Evidence map›Paper›PMID 39935459›Full record

ArticleiScience2025

Spatial transcriptomic analysis identifies epithelium-macrophage crosstalk in endometriotic lesions.

Gregory W Burns, Zhen Fu, Erin L Vegter, Zachary B Madaj, Erin Greaves, Idhaliz Flores, Asgerally T Fazleabas

Abstract read
In one paragraph

Article in iScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  12. Serum response factor is essential for endometrial function and prevention of inflammatory fibrosis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Gregory W BurnsDepartment of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, MI 49503, USA.
Zhen FuBioinformatics and Biostatistics, Van Andel Institute, Grand Rapids, MI 49503, USA.
Erin L VegterDepartment of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, MI 49503, USA.
Zachary B MadajBioinformatics and Biostatistics, Van Andel Institute, Grand Rapids, MI 49503, USA.
Erin GreavesDivision of Biomedical Sciences, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK.
Idhaliz FloresDepartment of Basic Sciences, Ponce Health Sciences University, Ponce, PR 00716, USA.
Asgerally T FazleabasDepartment of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, MI 49503, USA.

Funding

Regulation of Endometriotic Lesion Development by NOTCH1R01HD099090 · NICHD · MICHIGAN STATE UNIVERSITY · PI FAZLEABAS, ASGERALLY T. · 2021 to 2025
$2.8M
Reproductive and Developmental Sciences Training Program - T32T32HD087166 · NICHD · MICHIGAN STATE UNIVERSITY · PI Ronald L Chandler, Keith E Latham · 2016 to 2026
$2.5M
PSM Moffitt Cancer Center PartnershipU56CA126379 · NCI · PONCE SCHOOL OF MEDICINE · PI TORRES-RUIZ, JOSE A · 2006 to 2011
$2.1M
SNP Analysis of Endometriosis Candidate GenesR01HD050559 · NICHD · PONCE SCHOOL OF MEDICINE · PI FLORES, IDHALIZ · 2006 to 2010
$2.1M
Biological Roles of Forkhead Box C1 in Pelvic EndometriosisF32HD104478 · NICHD · MICHIGAN STATE UNIVERSITY · PI BURNS, GREGORY WILLIS · 2021 to 2021
$66k
NCI NIH HHS U56 CA126379NICHD NIH HHS F32 HD104478NICHD NIH HHS R01 HD050559NICHD NIH HHS R01 HD099090NICHD NIH HHS T32 HD087166
6 · The paper itself

Abstract

The mechanisms underlying the pathophysiology of endometriosis, characterized by the presence of endometrium-like tissue outside the uterus, remain poorly understood. This study aimed to identify cell type-specific gene expression changes in superficial peritoneal endometriotic lesions and elucidate the crosstalk among the stroma, epithelium, and macrophages compared to patient-matched eutopic endometrium. Surprisingly, comparison between lesions and eutopic endometrium revealed transcriptional similarities, indicating minimal alterations in the sub-epithelial stroma and epithelium of lesions. Spatial transcriptomics highlighted increased signaling between the lesion epithelium and macrophages, emphasizing the role of the epithelium in driving lesion inflammation. We propose that the superficial endometriotic lesion epithelium orchestrates inflammatory signaling and promotes a pro-repair phenotype in macrophages, providing a new role for complement 3 in lesion pathobiology. This study underscores the significance of considering spatial context and cellular interactions in uncovering mechanisms governing disease in endometriotic lesions.

Indexed as

integrative aspects of cell biologyorganizational aspects of cell biologyreproductive medicinetranscriptomics

Identifiers

PMID39935459
PMCPMC11810701

What OpenQuestion holds

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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.