Evidence map›Paper›PMID 31367035›Full record

ArticleNature2019

Human placenta has no microbiome but can contain potential pathogens.

Marcus C de Goffau, Susanne Lager, Ulla Sovio, Francesca Gaccioli, Emma Cook, Sharon J Peacock, Julian Parkhill, D Stephen Charnock-Jones, Gordon C S Smith

Erratum issuedAbstract read
In one paragraph

Article in Nature, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 404 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
404citing papers in PubMed, 1 pooled it
101.0field-weighted citation impact, top 1% 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

404 citing papers in PubMed, 1 synthesis or guideline pooled it, 685 citations in OpenAlex.

  1. [Pathways and Mechanisms of Periodontitis Contributing to Adverse Pregnancy Outcomes].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2023
    Pooled it
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  3. Obstetric Pharmacomicrobiomics.Clinical pharmacology and therapeutics · 2026
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344 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Marcus C de Goffau *Wellcome Sanger Institute, Cambridge, UK.
Susanne Lager *Department of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK.
Ulla SovioDepartment of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK.
Francesca GaccioliDepartment of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK.
Emma CookDepartment of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK.
Sharon J PeacockWellcome Sanger Institute, Cambridge, UK.
Julian ParkhillWellcome Sanger Institute, Cambridge, UK. jp369@cam.ac.uk.
D Stephen Charnock-JonesDepartment of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK.
Gordon C S SmithDepartment of Obstetrics and Gynaecology, University of Cambridge, National Institute for Health Research Biomedical Research Centre, Cambridge, UK. gcss2@cam.ac.uk.
NIHR Biomedical Research Centre at The Royal Marsden and the ICRUniversity of Cambridge · GBNational Institute for Health Research · GB

Funding

Medical Research Council MR/K021133/1
6 · The paper itself

Abstract

We sought to determine whether pre-eclampsia, spontaneous preterm birth or the delivery of infants who are small for gestational age were associated with the presence of bacterial DNA in the human placenta. Here we show that there was no evidence for the presence of bacteria in the large majority of placental samples, from both complicated and uncomplicated pregnancies. Almost all signals were related either to the acquisition of bacteria during labour and delivery, or to contamination of laboratory reagents with bacterial DNA. The exception was Streptococcus agalactiae (group B Streptococcus), for which non-contaminant signals were detected in approximately 5% of samples collected before the onset of labour. We conclude that bacterial infection of the placenta is not a common cause of adverse pregnancy outcome and that the human placenta does not have a microbiome, but it does represent a potential site of perinatal acquisition of S. agalactiae, a major cause of neonatal sepsis.

Indexed as

Delivery, ObstetricBiopsyCohort StudiesDNA, BacterialDNA ContaminationFemaleHumansInfant, NewbornMaleMetagenomicsObstetric Labor ComplicationsPlacentaPregnancyPregnancy Complications, InfectiousPregnancy OutcomeReproducibility of ResultsDNA, BacterialRNA, Ribosomal, 16S

Identifiers

PMID31367035
PMCPMC6697540
OpenAlexW2966854986

What OpenQuestion holds

Textmetadata
LicenceTDM
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.