Evidence map›Paper›PMID 33419445›Full record

ArticleReproductive biology and endocrinology : RB&E2021

Hypoxia and its possible relationship with endometrial receptivity in adenomyosis: a preliminary study.

Song Guo, Di Zhang, Xiaowei Lu, Qian Zhang, Ruihuan Gu, Binghui Sun, Yijuan Sun

Open access · goldAbstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

14 citing papers in PubMed, 46 citations in OpenAlex.

  1. Review
  2. Article
  3. Signaling pathways and advances in targeted therapy for adenomyosis.Frontiers in cell and developmental biology · 2025
    Review
  4. ExploringJournal of inflammation research · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
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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

7 authors at 5 institutions in 1 country.

Song GuoGynecology Department, The First Affiliated Hospital of Shandong First Medical University, NO.16766 Jingshi Road, Jinan, 250014, China.
Di ZhangObstetrics Department, Shandong Provincial Third Hospital, No.12 Central Wuying Hill Road, Jinan, 250000, China.
Xiaowei LuReproductive Medicine Centre, Obstetrics and Gynecology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, 200092, China.
Qian ZhangGynecology Department, The First Affiliated Hospital of Shandong First Medical University, NO.16766 Jingshi Road, Jinan, 250014, China.
Ruihuan GuShanghai Ji Ai Genetics & IVF Institute, Obstetrics and Gynecology Hospital, Fudan University, NO.588 Fangxie Road, Shanghai, 200011, China.
Binghui SunGynecology Department, The First Affiliated Hospital of Shandong First Medical University, NO.16766 Jingshi Road, Jinan, 250014, China. xiaowei2987415@163.com.ORCID http://orcid.org/0000-0003-2574-0323
Yijuan SunShanghai Ji Ai Genetics & IVF Institute, Obstetrics and Gynecology Hospital, Fudan University, NO.588 Fangxie Road, Shanghai, 200011, China. yijuansss@163.com.
Fudan University · CNShandong First Medical University · CNShandong Eye Hospital · CNShandong Provincial Hospital · CNXinHua Hospital · CN

Funding

Natural Science Foundation of China 81601342Shandong Medical Health Science and Technology Development Program 2018WS258
6 · The paper itself

Abstract

backgroundAdenomyosis (AM) is an important cause of female infertility. However, the underlying mechanism remains unclear. This report describes a preliminary study of hypoxia and its possible association with endometrial receptivity in AM.

methodsThe study was divided into in vitro and in vivo experiments. In vitro, expression levels of the endometrial receptivity markers HOXA10 and HOXA11 in the implantation period were examined using real-time PCR and western blotting. Endometrial expression of hypoxia-inducible factor (HIF)-1α, HIF-2α, and HIF-3α was determined using immunohistochemistry. In vivo, using an AM mouse model established by oral administration of tamoxifen, we inhibited expression of HIF-2α using an HIF-2α antagonist (PT2399; 30 mg/kg body weight, twice daily by oral gavage for 2 days) and then examined expression levels of Hoxa10 and Hoxa11 using real-time PCR and western blotting.

resultsEndometrial mRNA and protein expression levels of HOXA10 and HOXA11 were significantly lower in patients with AM than in control patients. Expression of HIF-2α was significantly higher in the AM group than in the control group, whereas that of HIF-1α and HIF-3α was equivalent in both groups. In vivo analysis showed that administration of the HIF-2α antagonist resulted in increased expression of Hoxa10 and Hoxa11 at both the mRNA and protein levels in AM model mice.

conclusionsHIF-2α overexpression may be one reason for decreased endometrial receptivity in AM. The current findings provide insight into HIF-2α-mediated AM-related infertility and suggest that PT2399 has potential as a treatment for AM.

trial registrationThis trial was retrospectively registered.

Indexed as

AdenomyosisAdultAnimalsAnimals, NewbornBasic Helix-Loop-Helix ProteinsDisease Models, AnimalEmbryo ImplantationEndometriumEndothelial PAS Domain-Containing Protein 1FemaleGene ExpressionHomeobox A10 ProteinsHomeodomain ProteinsHumansHypoxiaHypoxia-Inducible Factor 1, alpha SubunitBasic Helix-Loop-Helix ProteinsEndothelial PAS Domain-Containing Protein 1Hif1a protein, mouseHomeobox A10 ProteinsHomeodomain ProteinsHOXA10 protein, humanHOXA11 protein, humanHypoxia-Inducible Factor 1, alpha SubunitIndansPT2399SulfonesAdenomyosisEndometrial receptivityHypoxia-inducible factor-2αPT2399

Identifiers

PMID33419445
PMCPMC7791798
OpenAlexW3119813689

What OpenQuestion holds

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LicenceCC BY
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.