Evidence map›Paper›PMID 23303565›Full record

ReviewEndocrine reviews2013

Progesterone action in endometrial cancer, endometriosis, uterine fibroids, and breast cancer.

J Julie Kim, Takeshi Kurita, Serdar E Bulun

Open access · bronzeAbstract readReview
In one paragraph

Review in Endocrine reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 263 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
263citing papers in PubMed, 6 pooled it
57.1field-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

263 citing papers in PubMed, 6 syntheses or guidelines pooled it, 505 citations in OpenAlex.

  1. Pooled it
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  4. Adenomyosis as a Risk Factor for Myometrial or Endometrial Neoplasms-Review.International journal of environmental research and public health · 2022
    Pooled it
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  19. Identification and functional analysis of Rattus norvegicus Mammary carcinoma susceptibility 1b (Mcs1b) nominated variants.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Article
  20. Article

203 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

3 authors at 1 institution in 1 country.

J Julie KimDivision of Reproductive Biology Research, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Takeshi Kurita
Serdar E Bulun
Northwestern University · US

Funding

Uterine Leiomyoma Research Center ProgramP01HD057877 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BULUN, SERDAR E. · 2009 to 2019
$12.2M
Regulation of IGFBP-1 by FKHR and HOXA10 in pregnancyR01HD044715 · NICHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KIM, JI-YONG JULIE · 2003 to 2010
$1.8M
Xenograft Study on Growth-Control of Human Uterine LeiomyomataR01HD064402 · NICHD · OHIO STATE UNIVERSITY · PI KURITA, TAKESHI · 2010 to 2014
$1.6M
Influence of AKT pathway on progesterone receptor function in endometrial cancerR01CA155513 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KIM, JI-YONG JULIE · 2012 to 2016
$1.6M
Molecular Etiology of Cervicovaginal Adenosis by in Utero Hormone ExposureR01CA154358 · NCI · OHIO STATE UNIVERSITY · PI KURITA, TAKESHI · 2010 to 2014
$1.5M
Interaction of FOXO1 and Progesterone Receptor in Endometrial CancerR21CA127674 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KIM, JI-YONG JULIE · 2008 to 2009
$374k
NCI NIH HHS R01 CA154358NCI NIH HHS R01CA154358NCI NIH HHS R01 CA155513NCI NIH HHS R21 CA127674NCI NIH HHS R21CA127674NICHD NIH HHS P01 HD057877NICHD NIH HHS P01HD057877NICHD NIH HHS R01 HD044715NICHD NIH HHS R01HD044715NICHD NIH HHS R01 HD064402NICHD NIH HHS R01HD064402NICHD NIH HHS R37HD36891
6 · The paper itself

Abstract

Progesterone receptor (PR) mediates the actions of the ovarian steroid progesterone, which together with estradiol regulates gonadotropin secretion, prepares the endometrium for implantation, maintains pregnancy, and differentiates breast tissue. Separation of estrogen and progesterone actions in hormone-responsive tissues remains a challenge. Pathologies of the uterus and breast, including endometrial cancer, endometriosis, uterine fibroids, and breast cancer, are highly associated with estrogen, considered to be the mitogenic factor. Emerging evidence supports distinct roles of progesterone and its influence on the pathogenesis of these diseases. Progesterone antagonizes estrogen-driven growth in the endometrium, and insufficient progesterone action strikingly increases the risk of endometrial cancer. In endometriosis, eutopic and ectopic tissues do not respond sufficiently to progesterone and are considered to be progesterone-resistant, which contributes to proliferation and survival. In uterine fibroids, progesterone promotes growth by increasing proliferation, cellular hypertrophy, and deposition of extracellular matrix. In normal mammary tissue and breast cancer, progesterone is pro-proliferative and carcinogenic. A key difference between these tissues that could explain the diverse effects of progesterone is the paracrine interactions of PR-expressing stroma and epithelium. Normal endometrium is a mucosa containing large quantities of distinct stromal cells with abundant PR, which influences epithelial cell proliferation and differentiation and protects against carcinogenic transformation. In contrast, the primary target cells of progesterone in the breast and fibroids are the mammary epithelial cells and the leiomyoma cells, which lack specifically organized stromal components with significant PR expression. This review provides a unifying perspective for the diverse effects of progesterone across human tissues and diseases.

Indexed as

Breast NeoplasmsEndometrial NeoplasmsEndometriosisLeiomyomaAnimalsCell DifferentiationCell ProliferationEstrogensFemaleHumansPregnancyProgesteroneReceptors, ProgesteroneStromal CellsEstrogensProgesteroneReceptors, Progesterone

Identifiers

PMID23303565
PMCPMC3565104
OpenAlexW2023298070

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.