Evidence map›Paper›PMID 29500127›Full record

ArticleEBioMedicine2018

Pelvic Chlamydial Infection Predisposes to Ectopic Pregnancy by Upregulating Integrin β1 to Promote Embryo-tubal Attachment.

Syed F Ahmad, Jeremy K Brown, Lisa L Campbell, Magda Koscielniak, Catriona Oliver, Nick Wheelhouse, Gary Entrican, Stuart McFee, Gillian S Wills, Myra O McClure and 6 more

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Current Evidence of Maternal Infection With Chlamydia trachomatis and Preeclampsia Risk.American journal of reproductive immunology (New York, N.Y. : 1989) · 2025
    Review
  4. Study Models forMicroorganisms · 2025
    Review
  5. Ectopic pregnancy.Nature reviews. Disease primers · 2024
    Review
  6. Review
  7. Article
  8. Review
  9. Essential Role of CRIM1 on Endometrial Receptivity in Goat.International journal of molecular sciences · 2021
    Article
  10. Review
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

16 authors at 6 institutions in 2 countries.

Syed F AhmadMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Jeremy K BrownMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Lisa L CampbellMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Magda KoscielniakMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Catriona OliverMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Nick WheelhouseMoredun Research Institute and Napier University, Edinburgh, Midlothian, UK.
Gary EntricanMoredun Research Institute and the Roslin Institute at the University of Edinburgh, Midlothian, UK.
Stuart McFeeMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Gillian S WillsJefferiss Research Trust Laboratories, Imperial College London, London, UK.
Myra O McClureJefferiss Research Trust Laboratories, Imperial College London, London, UK.
Patrick J HornerDepartment of Medical Microbiology, North Bristol NHS Trust, Bristol, UK.
Sevasti GaikoumelouMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Kai F LeeDepartment of Obstetrics and Gynecology, The University of Hong Kong, Hong Kong, China.
Hilary O D CritchleyMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
W Colin DuncanMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Andrew W HorneMRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK. Electronic address: andrew.horne@ed.ac.uk.
University of Edinburgh · GBMRC Centre for Reproductive Health · GBImperial College London · GBMoredun Research Institute · GBNorth Bristol NHS Trust · GBUniversity of Hong Kong · HK

Funding

Chief Scientist Office CZB/4/513Department of Health 14/150/03Medical Research Council G0802808Medical Research Council G1002033Medical Research Council MC_PC_16003Medical Research Council MR/N022556/1
6 · The paper itself

Abstract

Tubal ectopic pregnancies are a leading cause of global maternal morbidity and mortality. Previous infection with Chlamydia trachomatis is a major risk factor for tubal embryo implantation but the biological mechanism behind this association is unclear. Successful intra-uterine embryo implantation is associated with increased expression of endometrial "receptivity" integrins (cell adhesion molecules). We examined integrin expression in Fallopian tubes of women with previous C. trachomatis infection, in mice experimentally infected with C. trachomatis, in immortalised human oviductal epithelial cells (OE-E6/E7) and in an in vitro model of human embryo attachment (trophoblast spheroid-OE-E6/7 cell co-culture). Previous exposure with C. trachomatis increased Fallopian tube/oviduct integrin-subunit beta-1 (ITGB1) in women and mice compared to controls. C. trachomatis increased OE-E6/E7 cell ITGB1 expression and promoted trophoblast attachment to OE-E6/E7 cells which was negated by anti-ITGB1-antibody. We demonstrate that infection with C. trachomatis increases tubal ITGB1 expression, predisposing to tubal embryo attachment and ectopic pregnancy.

Indexed as

Chlamydia trachomatisAnimalsCell LineChlamydia InfectionsCoculture TechniquesDisease Models, AnimalEmbryo ImplantationEpithelial CellsFallopian TubesFemaleGene ExpressionHumansImmunohistochemistryIntegrin beta1MicePregnancyIntegrin beta1Chlamydia trachomatisEctopic pregnancyEmbryo implantationFallopian tubeIntegrins

Identifiers

PMID29500127
PMCPMC5925620
OpenAlexW2792403883

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.