Evidence map›Paper›PMID 31748790›Full record

ArticleEndocrinology2020

Insulin Signaling Via Progesterone-Regulated Insulin Receptor Substrate 2 is Critical for Human Uterine Decidualization.

Alison M Neff, Jie Yu, Robert N Taylor, Indrani C Bagchi, Milan K Bagchi

Open access · bronzeAbstract read
In one paragraph

Article in Endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

33 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
  5. Article
  6. Association betweenFrontiers in endocrinology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Glucose metabolism and endometrium decidualization.Frontiers in endocrinology · 2025
    Review
  11. Review
  12. Cellular heterogeneity and dynamics of the human uterus in healthy premenopausal women.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

5 authors at 3 institutions in 1 country.

Alison M NeffDepartment of Molecular and Integrative Physiology, University of Illinois, Urbana-Champaign, Urbana, Illinois.
Jie YuDepartment of Obstetrics and Gynecology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
Robert N TaylorDepartment of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City, Utah.
Indrani C BagchiDepartment of Comparative Biosciences, University of Illinois, Urbana-Champaign, Urbana, Illinois.
Milan K BagchiDepartment of Molecular and Integrative Physiology, University of Illinois, Urbana-Champaign, Urbana, Illinois.
University of Illinois Urbana-Champaign · USUniversity of Utah · USWake Forest University · US

Funding

Research Training Program in Toxicology and Environmental HealthT32ES007326 · NIEHS · UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN · PI Jodi A. Flaws · 2000 to 2026
$8.7M
Role of estrogen receptor alpha in uterine epithelial-stromal interactionsR21HD078983 · NICHD · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI BAGCHI, INDRANI C, BAGCHI, MILAN K · 2014 to 2015
$431k
NICHD NIH HHS R21 HD078983NIEHS NIH HHS T32 ES007326
6 · The paper itself

Abstract

Decidualization, the process by which fibroblastic human endometrial stromal cells (HESC) differentiate into secretory decidual cells, is a critical event during the establishment of pregnancy. It is dependent on the steroid hormone progesterone acting through the nuclear progesterone receptor (PR). Previously, we identified insulin receptor substrate 2 (IRS2) as a factor that is directly regulated by PR during decidualization. IRS2 is an adaptor protein that functionally links receptor tyrosine kinases, such as insulin receptor (IR) and insulin-like growth factor 1 receptor (IGF1R), and their downstream effectors. IRS2 expression was induced in HESC during in vitro decidualization and siRNA-mediated downregulation of IRS2 transcripts resulted in attenuation of this process. Further use of siRNAs targeted to IR or IGF1R transcripts showed that downregulation of IR, but not IGF1R, led to impaired decidualization. Loss of IRS2 transcripts in HESC suppressed phosphorylation of both ERK1/2 and AKT, downstream effectors of insulin signaling, which mediate gene expression associated with decidualization and regulate glucose uptake. Indeed, downregulation of IRS2 resulted in reduced expression and membrane localization of the glucose transporters GLUT1 and GLUT4, resulting in lowered glucose uptake during stromal decidualization. Collectively, these data suggest that the PR-regulated expression of IRS2 is necessary for proper insulin signaling for controlling gene expression and glucose utilization, which critically support the decidualization process to facilitate pregnancy. This study provides new insight into the mechanisms by which steroid hormone signaling intersects with insulin signaling in the uterus during decidualization, which has important implications for pregnancy complications associated with insulin resistance and infertility.

Indexed as

Insulin ResistanceCell DifferentiationCells, CulturedDeciduaExtracellular Signal-Regulated MAP KinasesFemaleGene Expression RegulationGlucose Transport Proteins, FacilitativeHumansInsulin Receptor Substrate ProteinsPhosphorylationPregnancyProgesteroneReceptor, InsulinStromal CellsUterusExtracellular Signal-Regulated MAP KinasesGlucose Transport Proteins, FacilitativeInsulin Receptor Substrate ProteinsProgesteroneReceptor, Insulindecidualizationglucose transportinsulin signalingmetabolism

Identifiers

PMID31748790
PMCPMC6986554
OpenAlexW2993670809

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.