Evidence map›Paper›PMID 29053991›Full record

ArticleDifferentiation; research in biological diversity

Molecular mechanisms of development of the human fetal female reproductive tract.

Gerald R Cunha, Takeshi Kurita, Mei Cao, Joel Shen, Stanley Robboy, Laurence Baskin

Open access · greenAbstract read
In one paragraph

Article in Differentiation; research in biological diversity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.5field-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

31 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. HMMRCell discovery · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Decoding Müllerian Duct Epithelial Regionalization.Molecular reproduction and development · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Organoids of the female reproductive tract.Journal of molecular medicine (Berlin, Germany) · 2021
    Review
  20. 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

6 authors at 2 institutions in 1 country.

Gerald R CunhaDepartment of Urology, University of California, 400 Parnassus Avenue, San Francisco, CA 94143, USA; Department of Urology, University of California, 400 Parnassus Ave., San Francisco, CA 94143, USA. Electronic address: Gerald.Cunha@ucsf.edu.
Takeshi KuritaDepartment of Cancer Biology and Genetics, The Comprehensive Cancer Center, Ohio State University, 460 W. 12th Avenue, 812 Biomedical Research Tower, Columbus, OH 43210, USA.
Mei CaoDepartment of Urology, University of California, 400 Parnassus Avenue, San Francisco, CA 94143, USA.
Joel ShenDepartment of Urology, University of California, 400 Parnassus Avenue, San Francisco, CA 94143, USA.
Stanley RobboyDepartments of Pathology and Obstetrics and Gynecology, Duke University Medical Center, DUMC 3712, Durham, NC 27710, USA.
Laurence BaskinDepartment of Urology, University of California, 400 Parnassus Avenue, San Francisco, CA 94143, USA.
University of California, San Francisco · USDuke Medical Center · US

Funding

UCSF KURe Career Development ProgramK12DK083021 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE, CARROLL, PETER R · 2008 to 2017
$5.9M
Genes Inducing Bladder Smooth Muscle FormationR01DK073449 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BASKIN, LAURENCE · 2007 to 2011
$2.2M
Molecular Etiology of Cervicovaginal Adenosis by in Utero Hormone ExposureR01CA154358 · NCI · OHIO STATE UNIVERSITY · PI KURITA, TAKESHI · 2010 to 2014
$1.5M
NCI NIH HHS R01 CA154358NIDDK NIH HHS K12 DK083021NIDDK NIH HHS R01 DK073449
6 · The paper itself

Abstract

Human female reproductive tract development rests mostly upon hematoxilyn and eosin stained sections despite recent advances on molecular mechanisms in mouse studies. We report application of immunohistochemical methods to explore the ontogeny of epithelial and mesenchymal differentiation markers (keratins, homobox proteins, steroid receptors), transcription factors and signaling molecules (TP63 and RUNX1) during human female reproductive tract development. Keratins 6, 7, 8, 10, 14 and 19 (KRT6, KRT7, KRT8, KRT10, KRT14, KRT19) were expressed in a temporally and spatially dynamic fashion. The undifferentiated Müllerian duct and uterovaginal canal, lined by simple columnar epithelia, expressed KRT7, KRT8 and KRT19. Glandular derivatives of the Müllerian duct (uterine tube, uterine corpus and endocervix) maintained expression of these keratins, while tissues that undergo stratified squamous differentiation (exocervix and vagina) expressed KRT6, KRT14 and KRT10 during development in an age-dependent fashion. TP63 and RUNX1 were expressed prior to KRT14, as these two transcription factors are known to be upstream from KRT14 in developing Müllerian epithelium. In the vagina, KRT10, a marker of terminal differentiation, appeared after endogenous estrogens transformed the epithelium to a thick glycogenated squamous epithelium. Uroplakin, a protein unique to urothelium, was expressed only in the bladder, urethra and vaginal introitus, but not in the female reproductive tract itself. Mesenchymal differentiation was examined through immunostaining for HOXA11 (expressed in uterine mesenchyme) and ISL1 (expressed in vaginal mesenchyme). A detailed ontogeny of estrogen receptor alpha (ESR1), progesterone receptor (PGR) and the androgen receptor (AR) provides the mechanistic underpinning for the teratogenicity of estrogens, progestins and androgens on female reproductive tract development. Immunohistochemical analysis of differentiation markers and signaling molecules advance our understanding of normal development of the human female reproductive tract. These observations demonstrate remarkable similarities in mouse and human female reproductive tract development, but also highlight some key differences.

Indexed as

AnimalsCell DifferentiationEmbryonic DevelopmentEpitheliumEstrogen Receptor alphaFemaleGene Expression Regulation, DevelopmentalGenitalia, FemaleHomeodomain ProteinsHumansKeratinsMiceMullerian DuctsReceptors, AndrogenReceptors, ProgesteroneReceptors, SteroidAR protein, humanESR1 protein, humanEstrogen Receptor alphaHomeodomain ProteinsKeratinsReceptors, AndrogenReceptors, ProgesteroneReceptors, SteroidCervixEstrogen receptorKeratinsMüllerian ductUterovaginal canalUterusVagina

Identifiers

PMID29053991
PMCPMC5940488
OpenAlexW2741214364

What OpenQuestion holds

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Registered trials

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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.