Evidence map›Paper›PMID 28049832›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2017

Forkhead box a2 (FOXA2) is essential for uterine function and fertility.

Andrew M Kelleher, Wang Peng, James K Pru, Cindy A Pru, Francesco J DeMayo, Thomas E Spencer

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers.

0numbers the graph read from it
0cells of the map it votes in
124citing 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

124 citing papers in PubMed, 178 citations in OpenAlex.

  1. Article
  2. SAV1 in Cooperation With FKBP52 Participates in Implantation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  15. Review
  16. TGFBR2 coordinates the endometrial response to estrogen, regulating endometrial hyperplasia and fertility.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Serum response factor is essential for endometrial function and prevention of inflammatory fibrosis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Andrew M KelleherDivision of Animal Sciences, University of Missouri, Columbia, MO 65211.
Wang PengDivision of Animal Sciences, University of Missouri, Columbia, MO 65211.
James K PruDepartment of Animal Sciences, Washington State University, Pullman, WA 99164.
Cindy A PruDepartment of Animal Sciences, Washington State University, Pullman, WA 99164.
Francesco J DeMayoPregnancy and Female Reproduction Group, National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709.
Thomas E SpencerDivision of Animal Sciences, University of Missouri, Columbia, MO 65211; spencerte@missouri.edu.
University of Missouri · USWashington State University · USNational Institute of Environmental Health Sciences · US

Funding

Environmental Signaling in Reproduction and PregnancyZIAES103311 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI DEMAYO, FRANCESCO · 2016 to 2025
$30.5M
Biological Role of Endometrial Glands in Uterine FunctionR21HD076347 · NICHD · WASHINGTON STATE UNIVERSITY · PI SPENCER, THOMAS E · 2014 to 2015
$409k
NICHD NIH HHS R21 HD076347
6 · The paper itself

Abstract

Establishment of pregnancy is a critical event, and failure of embryo implantation and stromal decidualization in the uterus contribute to significant numbers of pregnancy losses in women. Glands of the uterus are essential for establishment of pregnancy in mice and likely in humans. Forkhead box a2 (FOXA2) is a transcription factor expressed specifically in the glands of the uterus and is a critical regulator of postnatal uterine gland differentiation in mice. In this study, we conditionally deleted FOXA2 in the adult mouse uterus using the lactotransferrin Cre (Ltf-Cre) model and in the neonatal mouse uterus using the progesterone receptor Cre (Pgr-Cre) model. The uteri of adult FOXA2-deleted mice were morphologically normal and contained glands, whereas the uteri of neonatal FOXA2-deleted mice were completely aglandular. Notably, adult FOXA2-deleted mice are completely infertile because of defects in blastocyst implantation and stromal cell decidualization. Leukemia inhibitory factor (LIF), a critical implantation factor of uterine gland origin, was not expressed during early pregnancy in adult FOXA2-deleted mice. Intriguingly, i.p. injections of LIF initiated blastocyst implantation in the uteri of both gland-containing and glandless adult FOXA2-deleted mice. Although pregnancy was rescued by LIF and was maintained to term in uterine gland-containing adult FOXA2-deleted mice, pregnancy failed by day 10 in neonatal FOXA2-deleted mice lacking uterine glands. These studies reveal a previously unrecognized role for FOXA2 in regulation of adult uterine function and fertility and provide original evidence that uterine glands and, by inference, their secretions play important roles in blastocyst implantation and stromal cell decidualization.

Indexed as

AnimalsAnimals, NewbornDeciduaEmbryo ImplantationFemaleFertilityGene Expression RegulationHepatocyte Nuclear Factor 3-betaHumansInfertilityLeukemia Inhibitory FactorMaleMice, KnockoutMice, TransgenicUterusFoxa2 protein, mouseHepatocyte Nuclear Factor 3-betaLeukemia Inhibitory FactorFOXA2glandLIFpregnancyuterus

Identifiers

PMID28049832
PMCPMC5307455
OpenAlexW2566583131

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.