Evidence map›Paper›PMID 31965050›Full record

ArticleCommunications biology2020

Recurrent pregnancy loss is associated with a pro-senescent decidual response during the peri-implantation window.

Emma S Lucas, Pavle Vrljicak, Joanne Muter, Maria M Diniz-da-Costa, Paul J Brighton, Chow-Seng Kong, Julia Lipecki, Katherine J Fishwick, Joshua Odendaal, Lauren J Ewington and 3 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Communications biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 159 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT05473273 recruitingnot on this mapstarted 2023, after this paper: background citation

Descriptive Analysis of Serum Immunological Markers During an Euploid Frozen Embryo Transfer in a Natural Cycle (NC).

TypeobservationalSponsorART Fertility Clinics LLCRan2023 to 2026Enrolled40ConditionsInfertility, FemaleArmsEndometrin 100Mg Vaginal Insert, Estradiol Valerate
NCT06280560 recruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Controlled Ovarian Stimulation and Luteal Phase Support on Endometrial Receptivity and Endometrial Senescent Cell Pathological Accumulation: Pilot Study

Typeobservational_patient_registrySponsorFundación IVIRan2024 to 2025Enrolled60ConditionsEndometrial ReceptivityArmsControlled Ovarian Stimulation + Luteal Phase Support, Hormonal Replacement Therapy programmed artificial cycle, Natural Cycle (NC), Endometrial receptivity reference group
3 · Its place in the literature

Who cites it

159 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  15. Disruption of primary ciliary prostaglandin EJournal of biomedical science · 2026
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99 more citing papers are in PubMed but not listed here.

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

13 authors.

Emma S Lucas *Tommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Pavle Vrljicak *Tommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Joanne MuterTommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Maria M Diniz-da-CostaTommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Paul J BrightonDivision of Biomedical Sciences, Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, Coventry, CV2 2DX, UK.
Chow-Seng KongDivision of Biomedical Sciences, Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, Coventry, CV2 2DX, UK.
Julia LipeckiSchool of Life Sciences, Gibbet Hill Campus, University of Warwick, Coventry, CV4 7AL, UK.
Katherine J FishwickDivision of Biomedical Sciences, Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, Coventry, CV2 2DX, UK.
Joshua OdendaalDivision of Biomedical Sciences, Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, Coventry, CV2 2DX, UK.
Lauren J EwingtonDivision of Biomedical Sciences, Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, Coventry, CV2 2DX, UK.ORCID http://orcid.org/0000-0003-0805-6845
Siobhan QuenbyTommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Sascha OttTommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK.
Jan J BrosensTommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire, Coventry, CV2 2DX, UK. J.J.Brosens@warwick.ac.uk.ORCID http://orcid.org/0000-0003-0116-9329

Funding

Medical Research Council MR/R014167/1Wellcome Trust 212233/Z/18/Z
6 · The paper itself

Abstract

During the implantation window, the endometrium becomes poised to transition to a pregnant state, a process driven by differentiation of stromal cells into decidual cells (DC). Perturbations in this process, termed decidualization, leads to breakdown of the feto-maternal interface and miscarriage, but the underlying mechanisms are poorly understood. Here, we reconstructed the decidual pathway at single-cell level in vitro and demonstrate that stromal cells first mount an acute stress response before emerging as DC or senescent DC (snDC). In the absence of immune cell-mediated clearance of snDC, secondary senescence transforms DC into progesterone-resistant cells that abundantly express extracellular matrix remodelling factors. Additional single-cell analysis of midluteal endometrium identified DIO2 and SCARA5 as marker genes of a diverging decidual response in vivo. Finally, we report a conspicuous link between a pro-senescent decidual response in peri-implantation endometrium and recurrent pregnancy loss, suggesting that pre-pregnancy screening and intervention may reduce the burden of miscarriage.

Indexed as

Cellular SenescenceEmbryo ImplantationAbortion, HabitualCell LineDeciduaDisease SusceptibilityFemaleGene Expression ProfilingGene Expression Regulation, DevelopmentalGene Regulatory NetworksHumansImmunologic SurveillanceModels, BiologicalPregnancySignal TransductionSingle-Cell Analysis

Identifiers

PMID31965050
PMCPMC6972755

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.