Evidence map›Paper›PMID 31285454›Full record

ArticleScientific reports2019

Differences in placental capillary shear stress in fetal growth restriction may affect endothelial cell function and vascular network formation.

Win M Tun, Choon Hwai Yap, Shier Nee Saw, Joanna L James, Alys R Clark

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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Feto-placental blood vessel development.Development (Cambridge, England) · 2025
    Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Developments in functional imaging of the placenta.The British journal of radiology · 2023
    Review
  18. Article
  19. Role of blood flow in endothelial functionality: a review.Frontiers in cell and developmental biology · 2023
    Review
  20. Mechanical regulation of the early stages of angiogenesis.Journal of the Royal Society, Interface · 2022
    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

5 authors at 3 institutions in 2 countries.

Win M TunAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Choon Hwai YapDepartment of Biomedical Engineering, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0003-2918-3077
Shier Nee SawDepartment of Biomedical Engineering, National University of Singapore, Singapore, Singapore.
Joanna L JamesDepartment of Obstetrics and Gynaecology, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
Alys R ClarkAuckland Bioengineering Institute, University of Auckland, Auckland, New Zealand. alys.clark@auckland.ac.nz.
National University of Singapore · SGUniversity of Auckland · NZAuckland Institute of Studies · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fetal growth restriction (FGR) affects 5-10% of pregnancies, leading to clinically significant fetal morbidity and mortality. FGR placentae frequently exhibit poor vascular branching, but the mechanisms driving this are poorly understood. We hypothesize that vascular structural malformation at the organ level alters microvascular shear stress, impairing angiogenesis. A computational model of placental vasculature predicted elevated placental micro-vascular shear stress in FGR placentae (0.2 Pa in severe FGR vs 0.05 Pa in normal placentae). Endothelial cells cultured under predicted FGR shear stresses migrated significantly slower and with greater persistence than in shear stresses predicted in normal placentae. These cell behaviors suggest a dominance of vessel elongation over branching. Taken together, these results suggest (1) poor vascular development increases vessel shear stress, (2) increased shear stress induces cell behaviors that impair capillary branching angiogenesis, and (3) impaired branching angiogenesis continues to drive elevated shear stress, jeopardizing further vascular formation. Inadequate vascular branching early in gestation could kick off this cyclic loop and continue to negatively impact placental angiogenesis throughout gestation.

Indexed as

CapillariesEndothelial CellsFemaleFetal Growth RetardationFetusHumansNeovascularization, PhysiologicPlacentaPregnancyShear Strength

Identifiers

PMID31285454
PMCPMC6614400
OpenAlexW2960665032

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.