Evidence map›Paper›PMID 29405967›Full record

ArticlePlacenta2018

Identification of haptoglobin switch-on status in archived placental specimens indicates antenatal exposure to inflammation and potential participation of the fetus in triggering preterm birth.

Megan E McCarthy, Catalin S Buhimschi, John T Hardy, Antonette T Dulay, Christine A Laky, Mert-Ozan Bahtyiar, Ramesha Papanna, Guomao Zhao, Irina A Buhimschi

Open access · greenAbstract read
In one paragraph

Article in Placenta, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 13 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Megan E McCarthyDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Catalin S BuhimschiDepartment of Obstetrics & Gynecology, The Ohio State University College of Medicine, Columbus, OH, 43210, USA.
John T HardyDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Antonette T DulayDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Christine A LakyDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Mert-Ozan BahtyiarDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Ramesha PapannaDepartment of Ob/Gyn & Reproductive Sciences, Yale University School of Medicine, New Haven, CT, 0675, USA.
Guomao ZhaoCenter for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43215, USA.
Irina A BuhimschiCenter for Perinatal Research, The Research Institute at Nationwide Children's Hospital, Columbus, OH, 43215, USA. Electronic address: irina.buhimschi@nationwidechildrens.org.
Yale University · USNationwide Children's Hospital · USThe Ohio State University · US

Funding

Misfoldome-centered multiOMICS approach to unravel preeclampsia subphenotypes.R01HD084628 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUHIMSCHI, IRINA A · 2015 to 2019
$2.6M
DAMP-RAGE Signaling and Fetal Injury in Inflammation-Induced Preterm BirthR01HD062007 · NICHD · YALE UNIVERSITY · PI BUHIMSCHI, CATALIN SORIN, BUHIMSCHI, IRINA A · 2010 to 2014
$1.5M
NICHD NIH HHS R01 HD062007NICHD NIH HHS R01 HD084628
6 · The paper itself

Abstract

objectiveHaptoglobin (Hp) has key immunoregulatory roles that vary with phenotype (Hp1-1, Hp2-1, Hp2-2). Cord blood Hp expression is switched-off in the normal fetus. We hypothesized that in the setting of fetal inflammation placenta becomes inundated with Hp of fetal origin that in turn modulates the output of PGE

methodsPlacentas from 40 pregnancies complicated by preterm birth (PTB) (<37 weeks), without (n = 15) or with (n = 25) intra-amniotic infection and histological chorioamnionitis (HCA) were scored for intensity of Hp immunostaining. Hp mRNA levels were evaluated by PCR. Cord blood Hp levels, switch-on status and phenotypes were determined by ELISA and Western blotting. Using a villous trophoblast explant system we investigated if Hp can modulate the release of PGE

resultsAll cases with HCA had positive Hp immunoreactivity within fetal vascular spaces. Hp staining intensity correlated with cord blood Hp levels and IL-6. Placentas with and without HCA had similar Hp mRNA levels suggesting Hp immunostaining in the fetal spaces is of fetal rather than placental origin. Both Hp1-1 and Hp2-2 up-regulated PGE

conclusionsFetal Hp switch-on status, a marker of antenatal exposure to intra-amniotic infection/inflammation, can be reliably established through evaluation of archived placental specimens. In the setting of infection/inflammation, Hp enhances placental PGE

Indexed as

AdultAmniotic FluidBiomarkersChorioamnionitisDelivery, ObstetricFemaleGestational AgeHaptoglobinsHumansInfant, NewbornInflammationPlacentaPregnancyPremature BirthYoung AdultBiomarkersHaptoglobinsAmniotic fluidFetusInfectionPhenotypeProstaglandinsSepsis

Identifiers

PMID29405967
PMCPMC5804989
OpenAlexW2780935406

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.