Evidence map›Paper›PMID 30971726›Full record

ArticleScientific reports2019

First Trimester Circulating MicroRNA Biomarkers Predictive of Subsequent Preterm Delivery and Cervical Shortening.

Joanna Cook, Phillip R Bennett, Sung Hye Kim, Tiong Ghee Teoh, Lynne Sykes, Lindsay M Kindinger, Alice Garrett, Reem Binkhamis, David A MacIntyre, Vasso Terzidou

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04176549 (The Assessment of Biomarkers in Ectopic Pregnancy), which is not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
6.5field-weighted citation impact, top 3% 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.

NCT04176549 unknown statusnot on this map

The Assessment of Biomarkers in Ectopic Pregnancy

TypeobservationalSponsorImperial College LondonRan2019 to 2025Enrolled200ConditionsEctopic PregnancyArmsManagement of Ectopic Pregnancy, Management of termination of pregnancy, Elective management of gynaecology patients
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 78 citations in OpenAlex.

  1. MicroRNA Associations with Preterm Labor-A Systematic Review.International journal of molecular sciences · 2024
    Pooled it
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  13. Development of a spontaneous preterm birth predictive model using a panel of serum protein biomarkers for early pregnant women: A nested case-control study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
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  15. Article
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  18. First Trimester Placental Biomarkers for Pregnancy Outcomes.International journal of molecular sciences · 2024
    Review
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  20. Article
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

10 authors at 3 institutions in 1 country.

Joanna CookParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Phillip R BennettParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Sung Hye KimParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Tiong Ghee TeohParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Lynne SykesParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Lindsay M KindingerParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Alice GarrettParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Reem BinkhamisParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.
David A MacIntyreParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK.ORCID http://orcid.org/0000-0002-4186-5567
Vasso TerzidouParturition Research Group, Institute of Reproductive and Developmental Biology, Imperial College London, Du Cane Road, London, W12 0NN, UK. v.terzidou@imperial.ac.uk.ORCID http://orcid.org/0000-0002-7579-4947
Imperial College Healthcare NHS Trust · GBImperial College London · GBChelsea and Westminster Hospital · GB

Funding

Medical Research Council MC_PC_15028Medical Research Council MR/L009226/1
6 · The paper itself

Abstract

Preterm birth (PTB) is the leading cause of infant death and disability worldwide. The onset of preterm uterine contractions is preceded by asymptomatic cervical remodelling and ripening, which can be seen on trans-vaginal ultrasound as cervical shortening. This study aimed to identify plasma miRNA biomarkers that predict preterm birth and/or cervical shortening. We collected serial plasma samples from pregnant women prospectively from 12 to 22 weeks gestation. The nCounter miRNA assay was used to identify differentially expressed miRNAs associated with spontaneous PTB and/or cervical shortening (n = 16 term no short, n = 13 preterm, n = 24 short). Predictive values of the miRNA biomarkers were confirmed in an independent validation cohort consisting of 96 women who delivered at term, 14 preterm and 21 early cervical shortening at <20 weeks gestation. Nine miRNAs (hsa-let-7a-5p, hsa-miR-374a-5p, hsa-miR-15b-5p, hsa-miR-19b-3p, hsa-miR-23a-3p, hsa-miR-93-5p, hsa-miR-150-5p, hsa-miR-185-5p and hsa-miR-191-5p) were differentially expressed (P < 0.001) in women subsequently experiencing PTB or cervical shortening. Hsa-miR-150-5p had the strongest ability to predict PTB (AUC = 0.8725) and cervical shortening (AUC = 0.8514). Plasma miRNAs in the first trimester can predict PTB and cervical shortening in women at risk of preterm delivery. This is a key period in pregnancy when early identification of PTB risk allows time to deliver outcome-modifying interventions.

Indexed as

AdultArea Under CurveBiomarkersCervix UteriCohort StudiesFemaleHumansMicroRNAsPregnancyPregnancy Trimester, FirstPremature BirthROC CurveBiomarkersMicroRNAs

Identifiers

PMID30971726
PMCPMC6458157
OpenAlexW2936814562

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.