Evidence map›Paper›PMID 19033666›Full record

ArticleThe Journal of clinical investigation2008

Prostacyclin primes pregnant human myometrium for an enhanced contractile response in parturition.

Kristina M Fetalvero, Peisheng Zhang, Maureen Shyu, Benjamin T Young, John Hwa, Roger C Young, Kathleen A Martin

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Prostacyclin enlists AC6 to stop the clot.Journal of thrombosis and haemostasis : JTH · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Kristina M FetalveroDepartment of Surgery, Dartmouth Medical School, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
Peisheng Zhang
Maureen Shyu
Benjamin T Young
John Hwa
Roger C Young
Kathleen A Martin
Czech Academy of Sciences, Institute of Physiology · CZDartmouth–Hitchcock Medical Center · US

Funding

Cancer Biology and Molecular TherapeuticsT32CA009658 · NCI · DARTMOUTH COLLEGE · PI EASTMAN, ALAN R · 1991 to 2011
$3.8M
Pharmacogenetics of the human prostacyclin receptor.R01HL074190 · NHLBI · YALE UNIVERSITY · PI HWA, JOHN · 2004 to 2013
$3.3M
Endothelial Cell Regulation of Smooth Muscle PhenotypeR01HL076612 · NHLBI · DARTMOUTH COLLEGE · PI POWELL, RICHARD J · 2004 to 2007
$1.4M
NCI NIH HHS T32 CA009658NCI NIH HHS T32 CA09658NHLBI NIH HHS R01 HL074190NHLBI NIH HHS R01 HL076612NHLBI NIH HHS R01 HL76612
6 · The paper itself

Abstract

An incomplete understanding of the molecular events that regulate the myometrial transition from the quiescent pregnant state to the active contractile state during labor has hindered the development of improved therapies for preterm labor. During myometrial activation, proteins that prime the smooth muscle for contraction are upregulated, allowing maximal responsiveness to contractile agonists and thereby producing strong phasic contractions. Upregulation of one such protein, COX-2, generates PGs that induce contractions. Intriguingly, the predominant myometrial PG produced just prior to labor is prostacyclin (PGI2), a smooth muscle relaxant. However, here we have shown that activation of PGI2 receptor (IP) upregulated the expression of several contractile proteins and the gap junction protein connexin 43 through cAMP/PKA signaling in human myometrial tissue in organ and cell culture. Functionally, these IP-dependent changes in gene expression promoted an enhanced contractile response to oxytocin in pregnant human myometrial tissue strips, which was inhibited by the IP antagonist RO3244794. Furthermore, contractile protein induction was dependent on the concentration and time of exposure to the PGI2 analog iloprost and was blocked by both RO3244794 and PKA knockdown. We therefore propose that PGI2-mediated upregulation of contractile proteins and connexin 43 is a critical step in myometrial activation, allowing for a maximal contractile response. Our observations have important implications regarding activation of the myometrium prior to the onset of labor.

Indexed as

AdultConnexin 43Cyclic AMPCyclic AMP-Dependent Protein KinasesCyclooxygenase 2EpoprostenolFemaleGap JunctionsHumansMyometriumOxytocicsOxytocinParturitionPregnancyReceptors, EpoprostenolSignal TransductionConnexin 43Cyclic AMPCyclic AMP-Dependent Protein KinasesCyclooxygenase 2EpoprostenolOxytocicsOxytocinPTGS2 protein, humanReceptors, Epoprostenol

Identifiers

PMID19033666
PMCPMC2582928
OpenAlexW1991327428

What OpenQuestion 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 OpenQuestion graph.