Evidence map›Paper›PMID 34292881›Full record

ArticleJCI insight2021

Signaling through retinoic acid receptors is essential for mammalian uterine receptivity and decidualization.

Yan Yin, Meade E Haller, Sangappa B Chadchan, Ramakrishna Kommagani, Liang Ma

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Retinoic acid antagonizes estrogen signaling to maintain adult uterine cell fate.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Decoding Müllerian Duct Epithelial Regionalization.Molecular reproduction and development · 2025
    Review
  8. Signaling via retinoic acid receptors mediates decidual angiogenesis in mice and human stromal cell decidualization.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  9. Article
  10. Cellular heterogeneity and dynamics of the human uterus in healthy premenopausal women.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Article
  12. Pet Wellness and Vitamin A: A Narrative Overview.Animals : an open access journal from MDPI · 2024
    Review
  13. Article
  14. Article
  15. Streamlined identification of clinically and functionally relevant genetic regulators of lower-tract urogenital development.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Role of EZH2 in Uterine Gland Development.International journal of molecular sciences · 2022
    Article
  20. Deficiency of RARα Suppresses DecidualizationFrontiers in endocrinology · 2022
    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

5 authors at 1 institution in 1 country.

Yan YinDivision of Dermatology, Department of Medicine.
Meade E HallerDivision of Dermatology, Department of Medicine.
Sangappa B ChadchanCenter for Reproductive Health Sciences, and.
Ramakrishna KommaganiCenter for Reproductive Health Sciences, and.
Liang MaDivision of Dermatology, Department of Medicine.
Washington University in St. Louis · US

Funding

GENITALIA OUTGROWTH AND HYPOSPADIASR01DK113642 · NIDDK · WASHINGTON UNIVERSITY · PI MA, LIANG · 2017 to 2021
$1.7M
Retinoic acid signaling in decidualizationR01HD106120 · NICHD · WASHINGTON UNIVERSITY · PI MA, LIANG · 2021 to 2025
$1.7M
GENOME-WIDE IDENTIFICATION OF GENES REQUIRED FOR DECIDUALIZATIONR21HD087973 · NICHD · WASHINGTON UNIVERSITY · PI MA, LIANG · 2016 to 2017
$419k
The Role of Homeodomain Proteins in Human DecidualizationF32HD100120 · NICHD · WASHINGTON UNIVERSITY · PI HALLER, MEADE ELSPETH · 2019 to 2022
$226k
NICHD NIH HHS F32 HD100120NICHD NIH HHS R01 HD106120NICHD NIH HHS R21 HD087973NIDDK NIH HHS R01 DK113642
6 · The paper itself

Abstract

Retinoic acid (RA) signaling has long been speculated to regulate embryo implantation, because many enzymes and proteins responsible for maintaining RA homeostasis and transducing RA signals are tightly regulated in the endometrium during this critical period. However, due to a lack of genetic data, it was unclear whether RA signaling is truly required for implantation and which specific RA signaling cascades are at play. Herein we utilize a genetic murine model that expresses a dominant-negative form of RA receptor (RAR) specifically in female reproductive organs to show that functional RA signaling is fundamental to female fertility, particularly implantation and decidualization. Reduction in RA signaling activity severely affects the ability of the uterus to achieve receptive status and decidualize, partially through dampening follistatin expression and downstream activin B/bone morphogenetic protein 2 signaling. To confirm translational relevance of these findings to humans, human endometrial stromal cells (hESCs) were treated with a pan-RAR antagonist to show that in vitro decidualization is impaired. RNA interference perturbation of individual RAR transcripts in hESCs revealed that RARα in particular was essential for proper decidualization. These data provide direct functional evidence that uterine RAR-mediated RA signaling was crucial for mammalian embryo implantation, and its disruption led to failure of uterine receptivity and decidualization, resulting in severely compromised fertility.

Indexed as

MutationAnimalsCell DifferentiationCells, CulturedDNADNA Mutational AnalysisEndometriumFemaleMaleMiceMice, Mutant StrainsReceptors, Retinoic AcidSignal TransductionUterusDNAReceptors, Retinoic AcidFertilityReproductive Biology

Identifiers

PMID34292881
PMCPMC8492326
OpenAlexW3185307474

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.