Evidence map›Paper›PMID 25122064›Full record

ReviewBiology of reproduction2014

The role of placental nutrient sensing in maternal-fetal resource allocation.

Paula Díaz, Theresa L Powell, Thomas Jansson

Open access · bronzeAbstract readReview
In one paragraph

Review in Biology of reproduction, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
18.7field-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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 152 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Bernard was right about the placenta.The Journal of physiology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Placental Protein Release and Uptake From the Fetal Circulation in Healthy Term Pregnancies-A Human In Vivo Exploratory Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. The energy resistance principle.Cell metabolism · 2025
    Review
  17. Article
  18. Observational
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Paula DíazCenter for Pregnancy and Newborn Research, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, Texas diazrodrigue@uthscsa.edu.
Theresa L PowellCenter for Pregnancy and Newborn Research, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, Texas.
Thomas JanssonCenter for Pregnancy and Newborn Research, Department of Obstetrics and Gynecology, University of Texas Health Science Center San Antonio, San Antonio, Texas.
The University of Texas Health Science Center at San Antonio · US

Funding

Trophoblast mTOR: a critical hub linking maternal nutrient supply to placental function, fetal growth and fetal islet functionR01HD068370 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JANSSON, THOMAS, ROSARIO-JOSEPH, FREDRICK · 2011 to 2024
$4.1M
Placental adiponectin signaling and fetal programming in maternal obesityR01HD065007 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI JANSSON, THOMAS, POWELL, THERESA L · 2011 to 2022
$3.8M
Maternal pro-inflammatory status in obesity regulates placental functionR01DK089989 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI POWELL, THERESA L · 2010 to 2013
$1.3M
Molecular Mechanisms Linking Placental Nutrient Sensing and Fetal ProgrammingR21HD071306 · NICHD · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MYATT, LESLIE · 2012 to 2013
$378k
NICHD NIH HHS HD065007NICHD NIH HHS HD068370NICHD NIH HHS HD071306NICHD NIH HHS R01 HD065007NICHD NIH HHS R01 HD068370NICHD NIH HHS R21 HD071306NIDDK NIH HHS DK089989NIDDK NIH HHS R01 DK089989
6 · The paper itself

Abstract

The placenta mediates maternal-fetal exchange and has historically been regarded as a passive conduit for nutrients. However, emerging evidence suggests that the placenta actively responds to nutritional and metabolic signals from the mother and the fetus. We propose that the placenta integrates a multitude of maternal and fetal nutritional cues with information from intrinsic nutrient-sensing signaling pathways to match fetal demand with maternal supply by regulating maternal physiology, placental growth, and nutrient transport. This process, which we have called placental nutrient sensing, ensures optimal allocation of resources between the mother and the fetus to maximize the chances for propagation of parental genes without jeopardizing maternal health. We suggest that these mechanisms have evolved because of the evolutionary pressures of maternal undernutrition, which result in decreased placental growth and down-regulation of nutrient transporters, thereby limiting fetal growth to ensure maternal survival. These regulatory loops may also function in response to maternal overnutrition, leading to increased placental growth and nutrient transport in cases of maternal obesity or gestational diabetes. Thus, placental nutrient sensing modulates maternal-fetal resource allocation to increase the likelihood of reproductive success. This model implies that the placenta plays a critical role in mediating fetal programming and determining lifelong health.

Indexed as

AnimalsBiological TransportFemaleMaternal-Fetal ExchangePlacentaPregnancyPrenatal Nutritional Physiological Phenomenafetal demandfetal growthimprinted genesmaternal supplyplacental signaling pathwaysplacental transportsyncytiotrophoblast

Identifiers

PMID25122064
PMCPMC4435028
OpenAlexW2151264384

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.