Evidence map›Paper›PMID 34815335›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Pregnancy and weaning regulate human maternal liver size and function.

Alexandra Q Bartlett, Kimberly K Vesco, Jonathan Q Purnell, Melanie Francisco, Erica Goddard, Xiangnan Guan, Andrea DeBarber, Michael C Leo, Eric Baetscher, William Rooney and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Sexual dimorphism in the liver.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Distinct macronutrient ratios optimize offspring survival, growth, and maternal glucose tolerance across mouse reproduction.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Reproductive state controls transcription in the murine liver, with implications for breast cancer liver metastasis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Mechanisms of altered hepatic drug disposition during pregnancy: small molecules.Expert opinion on drug metabolism & toxicology · 2025
    Review
  15. Non-Viral RNA Delivery During Pregnancy: Opportunities and Challenges.Small (Weinheim an der Bergstrasse, Germany) · 2024
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  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

15 authors at 5 institutions in 1 country.

Alexandra Q BartlettDepartment of Cell, Developmental, and Cancer Biology, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0001-7912-6084
Kimberly K VescoCenter for Health Research, Kaiser Permanente Northwest, Portland, OR 97227.
Jonathan Q PurnellKnight Cardiovascular Institute, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0001-5505-6333
Melanie FranciscoCenter for Health Research, Kaiser Permanente Northwest, Portland, OR 97227.ORCID 0000-0002-0886-321X
Erica GoddardPublic Health Sciences Division/Translational Research Program, Fred Hutchinson Cancer Research Center, Seattle, WA 98109.
Xiangnan GuanComputational Biology Program, Oregon Health & Science University, Portland, OR 97201.
Andrea DeBarberDepartment of Chemical Physiology and Biochemistry, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0001-8910-0259
Michael C LeoCenter for Health Research, Kaiser Permanente Northwest, Portland, OR 97227.
Eric BaetscherAdvanced Imaging Research Center, Oregon Health & Science University, Portland, OR 97239.ORCID 0000-0003-1532-1328
William RooneyAdvanced Imaging Research Center, Oregon Health & Science University, Portland, OR 97239.
Willscott NauglerDepartment of Medicine, Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR 97239.
Alexander R GuimaraesDepartment of Diagnostic Radiology, Oregon Health & Science University, Portland, OR 97239.
Patrick CatalanoMother Infant Research Institute, Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston, MA 02111.ORCID 0000-0003-3291-3034
Zheng XiaDepartment of Molecular Microbiology and Immunology, Oregon Health & Science University, Portland, OR 97273.ORCID 0000-0003-3364-8324
Pepper SchedinDepartment of Cell, Developmental, and Cancer Biology, Oregon Health & Science University, Portland, OR 97239; schedin@ohsu.edu.ORCID 0000-0003-4244-987X
Oregon Health & Science University · USKaiser Permanente Center for Health Research · USAdvanced Imaging Research (United States) · USFred Hutch Cancer Center · USTufts University · US

Funding

NSAIDs During Postpartum Involution for Breast Cancer ChemopreventionR01CA169175 · NCI · UNIVERSITY OF COLORADO DENVER · PI SCHEDIN, PEPPER J · 2013 to 2024
$4.8M
Role of liver and visceral fat in glucose and lipid metabolism during pregnancyR01DK098707 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI VESCO, KIMBERLY KRISTINE · 2014 to 2016
$2.0M
Endocrine Status of MG Stroma Alters Breast CA InvasionR01CA085944 · NCI · UNIVERSITY OF COLORADO DENVER · PI SCHEDIN, PEPPER J · 2001 to 2004
$1.1M
HaemAPA: Characterizing alternative polyadenylation in human blood cellsR21HL145426 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI XIA, ZHENG · 2019 to 2020
$231k
NCI NIH HHS R01 CA085944NCI NIH HHS R01 CA169175NHLBI NIH HHS R21 HL145426NIDDK NIH HHS R01 DK098707
6 · The paper itself

Abstract

During pregnancy, the rodent liver undergoes hepatocyte proliferation and increases in size, followed by weaning-induced involution via hepatocyte cell death and stromal remodeling, creating a prometastatic niche. These data suggest a mechanism for increased liver metastasis in breast cancer patients with recent childbirth. It is unknown whether the human liver changes in size and function during pregnancy and weaning. In this study, abdominal imaging was obtained in healthy women at early and late pregnancy and postwean. During pregnancy time points, glucose production and utilization and circulating bile acids were measured. Independently of weight gain, most women's livers increased in size with pregnancy, then returned to baseline postwean. Putative roles for bile acids in liver growth and regression were observed. Together, the data support the hypothesis that the human liver is regulated by reproductive state with growth during pregnancy and volume loss postwean. These findings have implications for sex-specific liver diseases and for breast cancer outcomes.

Indexed as

AdultBile Acids and SaltsCell ProliferationFemaleGlucoseHepatocytesHumansLiverOrgan SizeParturitionPregnancyWeaningBile Acids and SaltsGlucosebile acidslivermaternal healthpregnancy

Identifiers

PMID34815335
PMCPMC8640831
OpenAlexW3217198603

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.