Evidence map›Paper›PMID 40092390›Full record

ArticleJournal of obstetrics and gynaecology of India2025

Cytokines and Pentraxin 3 Levels in Unexplained Recurrent Pregnancy Loss: Role of Oral Micronized Progesterone Therapy as Immunomodulator on Their Levels and Pregnancy Outcome, a Prospective Comparative Study.

Nutan Agarwal, Stuti Gupta, Vidushi Kulshrestha, Raj Kumar Yadav, Alka Kriplani, Garima Kachhawa, Neerja Bhatla

Abstract read
In one paragraph

Article in Journal of obstetrics and gynaecology of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Immunomodulatory Role of Natural Progesterone in Pregnancy: A Review.The journal of obstetrics and gynaecology research · 2026
    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

7 authors.

Nutan AgarwalDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-5668-3221
Stuti GuptaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Vidushi KulshresthaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0001-8519-6847
Raj Kumar YadavDepartment of Physiology, All India Institute of Medical Sciences, New Delhi, India.
Alka KriplaniDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Garima KachhawaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Neerja BhatlaDepartment of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess cytokines(TNFα, IL6) and pentraxin3 Methods: This prospective comparative trial was conducted in 90 pregnant females: 60 RPL(group-1) and 30 controls(group-2). Group-1 was randomized into group-1a ( Results: In all three groups, baseline TNFα, IL6 and PTX3 were similar; and levels increased as pregnancy advanced. However, progesterone modulated the rise favorably in group-1a, which was similar to controls (group-2). A significant rise at 16 weeks was noted for TNFα in group-1b ( Conclusion: Favorable shift in TNFα, IL6 and PTx3 levels with oral micronized progesterone appears to exert immunomodulatory effect that support pregnancy continuation in RPL. Baseline TNFα < 6.5 pg/ml and PTx3 < 3441 pg/ml have good pregnancy outcome even without progesterone support. Women with higher levels than these can be offered progesterone therapy.

Indexed as

CytokinesImmunomodulationOral micronized progesteronePentraxin3Recurrent pregnancy loss

Identifiers

PMID40092390
PMCPMC11904019

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.