Evidence map›Paper›PMID 38346980›Full record

ArticleNature communications2024

A common allele increases endometrial Wnt4 expression, with antagonistic implications for pregnancy, reproductive cancers, and endometriosis.

Mihaela Pavličev, Caitlin E McDonough-Goldstein, Andreja Moset Zupan, Lisa Muglia, Yueh-Chiang Hu, Fansheng Kong, Nagendra Monangi, Gülay Dagdas, Nina Zupančič, Jamie Maziarz and 4 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 9 citations in OpenAlex.

  1. The importance of gene polymorphism in familial inheritance of endometriosis.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Evidence for Maternal Autoantibodies in the Pathogenesis of Preterm Birth.medRxiv : the preprint server for health sciences · 2025
    Article
  6. Article
  7. Article
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  9. Article
  10. Pathogenesis of Endometriosis and Endometriosis-Associated Cancers.International journal of molecular sciences · 2024
    Review
  11. Article
  12. 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

14 authors at 4 institutions in 3 countries.

Mihaela PavličevCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. mihaela.pavlicev@univie.ac.at.ORCID 0000-0001-8439-9351
Caitlin E McDonough-GoldsteinDepartment of Evolutionary Biology, University of Vienna, Vienna, Austria.
Andreja Moset ZupanCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lisa MugliaCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Yueh-Chiang HuCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-7992-0525
Fansheng KongCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Nagendra MonangiCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0003-2498-6452
Gülay DagdasDepartment of Evolutionary Biology, University of Vienna, Vienna, Austria.
Nina ZupančičUniversity Medical Center Ljubljana, Department of Cardiovascular Surgery, Ljubljana, Slovenia.
Jamie MaziarzDepartment of Ecology and Evolutionary Biology, Yale University, New Haven, CT, USA.
Debora SinnerCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Ge ZhangCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Günter WagnerDepartment of Evolutionary Biology, University of Vienna, Vienna, Austria.ORCID 0000-0002-3097-002X
Louis MugliaCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-0301-8770
Cincinnati Children's Hospital Medical Center · USUniversity of Vienna · ATLjubljana University Medical Centre · SIYale University · US

Funding

Integrating genomic studies of gestational duration and birth weight to understand maternal and fetal causes of adverse pregnancy outcomes and links with later diseasesR01HD101669 · NICHD · CINCINNATI CHILDRENS HOSP MED CTR · PI FREATHY, RACHEL, JACOBSSON, BO · 2021 to 2024
$2.1M
Austrian Science Fund FWF P 33540NICHD NIH HHS R01 HD101669
6 · The paper itself

Abstract

The common human SNP rs3820282 is associated with multiple phenotypes including gestational length and likelihood of endometriosis and cancer, presenting a paradigmatic pleiotropic variant. Deleterious pleiotropic mutations cause the co-occurrence of disorders either within individuals, or across population. When adverse and advantageous effects are combined, pleiotropy can maintain high population frequencies of deleterious alleles. To reveal the causal molecular mechanisms of this pleiotropic SNP, we introduced this substitution into the mouse genome by CRISPR/Cas 9. Previous work showed that rs3820282 introduces a high-affinity estrogen receptor alpha-binding site at the Wnt4 locus. Here, we show that this mutation upregulates Wnt4 transcription in endometrial stroma, following the preovulatory estrogen peak. Effects on uterine transcription include downregulation of epithelial proliferation and induction of progesterone-regulated pro-implantation genes. We propose that these changes increase uterine permissiveness to embryo invasion, whereas they decrease resistance to invasion by cancer and endometriotic foci in other estrogen-responsive tissues.

Indexed as

EndometriosisNeoplasmsAllelesAnimalsEndometriumEstrogensFemaleHumansMicePregnancyWnt4 ProteinEstrogensWnt4 ProteinWnt4 protein, mouse

Identifiers

PMID38346980
PMCPMC10861470
OpenAlexW4391753111

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.