Evidence map›Paper›PMID 33951269›Full record

ReviewAging cell2021

The impact of aging on innate and adaptive immunity in the human female genital tract.

Marta Rodriguez-Garcia, Mickey V Patel, Zheng Shen, Charles R Wira

Open access · goldAbstract readReview
In one paragraph

Review in Aging cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.5field-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

30 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. T-Cell Biology in the Female Reproductive Tract: Relevance to HIV Infection.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  3. Review
  4. Innate Immune Protection Against HIV in the Female Genital Tract.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. The Role of NK and T Cells in Endometriosis.International journal of molecular sciences · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Review
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

4 authors at 2 institutions in 1 country.

Marta Rodriguez-GarciaDepartment of Immunology, Tufts University School of Medicine, Boston, MA, USA.ORCID 0000-0003-3336-8285
Mickey V PatelDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Zheng ShenDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Charles R WiraDepartment of Microbiology and Immunology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA.
Dartmouth College · USTufts University · US

Funding

Impact of Aging on Mucosal Immune Protection in the Female ReproductiveR01AG064794 · NIA · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2019 to 2023
$2.8M
Aging Compromises Neutrophil-Mediated Innate Protection Against HIV in the Human Female Genital TractR01AG060801 · NIA · WAYNE STATE UNIVERSITY · PI RODRIGUEZ GARCIA, MARTA · 2018 to 2022
$2.6M
Chemical Contraceptive Control of Microbicides in the Female Reproductive TractR01AI117739 · NIAID · DARTMOUTH COLLEGE · PI WIRA, CHARLES ROBERT · 2015 to 2018
$2.6M
NIAID NIH HHS R01 AI117739NIA NIH HHS R01 AG060801NIA NIH HHS R01 AG064794
6 · The paper itself

Abstract

Mucosal tissues in the human female reproductive tract (FRT) are primary sites for both gynecological cancers and infections by a spectrum of sexually transmitted pathogens, including human immunodeficiency virus (HIV), that compromise women's health. While the regulation of innate and adaptive immune protection in the FRT by hormonal cyclic changes across the menstrual cycle and pregnancy are being intensely studied, little to nothing is known about the alterations in mucosal immune protection that occur throughout the FRT as women age following menopause. The immune system in the FRT has two key functions: defense against pathogens and reproduction. After menopause, natural reproductive function ends, and therefore, two overlapping processes contribute to alterations in immune protection in aging women: menopause and immunosenescence. The goal of this review is to summarize the multiple immune changes that occur in the FRT with aging, including the impact on the function of epithelial cells, immune cells, and stromal fibroblasts. These studies indicate that major aspects of innate and adaptive immunity in the FRT are compromised in a site-specific manner in the FRT as women age. Further, at some FRT sites, immunological compensation occurs. Overall, alterations in mucosal immune protection contribute to the increased risk of sexually transmitted infections (STI), urogenital infections, and gynecological cancers. Further studies are essential to provide a foundation for the development of novel therapeutic interventions to restore immune protection and reverse conditions that threaten women's lives as they age.

Indexed as

Adaptive ImmunityAgingEpithelial CellsFemaleFibroblastsGenitalia, FemaleGenital Neoplasms, FemaleHumansImmunity, InnateMacrophagesMenopauseReproductive Tract InfectionsT-LymphocytesDendritic cellsepithelial cellsfemale reproductive tractfibroblastsmenopauseresident memory T cellssex hormonessexually transmitted infectionsTGFβ

Identifiers

PMID33951269
PMCPMC8135005
OpenAlexW3159911178

What OpenQuestion holds

Textmetadata
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.