Evidence map›Paper›PMID 26496726›Full record

ReviewCellular and molecular life sciences : CMLS2016

Morphological changes of placental syncytium and their implications for the pathogenesis of preeclampsia.

Cynthia S Roland, Jian Hu, Chun-E Ren, Haibin Chen, Jinping Li, Megan S Varvoutis, Lynn W Leaphart, David B Byck, Xueqiong Zhu, Shi-Wen Jiang

Open access · greenAbstract readReview
In one paragraph

Review in Cellular and molecular life sciences : CMLS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

74 citing papers in PubMed, 152 citations in OpenAlex.

  1. Late-onset preeclampsia is characterized by accelerated placental aging.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Circulating Plasma Syncytin-1 mRNA in Preeclampsia-A Pilot Study.International journal of molecular sciences · 2025
    Article
  12. Review
  13. Diseases (Basel, Switzerland) · 2025
    Article
  14. Trophoblast Fusion in Hypertensive Disorders of Pregnancy and Preeclampsia.International journal of molecular sciences · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

14 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

10 authors at 6 institutions in 2 countries.

Cynthia S RolandDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA.
Jian HuSchool of Life Science and Technology, China Pharmaceutical University, Nanjing, 210009, China.
Chun-E RenDepartment of Obstetrics and Gynecology, Center of Reproductive Medicine, Affiliated Hospital of Weifang Medical University, Weifang, Shandong, China.
Haibin ChenDepartment of Histology and Embryology, Shantou University Medical College, Shantou, Guangdong, China.
Jinping LiDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA.
Megan S VarvoutisDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA.
Lynn W LeaphartDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA.
David B ByckDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA.
Xueqiong ZhuDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027, Zhejiang, China. zjwzzxq@163.com.
Shi-Wen JiangDepartment of Obstetrics and Gynecology, Memorial Health University Medical Center, Savannah, GA, 31404, USA. jiang_s@mercer.edu.
Memorial Health University Medical Center · USChina Pharmaceutical University · CNMercer University · USShantou University · CNWeifang Medical University · CNWenzhou Medical University · CN

Funding

Transcription Enhancer Factor Control of Placental GenesR01HD041577 · NICHD · MERCER UNIVERSITY MACON · PI JIANG, SHI-WEN · 2003 to 2007
$1.3M
NICHD NIH HHS R01 HD041577NICHD NIH HHS R01 HD41577
6 · The paper itself

Abstract

Preeclampsia is a hypertensive disease that complicates many pregnancies, typically presenting with new-onset or worsening hypertension and proteinuria. It is well recognized that the placental syncytium plays a key role in the pathogenesis of preeclampsia. This review summarizes the findings pertaining to the structural alterations in the syncytium of preeclamptic placentas and analyzes their pathological implications for the development of preeclampsia. Changes in the trophoblastic lineage, including those in the proliferation of cytotrophoblasts, the formation of syncytiotrophoblast through cell fusion, cell apoptosis and syncytial deportation, are discussed in the context of preeclampsia. Extensive correlations are made between functional deficiencies and the alterations on the levels of gross anatomy, tissue histology, cellular events, ultrastructure, molecular pathways, and gene expression. Attention is given to the significance of dynamic changes in the syncytial turnover in preeclamptic placentas. Specifically, experimental evidences for the complex and obligatory role of syncytin-1 in cell fusion, cell-cycle regulation at the G1/S transition, and apoptosis through AIF-mediated pathway, are discussed in detail in the context of syncytium homeostasis. Finally, the recent observations on the aberrant fibrin deposition in the trophoblastic layer and the trophoblast immature phenotype in preeclamptic placentas and their potential pathogenic impact are also reviewed.

Indexed as

AnimalsApoptosisCell FusionCell ProliferationFemaleGene Products, envGiant CellsHumansPlacentaPre-EclampsiaPregnancyPregnancy ProteinsTrophoblastsGene Products, envPregnancy ProteinssyncytinHERV-WNonfusogenicPreeclampsiaPregnancy hypertensionSyncytium

Identifiers

PMID26496726
PMCPMC4846582
OpenAlexW1885628210

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.