Evidence map›Paper›PMID 29934619›Full record

ArticleNature communications2018

Uterine glands coordinate on-time embryo implantation and impact endometrial decidualization for pregnancy success.

Andrew M Kelleher, Jessica Milano-Foster, Susanta K Behura, Thomas E Spencer

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

102 citing papers in PubMed, 1 synthesis or guideline pooled it, 199 citations in OpenAlex.

  1. Pooled it
  2. SAV1 in Cooperation With FKBP52 Participates in Implantation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  3. Article
  4. Article
  5. Endometrial Epithelial Lactate Deficiency Drives CD8Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Exploring the Role of Kisspeptin in Polycystic Ovary Syndrome and Its Associated Pregnancy Complications.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Phospholipid flippase ATP11A brokers uterine epithelial integrity and function.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Progesterone receptor in uterine glands is required for pregnancy establishment in mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  18. Article
  19. Review
  20. Cell type and region-specific transcriptional changes in the endometrium of women with RIF identify potential treatment targets.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article

42 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Andrew M KelleherDivision of Animal Sciences, University of Missouri, Columbia, 65211, MO, USA.
Jessica Milano-FosterDivision of Animal Sciences, University of Missouri, Columbia, 65211, MO, USA.
Susanta K BehuraDivision of Animal Sciences, University of Missouri, Columbia, 65211, MO, USA.
Thomas E SpencerDivision of Animal Sciences, University of Missouri, Columbia, 65211, MO, USA. spencerte@missouri.edu.ORCID http://orcid.org/0000-0003-2815-766X
University of Missouri · USUniversity of Missouri Health System · US

Funding

Control of the Erythroid Terminal Differentiation DecisionR01DK096266 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SKOULTCHI, ARTHUR I · 2012 to 2016
$1.8M
Biological Role of Uterine Glands in PregnancyR01HD096266 · NICHD · UNIVERSITY OF MISSOURI-COLUMBIA · PI SPENCER, THOMAS E · 2018 to 2022
$1.6M
Biological Role of Endometrial Glands in Uterine FunctionR21HD076347 · NICHD · WASHINGTON STATE UNIVERSITY · PI SPENCER, THOMAS E · 2014 to 2015
$409k
NICHD NIH HHS R01 HD096266NICHD NIH HHS R21 HD076347U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R01HD096266U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R21HD076347
6 · The paper itself

Abstract

Uterine glands are essential for pregnancy establishment. By employing forkhead box A2 (FOXA2)-deficient mouse models coupled with leukemia inhibitory factor (LIF) repletion, we reveal definitive roles of uterine glands in embryo implantation and stromal cell decidualization. Here we report that LIF from the uterine glands initiates embryo-uterine communication, leading to embryo attachment and stromal cell decidualization. Detailed histological and molecular analyses discovered that implantation crypt formation does not involve uterine glands, but removal of the luminal epithelium is delayed and subsequent decidualization fails in LIF-replaced glandless but not gland-containing FOXA2-deficient mice. Adverse ripple effects of those dysregulated events in the glandless uterus result in embryo resorption and pregnancy failure. These studies provide evidence that uterine glands synchronize embryo-endometrial interactions, coordinate on-time embryo implantation, and impact stromal cell decidualization, thereby ensuring embryo viability, placental growth, and pregnancy success.

Indexed as

AnimalsDeciduaEmbryo ImplantationEmbryo, MammalianFemaleHepatocyte Nuclear Factor 3-betaLeukemia Inhibitory FactorMaleMiceMice, KnockoutPlacentationPregnancyStromal CellsFoxa2 protein, mouseHepatocyte Nuclear Factor 3-betaLeukemia Inhibitory FactorLif protein, mouse

Identifiers

PMID29934619
PMCPMC6015089
OpenAlexW2809122805

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.