito / Sakai, Takaomi

    Frontiers in molecular neuroscience

    2022  Volume 15, Page(s) 934222

    Abstract: The neuropeptide pigment-dispersing factor (Pdf) is critically involved in the regulation of circadian rhythms in various insects. The function of Pdf in circadian rhythms has been best studied in the fruitfly, i.e., ...

    Abstract The neuropeptide pigment-dispersing factor (Pdf) is critically involved in the regulation of circadian rhythms in various insects. The function of Pdf in circadian rhythms has been best studied in the fruitfly, i.e.,
    Language English
    Publishing date 2022-07-13
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2452967-9
    ISSN 1662-5099
    ISSN 1662-5099
    DOI 10.3389/fnmol.2022.934222
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  3. Article ; Online: Ischemic Retinopathy with Vitreous Hemorrhage Resembling Diabetic Retinopathy in a Patient with Mixed Cryoglobulinemia.

    Sato, Tomohito / Kitamura, Riki / Takeuchi, Masaru

    Ocular immunology and inflammation

    2022  Volume 31, Issue 9, Page(s) 1887–1890

    Abstract: Purpose: To report a case of mixed cryoglobulinemia manifesting retinopathy with bilateral vitreous hemorrhage (VH) resembling diabetic retinopathy.: Case report: A 60-year-old Japanese man with renal dysfunction of unknown origin was hospitalized ... ...

    Abstract Purpose: To report a case of mixed cryoglobulinemia manifesting retinopathy with bilateral vitreous hemorrhage (VH) resembling diabetic retinopathy.
    Case report: A 60-year-old Japanese man with renal dysfunction of unknown origin was hospitalized for investigation of underlying disease. Laboratory examinations were positive for cryoglobulins composed of IgG and IgM in serum, and hepatitis C virus (HCV) infection. He was diagnosed with HCV-related mixed cryoglobulinemia. During hospitalization, he developed sudden loss of vision and was referred to the department of ophthalmology. Ophthalmic examination revealed VH in both eyes, and vitrectomy was performed on the right eye. Fundus examination after vitrectomy revealed sheathing vessels, mottled hemorrhages in the entire retina, and avascular areas with neovascularization. Disrupted outer retinal layers in the macula were confirmed. Vitreous fluid level of VEGF-A in the right eye was 166.6 pg/mL.
    Conclusion: Retinal ischemia resembling diabetic retinopathy may cause VH in patients with mixed cryoglobulinemia.
    MeSH term(s) Male ; Humans ; Middle Aged ; Diabetic Retinopathy/complications ; Diabetic Retinopathy/diagnosis ; Vitreous Hemorrhage/diagnosis ; Vitreous Hemorrhage/etiology ; Cryoglobulinemia/complications ; Cryoglobulinemia/diagnosis ; Retinal Diseases/diagnosis ; Retinal Diseases/etiology ; Vitrectomy/adverse effects ; Hepatitis C ; Ischemia/diagnosis ; Ischemia/etiology ; Diabetes Mellitus
    Language English
    Publishing date 2022-09-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1193873-0
    ISSN 1744-5078 ; 0927-3948
    ISSN (online) 1744-5078
    ISSN 0927-3948
    DOI 10.1080/09273948.2022.2117706
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  4. Article ; Online: Case report: Bilateral panuveitis resembling Vogt-Koyanagi-Harada disease after second dose of BNT162b2 mRNA COVID-19 vaccine.

    Sato, Tomohito / Nihei, Ryotaro / Sora, Daisuke / Nishio, Yoshiaki / Takeuchi, Masaru

    Frontiers in immunology

    2022  Volume 13, Page(s) 967972

    Abstract: Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remains a serious pandemic. COVID-19 vaccination is urgent needed for limiting SARS-CoV-2 outbreaks by herd immunity. Simultaneously, post- ... ...

    Abstract Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) remains a serious pandemic. COVID-19 vaccination is urgent needed for limiting SARS-CoV-2 outbreaks by herd immunity. Simultaneously, post-marketing surveillance to assess vaccine safety is important, and collection of vaccine-related adverse events has been in progress. Vision-threatening ophthalmic adverse events of COVID-19 vaccines are rare but are a matter of concern. We report a 45-year-old Japanese male with positive for HLA-DR4/HLA-DRB1*0405, who developed bilateral panuveitis resembling Vogt-Koyanagi-Harada (VKH) disease after the second dose of Pfizer-BioNTech COVID-19 mRNA (BNT162b2) vaccine. Glucocorticosteroid (GC) therapy combined with cyclosporine A (CsA) readily improved the panuveitis. The immune profile at the time of onset was analyzed using CyTOF technology, which revealed activations of innate immunity mainly consisting of natural killer cells, and acquired immunity predominantly composed of B cells and CD8
    MeSH term(s) BNT162 Vaccine ; CD8-Positive T-Lymphocytes ; COVID-19 ; COVID-19 Vaccines/adverse effects ; Cyclosporine/therapeutic use ; Epitopes ; HLA-DR4 Antigen ; Humans ; Male ; Middle Aged ; Panuveitis/diagnosis ; Panuveitis/drug therapy ; Panuveitis/etiology ; RNA, Messenger/therapeutic use ; SARS-CoV-2 ; Uveomeningoencephalitic Syndrome/diagnosis ; Uveomeningoencephalitic Syndrome/drug therapy ; Uveomeningoencephalitic Syndrome/etiology
    Chemical Substances COVID-19 Vaccines ; Epitopes ; HLA-DR4 Antigen ; RNA, Messenger ; Cyclosporine (83HN0GTJ6D) ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2022-09-29
    Publishing country Switzerland
    Document type Case Reports ; Research Support, Non-U.S. Gov't
    ZDB-ID 2606827-8
    ISSN 1664-3224 ; 1664-3224
    ISSN (online) 1664-3224
    ISSN 1664-3224
    DOI 10.3389/fimmu.2022.967972
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Sub internal limiting membrane hemorrhage followed by bilateral optic disc hemorrhage in Kikuchi-Fujimoto disease: a case report.

    Sato, Tomohito / Kanda, Koji / Kawamura, Yusuke / Takeuchi, Masaru

    BMC ophthalmology

    2021  Volume 21, Issue 1, Page(s) 355

    Abstract: Background: Kikuchi-Fujimoto disease (KFD) is a necrotizing lymphadenitis, and presents fever of unknown origin and cervical lymphadenopathy. Ocular complications are unusual in KFD. Here we report a case of sub internal limiting membrane (ILM) ... ...

    Abstract Background: Kikuchi-Fujimoto disease (KFD) is a necrotizing lymphadenitis, and presents fever of unknown origin and cervical lymphadenopathy. Ocular complications are unusual in KFD. Here we report a case of sub internal limiting membrane (ILM) hemorrhage followed by bilateral optic disc hemorrhage in KFD.
    Case presentation: A 16-year-old Japanese man perceived a sudden decrease of right vision 3 days after onset of fever with unknown origin and left cervical lymphadenopathy. At presentation, visual acuity (VA) of right eye was 0.05 in decimal chart (1.30: converted to logarithm of minimum angle of resolution: logMAR). Fundus photograph showed extensive sub-ILM hemorrhage in right eye, and optic disc hemorrhages in both eyes. Fluorescein angiography presented hypo- and hyperfluorescences in optic disc of right eye, and hyperfluorescence in the disc of left eye. To make a definitive diagnosis, cervical lymph node biopsy was performed, and KFD was diagnosed pathologically. Thereafter, fever, headache and the cervical lymphadenopathy disappeared spontaneously. The sub-ILM hemorrhage was drained into the vitreous cavity by neodymium:yttrium-aluminum-garnet laser (Nd: YAG) hyaloidotomy. VA recovered to 1.5 (- 0.18: logMAR VA) in right eye.
    Conclusion: Sub-ILM hemorrhage and optic disc hemorrhage are a KFD-related ocular complication.
    MeSH term(s) Adolescent ; Fluorescein Angiography ; Histiocytic Necrotizing Lymphadenitis ; Humans ; Male ; Optic Disk ; Retinal Hemorrhage/diagnosis ; Retinal Hemorrhage/etiology ; Visual Acuity
    Language English
    Publishing date 2021-10-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2050436-6
    ISSN 1471-2415 ; 1471-2415
    ISSN (online) 1471-2415
    ISSN 1471-2415
    DOI 10.1186/s12886-021-02106-y
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  6. Article: Profiles of Cytokines Secreted by ARPE-19 Cells Exposed to Light and Incubated with Anti-VEGF Antibody.

    Sato, Tomohito / Takeuchi, Masaru / Karasawa, Yoko / Ito, Masataka

    Biomedicines

    2021  Volume 9, Issue 10

    Abstract: The retinal pigment epithelium (RPE) is the major source of cytokines in the retina regulating the intraocular immune environment, and a primary target of photodamage. Here, we examined 27 types of cytokines secreted by ARPE-19 cells exposed to visible ... ...

    Abstract The retinal pigment epithelium (RPE) is the major source of cytokines in the retina regulating the intraocular immune environment, and a primary target of photodamage. Here, we examined 27 types of cytokines secreted by ARPE-19 cells exposed to visible light and incubated with aflibercept or ranibizumab, which are two anti-vascular endothelial growth factor (VEGF) antibodies. The cells were cultured for 24 h in the dark or under 2000 lux irradiation from a daylight-colored fluorescent lamp, and cytokine levels in the culture supernatant were measured. In the light-irradiated culture, the levels of IL-9, IL-17A and bFGF were higher, and the levels of IL-6, IL-7, IL-8 and MCP-1 were lower than those in the dark culture, while there was no significant difference with the VEGF-A level. In subgroup analyses of the light-irradiated culture, the bFGF level under 250 to 2000 lux irradiation was elevated in a light intensity-dependent manner. In culture exposed to blue, green or red light, the bFGF level was elevated by blue light and was high compared to that by green or red light. In culture with aflibercept or ranibizumab in the dark, the levels of IL-6, IL-8, bFGF and MCP-1 were increased, and the IL-12 level decreased synchronously with a reduction in the VEGF-A level. Our findings indicate that continuous irradiation of visible light and VEGF suppression may be an influential factor in expression patterns of inflammatory cytokines secreted by human RPE cells.
    Language English
    Publishing date 2021-09-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2720867-9
    ISSN 2227-9059
    ISSN 2227-9059
    DOI 10.3390/biomedicines9101333
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  7. Article ; Online: Pregnancy-induced hypertension-related chorioretinitis resembling uveal effusion syndrome: A case report.

    Sato, Tomohito / Takeuchi, Masaru

    Medicine

    2018  Volume 97, Issue 30, Page(s) e11572

    Abstract: Rationale: Pregnancy-induced hypertension (PIH) is a major cause of maternal and fetal mortality. Hypertensive choroidopathy is a preliminary sign of vasogenic edema in the choroid, and is associated with PIH. Here, we report a post-natal case of PIH- ... ...

    Abstract Rationale: Pregnancy-induced hypertension (PIH) is a major cause of maternal and fetal mortality. Hypertensive choroidopathy is a preliminary sign of vasogenic edema in the choroid, and is associated with PIH. Here, we report a post-natal case of PIH-related chorioretinitis with bilateral severe serous retinal detachment (SRD) resembling uveal effusion syndrome.
    Patient concerns: A 35-year-old woman was diagnosed with severe PIH at 37 weeks of pregnancy. She underwent an emergency cesarean delivery. Four days after delivery, she perceived a sudden decrease of vision. At presentation, fundus examination demonstrated bullous SRD and multiple white mottles in the posterior poles of both eyes. Optical coherence tomography (OCT) showed macula edema and retinal pigment epithelium (RPE) folds. Indocyanine green angiography (ICGA) demonstrated delayed filling of choroidal circulation in the early phase and multiple hyperfluorescent spots in the mid phase.
    Diagnoses: PIH.
    Interventions: Antihypertension treatment alone resulted in gradual resolution of the SRD.
    Outcomes: At 463 days after delivery, fundus photographs of both eyes showed leopard spots corresponding to hyperautofluorescent spots with dark rim observed on fundus autofluorescence images.
    Lessons: Ophthalmologists should be aware of PIH-related chorioretinitis with similar clinical manifestations as uveal effusion syndrome, and should treat with antihypertensive agents in cooperation with obstetricians.
    MeSH term(s) Adult ; Antihypertensive Agents/administration & dosage ; Cesarean Section/methods ; Chorioretinitis/diagnosis ; Chorioretinitis/drug therapy ; Chorioretinitis/etiology ; Chorioretinitis/physiopathology ; Diagnosis, Differential ; Emergency Medical Services/methods ; Female ; Fluorescein Angiography/methods ; Fundus Oculi ; Humans ; Hypertension, Pregnancy-Induced/diagnosis ; Hypertension, Pregnancy-Induced/drug therapy ; Hypertension, Pregnancy-Induced/physiopathology ; Pregnancy ; Puerperal Disorders/diagnosis ; Puerperal Disorders/physiopathology ; Retinal Detachment/diagnosis ; Retinal Detachment/etiology ; Severity of Illness Index ; Tomography, Optical Coherence/methods ; Treatment Outcome ; Uveal Diseases/diagnosis
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2018-07-25
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000011572
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  8. Article ; Online: Osteopontin-induced vascular hyperpermeability through tight junction disruption in diabetic retina.

    Someya, Hideaki / Ito, Masataka / Nishio, Yoshiaki / Sato, Tomohito / Harimoto, Kozo / Takeuchi, Masaru

    Experimental eye research

    2022  Volume 220, Page(s) 109094

    Abstract: Diabetic retinopathy is a major cause of blindness in developed countries, and is characterized by deterioration of barrier function causing vascular hyperpermeability and retinal edema. Vascular endothelial growth factor (VEGF) is a major mediator of ... ...

    Abstract Diabetic retinopathy is a major cause of blindness in developed countries, and is characterized by deterioration of barrier function causing vascular hyperpermeability and retinal edema. Vascular endothelial growth factor (VEGF) is a major mediator of diabetic macular edema. Although anti-VEGF drugs are the first-line treatment for diabetic macular edema, some cases are refractory to anti-VEGF therapy. Osteopontin (OPN) is a phosphoglycoprotein with diverse functions and expressed in various cells and tissues. Elevated OPN level has been implicated in diabetic retinopathy, but whether OPN is involved in hyperpermeability remains unclear. Using streptozotocin-induced diabetic mice (STZ mice) and human retinal endothelial cells (HRECs), we tested the hypothesis that up-regulated OPN causes tight junction disruption, leading to vascular hyperpermeability. The serum and retinal OPN concentrations were elevated in STZ mice compared to controls. Intravitreal injection of anti-OPN neutralizing antibody (anti-OPN Ab) suppressed vascular hyperpermeability and prevented decreases in claudin-5 and ZO-1 gene expression levels in the retina of STZ mice. Immunohistochemical staining of retinal vessels in STZ mice revealed claudin-5 immunoreactivity with punctate distribution and attenuated ZO-1 immunoreactivity, and these changes were prevented by anti-OPN Ab. Intravitreal injection of anti-OPN Ab did not change VEGF gene expression or protein concentration in retina of STZ mice. In an in vitro study, HRECs were exposed to normal glucose or high glucose with or without OPN for 48 h, and barrier function was evaluated by transendothelial electrical resistance and Evans blue permeation. Barrier function deteriorated under high glucose condition, and was further exacerbated by the addition of OPN. Immunofluorescence localization of claudin-5 and ZO-1 demonstrated punctate appearance with discontinuous junction in HRECs exposed to high glucose and OPN. There were no changes in VEGF and VEGF receptor-2 expression levels in HRECs by exposure to OPN. Our results suggest that OPN induces tight junction disruption and vascular hyperpermeability under diabetic conditions. Targeting OPN may be an effective approach to manage diabetic retinopathy.
    MeSH term(s) Animals ; Blood-Retinal Barrier ; Claudin-5/metabolism ; Diabetes Mellitus, Experimental/metabolism ; Diabetic Retinopathy/metabolism ; Endothelial Cells/metabolism ; Glucose/pharmacology ; Macular Edema/metabolism ; Mice ; Osteopontin/genetics ; Osteopontin/metabolism ; Retina/metabolism ; Retinal Vessels/metabolism ; Streptozocin ; Tight Junctions/metabolism ; Tight Junctions/pathology ; Vascular Endothelial Growth Factor A/metabolism
    Chemical Substances Claudin-5 ; Vascular Endothelial Growth Factor A ; Osteopontin (106441-73-0) ; Streptozocin (5W494URQ81) ; Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2022-04-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80122-7
    ISSN 1096-0007 ; 0014-4835
    ISSN (online) 1096-0007
    ISSN 0014-4835
    DOI 10.1016/j.exer.2022.109094
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  9. Article ; Online: Increase in the number of new cases of ANCA-associated vasculitis in the COVID-19 vaccine era.

    Sato, Tomohito / Umeda, Masataka / Sato, Shuntaro / Michitsuji, Toru / Shimizu, Toshimasa / Koga, Tomohiro / Furuse, Yuki / Kawakami, Atsushi

    Clinical immunology (Orlando, Fla.)

    2023  Volume 252, Page(s) 109656

    Abstract: Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is an autoimmune vasculitis characterized by the production of antibodies against ANCA, with unclear pathogenesis. With the ongoing COVID-19 pandemic, COVID-19 mRNA vaccination has ... ...

    Abstract Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is an autoimmune vasculitis characterized by the production of antibodies against ANCA, with unclear pathogenesis. With the ongoing COVID-19 pandemic, COVID-19 mRNA vaccination has been available in Japan since February 2021. Although autoimmune symptoms have been reported after COVID-19 vaccinations, there have been no clinical investigations regarding the relationship between COVID-19 mRNA vaccines and the pathogenesis of AAV. Thus, the present study aimed to investigate whether the administration of COVID-19 mRNA vaccines affects the development of AAV. The study identified patients with new-onset AAV who were MPO-ANCA or PR3-ANCA positive and met the entry criteria of the AAV EMA classification algorithm. The study compared the number of new AAV cases per year before and after the start of the COVID-19 mRNA vaccine program in Japan. The study found that the annual number of new cases of AAV in Japan's Nagasaki Prefecture increased by approximately 1.5-fold since the COVID-19 vaccine program was initiated, suggesting a possible link between the COVID-19 mRNA vaccines and the development of AAV. Although the study provides insight into the clinical evaluation and management of autoimmune symptoms following COVID-19 vaccination, further investigation of the possible association between COVID-19 mRNA vaccines and the pathogenesis of AAV is required.
    MeSH term(s) Humans ; COVID-19 Vaccines/adverse effects ; Antibodies, Antineutrophil Cytoplasmic ; Pandemics ; Myeloblastin ; COVID-19/prevention & control ; Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis ; Peroxidase
    Chemical Substances COVID-19 Vaccines ; Antibodies, Antineutrophil Cytoplasmic ; Myeloblastin (EC 3.4.21.76) ; Peroxidase (EC 1.11.1.7)
    Language English
    Publishing date 2023-05-30
    Publishing country United States
    Document type Case Reports ; Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 1459903-x
    ISSN 1521-7035 ; 1521-6616
    ISSN (online) 1521-7035
    ISSN 1521-6616
    DOI 10.1016/j.clim.2023.109656
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  10. Article: Association between Systemic Factors and Vitreous Fluid Cytokines in Proliferative Diabetic Retinopathy.

    Sato, Tomohito / Okazawa, Rina / Nagura, Koichi / Someya, Hideaki / Nishio, Yoshiaki / Enoki, Toshio / Ito, Masataka / Takeuchi, Masaru

    Journal of clinical medicine

    2023  Volume 12, Issue 6

    Abstract: Proliferative diabetic retinopathy (PDR) is a vision-threatening complication of diabetes mellitus (DM). Systemic and intraocular factors are intricately related to PDR, and vitreous fluid (VF) cytokines are representative intraocular biomarkers. However, ...

    Abstract Proliferative diabetic retinopathy (PDR) is a vision-threatening complication of diabetes mellitus (DM). Systemic and intraocular factors are intricately related to PDR, and vitreous fluid (VF) cytokines are representative intraocular biomarkers. However, the associations between systemic factors and VF cytokines and their influence on PDR pathology are unclear. This study aimed to examine the correlation between systemic factors and VF cytokines and analyze their contributions to the pathology of PDR using multivariate analyses. We conducted a retrospective observational study on 26 PDR eyes of 25 patients with type 2 DM, and 30 eyes of 30 patients with idiopathic macular hole or epiretinal membrane as controls. Fifteen systemic and laboratory tests including blood pressure (BP) and body mass index (BMI), and 27 cytokines in VF were analyzed. BP and BMI correlated positively with VF levels of IL-6 and IP-10 in PDR patients, while no significant correlation was found between systemic factors and VF cytokines in controls. MCP-1 and VEGF-A in VF separately clustered with different systemic factors in controls, but these cytokines lost the property similarity with systemic factors and acquired property similarity with each other in PDR. Systemic factors contributed to only 10.4%, whereas VF cytokines contributed to 42.3% out of 52.7% variance of the whole PDR dataset. Our results suggest that intraocular factors play a major role in the pathology of PDR, whereas systemic factors may have limited effects, and that BP and BMI control in PDR could be useful interventions to improve intraocular immune condition.
    Language English
    Publishing date 2023-03-17
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12062354
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