Evidence map›Paper›PMID 37253681›Full record

ReviewAnnual review of nutrition2023

Iron Homeostasis During Pregnancy: Maternal, Placental, and Fetal Regulatory Mechanisms.

Veena Sangkhae, Allison L Fisher, Tomas Ganz, Elizabeta Nemeth

Open access · hybridAbstract readReview
In one paragraph

Review in Annual review of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
18.6field-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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Daily oral iron supplementation during pregnancy.The Cochrane database of systematic reviews · 2024
    Pooled it
  4. Trial
  5. Rare vasculitis types and obstetric and neonatal outcomes - A population-based study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  6. Review
  7. Review
  8. Iron dysregulation in the central nervous system: implications for autism spectrum disorder.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Cortisol Stress Response is Associated with Iron Status in Pregnancy.medRxiv : the preprint server for health sciences · 2026
    Article
  14. Article
  15. Article
  16. Observational
  17. Review
  18. Review
  19. Article
  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

4 authors at 2 institutions in 1 country.

Veena SangkhaeCenter for Iron Disorders, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA; email: enemeth@mednet.ucla.edu.
Allison L FisherEndocrine Unit and Nephrology Division, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tomas GanzCenter for Iron Disorders, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA; email: enemeth@mednet.ucla.edu.
Elizabeta NemethCenter for Iron Disorders, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California, USA; email: enemeth@mednet.ucla.edu.
University of California, Los Angeles · USMassachusetts General Hospital · US

Funding

Iron physiology and pathology in pregnancyR01HD096863 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEMETH, ELIZABETA · 2019 to 2023
$2.1M
Iron and Pregnancy: Regulatory Mechanisms and Adverse OutcomesK01DK127004 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SANGKHAE, VEENA · 2021 to 2025
$761k
Adverse Interaction Between Iron Deficiency and Inflammation in PregnancyR21HD104014 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NEMETH, ELIZABETA · 2021 to 2022
$429k
NICHD NIH HHS R01 HD096863NICHD NIH HHS R21 HD104014NIDDK NIH HHS K01 DK127004
6 · The paper itself

Abstract

Pregnancy entails a large negative balance of iron, an essential micronutrient. During pregnancy, iron requirements increase substantially to support both maternal red blood cell expansion and the development of the placenta and fetus. As insufficient iron has long been linked to adverse pregnancy outcomes, universal iron supplementation is common practice before and during pregnancy. However, in high-resource countries with iron fortification of staple foods and increased red meat consumption, the effects of too much iron supplementation during pregnancy have become a concern because iron excess has also been linked to adverse pregnancy outcomes. In this review, we address physiologic iron homeostasis of the mother, placenta, and fetus and discuss perturbations in iron homeostasis that result in pathological pregnancy. As many mechanistic regulatory systems have been deduced from animal models, we also discuss the principles learned from these models and how these may apply to human pregnancy.

Indexed as

PlacentaPregnancy OutcomeAnimalsFemaleFetusHomeostasisHumansIronPregnancyIronhepcidininflammationironiron deficiencyplacentapregnancy

Identifiers

PMID37253681
PMCPMC10723031
OpenAlexW4378782928

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.