Evidence map›Paper›PMID 29205636›Full record

ArticleAmerican journal of reproductive immunology (New York, N.Y. : 1989)2018

Immune checkpoint molecules soluble program death ligand 1 and galectin-9 are increased in pregnancy.

Elizabeth Ann L Enninga, Susan M Harrington, Douglas J Creedon, Rodrigo Ruano, Svetomir N Markovic, Haidong Dong, Roxana S Dronca

Open access · hybridAbstract read
In one paragraph

Article in American journal of reproductive immunology (New York, N.Y. : 1989), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. A rare variant in theArchives of medical science : AMS · 2026
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  11. Bridging the divide: unveiling mutual immunological pathways of cancer and pregnancy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  12. Review
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  15. Regulation of PD-L1 Expression by Nuclear Receptors.International journal of molecular sciences · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Elizabeth Ann L EnningaDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-3621-7335
Susan M HarringtonDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Douglas J CreedonDepartment of Obstetrics and Gynecology, Baylor College of Medicine at the Children's Hospital of San Antonio, San Antonio, TX, USA.
Rodrigo RuanoDepartment of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.
Svetomir N MarkovicDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Haidong DongDepartment of Urology, Mayo Clinic, Rochester, MN, USA.
Roxana S DroncaDepartment of Medical Oncology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic in Arizona · USBaylor College of Medicine · US

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
Role of Bim and soluble B7-H1 in monitoring T cell responses to anti-PD-1 therapy in melanomaR21CA197878 · NCI · MAYO CLINIC ROCHESTER · PI DONG, HAIDONG, DRONCA, ROXANA S · 2015 to 2016
$374k
NCI NIH HHS R21 CA197878NICHD NIH HHS K12 HD065987
6 · The paper itself

Abstract

problemPregnancy requires balance between tolerance to the haploidentical fetus and the mother's ability to mount immune responses. There are parallels to this phenomenon that occur in metastatic cancer. We assessed soluble program death ligand-1 soluble PD-L1 (sPD-L1) and galectin-9 in the blood of pregnant women during gestation as these molecules are highly involved in immune suppression during cancer. METHOD OF STUDY: Maternal blood was collected from 30 primigravida women at monthly intervals during pregnancy, delivery and 6-week post-partum. Blood was analyzed for sPD-L1 and galectin-9 concentrations by ELISA. Term placentas were collected in formalin and IHC was completed for PD-L1 and galectin-9 expression.

resultsMaternal blood levels of sPD-L1 (0.438 ng/mL) and galectin-9 (1976 pg/mL) were elevated early in normal pregnancies compared to non-pregnant controls (0.242 ng/mL and 773 pg/mL, respectively). sPD-L1 increased throughout gestation, whereas galectin-9 remained elevated until parturition; both proteins returned to control levels post-partum. Women carrying male fetuses had significantly higher galectin-9 levels, but not sPD-L1, than those carrying females (2263 pg/mL vs 1874 pg/mL; P = .0005). Trophoblast cells of the term placenta coexpress galectin-9 and PD-L1.

conclusionImmune-regulatory molecules galectin-9 and sPD-L1 increased during pregnancy and may play a role in immune tolerance that is critical for the fetus.

Indexed as

AdultB7-H1 AntigenBiomarkersCohort StudiesFemaleFollow-Up StudiesGalectinsHumansPlacentaPregnancyPregnancy ComplicationsTumor EscapeTumor MicroenvironmentYoung AdultB7-H1 AntigenBiomarkersCD274 protein, humanGalectinsLGALS9 protein, humangalectin-9regulationsPD-L1tolerance

Identifiers

PMID29205636
PMCPMC5814874
OpenAlexW2775276976

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.