Evidence map›Paper›PMID 40710297›Full record

ArticleCells2025

Complement Modulation Mitigates Inflammation-Mediated Preterm Birth and Fetal Neural Inflammation.

Eliza R McElwee, Devin Hatchell, Mohammed Alshareef, Khalil Mallah, Harriet Hall, Hannah Robinson, Ramin Eskandari, Eugene Chang, Scott Sullivan, Stephen Tomlinson

Abstract read
In one paragraph

Article in Cells, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Eliza R McElweeDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Devin HatchellDepartment of Pharmacology and Immunology, Medical University of South Carolina, Charleston, SC 29425, USA.
Mohammed AlshareefDepartment of Neurological Surgery, Division of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA.
Khalil MallahDepartment of Pharmacology and Immunology, Medical University of South Carolina, Charleston, SC 29425, USA.ORCID 0000-0001-7622-8106
Harriet HallCollege of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Hannah RobinsonCollege of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Ramin EskandariDepartment of Neurological Surgery, Division of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA.
Eugene ChangDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Scott SullivanDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Stephen TomlinsonDepartment of Pharmacology and Immunology, Medical University of South Carolina, Charleston, SC 29425, USA.ORCID 0000-0002-6281-2122

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI John J Lemasters · 2009 to 2026
$42.7M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR001450 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T., FLUME, PATRICK A · 2015 to 2024
$41.1M
SOUTH CAROLINA COBRE IN OXIDANTS, REDOX BALANCE AND STRESS SIGNALINGP20GM103542 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BALL, LAUREN ELIZABETH · 2012 to 2020
$20.2M
The role of SMAD1 and SATB2 in colon patterningP20GM130457 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Evan R Delgado · 2020 to 2026
$18.7M
Proteomics CoreP30DK123704 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Garth R Swanson · 2020 to 2026
$8.8M
South Carolina Clinical & Translational Research Institute (SCTR)TL1TR001451 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI FEGHALI-BOSTWICK, CAROL A. · 2015 to 2024
$4.6M
Confocal/Multiphoton Microscope UpgradeS10OD018113 · OD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LEMASTERS, JOHN J · 2015 to 2015
$570k
High-Content, High-Throughput Multi-Mode Imaging SystemS10OD028663 · OD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GOOZ, MONIKA · 2020 to 2020
$416k
BLRD VA I01 BX004256BLRD VA IK6 BX005235NCATS NIH HHS TL1 TR001451NCATS NIH HHS UL1 TR001450NCI NIH HHS P30 CA138313NIDDK NIH HHS P30 DK123704NIGMS NIH HHS P20 GM103542NIGMS NIH HHS P20 GM130457NIH HHS 1TL1TR001451-24NIH HHS 1UL1TR001450-24NIH HHS S10 OD018113NIH HHS S10 OD028663RRD VA I01 RX003958U.S. Department of Veteran's Affairs IK6BX005235, BX004256, RX03958)
6 · The paper itself

Abstract

Preterm birth and the neonatal pathological sequelae that follow spontaneous preterm labor are closely associated with maternal and fetal inflammatory activation. Previous studies have indicated a role for the complement system in this inflammatory response. Utilizing an LPS inflammation-induced model of preterm birth, we investigated various delivery outcomes and their correlation with complement activation products within cervical, uterine, and fetal brain tissue after administration of LPS. We provide further evidence that complement-mediated inflammation within cervical and uterine tissue contributes to aberrant cellular changes and an increase in preterm delivery. We additionally show that a targeted complement inhibitor that specifically targets to sites of complement activation (CR2-Crry) mitigates the effects of LPS-induced pathology and preterm birth. Complement inhibition increased latency to delivery, mean gestational age at delivery, and average number of viable pups. Furthermore, the improved delivery outcomes seen with CR2-Crry treatment correlated with a reduced inflammatory response in maternal tissue and in fetal brain tissue in terms of reduced complement activation, reduced pro-inflammatory cytokines, and reduced macrophage recruitment. These data indicate that complement inhibition represents a potential therapeutic strategy for preventing preterm birth. The localization of complement inhibition by a site-targeting approach reduces the possibility of unwanted off-target effects.

Indexed as

Complement System ProteinsFetusInflammationNeuroinflammatory DiseasesPremature BirthAnimalsBrainComplement ActivationCytokinesFemaleHumansLipopolysaccharidesMicePregnancyComplement System ProteinsCytokinesLipopolysaccharidescomplement modulationcomplement systemfetal inflammationmaternal-fetal interfacepreterm birth

Identifiers

PMID40710297
PMCPMC12293211

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.