Evidence map›Paper›PMID 20367623›Full record

ArticleAmerican journal of reproductive immunology (New York, N.Y. : 1989)2010

Sex hormone regulation of innate immunity in the female reproductive tract: the role of epithelial cells in balancing reproductive potential with protection against sexually transmitted pathogens.

Charles R Wira, John V Fahey, Mimi Ghosh, Mickey V Patel, Danica K Hickey, Daniel O Ochiel

Abstract read
In one paragraph

Article in American journal of reproductive immunology (New York, N.Y. : 1989), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 1% 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

113 citing papers in PubMed, 1 synthesis or guideline pooled it, 232 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Innate Immunity and Microbial Recognition in Reproduction: From Barrier Defense to Maternal-Fetal Tolerance.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Review
  8. Article
  9. Review
  10. Frontiers in microbiology · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Innate Immune Mechanisms in Normal and Adverse Pregnancy.Advances in experimental medicine and biology · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review

53 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Charles R WiraDepartment of Physiology, Dartmouth Medical School, One Medical Center Drive, Lebanon, NH 03756, USA. Charles.R.Wira@Dartmouth.EDU
John V Fahey
Mimi Ghosh
Mickey V Patel
Danica K Hickey
Daniel O Ochiel
Dartmouth College · US

Funding

The influence of steroid sex hormones and gender on pmnP01AI051877 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2002 to 2006
$7.4M
Innate Immune Protection Against HIV-1 by Reproductive Tract Epithelial CellsR01AI071761 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2007 to 2014
$2.6M
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR37AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1997 to 2005
$2.1M
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR01AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1985 to 2011
$2.0M
Innate Immune Protection Against HIV-1 by Reproductive Tract Epithelial CellsR56AI071761 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2007 to 2007
$167k
SEX HORMONE REGULATION OF THE MUCOSAL IMMUNE SYSTEMR55AI013541 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 1991 to 1991
–
NIAID NIH HHS AI-071761NIAID NIH HHS AI-13541NIAID NIH HHS AI-51877NIAID NIH HHS P01 AI051877NIAID NIH HHS R01 AI013541NIAID NIH HHS R01 AI071761NIAID NIH HHS R37 AI013541NIAID NIH HHS R56 AI071761
6 · The paper itself

Abstract

The immune system in the female reproductive tract (FRT) does not mount an attack against HIV or other sexually transmitted infections (STI) with a single endogenously produced microbicide or with a single arm of the immune system. Instead, the body deploys dozens of innate antimicrobials to the secretions of the female reproductive tract. Working together, these antimicrobials along with mucosal antibodies attack many different viral, bacterial and fungal targets. Within the FRT, the unique challenges of protection against sexually transmitted pathogens coupled with the need to sustain the development of an allogeneic fetus have evolved in such a way that sex hormones precisely regulate immune function to accomplish both tasks. The studies presented in this review demonstrate that estradiol and progesterone secreted during the menstrual cycle act both directly and indirectly on epithelial cells and other immune cells in the reproductive tract to modify immune function in a way that is unique to specific sites throughout the FRT. As presented in this review, studies from our laboratory and others demonstrate that the innate immune response is under hormonal control, varies with the stage of the menstrual cycle, and as such is suppressed at mid-cycle to optimize conditions for successful fertilization and pregnancy. In doing so, a window of STI vulnerability is created during which potential pathogens including HIV enter the reproductive tract to infect host targets.

Indexed as

Genitalia, FemaleAnimalsEpithelial CellsEstradiolFemaleGonadal Steroid HormonesHumansImmunity, InnateMicePregnancyProgesteroneSexually Transmitted DiseasesEstradiolGonadal Steroid HormonesProgesterone

Identifiers

PMID20367623
PMCPMC3837356
OpenAlexW2127190620

What OpenQuestion holds

Textmetadata
LicenceTDM
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.