Evidence map›Paper›PMID 36114567›Full record

ReviewBiology of sex differences2022

Sex at the interface: the origin and impact of sex differences in the developing human placenta.

Amy E Braun, Olivia R Mitchel, Tania L Gonzalez, Tianyanxin Sun, Amy E Flowers, Margareta D Pisarska, Virginia D Winn

Open access · goldAbstract readReview
In one paragraph

Review in Biology of sex differences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
24.5field-weighted citation impact, top 1% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

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  20. Impact of Prenatal Alcohol Exposure on Cerebral Cortex Development.Advances in experimental medicine and biology · 2026
    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

7 authors at 3 institutions in 1 country.

Amy E BraunDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, 240 Pasteur Dr., Stanford, CA, 94305-5317, USA. amybraun@stanford.edu.ORCID 0000-0003-0480-1289
Olivia R MitchelDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, 240 Pasteur Dr., Stanford, CA, 94305-5317, USA.
Tania L GonzalezDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8635 West Third Street, Suite 160, Los Angeles, CA, 90048, USA.
Tianyanxin SunDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, 240 Pasteur Dr., Stanford, CA, 94305-5317, USA.
Amy E FlowersDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8635 West Third Street, Suite 160, Los Angeles, CA, 90048, USA.
Margareta D PisarskaDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, 8635 West Third Street, Suite 160, Los Angeles, CA, 90048, USA.
Virginia D WinnDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, 240 Pasteur Dr., Stanford, CA, 94305-5317, USA.
Cedars-Sinai Medical Center · USStanford University · USStanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fetal placenta is a source of hormones and immune factors that play a vital role in maintaining pregnancy and facilitating fetal growth. Cells in this extraembryonic compartment match the chromosomal sex of the embryo itself. Sex differences have been observed in common gestational pathologies, highlighting the importance of maternal immune tolerance to the fetal compartment. Over the past decade, several studies examining placentas from term pregnancies have revealed widespread sex differences in hormone signaling, immune signaling, and metabolic functions. Given the rapid and dynamic development of the human placenta, sex differences that exist at term (37-42 weeks gestation) are unlikely to align precisely with those present at earlier stages when the fetal-maternal interface is being formed and the foundations of a healthy or diseased pregnancy are established. While fetal sex as a variable is often left unreported in studies performing transcriptomic profiling of the first-trimester human placenta, four recent studies have specifically examined fetal sex in early human placental development. In this review, we discuss the findings from these publications and consider the evidence for the genetic, hormonal, and immune mechanisms that are theorized to account for sex differences in early human placenta. We also highlight the cellular and molecular processes that are most likely to be impacted by fetal sex and the evolutionary pressures that may have given rise to these differences. With growing recognition of the fetal origins of health and disease, it is important to shed light on sex differences in early prenatal development, as these observations may unlock insight into the foundations of sex-biased pathologies that emerge later in life.

Indexed as

PlacentaSex CharacteristicsFemaleFetal DevelopmentGestational AgeHormonesHumansMalePregnancyHormonesDifferencesFetalGene expressionPlacentaPregnancy complicationsSexTranscriptome

Identifiers

PMID36114567
PMCPMC9482177
OpenAlexW4295997725

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.