Evidence map›Paper›PMID 32046454›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2020

Upregulation of HLA-Class I and II in Placentas Diagnosed with Villitis of Unknown Etiology.

Elizabeth Ann L Enninga, Alexey A Leontovich, Bohdana Fedyshyn, Laurie Wakefield, Manish Gandhi, Svetomir N Markovic, Rodrigo Ruano, Sarah E Kerr

Open access · greenAbstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
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  7. Review
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  9. Review
  10. Four major patterns of placental injury: a stepwise guide for understanding and implementing the 2016 Amsterdam consensus.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Review
  11. Chronic histiocytic intervillositis: A breakdown in immune tolerance comparable to allograft rejection?American journal of reproductive immunology (New York, N.Y. : 1989) · 2021
    Review
  12. Article
  13. 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

8 authors at 4 institutions in 1 country.

Elizabeth Ann L EnningaDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Enninga.elizabethann@mayo.edu.
Alexey A LeontovichDepartment of Health Science Research, Mayo Clinic, Rochester, MN, USA.
Bohdana FedyshynDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Laurie WakefieldDepartment of Transfusion Medicine, Mayo Clinic, Rochester, MN, USA.
Manish GandhiDepartment of Transfusion Medicine, Mayo Clinic, Rochester, MN, USA.
Svetomir N MarkovicDepartment of Immunology, Mayo Clinic, Rochester, MN, USA.
Rodrigo RuanoDepartment of Obstetrics and Gynecology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Sarah E KerrDepartment of Laboratory Pathology, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · USWinnMed · US

Funding

Mayo Clinic Interdisciplinary Women's Health Research ProgramK12HD065987 · NICHD · MAYO CLINIC ROCHESTER · PI KANTARCI, KEJAL · 2010 to 2023
$6.7M
NICHD NIH HHS K12 HD065987
6 · The paper itself

Abstract

The placenta utilizes many mechanisms to protect the haploidentical fetus from recognition by the maternal immune system. However, in cases of villitis of unknown etiology (VUE), maternal lymphocytes gain access into the placenta, causing significant health risks for the fetus. Evidence suggests that VUE is a rejection response between the mother and the haploidentical fetus. Therefore, we profiled human leukocyte antigen (HLA), an important predictor of transplant rejection, in VUE using placental tissue from ten patients with VUE and ten gestational age matched controls. Placentas were stained using novel multiplexed immunofluorescence (MxIF) to investigate morphology and HLA classes I and II. Gene expression was evaluated by microarray, and where available, tissue typing of mother/baby pairs was completed to determine HLA type. MxIF demonstrated strong CD8+ T cell infiltration and HLA class I staining both the distal and stem villi of VUE placentas. Compared to controls, VUE cases had significantly higher expression of HLA class II mRNA and pathway analysis demonstrated that 40% of the differentially expressed genes in VUE are related to tissue rejection. The data suggest that VUE resembles a rejection response between the mother and the fetus. It remains unknown what initiates immune recognition and why some mothers appear to be at higher risk for developing this condition than others. Understanding this etiology will be critical for developing effective interventions or prevention strategies during pregnancy.

Indexed as

Up-RegulationChorionic VilliFemaleHLA AntigensHumansInflammationLymphocytesPlacentaPlacenta DiseasesPregnancyHLA AntigensHLAInflammationPlacentaRejectionVillitis

Identifiers

PMID32046454
PMCPMC7255550
OpenAlexW2999826368

What OpenQuestion holds

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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.