Evidence map›Paper›PMID 33963381›Full record

ReviewEndocrinology2021

WNT4 Balances Development vs Disease in Gynecologic Tissues and Women's Health.

Lauren M Pitzer, Marisa R Moroney, Natalie J Nokoff, Matthew J Sikora

Open access · bronzeAbstract readReview
In one paragraph

Review in Endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. The Role of Adenogenesis Factors in the Pathogenesis of Endometriosis.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Cancers · 2023
    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

4 authors at 1 institution in 1 country.

Lauren M PitzerDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA.
Marisa R MoroneyDepartment of Obstetrics and Gynecology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA.ORCID 0000-0002-2385-1903
Natalie J NokoffDepartment of Pediatrics, Section of Endocrinology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA.
Matthew J SikoraDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, Colorado 80045, USA.ORCID 0000-0003-2915-7442
University of Colorado Anschutz Medical Campus · US

Funding

Pubertal Blockade and Estradiol Effects on Cardiometabolic Health for Transitioning Youth (PUBERTY)K23HL151868 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI NOKOFF, NATALIE J · 2020 to 2024
$941k
WNT4 IN ENDOCRINE RESPONSE AND RESISTANCE IN INVASIVE LOBULAR CARCINOMAR00CA193734 · NCI · UNIVERSITY OF COLORADO DENVER · PI SIKORA, MATTHEW J · 2017 to 2019
$703k
NCI NIH HHS R00 CA193734NHLBI NIH HHS K23 HL151868
6 · The paper itself

Abstract

The WNT family of proteins is crucial in numerous developmental pathways and tissue homeostasis. WNT4, in particular, is uniquely implicated in the development of the female phenotype in the fetus, and in the maintenance of müllerian and reproductive tissues. WNT4 dysfunction or dysregulation can drive sex-reversal syndromes, highlighting the key role of WNT4 in sex determination. WNT4 is also critical in gynecologic pathologies later in life, including several cancers, uterine fibroids, endometriosis, and infertility. The role of WNT4 in normal decidualization, implantation, and gestation is being increasingly appreciated, while aberrant activation of WNT4 signaling is being linked both to gynecologic and breast cancers. Notably, single-nucleotide polymorphisms (SNPs) at the WNT4 gene locus are strongly associated with these pathologies and may functionally link estrogen and estrogen receptor signaling to upregulation and activation of WNT4 signaling. Importantly, in each of these developmental and disease states, WNT4 gene expression and downstream WNT4 signaling are regulated and executed by myriad tissue-specific pathways. Here, we review the roles of WNT4 in women's health with a focus on sex development, and gynecologic and breast pathologies, and our understanding of how WNT4 signaling is controlled in these contexts. Defining WNT4 functions provides a unique opportunity to link sex-specific signaling pathways to women's health and disease.

Indexed as

Genital Diseases, FemaleGenitalia, FemaleWomen's HealthAnimalsBreast NeoplasmsFemaleHumansMammary Glands, HumanMiceMutationPolymorphism, Single NucleotidePregnancySex DifferentiationSexual DevelopmentUterusWnt4 ProteinWnt4 ProteinWNT4 protein, humanbreast cancerestrogengynecologic cancerinvasive lobular carcinomamüllerian tissuesorganogenesisovarian cancerreproductionsex differentiationWNT4Wnt signaling

Identifiers

PMID33963381
PMCPMC8197283
OpenAlexW3158006803

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.