Evidence map›Paper›PMID 30794283›Full record

ArticleBiology of reproduction2019

Cooperative effects of sequential PGF2α and IL-1β on IL-6 and COX-2 expression in human myometrial cells†.

Kelycia B Leimert, Barbara S E Verstraeten, Angela Messer, Rojin Nemati, Kayla Blackadar, Xin Fang, Sarah A Robertson, Sylvain Chemtob, David M Olson

Open access · bronzeAbstract read
In one paragraph

Article in Biology of reproduction, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. An Ex Vivo Model for the Onset of Human Labor.Reproductive sciences (Thousand Oaks, Calif.) · 2026
    Article
  3. Review
  4. Review
  5. Article
  6. Mediators of inflammation · 2025
    Article
  7. Review
  8. Article
  9. Clinical chorioamnionitis at term is characterized by changes in the plasma concentration of CHCHD2/MNRR1, a mitochondrial protein.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2023
    Article
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  11. Review
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  15. 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

9 authors at 3 institutions in 2 countries.

Kelycia B LeimertDepartment of Physiology, University of Alberta, Edmonton, Alberta, Canada.
Barbara S E VerstraetenDepartment of Physiology, University of Alberta, Edmonton, Alberta, Canada.
Angela MesserDepartment of Obstetrics, Gynecology and Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Rojin NematiDepartment of Obstetrics, Gynecology and Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Kayla BlackadarDepartment of Obstetrics, Gynecology and Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Xin FangDepartment of Obstetrics, Gynecology and Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
Sarah A RobertsonDepartment of Obstetrics and Gynecology, University of Adelaide, Adelaide, South Australia, Australia.
Sylvain ChemtobDepartment of Pediatrics, Ophthalmology, and Pharmacology, CHU Sainte-Justine Research Center, Montréal, Quebec, Canada.
David M OlsonDepartment of Physiology, University of Alberta, Edmonton, Alberta, Canada.
University of Alberta · CACentre Hospitalier Universitaire Sainte-Justine · CAThe University of Adelaide · AU

Funding

CIHR 119513
6 · The paper itself

Abstract

The change from the state of pregnancy to the state of parturition, which we call uterine transitioning, requires the actions of inflammatory mediators and results in an activated uterus capable of performing the physiology of labor. Interleukin (IL)-1β and prostaglandin (PG)F2α are two key mediators implicated in preparing the uterus for labor by regulating the expression of uterine activation proteins (UAPs) and proinflammatory cytokines and chemokines. To investigate this process, primary human myometrial smooth muscle cells (HMSMC) isolated from the lower segment of women undergoing elective cesarean sections at term (not in labor) were used to test the inflammatory cytokine and UAP outputs induced by PGF2α and IL-1β alone or in sequential combinations. PGF2α and IL-1β regulate mRNA abundance of the PGF2α receptor FP, the IL-1 receptor system, interleukin 6, and other UAPs (OXTR, COX2), driving positive feedback interactions to further amplify their own proinflammatory effects. Sequential stimulation of HMSMC by PGF2α and IL-1β in either order results in amplified upregulation of IL-6 and COX-2 mRNA and protein, compared to their effects individually. These profound increases were unique to myometrium and not observed with stimulation of human fetal membrane explants. These results suggest that PGF2α and IL-1β act cooperatively upstream in the birth cascade to maximize amplification of IL-6 and COX-2, to build inflammatory load and thereby promote uterine transition. Targeting PGF2α or IL-1β, their actions, or intermediates (e.g. IL-6) would be an effective therapeutic intervention for preterm birth prevention or delay.

Indexed as

Cells, CulturedCyclooxygenase 2DinoprostExtraembryonic MembranesFemaleGene Expression RegulationHumansInterleukin-1betaInterleukin-6Labor, ObstetricMyometriumPregnancyRNA, MessengerTissue Culture TechniquesCyclooxygenase 2DinoprostInterleukin-1betaInterleukin-6RNA, Messengeramplificationcytokinesinflammationmyometriumparturitionprostaglandins

Identifiers

PMID30794283
PMCPMC6497526
OpenAlexW2917626088

What OpenQuestion holds

Textmetadata
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.