Evidence map›Paper›PMID 40450232›Full record

ArticleBMC pregnancy and childbirth2025

TRAF3 as a potential diagnostic biomarker for recurrent pregnancy loss: insights from single-cell transcriptomics and machine learning.

Yi-Bo He, Jun-Yu Li, Shi-Liang Chen, Rui Ye, Yi-Ran Fei, Shi-Yuan Tong, Yu-Xuan Song, Cong Wang, Li Zhang, Ju Fang and 6 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

16 authors.

Yi-Bo He *Department of Clinical Lab, The First Affiliated Hospital of Zhejiang Chinese Medical University, (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, China.
Jun-Yu Li *Department of Pharmacy, Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya, China.
Shi-Liang ChenDepartment of Clinical Lab, The First Affiliated Hospital of Zhejiang Chinese Medical University, (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, China.
Rui YeSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Yi-Ran FeiThe First Clinical Medical College, Zhejiang Chinese Medicine University, Hangzhou, Zhejiang Province, China.
Shi-Yuan TongState Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Institutes of Brain Science, Fudan University, Shanghai, China.
Yu-Xuan SongDepartment of Urology, Peking University People's Hospital, Beijingi, China.
Cong WangDepartment of Clinical Lab, The First Affiliated Hospital of Zhejiang Chinese Medical University, (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, China.
Li ZhangObstetrics and Gynecology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, China.
Ju FangReproductive Center, Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya, China.
Yue ShangReproductive Center, Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Sanya, China.
Zhe-Zhong ZhangDepartment of Clinical Lab, The First Affiliated Hospital of Zhejiang Chinese Medical University, (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, Zhejiang Province, China.
Jin ChenSchool of Medical Technology and Information Engineering, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Ai-Zhong YangReproductive Center, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Jie LiuReproductive Center, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Yong-Lin LiuReproductive Center, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China. liu3319@126.com.

Funding

Hainan Province Health Industry Scientific Research Project 21A200333Hainan Province Natural Science Foundation Project 823QN371Joint Program on Health Science & Technology Innovation of Hainan Province WSJK2024QN001Natural Science Foundation of Zhejiang Province QN25H270030Research Projects of Zhejiang Chinese Medical University 2022JKJNTZ16Research Projects of Zhejiang Chinese Medical University 2022JKJNTZ23Research Projects of Zhejiang Chinese Medical University 2022JKZKTS26Sanya University and Medical Institutions Special Science and Technology Project 2021GXYL29Special Science and Technology Plan Project of Universities and Medical Institutions in Sanya City 2021GXYL32Zhejiang Province Medical and Health Science and Technology Project 2024KY1201Zhejiang Province Medical and Health Science and Technology Project 2024KY1213Zhejiang Province Medical and Health Science and Technology Project 2024KY1225Zhejiang Province Traditional Chinese Medicine Science and Technology Project 2023ZL056Zhejiang Province Traditional Chinese Medicine Science and Technology Project 2024ZR015
6 · The paper itself

Abstract

backgroundRecurrent pregnancy loss (RPL), characterized by multiple miscarriages, remains a condition with unclear etiology, posing significant challenges for affected women and couples. This study aims to explore the underlying mechanisms of RPL, focusing on the role of decidual Natural Killer (dNK) cells and the TNF receptor-associated factor 3 (TRAF3) gene as a potential diagnostic marker and therapeutic target.

methodsWe used single-cell transcriptomic analysis and machine learning techniques to analyze decidual tissues from RPL patients and normal pregnancy(NP). Weighted Gene Co-expression Network Analysis (WGCNA) was employed to identify key gene clusters. Validation studies included RT-PCR, immunohistochemistry, and molecular docking analyses.

resultsWe observed an increased proportion of specific dNK cell subtypes (dNK2 and dNK3) in the RPL group compared to NP, implicating their role in RPL pathology. dNK cells in RPL primarily interacted with monocytes via the Macrophage Migration Inhibitory Factor (MIF) signaling pathway. Our diagnostic model, incorporating TRAF3 and nine other genes, demonstrated high diagnostic efficiency. TRAF3 expression was significantly lower in the decidua of RPL patients, and Diethylstilbestrol and Metformin were identified as potential modulators of TRAF3.

conclusionsThis study highlights TRAF3 as a promising diagnostic marker and therapeutic target for RPL. The diagnostic model we developed has potential for early detection and personalized treatment strategies for RPL.

Indexed as

Abortion, HabitualTNF Receptor-Associated Factor 3AdultBiomarkersCase-Control StudiesDeciduaFemaleGene Expression ProfilingHumansKiller Cells, NaturalMachine LearningMacrophage Migration-Inhibitory FactorsPregnancySingle-Cell AnalysisTranscriptomeBiomarkersMacrophage Migration-Inhibitory FactorsTNF Receptor-Associated Factor 3TRAF3 protein, humanDecidual Natural Killer Cells (dNK)High-Dimensional Weighted Gene Co-expression Network Analysis (HdWGCNA)Machine learningMacrophage Migration Inhibitory Factor (MIF) pathwayRecurrent Pregnancy Loss (RPL)Single-cell transcriptomics

Identifiers

PMID40450232
PMCPMC12125721

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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.