Evidence map›Paper›PMID 27291689›Full record

ArticleBMC medicine2016

Modeling hormonal and inflammatory contributions to preterm and term labor using uterine temporal transcriptomics.

Roberta Migale, David A MacIntyre, Stefano Cacciatore, Yun S Lee, Henrik Hagberg, Bronwen R Herbert, Mark R Johnson, Donald Peebles, Simon N Waddington, Phillip R Bennett

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.0field-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

40 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
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  3. A Combination ofNutrients · 2025
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  11. Factors of Fetal Origin in the Regulation of Labor Initiation and Preterm Birth.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    Article
  12. A key role for NLRP3 signaling in preterm labor and birth driven by the alarmin S100B.Translational research : the journal of laboratory and clinical medicine · 2023
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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 5 institutions in 3 countries.

Roberta MigaleImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom.
David A MacIntyreImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom. d.macintyre@imperial.ac.uk.
Stefano CacciatoreImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom.
Yun S LeeImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom.
Henrik HagbergPerinatal Center, Department of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Bronwen R HerbertImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom.
Mark R JohnsonImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom.
Donald PeeblesUCL Centre for Perinatal Brain Protection & Repair, Institute for Women's Health, University College London, London, United Kingdom.
Simon N WaddingtonGene Transfer Technology Group, Institute for Women's Health, University College London, London, United Kingdom.
Phillip R BennettImperial College Parturition Research Group, Institute of Reproduction and Developmental Biology, Imperial College London, Hammersmith Campus, London, United Kingdom. p.bennett@imperial.ac.uk.
Imperial College London · GBChelsea and Westminster Hospital · GBKings Health Partners · GBUniversity College London · GBUniversity of the Witwatersrand · ZA

Funding

Medical Research Council G0802853Medical Research Council MR/L009226/1Wellcome TrustWellcome Trust DSRR_P24225
6 · The paper itself

Abstract

backgroundPreterm birth is now recognized as the primary cause of infant mortality worldwide. Interplay between hormonal and inflammatory signaling in the uterus modulates the onset of contractions; however, the relative contribution of each remains unclear. In this study we aimed to characterize temporal transcriptome changes in the uterus preceding term labor and preterm labor (PTL) induced by progesterone withdrawal or inflammation in the mouse and compare these findings with human data.

methodsMyometrium was collected at multiple time points during gestation and labor from three murine models of parturition: (1) term gestation; (2) PTL induced by RU486; and (3) PTL induced by lipopolysaccharide (LPS). RNA was extracted and cDNA libraries were prepared and sequenced using the Illumina HiSeq 2000 system. Resulting RNA-Seq data were analyzed using multivariate modeling approaches as well as pathway and causal network analyses and compared against human myometrial transcriptome data.

resultsWe identified a core set of temporal myometrial gene changes associated with term labor and PTL in the mouse induced by either inflammation or progesterone withdrawal. Progesterone withdrawal initiated labor without inflammatory gene activation, yet LPS activation of uterine inflammation was sufficient to override the repressive effects of progesterone and induce a laboring phenotype. Comparison of human and mouse uterine transcriptomic datasets revealed that human labor more closely resembles inflammation-induced PTL in the mouse.

conclusionsLabor in the mouse can be achieved through inflammatory gene activation yet these changes are not a requisite for labor itself. Human labor more closely resembles LPS-induced PTL in the mouse, supporting an essential role for inflammatory mediators in human "functional progesterone withdrawal." This improved understanding of inflammatory and progesterone influence on the uterine transcriptome has important implications for the development of PTL prevention strategies.

Indexed as

AnimalsFemaleHumansInflammationInflammation MediatorsLabor, ObstetricLipopolysaccharidesMiceModels, AnimalMyometriumObstetric Labor, PrematureParturitionPregnancyProgesteroneTranscriptomeUterusInflammation MediatorsLipopolysaccharidesProgesteroneInflammationMyometriumPreterm laborProgesteroneRNA-SeqTranscriptome

Identifiers

PMID27291689
PMCPMC4904357
OpenAlexW2415544896

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.