Evidence map›Paper›PMID 40588151›Full record

ArticleFertility and sterility2025

Fusobacterium nucleatum is not significantly present in eutopic endometrium from patients with minimal-mild and moderate-severe endometriosis.

María Carmen Graciano-España, Kurt Barnhart, Marta Gonzalez-Monfort, Marta Arenas-Barrero, Richard S Legro, Tracey R Thomas, Margaret A Rush, Felipe Vilella, Manuel Fernández-Sánchez, Carlos Simon and 1 more

Abstract read
In one paragraph

Article in Fertility and sterility, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Cancers · 2025
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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

11 authors.

María Carmen Graciano-EspañaCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain; Pediatrics, Obstetrics and Gynecology Department, Faculty of Medicine, University of Valencia, Valencia, Spain.
Kurt BarnhartPenn Medicine Women's Health Clinical Research Center, University of Pennsylvania, Philadelphia, Pennsylvania.
Marta Gonzalez-MonfortCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain; Pediatrics, Obstetrics and Gynecology Department, Faculty of Medicine, University of Valencia, Valencia, Spain.
Marta Arenas-BarreroCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain.
Richard S LegroPenn State College of Medicine, Research, Hershey, Pennsylvania.
Tracey R ThomasPenn Medicine Women's Health Clinical Research Center, University of Pennsylvania, Philadelphia, Pennsylvania.
Margaret A RushPenn Medicine Women's Health Clinical Research Center, University of Pennsylvania, Philadelphia, Pennsylvania.
Felipe VilellaCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain.
Manuel Fernández-SánchezVida Recoletas Sevilla, Seville, Spain; Department of Surgery, University of Sevilla, Seville, Spain.
Carlos SimonCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain; Pediatrics, Obstetrics and Gynecology Department, Faculty of Medicine, University of Valencia, Valencia, Spain; Department of Obstetrics and Gynecology, BIDMC, Harvard University, Boston, Massachusetts. Electronic address: csimon@fundacioncarlossimon.com.
Inmaculada MorenoCarlos Simon Foundation, Valencia, Spain; INCLIVA Biomedical Research Institute, Valencia, Spain. Electronic address: imoreno@fundacioncarlossimon.com.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Data Coordination Center for the RMNU10HD055925 · NICHD · YALE UNIVERSITY · PI ZHANG, HEPING · 2007 to 2019
$39.2M
WRITING AND THE DAILY EXPERIENCE OF ILLNESSM01RR010732 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI EHMANN, CHRISTOPHER · 1995 to 2009
$29.8M
COOPERATIVE MULTICENTER REPRODUCTIVE MEDICINE NETWORKU10HD027049 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI COUTIFARIS, CHRISTOS · 1990 to 2017
$5.2M
GHSU/WSU Cooperative Reproductive Medicine NetworkU10HD039005 · NICHD · WAYNE STATE UNIVERSITY · PI DIAMOND, MICHAEL PETER · 2000 to 2017
$5.2M
Development of a serum biosignature for ectopic pregnancy.R01HD076279 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BARNHART, KURT T · 2014 to 2018
$3.4M
GCRC RELOCATION AND EXPANSION PROJECTC06RR016499 · NCRR · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KIRCH, DARRELL G · 2001 to 2001
$707k
NCATS NIH HHS UL1 TR001863NCRR NIH HHS C06 RR016499NCRR NIH HHS M01 RR010732NICHD NIH HHS R01 HD076279NICHD NIH HHS U10 HD027049NICHD NIH HHS U10 HD039005NICHD NIH HHS U10 HD055925
6 · The paper itself

Abstract

objectiveTo evaluate the presence of Fusobacterium spp. and Fusobacterium nucleatum in eutopic endometrial samples from women with endometriosis compared with controls, and assess their association with the disease.

designRetrospective case-control study. SUBJECTS: Ninety-two women (55 endometriosis cases and 37 controls) aged 18-44 years undergoing gynecologic endoscopy for endometriosis and/or benign conditions at University of Pennsylvania, Endomarker Study (PMID: 29524590). EXPOSURE: DNA extraction from eutopic endometrial samples using QIAamp DNA Microbiome and IndiSpin Pathogen Kits. Quantification of Fusobacterium spp. and F. nucleatum by quantitative PCR using genus- and species-specific primers. MAIN OUTCOME MEASURE(S): Relative abundance of Fusobacterium spp. and F. nucleatum in cases vs. controls, analyzed using the ΔCt method.

resultsNo significant difference in Fusobacterium spp. or F. nucleatum abundance was observed between cases and controls (P = .258 for genus-specific primers, P = .738 for species-specific primers). Subgroup analysis by disease severity (minimal-mild: n = 42; moderate-severe: n = 13) also showed no significant differences (Fusobacterium spp.: P = .1465; F. nucleatum: P = .2936).

conclusionFusobacterium spp. is not differentially present in eutopic endometrium of women with endometriosis, regardless of disease severity according to revised American Society for Reproductive Medicine classification. This contrasts with prior findings in eutopic endometrium in patients with ovarian endometriosis, suggesting that Fusobacterium has limited diagnostic or prognostic value in endometriosis.

Indexed as

EndometriosisEndometriumFusobacterium InfectionsFusobacterium nucleatumAdolescentAdultCase-Control StudiesDNA, BacterialFemaleFusobacteriumHumansRetrospective StudiesSeverity of Illness IndexYoung AdultDNA, Bacterialendometriosiseutopic endometriumFusobacterium nucleatumFusobacterium spp.quantitative PCR

Identifiers

PMID40588151
PMCPMC12416407

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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.