2018
DOI: 10.1055/a-0647-6860
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Elevation in Circulating Soluble CD40 Ligand Concentrations in Type 2 Diabetic Retinopathy and Association with its Severity

Abstract: Plasma sCD40L levels were positively associated with DR. The significant finding here is that sCD40L levels can be predictors of DR severity.

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Cited by 16 publications
(17 citation statements)
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“…CD40 expression level is low at basal condition, and its upregulation results in downstream inflammatory response in diseases (173). Plasma-soluble CD40 ligand level is found to be positively associated with DR severity (173). Increased expression of CD40 was found in retinal Müller cells, ECs, and microglial cells of diabetic animals (174).…”
Section: Cd40mentioning
confidence: 99%
See 1 more Smart Citation
“…CD40 expression level is low at basal condition, and its upregulation results in downstream inflammatory response in diseases (173). Plasma-soluble CD40 ligand level is found to be positively associated with DR severity (173). Increased expression of CD40 was found in retinal Müller cells, ECs, and microglial cells of diabetic animals (174).…”
Section: Cd40mentioning
confidence: 99%
“…CD40, a member of the TNF receptor superfamily, is expressed not only on monocytes, dendritic cells, and ECs but also on Müller glia, microglial cells, and retinal pigment epithelial cells (169,170). CD40 expression level is low at basal condition, and its upregulation results in downstream inflammatory response in diseases (173). Plasma-soluble CD40 ligand level is found to be positively associated with DR severity (173).…”
Section: Cd40mentioning
confidence: 99%
“…These results were concordant with previous publications. 38,39 Microalbuminuria is the principal clinical phenotype of diabetic nephropathy. [40][41][42] Thus, higher levels of sCD40L in first years of diabetes could help as a prognostic indicator for predicting upcoming vascular complication in the future.…”
Section: Discussionmentioning
confidence: 99%
“…Activation of CD40 on retinal Müller glia depends upon the presence of its ligand CD154. CD154 concentrations are enhanced in the blood of both diabetic patients and rodents, and plasma levels of soluble CD154 are positively correlated with the severity of DR (45,46). It remains unclear how CD154 gets into the retina prior to the development of inflammation; however, it is possible that microthrombosis in the retinal capillaries of patients with DR enables activation of platelets in the retina (47).…”
Section: Discussionmentioning
confidence: 99%