Evidence map›Paper›PMID 27401588›Full record

Trial reportAmerican journal of reproductive immunology (New York, N.Y. : 1989)2016

Effects of the levonorgestrel-releasing intrauterine device on the immune microenvironment of the human cervix and endometrium.

Uma Shanmugasundaram, Joan F Hilton, J William Critchfield, Ruth M Greenblatt, Linda C Giudice, Sarah Averbach, Dominika Seidman, Barbara L Shacklett, Karen Smith-McCune

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in American journal of reproductive immunology (New York, N.Y. : 1989), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Sex Steroid Hormone Regulation of T-Cell Function and Antitumor Immunity.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  6. Observational
  7. Review
  8. Endometriosis and adenomyosis unveiled through single-cell glasses.American journal of obstetrics and gynecology · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Use of Intrauterine Devices and Risk of Human Immunodeficiency Virus Acquisition Among Insured Women in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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

9 authors at 4 institutions in 1 country.

Uma ShanmugasundaramDepartment of Medical Microbiology and Immunology, School of Medicine, University of California, Davis, CA, USA.
Joan F HiltonDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
J William CritchfieldDepartment of Medical Microbiology and Immunology, School of Medicine, University of California, Davis, CA, USA.
Ruth M GreenblattDepartment of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Linda C GiudiceDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA.
Sarah AverbachDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA.
Dominika SeidmanDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA.
Barbara L ShacklettDepartment of Medical Microbiology and Immunology, School of Medicine, University of California, Davis, CA, USA.
Karen Smith-McCuneDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, CA, USA.
University of California, San Francisco · USUniversity of California, Davis · USUniversity of California System · USUniversity of California Davis Medical Center · US

Funding

Translational InformaticsP30CA082103 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Kate Taylor Shumate · 1999 to 2026
$209.7M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Viral and Host Factors Promoting Male-to-Female Transmission of HIVP01AI083050 · NIAID · J. DAVID GLADSTONE INSTITUTES · PI GIUDICE, LINDA C, GREENBLATT, RUTH MARTHA · 2009 to 2013
$10.1M
Project 3: Identifying plasma biomarkers predicting time to HIV rebound after treatment interruptionP01AI131374 · NIAID · J. DAVID GLADSTONE INSTITUTES · PI ROAN, NADIA R · 2017 to 2021
$8.5M
Reproductive Tract Effects of the Intrauterine Device: Implications for HIV RiskR01AI111925 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SMITH-MCCUNE, KAREN K · 2014 to 2017
$2.5M
Shared LSRII Cytometer Equipment Application - UC Davis Stem Cell ProgramS10RR026825 · NCRR · UNIVERSITY OF CALIFORNIA AT DAVIS · PI NOLTA, JAN A. · 2010 to 2010
$500k
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR012088 · NCRR · UNIVERSITY OF CALIFORNIA DAVIS · PI CURRY, FITZ-ROY E · 1996 to 1996
–
NCATS NIH HHS KL2 TR000143NCATS NIH HHS UL1 TR000004NCI NIH HHS P30 CA082103NCI NIH HHS P30 CA093373NCRR NIH HHS C06 RR012088NCRR NIH HHS S10 RR026825NIAID NIH HHS P01 AI083050NIAID NIH HHS P01 AI131374NIAID NIH HHS R01 AI111925
6 · The paper itself

Abstract

problemThere is little information regarding the impact of the intrauterine device on immune parameters of the upper female reproductive tract related to risk of HIV acquisition. METHOD OF STUDY: We collected cervical and endometrial samples from women using the hormonal intrauterine device to study its effects on endocervical cytokines/chemokine concentrations, phenotypic markers of T cells, responses of endometrial T cells to activation, and alterations of endometrial cellular infiltrates.

resultsHormonal intrauterine device use was associated with: increased concentrations of inflammatory cytokines/chemokines (endocervix); increased coexpression of CXCR4 and CCR5 (endocervix and endometrium); increased coexpression of CD38 and HLADR (endocervix and endometrium); increased intracellular IL-10 production after T-cell stimulation (endometrium); and increased density of T cells, most notably regulatory T cells (endometrium).

conclusionHormonal intrauterine device use resulted in both inflammatory and immunosuppressive alterations. Further research is needed to determine the significance of these changes for HIV risk.

Indexed as

AdultCervix UteriCross-Sectional StudiesDrug Delivery SystemsEndometriumFemaleHIV InfectionsHLA-DR AntigensHumansInterleukin-10LevonorgestrelMiddle AgedReceptors, CCR4Receptors, CCR5Risk FactorsT-LymphocytesCCR4 protein, humanCCR5 protein, humanHLA-DR AntigensIL10 protein, humanInterleukin-10LevonorgestrelReceptors, CCR4Receptors, CCR5chemokinecytokineHIVIUDprogestinT-cell

Identifiers

PMID27401588
PMCPMC5316474
OpenAlexW2469348810

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.