Evidence map›Paper›PMID 31600597›Full record

ReviewPharmacological research2019

The brain-placental axis: Therapeutic and pharmacological relevancy to pregnancy.

Susanta K Behura, Pramod Dhakal, Andrew M Kelleher, Ahmed Balboula, Amanda Patterson, Thomas E Spencer

Open access · greenAbstract readReview
In one paragraph

Review in Pharmacological research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.0field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  4. A head start: The relationship of placental factors to craniofacial and brain development.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Review
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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

6 authors at 3 institutions in 1 country.

Susanta K BehuraDivision of Animal Sciences, University of Missouri, United States; Informatics Institute, University of Missouri, United States. Electronic address: behuras@missouri.edu.
Pramod DhakalDivision of Animal Sciences, University of Missouri, United States.
Andrew M KelleherUniversity of Texas Southwestern Medical Center, United States.
Ahmed BalboulaDivision of Animal Sciences, University of Missouri, United States.
Amanda PattersonDivision of Animal Sciences, University of Missouri, United States; Department of Obstetrics, Gynecology and Women's Health, University of Missouri, United States.
Thomas E SpencerDivision of Animal Sciences, University of Missouri, United States; Department of Obstetrics, Gynecology and Women's Health, University of Missouri, United States.
University of Missouri · USThe University of Texas Southwestern Medical Center · USUniversity of Missouri Health System · US

Funding

Biological Role of Uterine Glands in PregnancyR01HD096266 · NICHD · UNIVERSITY OF MISSOURI-COLUMBIA · PI SPENCER, THOMAS E · 2018 to 2022
$1.6M
Biological Role of Endometrial Glands in Uterine FunctionR21HD076347 · NICHD · WASHINGTON STATE UNIVERSITY · PI SPENCER, THOMAS E · 2014 to 2015
$409k
NICHD NIH HHS R01 HD096266NICHD NIH HHS R21 HD076347
6 · The paper itself

Abstract

The placenta plays a critical role in mammalian reproduction. Although it is a transient organ, its function is indispensable to communication between the mother and fetus, and supply of nutrients and oxygen to the growing fetus. During pregnancy, the placenta is vulnerable to various intrinsic and extrinsic conditions which can result in increased risk of fetal neurodevelopmental disorders as well as fetal death. The placenta controls the neuroendocrine secretion in the brain as a means of adaptive processes to safeguard the fetus from adverse programs, to optimize fetal development and other physiological changes necessary for reproductive success. Although a wealth of information is available on neuroendocrine functions in pregnancy, they are largely limited to the regulation of hypothalamus-pituitary-adrenal/gonad (HPA/ HPG) axis, particularly the oxytocin and prolactin system. There is a major gap in knowledge on systems-level functional interaction between the brain and placenta. In this review, we aim to outline the current state of knowledge about the brain-placental axis with description of the functional interactions between the placenta and the maternal and fetal brain. While describing the brain-placental interactions, a special emphasis has been given on the therapeutics and pharmacology of the placental receptors to neuroligands expressed in the brain during gestation. As a key feature of this review, we outline the prospects of integrated pharmacogenomics, single-cell sequencing and organ-on-chip systems to foster priority areas in this field of research. Finally, we remark on the application of precision genomics approaches to study the brain-placental axis in order to accelerate personalized medicine and therapeutics to treat placental and fetal brain disorders.

Indexed as

AnimalsBrainFemaleFetal DevelopmentHumansMaternal-Fetal ExchangePharmaceutical PreparationsPharmacogeneticsPlacentaPregnancyXenobioticsPharmaceutical PreparationsXenobioticsFetal brainNeuroendocrinologyPharmacogenomicsPlacentaPregnancyUterus

Identifiers

PMID31600597
PMCPMC6944055
OpenAlexW2979997960

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.