Evidence map›Paper›PMID 24734774›Full record

ReviewAmerican journal of reproductive immunology (New York, N.Y. : 1989)2014

Regulation of mucosal immunity in the female reproductive tract: the role of sex hormones in immune protection against sexually transmitted pathogens.

Charles R Wira, John V Fahey, Marta Rodriguez-Garcia, Zheng Shen, Mickey V Patel

Abstract readReview
In one paragraph

Review in American journal of reproductive immunology (New York, N.Y. : 1989), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
3.6field-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

82 citing papers in PubMed, 134 citations in OpenAlex.

  1. Trial
  2. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  3. Article
  4. The Gut-Vagina Axis.Microorganisms · 2026
    Review
  5. Review
  6. 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
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

22 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

5 authors at 1 institution in 1 country.

Charles R WiraDepartment of Physiology and Neurobiology, Geisel School of Medicine at Dartmouth, One Medical Center Drive, Lebanon, NH, USA.
John V Fahey
Marta Rodriguez-Garcia
Zheng Shen
Mickey V Patel
Dartmouth College · US

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
The influence of steroid sex hormones and gender on pmnP01AI051877 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2002 to 2006
$7.4M
Chemical Contraceptive Control of Microbicides in the Female Reproductive TractR01AI117739 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2015 to 2018
$2.6M
Menstrual Cycle Control of HIV Infection in the Reproductive TractR01AI102838 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2012 to 2016
$2.2M
NCI NIH HHS P30 CA023108NIAID NIH HHS AI102838NIAID NIH HHS AI51877NIAID NIH HHS P01 AI051877NIAID NIH HHS R01 AI102838NIAID NIH HHS R01 AI117739
6 · The paper itself

Abstract

The immune system in the female reproductive tract (FRT) does not mount an attack against human immunodeficiency virus (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 FRT. Working together, these antimicrobials along with mucosal antibodies attack 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, has 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 (E2 ) and progesterone secreted during the menstrual cycle act both directly and indirectly on epithelial cells, fibroblasts and 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 and adaptive immune systems are under hormonal control, that protection varies with the stage of the menstrual cycle and as such, is dampened during the secretory stage of the cycle to optimize conditions for 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

Immunity, MucosalEpithelial CellsEstradiolFemaleGenitalia, FemaleHIV InfectionsHumansImmune ToleranceLymphocytesMacrophagesMenstrual CycleMucous MembranePregnancyProgesteroneEstradiolProgesteroneEpithelial cellsfemale reproductive tractfibroblastsimmune cellsmucosal immunitysex hormones

Identifiers

PMID24734774
PMCPMC4351777
OpenAlexW2046833861

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.