Evidence map›Paper›PMID 31182728›Full record

ArticleScientific reports2019

Progesterone decreases gut permeability through upregulating occludin expression in primary human gut tissues and Caco-2 cells.

Zejun Zhou, Chuanxiu Bian, Zhenwu Luo, Constance Guille, Elizabeth Ogunrinde, Jiapeng Wu, Min Zhao, Sylvia Fitting, Diane L Kamen, Jim C Oates and 2 more

Open 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. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
6.1field-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.

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

48 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Article
  3. Menopause and "leaky gut": implications for midlife women's health.The Journal of clinical investigation · 2026
    Article
  4. Article
  5. Review
  6. Progesterone Receptor Expression in the Human Enteric Nervous System.International journal of molecular sciences · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. A Review of Recent Advances in Fecal Microbiota Transplantation for the Treatment of Hepatic Encephalopathy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  12. Article
  13. Article
  14. Infection Leading to Breast Abscess Formation in Pregnancy: A Case Report.International medical case reports journal · 2025
    Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. bioRxiv : the preprint server for biology · 2023
    Article
  20. Heat-KilledNutrients · 2023
    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

12 authors at 4 institutions in 2 countries.

Zejun ZhouState Key Laboratory of Developmental Biology of Freshwater Fish, College of Life Sciences, Hunan Normal University, Changsha, 410081, China.
Chuanxiu BianDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA.
Zhenwu LuoDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA.
Constance GuilleDepartment of Psychiatry and Behavioral Sciences, College of Medicine, Medical University of South Carolina, Charleston, SC, 29425, USA.
Elizabeth OgunrindeDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA.
Jiapeng WuBiochemistry, Biophysics and Molecular Biology, Whitman College, Walla Walla, WA, 99362, USA.
Min ZhaoDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA.
Sylvia FittingDepartment of Psychology & Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA.
Diane L KamenMedical Research Service, Ralph H. Johnson VAMC, Medical University of South Carolina, Charleston, SC, 29403, USA.
Jim C OatesMedical Research Service, Ralph H. Johnson VAMC, Medical University of South Carolina, Charleston, SC, 29403, USA.
Gary GilkesonMedical Research Service, Ralph H. Johnson VAMC, Medical University of South Carolina, Charleston, SC, 29403, USA. gilkeson@musc.edu.
Wei JiangDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, 29425, USA. jianw@musc.edu.ORCID http://orcid.org/0000-0002-1374-053X
Medical University of South Carolina · USJiangsu University · CNUniversity of North Carolina at Chapel Hill · USWhitman College · US

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Jian Ouyang · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
ZINC AND COPPER METABOLISM IN COLLAGEN DISORDERSM01RR001070 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI REVES, JOSEPH G · 1985 to 2009
$16.3M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Resource CoreP30AR072582 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI JAMES C OATES · 2017 to 2026
$8.5M
Interdisciplinary Women's Health Research at MUSCK12HD055885 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MCGINTY, JACQUELINE F. · 2007 to 2021
$7.2M
Translational Center of Molecular Profiling in Preclinical and Established Lupus (COMPEL)P50AR070591 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL P · 2017 to 2021
$6.7M
South Carolina Cancer Disparities Research Center (SC CADRE)U54CA210962 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FORD, MARVELLA ELIZABETH, SALLEY, JUDITH · 2017 to 2023
$6.7M
Patient Resource CoreP60AR062755 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GILKESON, GARY S · 2012 to 2016
$5.8M
Training Grant in Inflammatory and Fibrosing DiseasesT32AR050958 · NIAMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI DIANE L KAMEN · 2005 to 2026
$4.2M
Prospective Study of Human Oral Microbiome and Pancreatic Cancer RiskR01CA164964 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AHN, JIYOUNG · 2014 to 2017
$2.2M
CSRD VA I01 CX001211NCATS NIH HHS UL1 TR000062NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA138313NCI NIH HHS R01 CA164964NCI NIH HHS U54 CA210962NCRR NIH HHS M01 RR001070NCRR NIH HHS UL1 RR029882NIAID NIH HHS R01 AI128864NIAMS NIH HHS K24 AR068406NIAMS NIH HHS P30 AR072582NIAMS NIH HHS P50 AR070591NIAMS NIH HHS P60 AR062755NIAMS NIH HHS R21 AR067459NIAMS NIH HHS T32 AR050958NICHD NIH HHS K12 HD055885NIDA NIH HHS K23 DA039318NIDA NIH HHS R01 DA045596
6 · The paper itself

Abstract

Progesterone plays a protective role in preventing inflammation and preterm delivery during pregnancy. However, the mechanism involved is unknown. Microbial product translocation from a permeable mucosa is demonstrated as a driver of inflammation. To study the mechanism of the protective role of progesterone during pregnancy, we investigated the effect of physiologic concentrations of progesterone on tight junction protein occludin expression and human gut permeability in vitro and systemic microbial translocation in pregnant women in vivo. Plasma bacterial lipopolysaccharide (LPS), a representative marker of in vivo systemic microbial translocation was measured. We found that plasma LPS levels were significantly decreased during 24 to 28 weeks of gestation compared to 8 to 12 weeks of gestation. Moreover, plasma LPS levels were negatively correlated with plasma progesterone levels but positively correlated with plasma tumor necrosis factor-alpha (TNF-α) levels at 8 to 12 weeks of gestation but not at 24 to 28 weeks of gestation. Progesterone treatment increased intestinal trans-epithelial electrical resistance (TEER) in primary human colon tissues and Caco-2 cells in vitro through upregulating tight junction protein occludin expression. Furthermore, progesterone exhibited an inhibitory effect on nuclear factor kappa B (NF-κB) activation following LPS stimulation in Caco-2 cells. These results reveal a novel mechanism that progesterone may play an important role in decreasing mucosal permeability, systemic microbial translocation, and inflammation during pregnancy.

Indexed as

AdultCaco-2 CellsFemaleGastrointestinal MicrobiomeGene Expression RegulationHumansInflammationIntestinal MucosaLipopolysaccharidesOccludinPermeabilityPregnancyPremature BirthProgesteroneTight JunctionsTumor Necrosis Factor-alphaLipopolysaccharidesOccludinProgesteroneTumor Necrosis Factor-alpha

Identifiers

PMID31182728
PMCPMC6558054
OpenAlexW2948138973

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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.