Evidence map›Paper›PMID 27568096›Full record

ArticlePrenatal diagnosis2016

Connexin 43 is overexpressed in human fetal membrane defects after fetoscopic surgery.

David W Barrett, Anna L David, Christopher Thrasivoulou, Alvaro Mata, David L Becker, Alex C Engels, Jan A Deprest, Tina T Chowdhury

Open access · hybridAbstract read
In one paragraph

Article in Prenatal diagnosis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Perinatal Outcomes after Fetal Endoscopic Tracheal Occlusion for Isolated Congenital Diaphragmatic Hernia: Rapid Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
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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

8 authors at 5 institutions in 3 countries.

David W BarrettInstitute of Bioengineering, School of Engineering and Materials Science, Queen Mary University of London, London, UK.
Anna L DavidInstitute for Women's Health, University College London, London, UK.
Christopher ThrasivoulouDepartment of Cell and Developmental Biology, University College London, London, UK.
Alvaro MataInstitute of Bioengineering, School of Engineering and Materials Science, Queen Mary University of London, London, UK.
David L BeckerLee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Alex C EngelsDepartment of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.
Jan A DeprestDepartment of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium.
Tina T ChowdhuryInstitute of Bioengineering, School of Engineering and Materials Science, Queen Mary University of London, London, UK. t.t.chowdhury@qmul.ac.uk.
Queen Mary University of London · GBKU Leuven · BELondon Women's Clinic · GBNanyang Technological University · SGUniversity College London · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveWe examined whether surgically induced membrane defects elevate connexin 43 (Cx43) expression in the wound edge of the amniotic membrane (AM) and drives structural changes in collagen that affects healing after fetoscopic surgery.

methodCell morphology and collagen microstructure was investigated by scanning electron microscopy and second harmonic generation in fetal membranes taken from women who underwent fetal surgery. Immunofluoresence and real-time quantitative polymerase chain reaction was used to examine Cx43 expression in control and wound edge AM.

resultsScanning electron microscopy showed dense, helical patterns of collagen fibrils in the wound edge of the fetal membrane. This arrangement changed in the fibroblast layer with evidence of collagen fibrils that were highly polarised along the wound edge but not in control membranes. Cx43 was increased by 112.9% in wound edge AM compared with controls (p < 0.001), with preferential distribution in the fibroblast layer compared with the epithelial layer (p < 0.01). In wound edge AM, mesenchymal cells had a flattened morphology, and there was evidence of poor epithelial migration across the defect. Cx43 and COX-2 expression was significantly increased in wound edge AM compared with controls (p < 0.001).

conclusionOverexpression of Cx43 in the AM after fetal surgery induces morphological and structural changes in the collagenous matrix that may interfere with normal healing mechanisms. © 2016 The Authors. Prenatal Diagnosis published by John Wiley & Sons, Ltd.

Indexed as

FetoscopyAdultAmnionCase-Control StudiesConnexin 43Cyclooxygenase 2Extracellular MatrixFemaleFetofetal TransfusionFibril-Associated CollagensFluorescent Antibody TechniqueGestational AgeHernias, Diaphragmatic, CongenitalHumansMicroscopy, Electron, ScanningPregnancyConnexin 43Cyclooxygenase 2Fibril-Associated CollagensGJA1 protein, humanPTGS2 protein, humanRNA, Messenger

Identifiers

PMID27568096
PMCPMC5082503
OpenAlexW2513187787

What OpenQuestion holds

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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.