Evidence map›Paper›PMID 22193289›Full record

ReviewAutoimmunity reviews2012

Progesterone and autoimmune disease.

Grant C Hughes

Open access · greenAbstract readReview
In one paragraph

Review in Autoimmunity reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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

95 citing papers in PubMed, 2 syntheses or guidelines pooled it, 222 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Article
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  9. Review
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  11. Family Planning and Rheumatoid Arthritis.Current rheumatology reports · 2025
    Review
  12. Article
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  14. Review
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  19. Article
  20. Atopic Dermatitis: Fertility, Pregnancy, and Treatment Perspectives.American journal of clinical dermatology · 2024
    Review

35 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

1 author at 1 institution in 1 country.

Grant C HughesUniversity of Washington, 1959 NE Pacific St., Box 356428, Seattle, WA 98195–6428, USA. hughesg@uw.edu
University of Washington · US

Funding

Progesterone & Estrogen Differentially Regulate DC Function in Lupus AutoimmunityK08AI073739 · NIAID · UNIVERSITY OF WASHINGTON · PI HUGHES, GRANT · 2008 to 2012
$710k
NIAID NIH HHS K08 AI073739
6 · The paper itself

Abstract

Sexual dimorphism in human immune systems is most apparent in the female predominance of certain autoimmune diseases (ADs) like systemic lupus erythematosus (SLE). Epidemiologic, observational and experimental evidence strongly suggest sex steroids are important modulators of genetic risk in human AD. In this regard, the roles of progesterone (Pg), an immunomodulatory female sex steroid, are poorly understood. Several lines of investigation indicate Pg and synthetic progestins impact risk of AD and immune-mediated injury in different ways depending on their concentrations and their engagement of various Pg receptors expressed in immune organs, immune cells or tissues targeted by immune attack. At low physiologic levels, Pg may enhance interferon-alpha (IFN-α) pathways important in SLE pathogenesis. Commonly used synthetic progestins may have the opposite effect. At pregnancy levels, Pg may suppress disease activity in rheumatoid arthritis (RA) and multiple sclerosis (MS) via inhibition of T helper type 1 (Th1) and Th17 pathways and induction of anti-inflammatory molecules. Importantly, Pg's immunomodulatory effects differ from those of estrogens and androgens. An additional layer of complexity arises from apparent interdependence of sex hormone signaling pathways. Identifying mechanisms by which Pg and other sex steroids modulate risk of AD and immune-mediated injury will require clarification of their cellular and molecular targets in vivo. These future studies should be informed by recent genetic discoveries in human AD, particularly those revealing their sex-specific genetic associations.

Indexed as

Autoimmune DiseasesFemaleHumansImmune SystemImmunologic FactorsInterferon-alphaPregnancyProgesteroneProgestinsSignal TransductionT-LymphocytesImmunologic FactorsInterferon-alphaProgesteroneProgestins

Identifiers

PMID22193289
PMCPMC3431799
OpenAlexW1969528154

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.