Evidence map›Paper›PMID 28248847›Full record

ArticleFemale pelvic medicine & reconstructive surgery

Effect of Pregnancy and Delivery on Cytokine Expression in a Mouse Model of Pelvic Organ Prolapse.

Bruna M Couri, Andrew T Lenis, Ali Borazjani, Brian M Balog, Mei Kuang, Robert S Butler, Marc S Penn, Margot S Damaser

Abstract read
In one paragraph

Article in Female pelvic medicine & reconstructive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  4. Review
  5. Review
  6. Article
  7. 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

8 authors at 5 institutions in 1 country.

Bruna M CouriFrom the Departments of *Obstetrics and Gynecology and †Biomedical Engineering, Cleveland Clinic, Cleveland, OH; ‡Department of Urology, University of California Los Angeles, Los Angeles, CA; and §Chemical and Biomedical Engineering, Cleveland State University; and ∥Advanced Platform Technology Center, Louis Stokes VA Medical Center, Cleveland; ¶Department of Biology, University of Akron, Akron; #Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland; **Department of Integrative Medical Sciences, Northeast Ohio University College of Medicine, Rootstown; ††Summa Cardiovascular Institute, Summa Health System, Akron; and ‡‡Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, OH.
Andrew T Lenis
Ali Borazjani
Brian M Balog
Mei Kuang
Robert S Butler
Marc S Penn
Margot S Damaser
Summa Health System · USUniversity of Akron · USCleveland Clinic · USCleveland State University · USOhio University · US

Funding

Stem Cell Homing for Treatment of Female Pelvic Floor DisordersR01HD059859 · NICHD · CLEVELAND CLINIC LERNER COM-CWRU · PI DAMASER, MARGOT S. · 2010 to 2014
$1.6M
NICHD NIH HHS R01 HD059859
6 · The paper itself

Abstract

objectivesThe aim of this study was to determine the effect of pregnancy and delivery mode on cytokine expression in the pelvic organs and serum of lysyl oxidase like-1 knockout (LOXL1 KO) mice, which develop pelvic organ prolapse after delivery.

methodsBladder, urethra, vagina, rectum, and blood were harvested from female LOXL1 KO mice during pregnancy, after vaginal or cesarean delivery, and from sham cesarean and unmanipulated controls. Pelvic organs and blood were also harvested from pregnant and vaginally delivered wild-type (WT) mice and from unmanipulated female virgin WT controls. Specimens were assessed using quantitative real-time reverse transcription polymerase chain reaction and/or enzyme-linked immunosorbent assay.

resultsBoth CXCL12 and CCL7 mRNA were significantly up-regulated in the vagina, urethra, bladder, and rectum of pregnant LOXL1 KO mice compared with pregnant WT mice, suggesting systemic dysregulation of both of these cytokines in LOXL1 KO mice as a response to pregnancy.The differences in cytokine expression between LOXL1 KO and WT mice in pregnancy persisted after vaginal delivery. CCL7 gene expression increases faster and to a greater extent in LOXL1 KO mice, translating to longer lasting increases in CCL7 in serum of LOXL1 KO mice after vaginal delivery, compared with pregnant mice.

conclusionsLysyl oxidase like-1 KO mice have an increased cytokine response to pregnancy perhaps because they are less able to reform and re-cross-link stretched elastin to accommodate pups, and this resultant tissue stretches during pregnancy. The up-regulation of CCL7 after delivery could provide an indicator of level of childbirth injury, to which the urethra and vagina seem to be particularly vulnerable.

Indexed as

Amino Acid OxidoreductasesAnimalsChemokine CCL7Chemokine CXCL12Delivery, ObstetricFemaleHumansMiceMice, KnockoutModels, AnimalPelvic Organ ProlapsePregnancyReverse Transcriptase Polymerase Chain ReactionUrethraUrinary BladderVaginaAmino Acid OxidoreductasesCcl7 protein, mouseChemokine CCL7Chemokine CXCL12Cxcl12 protein, mouseLoxl1 protein, mouse

Identifiers

PMID28248847
PMCPMC5573670
OpenAlexW2591749759

What OpenQuestion holds

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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.