Evidence map›Paper›PMID 40091455›Full record

ArticleJournal of extracellular vesicles2025

Potential Role of Menstrual Fluid-Derived Small Extracellular Vesicle Proteins in Endometriosis Pathogenesiss.

Shanti Gurung, Jacqueline Piskopos, Joel Steele, Ralf Schittenhelm, Anup Shah, Fiona L Cousins, Thomas T Tapmeier, Caroline E Gargett

Abstract read
In one paragraph

Article in Journal of extracellular vesicles, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Review
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

8 authors.

Shanti GurungThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.ORCID https://orcid.org/0000-0002-9003-652X
Jacqueline PiskoposThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.
Joel SteeleProteomics and Metabolomics Platform, Monash University, Clayton, Australia.ORCID https://orcid.org/0000-0002-3070-9761
Ralf SchittenhelmProteomics and Metabolomics Platform, Monash University, Clayton, Australia.
Anup ShahProteomics and Metabolomics Platform, Monash University, Clayton, Australia.
Fiona L CousinsThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.
Thomas T TapmeierThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.
Caroline E GargettThe Ritchie Centre, Hudson Institute of Medical Research, Clayton, Australia.

Funding

National Health and Medical Research Council 1173882Victorian Government's Operational Infrastructure Support Program
6 · The paper itself

Abstract

Endometriosis, a chronic debilitating disease affects 1 in 7-10 girls and women, who have symptoms of severe chronic pain and subfertility and significantly impacts the overall quality of life. Currently, no effective early diagnostic methods are available for early stages of endometriosis. We used menstrual fluid-derived small extracellular vesicles (MF-sEVs) from women with self-reported endometriosis (laparoscopically diagnosed, n = 8) and self-reported without endometriosis and no painful periods (n = 9). MF-sEVs were separated using differential ultracentrifugation and characterised using nanoparticle tracking analysis (NTA), transmission electron microscopy (TEM), Western Blot, flow cytometry, mass-proteomics analysis and functional assays. Spherical-shaped sEVs were identified with a median diameter of ∼120 nm, expressing sEV marker proteins. The MF-sEV proteins were classified as endometrial origin. Over 5000 proteins were identified, ∼77% of which were decreased whilst only 22 proteins (largely comprising immunoglobulins) were increased in endometriosis/MF-sEVs compared to control/MF-sEVs. Decreased proteins were involved in nitrogen compound metabolism, immune response, intracellular signal transduction, regulation of programmed cell death, maintenance of cell polarity and actin cytoskeleton organisation. Flow cytometry demonstrated a significant increase in CD86 expression (immune activation marker) in endometriosis/MF-sEVs. Mesothelial cells showed a significant decrease in cellular resistance and junctional protein expression. MF-sEVs are possible contributors to the pathogenesis of endometriosis and may have the potential for early detection of the disease.

Indexed as

EndometriosisExtracellular VesiclesMenstruationAdultBiomarkersFemaleHumansProteomicsBiomarkersendometriosismenstrual fluid‐derived extracellular vesiclesnon‐invasively obtained endometriumproteomics

Identifiers

PMID40091455
PMCPMC11911541

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.