Evidence map›Paper›PMID 34857954›Full record

ArticleNature genetics2021

Mapping the temporal and spatial dynamics of the human endometrium in vivo and in vitro.

Luz Garcia-Alonso, Louis-François Handfield, Kenny Roberts, Konstantina Nikolakopoulou, Ridma C Fernando, Lucy Gardner, Benjamin Woodhams, Anna Arutyunyan, Krzysztof Polanski, Regina Hoo and 30 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Nature genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06280560 (Impact of Controlled Ovarian Stimulation and Luteal Phase Support on Endometrial Receptivity and Endometrial Senescent Cell Pathological Accumulation), which is not on this map. Cited by 375 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
375citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT06280560 recruitingnot on this mapstarted 2024, after this paper: background citation

Impact of Controlled Ovarian Stimulation and Luteal Phase Support on Endometrial Receptivity and Endometrial Senescent Cell Pathological Accumulation: Pilot Study

Typeobservational_patient_registrySponsorFundación IVIRan2024 to 2025Enrolled60ConditionsEndometrial ReceptivityArmsControlled Ovarian Stimulation + Luteal Phase Support, Hormonal Replacement Therapy programmed artificial cycle, Natural Cycle (NC), Endometrial receptivity reference group
3 · Its place in the literature

Who cites it

375 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. iScience · 2026
    Article
  3. Review
  4. Review
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  6. Review
  7. Article
  8. Article
  9. celltypeEnrich: a consensus-based scRNA-seq cluster annotation tool.bioRxiv : the preprint server for biology · 2026
    Article
  10. iScience · 2026
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  11. Article
  12. HMMRCell discovery · 2026
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  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Observational
  19. Article
  20. Article

315 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors.

Luz Garcia-Alonso *Wellcome Sanger Institute, Cambridge, UK.
Louis-François Handfield *Wellcome Sanger Institute, Cambridge, UK.
Kenny Roberts *Wellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0001-6155-0821
Konstantina Nikolakopoulou *Centre for Trophoblast Research, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0003-2306-590X
Ridma C FernandoCentre for Trophoblast Research, University of Cambridge, Cambridge, UK.
Lucy GardnerCentre for Trophoblast Research, University of Cambridge, Cambridge, UK.
Benjamin WoodhamsWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0003-2801-5733
Anna ArutyunyanWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0003-0453-5443
Krzysztof PolanskiWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0002-2586-9576
Regina HooWellcome Sanger Institute, Cambridge, UK.
Carmen Sancho-SerraWellcome Sanger Institute, Cambridge, UK.
Tong LiWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0002-8240-4476
Kwasi KwakwaEMBL-EBI, Wellcome Genome Campus, Hinxton, UK.
Elizabeth TuckWellcome Sanger Institute, Cambridge, UK.
Valentina LorenziWellcome Sanger Institute, Cambridge, UK.
Hassan MassalhaWellcome Sanger Institute, Cambridge, UK.
Martin PreteWellcome Sanger Institute, Cambridge, UK.
Vitalii KleshchevnikovWellcome Sanger Institute, Cambridge, UK.
Aleksandra TarkowskaWellcome Sanger Institute, Cambridge, UK.
Tarryn PorterWellcome Sanger Institute, Cambridge, UK.
Cecilia Icoresi MazzeoWellcome Sanger Institute, Cambridge, UK.
Stijn van DongenWellcome Sanger Institute, Cambridge, UK.
Monika DabrowskaWellcome Sanger Institute, Cambridge, UK.
Vasyl VaskivskyiWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0002-4080-4965
Krishnaa T MahbubaniDepartment of Haematology, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1327-2334
Jong-Eun ParkWellcome Sanger Institute, Cambridge, UK.
Mercedes Jimenez-LinanDepartment of Pathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Lia CamposWellcome Sanger Institute, Cambridge, UK.
Vladimir Yu KiselevWellcome Sanger Institute, Cambridge, UK.
Cecilia LindskogDepartment of Immunology, Genetics and Pathology and Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
Paul AyukDepartment of Women's Services, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Elena PrigmoreWellcome Sanger Institute, Cambridge, UK.
Michael R StrattonWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0001-6035-153X
Kourosh Saeb-ParsyCambridge Biorepository for Translational Medicine (CBTM), NIHR Cambridge Biomedical Research Centre, Cambridge, UK.ORCID http://orcid.org/0000-0002-0633-3696
Ashley MoffettCentre for Trophoblast Research, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-8388-9073
Luiza MooreWellcome Sanger Institute, Cambridge, UK.ORCID http://orcid.org/0000-0001-5315-516X
Omer A BayraktarWellcome Sanger Institute, Cambridge, UK. ob5@sanger.ac.uk.ORCID http://orcid.org/0000-0001-6055-277X
Sarah A TeichmannWellcome Sanger Institute, Cambridge, UK. st9@sanger.ac.uk.ORCID http://orcid.org/0000-0002-6294-6366
Margherita Y TurcoCentre for Trophoblast Research, University of Cambridge, Cambridge, UK. margherita.turco@fmi.ch.
Roser Vento-TormoWellcome Sanger Institute, Cambridge, UK. rv4@sanger.ac.uk.ORCID http://orcid.org/0000-0002-9870-8474

Funding

Medical Research Council MR/S036350/1Wellcome Trust (Wellcome) 200841/Z/16/ZWellcome Trust (Wellcome) 211276/Z/18/ZWellcome Trust (Wellcome) WT206194
6 · The paper itself

Abstract

The endometrium, the mucosal lining of the uterus, undergoes dynamic changes throughout the menstrual cycle in response to ovarian hormones. We have generated dense single-cell and spatial reference maps of the human uterus and three-dimensional endometrial organoid cultures. We dissect the signaling pathways that determine cell fate of the epithelial lineages in the lumenal and glandular microenvironments. Our benchmark of the endometrial organoids reveals the pathways and cell states regulating differentiation of the secretory and ciliated lineages both in vivo and in vitro. In vitro downregulation of WNT or NOTCH pathways increases the differentiation efficiency along the secretory and ciliated lineages, respectively. We utilize our cellular maps to deconvolute bulk data from endometrial cancers and endometriotic lesions, illuminating the cell types dominating in each of these disorders. These mechanistic insights provide a platform for future development of treatments for common conditions including endometriosis and endometrial carcinoma.

Indexed as

Menstrual CycleCell DifferentiationCell LineageCellular MicroenvironmentEndometrial NeoplasmsEndometriumFemaleGonadal Steroid HormonesHumansIn Vitro TechniquesOrganoidsReceptors, NotchSignal TransductionSpatio-Temporal AnalysisTissue Culture TechniquesTranscriptomeGonadal Steroid HormonesReceptors, NotchWnt Proteins

Identifiers

PMID34857954
PMCPMC8648563

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Registered trials

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.