Evidence map›Paper›PMID 36746607›Full record

ArticleThe journal of obstetrics and gynaecology research2023

New concepts on the etiology of endometriosis.

Fiona L Cousins, Brett D McKinnon, Sally Mortlock, Harriet C Fitzgerald, Chenyu Zhang, Grant W Montgomery, Caroline E Gargett

Open access · hybridAbstract read
In one paragraph

Article in The journal of obstetrics and gynaecology research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
16.7field-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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Therapeutic Potential ofInternational journal of molecular sciences · 2026
    Article
  3. Building Disease Models for Endometriosis: iPSCs as Game-Changers.International journal of molecular sciences · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Endometriosis and Adenomyosis: From Pathogenesis to Follow-Up.Current issues in molecular biology · 2025
    Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

7 authors at 3 institutions in 1 country.

Fiona L CousinsThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-7064-8596
Brett D McKinnonInstitute for Molecular Biosciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0002-9881-1252
Sally MortlockInstitute for Molecular Biosciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0003-2327-9465
Harriet C FitzgeraldThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-1776-8377
Chenyu ZhangDepartment of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia.
Grant W MontgomeryInstitute for Molecular Biosciences, The University of Queensland, Brisbane, Australia.ORCID https://orcid.org/0000-0002-4140-8139
Caroline E GargettThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-3590-2077
Hudson Institute of Medical Research · AUThe University of Queensland · AUMonash University · AU

Funding

National Health and Medical Research Council 1173882National Health and Medical Research Council 1177194U.S. Department of Defense W81XWH1910364/PR180827
6 · The paper itself

Abstract

Endometriosis is a serious, chronic disorder where endometrial tissue grows outside the uterus, causing severe pelvic pain and infertility. It affects 11% of women. Endometriosis is a multifactorial disorder of unclear etiology, although retrograde menstruation plays a major role. It has a genetic component with over 40 genetic risk factors mapped, although their mechanism of action is still emerging. New evidence suggests a role for retrograde menstruation of endometrial stem/progenitor cells, now that identifying markers of these cells are available. Recent lineage tracing and tissue clearing microscopy and 3D reconstruction has provided new understanding of endometrial glandular structure, particularly the horizontal orientation and interconnection of basalis glands. New sequencing technologies, particularly whole genome DNA sequencing are revealing somatic mutations, including in cancer driver genes, in normal and eutopic endometrium of patients with endometriosis, as well as ectopic endometriotic lesions. Methylome sequencing is offering insight into the regulation of genes and the role of the environmental factors. Single cell RNA sequencing reveals the transcriptome of individual endometrial cells, shedding new light on the diversity and range of cellular subpopulations of the major cell types present in the endometrium and in endometriotic lesions. New endometrial epithelial organoid cultures replicating glandular epithelium are providing tractable models for studying endometriosis. Organoids derived from menstrual fluid offer a non-invasive source of endometrial tissue and a new avenue for testing drugs and developing personalized medicine for treating endometriosis. These new approaches are rapidly advancing our understanding of endometriosis etiology.

Indexed as

EndometriosisEndometriumEpithelial CellsEpitheliumFemaleHumansMenstruation Disturbancesendometrial stem/progenitor cellsendometriosisgenetic variantsretrograde menstruationsomatic mutations

Identifiers

PMID36746607
PMCPMC10946875
OpenAlexW4319299276

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.