Evidence map›Paper›PMID 19095964›Full record

ArticleThe American journal of pathology2009

Failure of pelvic organ support in mice deficient in fibulin-3.

David D Rahn, Jesús F Acevedo, Shayzreen Roshanravan, Patrick W Keller, Elaine C Davis, Lihua Y Marmorstein, R Ann Word

Open access · bronzeAbstract read
In one paragraph

Article in The American journal of pathology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 10% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Biomechanical function of the murine cervix with elastic fiber deficiency.Journal of the mechanical behavior of biomedical materials · 2026
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  10. Exploring ocular fibulin-3 (EFEMP1): Anatomical, age-related, and species perspectives.Biochimica et biophysica acta. Molecular basis of disease · 2024
    Article
  11. Women with pelvic organ prolapse and fibulin-5 rs12589592 polymorphism.Revista da Associacao Medica Brasileira (1992) · 2024
    Article
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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

7 authors at 4 institutions in 3 countries.

David D RahnDepartment of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9032, USA.
Jesús F Acevedo
Shayzreen Roshanravan
Patrick W Keller
Elaine C Davis
Lihua Y Marmorstein
R Ann Word
The University of Texas Southwestern Medical Center · USInstitute of Cell Biology and Neurobiology · ITMcGill University · CAUniversity of Arizona · US

Funding

EFEMPI and Drusen Formation in the RetinaR01EY013847 · NEI · UNIVERSITY OF ARIZONA · PI MARMORSTEIN, LIHUA Y · 2002 to 2013
$4.1M
Elastic Fiber Homeostasis in the Vaginal WallR01AG028048 · NIA · UT SOUTHWESTERN MEDICAL CENTER · PI WORD, RUTH A · 2007 to 2017
$3.2M
NEI NIH HHS EY013847NEI NIH HHS R01 EY013847NIA NIH HHS AG028048NIA NIH HHS R01 AG028048
6 · The paper itself

Abstract

Fibulin-5 is crucial for normal elastic fiber synthesis in the vaginal wall; more than 90% of fibulin-5-knockout mice develop pelvic organ prolapse by 20 weeks of age. In contrast, fibulin-1 and -2 deficiencies do not result in similar pathologies, and fibulin-4-knockout mice die shortly after birth. EFEMP1 encodes fibulin-3, an extracellular matrix protein important in the maintenance of abdominal fascia. Herein, we evaluated the role of fibulin-3 in pelvic organ support. Pelvic organ support was impaired significantly in female Efemp1 knockout mice (Fbln3(-[supi]/-)), and overt vaginal, perineal, and rectal prolapse occurred in 26.9% of animals. Prolapse severity increased with age but not parity. Fibulin-5 was up-regulated in vaginal tissues from Fbln3(-[supi]/-) mice regardless of prolapse. Despite increased expression of fibulin-5 in the vaginal wall, pelvic organ support failure occurred in Fbln3(-[supi]/-) animals, suggesting that factors related to aging led to prolapse. Elastic fiber abnormalities in vaginal tissues from young Fbln3(-[supi]/-) mice progressed to severe elastic fiber disruption with age, and vaginal matrix metalloprotease activity was increased significantly in Fbln3(-[supi]/-) animals with prolapse compared with Fbln3(-[supi]/-) mice without prolapse. Overall, these results indicate that both fibulin-3 and -5 are important in maintaining pelvic organ support in mice. We suggest that increased vaginal protease activity and abnormal elastic fibers in the vaginal wall are important components in the pathogenesis of pelvic organ prolapse.

Indexed as

AnimalsDesmosineElastic TissueExtracellular Matrix ProteinsFemaleImmunoblottingImmunohistochemistryMatrix Metalloproteinase 2Matrix Metalloproteinase 9MiceMice, KnockoutRecombinant ProteinsRectal ProlapseReverse Transcriptase Polymerase Chain ReactionUterine ProlapseDesmosineEfemp1 protein, mouseExtracellular Matrix ProteinsFbln5 protein, mouseMatrix Metalloproteinase 2Matrix Metalloproteinase 9Recombinant Proteins

Identifiers

PMID19095964
PMCPMC2631333
OpenAlexW2092526770

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.