Evidence map›Paper›PMID 31411323›Full record

ArticleBiology of reproduction2019

Distinct preterm labor phenotypes have unique inflammatory signatures and contraction associated protein profiles†.

Natasha Singh, Bronwen Herbert, Gavin Sooranna, Anya Das, Suren R Sooranna, Steven M Yellon, Mark R Johnson

Open access · greenAbstract 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 29% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Chemokines in Pregnancy.Biomolecules · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. 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

7 authors at 2 institutions in 2 countries.

Natasha SinghChelsea and Westminster Hospital, London, United Kingdom.
Bronwen HerbertInstitute of Reproductive and Developmental Biology, London, United Kingdom.
Gavin SoorannaChelsea and Westminster Hospital, London, United Kingdom.
Anya DasInstitute of Reproductive and Developmental Biology, London, United Kingdom.
Suren R SoorannaChelsea and Westminster Hospital, London, United Kingdom.
Steven M YellonLongo Center for Perinatal Biology, Loma Linda University School of Medicine, Loma Linda, CA, USA.
Mark R JohnsonChelsea and Westminster Hospital, London, United Kingdom.
Chelsea and Westminster Hospital · GBLoma Linda University · US

Funding

Department of Health
6 · The paper itself

Abstract

Preterm labor (PTL) is the predominant cause of childhood morbidity and mortality. It has several phenotypes, each with a distinct etiology often involving inflammation. Here, in samples of reproductive tissues obtained in early PTL from women with phenotypically defined PTL, we examined the presence and distribution of inflammation and its relationship with prolabor gene expression. In chorioamnionitis (CA-PTL), cytokine protein concentrations were increased across all tissues; in idiopathic (I-PTL), the inflammatory changes were limited to the choriodecidua; inflammation was not a feature of placental abruption (PA-PTL). CA-PTL was associated with activation of p65 in the myometrium and AP-1 in the choriodecidua, and PA-PTL with CREB in the choriodecidua. In the myometrium, PGHS-2 mRNA level was increased in CA- and I-PTL; in the amnion, PGHS-2 mRNA level was higher in PA- and I-PTL, while in CA-PTL, OT, OTR mRNA, and CX-43 expression were increased. In the choriodecidua, PGHS-2 mRNA level was unchanged, but in CA and I-PTL, OT mRNA level were increased and OTR was reduced. These data show that CA-PTL is associated with widespread inflammation and prolabor gene expression. In contrast, in I-PTL, inflammation is limited to the choriodecidua, with discrete increases in PGHS-2 in the amnion and OT in the choriodecidua. Inflammation is not a feature of PA-PTL, which is associated with increased OT and OTR in the amnion.

Indexed as

Obstetric Labor, PrematureAdultChorioamnionitisExtraembryonic MembranesFemaleHumansInflammationPregnancyTranscriptomeUterine Contractionamnionchemokineschoriodeciduacytokinesinflammationmyometriumplacenta

Identifiers

PMID31411323
PMCPMC6877778
OpenAlexW2967424669

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.