Evidence map›Paper›PMID 39325428›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

NOTUM-mediated WNT silencing drives extravillous trophoblast cell lineage development.

Vinay Shukla, Ayelen Moreno-Irusta, Kaela M Varberg, Marija Kuna, Khursheed Iqbal, Anna M Galligos, John D Aplin, Ruhul H Choudhury, Hiroaki Okae, Takahiro Arima and 1 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Spleen-associated macrophage alterations and embryo viability in a murine model of recurrent spontaneous abortion.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Article
  4. Article
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  8. Article
  9. Review
  10. Article
  11. Article
  12. Trophoblast adaptation to hypoxia: balance and dysfunction.Cell communication and signaling : CCS · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Vinay ShuklaDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0002-6181-269X
Ayelen Moreno-IrustaDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0001-6810-6475
Kaela M VarbergDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0001-9672-4158
Marija KunaDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0002-5367-731X
Khursheed IqbalDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.
Anna M GalligosDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0001-5651-5570
John D AplinDivision of Developmental Biology and Medicine, Maternal and Fetal Health Research Centre, The University of Manchester, Manchester M13 9WL, United Kingdom.ORCID 0000-0001-8777-9261
Ruhul H ChoudhuryDivision of Developmental Biology and Medicine, Maternal and Fetal Health Research Centre, The University of Manchester, Manchester M13 9WL, United Kingdom.ORCID 0000-0003-1472-9743
Hiroaki OkaeDepartment of Trophoblast Research, Institute of Molecular Embryology and Genetics, Kumamoto University, Kumamoto 860-0811, Japan.ORCID 0000-0002-1539-5063
Takahiro ArimaDepartment of Informative Genetics, Environment and Genome Research Center, Tohoku University Graduate School of Medicine, Sendai 980-8575, Japan.ORCID 0000-0001-8094-5167
Michael J SoaresDepartment of Pathology and Laboratory Medicine, Institute for Reproductive and Developmental Sciences, University of Kansas Medical Center, Kansas City, KS 66160.ORCID 0000-0001-7158-1592

Funding

Mentoring CoreP20GM103418 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Douglas E Wright · 2012 to 2026
$63.0M
TROPHOBLAST DIFFERENTIATIONR01HD020676 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MICHAEL J SOARES · 1986 to 2026
$10.1M
Stem Cells and Epigenetics of Trophoblast Lineage DevelopmentP01HD079363 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SOARES, MICHAEL J · 2014 to 2018
$5.7M
Anti-Coagulation Factors and PlacentationR01HD099638 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI SOARES, MICHAEL J · 2019 to 2023
$2.5M
Trophoblast-Guided Uterine Transformation in the Establishment of PregnancyR01HD105734 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MICHAEL J SOARES · 2022 to 2026
$2.2M
Pathways Affecting Trophoblast DevelopmentR01HD112559 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MICHAEL J SOARES, Geetu Tuteja · 2024 to 2026
$1.9M
Regulation of Invasive Trophoblast Cell Lineage DevelopmentR00HD107262 · NICHD · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI VARBERG, KAELA MARGARET · 2023 to 2025
$740k
Early Events in Extravillous Trophoblast Cell DifferentiationK99HD115834 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI MORENO, AYELEN · 2024 to 2025
$261k
Supplement (Covid) to Regulation of endovascular trophoblast cell development and uterine spiral artery remodelingF32HD096809 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI VARBERG, KAELA MARGARET · 2018 to 2021
$232k
Regulation of Invasive Trophoblast Cell Lineage DevelopmentK99HD107262 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI VARBERG, KAELA MARGARET · 2022 to 2023
$142k
HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD020676HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD079363HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD096809HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD099638HHS | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) HD105734KU | University of Kansas Medical Center (KUMC) KUMC Biomedical Research Training ProgramNICHD NIH HHS F32 HD096809NICHD NIH HHS K99 HD107262NICHD NIH HHS K99 HD115834NICHD NIH HHS P01 HD079363NICHD NIH HHS R00 HD107262NICHD NIH HHS R01 HD020676NICHD NIH HHS R01 HD099638NICHD NIH HHS R01 HD105734NICHD NIH HHS R01 HD112559NIGMS NIH HHS P20 GM103418
6 · The paper itself

Abstract

Trophoblast stem (TS) cells have the unique capacity to differentiate into specialized cell types, including extravillous trophoblast (EVT) cells. EVT cells invade into and transform the uterus where they act to remodel the vasculature facilitating the redirection of maternal nutrients to the developing fetus. Disruptions in EVT cell development and function are at the core of pregnancy-related disease. WNT-activated signal transduction is a conserved regulator of morphogenesis of many organ systems, including the placenta. In human TS cells, activation of canonical WNT signaling is critical for maintenance of the TS cell stem state and its downregulation accompanies EVT cell differentiation. We show that aberrant WNT signaling undermines EVT cell differentiation. Notum, palmitoleoyl-protein carboxylesterase (NOTUM), a negative regulator of canonical WNT signaling, was prominently expressed in first-trimester EVT cells developing in situ and up-regulated in EVT cells derived from human TS cells. Furthermore, NOTUM was required for optimal human TS cell differentiation to EVT cells. Activation of NOTUM in EVT cells is driven, at least in part, by endothelial Per-Arnt-Sim (PAS) domain 1 (also called hypoxia-inducible factor 2 alpha). Collectively, our findings indicate that canonical Wingless-related integration site (WNT) signaling is essential for maintenance of human trophoblast cell stemness and regulation of human TS cell differentiation. Downregulation of canonical WNT signaling via the actions of NOTUM is required for optimal EVT cell differentiation.

Indexed as

Cell DifferentiationCell LineageTrophoblastsWnt Signaling PathwayExtravillous TrophoblastsFemaleHumansPregnancyStem CellsWnt ProteinsWnt Proteinsextravillous trophoblast cellsNOTUMplacentaWNT

Identifiers

PMID39325428
PMCPMC11459147

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Registered trials

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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.