Evidence map›Paper›PMID 40836808›Full record

ReviewPhilosophical transactions of the Royal Society of London. Series B, Biological sciences2025

The uteroplacental circulation at high altitude: adaptation and maladaptation.

Xiang-Qun Hu, Chiranjib Dasgupta, Yu Gao, Isaac Kremsky, Eugenia Mata-Greenwood, Lubo Zhang

Abstract readReview
In one paragraph

Review in Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 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. Pregnancy at high altitude: evolutionary and historical perspectives.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  2. Pregnancy at high altitude: the challenge of hypoxia.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    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

6 authors.

Xiang-Qun HuLoma Linda University, Loma Linda, CA, USA.ORCID 0000-0003-1626-9541
Chiranjib DasguptaLoma Linda University, Loma Linda, CA, USA.
Yu GaoUniversity of Illinois Chicago, Chicago, IL, USA.
Isaac KremskyLoma Linda University, Loma Linda, CA, USA.
Eugenia Mata-GreenwoodLoma Linda University, Loma Linda, CA, USA.
Lubo ZhangLoma Linda University, Loma Linda, CA, USA.

Funding

Uterine Vascular Adaptation to Pregnancy and Chronic HypoxiaP01HD083132 · NICHD · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2016 to 2020
$6.3M
Mechanisms of uterine artery hemodynamics adaptation to pregnancy and gestational hypoxiaR01HL169157 · NHLBI · LOMA LINDA UNIVERSITY · PI Arlin B Blood, Lubo Zhang · 2023 to 2026
$3.2M
Gestational Hypoxia and Programming of Maternal, Fetal and Newborn Vascular FunctionR01HL149608 · NHLBI · LOMA LINDA UNIVERSITY · PI PEARCE, WILLIAM J., WILSON, SEAN M · 2020 to 2023
$3.1M
Epigenetic mechanisms of uterine vascular adaptation to pregnancy and hypoxiaR01HL128209 · NHLBI · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2015 to 2018
$1.6M
Uterine Arterial Spontaneous Transient Outward Currents in PregnancyR01HL137649 · NHLBI · LOMA LINDA UNIVERSITY · PI ZHANG, LUBO · 2017 to 2020
$1.6M
Eunice Kennedy Shriver National Institute of Child Health and Human DevelopmentNational Heart Lung and Blood InstituteNHLBI NIH HHS R01 HL128209NHLBI NIH HHS R01 HL137649NHLBI NIH HHS R01 HL149608NHLBI NIH HHS R01 HL169157NICHD NIH HHS P01 HD083132
6 · The paper itself

Abstract

The greatest challenge of living at high altitude is hypoxia. Hypoxia imposes immense impacts on reproduction. Gestation at high altitude is associated with high incidence of fetal growth restriction (FGR) and pre-eclampsia owing to maladaptation of uteroplacental circulation/placenta insufficiency and oxygen delivery to the fetus. Both disorders have been replicated in animal models at low altitude by hypoxic exposure. Intriguingly, high-altitude natives such as Tibetans and Andeans are relatively protected from FGR. Hypoxia constitutes a severe insult to the uteroplacental circulation. In response to hypoxia, a range of dynamic responses occurs in uteroplacental cells/tissues. To offset detrimental effects imposed by hypoxia, uteroplacental cells/tissues also develop countermeasure mechanisms. The uteroplacental circulation adaptation to high altitude depends on whether a novel homeostasis is achieved.This article is part of the discussion meeting issue 'Pregnancy at high altitude: the challenge of hypoxia'.

Indexed as

Adaptation, PhysiologicalAltitudeFetal Growth RetardationHypoxiaPlacentaPlacental CirculationPre-EclampsiaAcclimatizationAnimalsFemaleHumansPregnancyadaptationfetal growth restrictionhigh altitudepre-eclampsiauteroplacental circulation

Identifiers

PMID40836808
PMCPMC12368551

What OpenQuestion holds

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Read underepoch 390

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.