Evidence map›Paper›PMID 40956656›Full record

ArticleJournal of cellular and molecular medicine2025

Amino Acid Restriction Impairs Human Endometrial Stromal Cell Decidualization and Is Rescued by Proline Supplementation.

Chloe Jang, Cristiana Iosef, Stephen J Renaud, Victor K M Han

Abstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 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. Review
  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

4 authors.

Chloe JangDepartment of Biochemistry, Western University, London, Canada.ORCID 0000-0002-5208-8169
Cristiana IosefChildren's Health Research Institute, London, Canada.ORCID 0000-0002-0535-8605
Stephen J RenaudDepartment of Anatomy and Cell Biology, Western University, London, Canada.
Victor K M HanDepartment of Biochemistry, Western University, London, Canada.

Funding

Children's Health FoundationCIHR PJT180483
6 · The paper itself

Abstract

Decidualization is a critical process for successful pregnancy. It is characterised by the transformation of endometrial stromal cells into decidual cells that support embryo implantation and placental development. Maternal amino acid deficiency is linked to impaired decidualization, which can lead to pregnancy complications such as miscarriage, preeclampsia and fetal growth restriction. Halofuginone (HF), a synthetic alkaloid, induces nutritional stress by triggering the amino acid starvation response. This study investigated the effects of HF-induced nutritional stress and amino acid supplementation on decidualization of human endometrial stromal cells (HESCs). Exposure of HESCs to decidualization agents caused distinct morphological changes and expression of insulin-like growth factor binding protein-1 (IGFBP-1), indicative of successful decidualization. Treatment of HESCs with HF or leucine-deprived media inhibited the expression of key decidualization markers. Interestingly, supplementation with proline, but not leucine, rescued the inhibitory effects of HF on decidualization of HESCs. HF inhibited the expression of genes encoding growth factors crucial for decidualization, highlighting their sensitivity to amino acid availability, and disrupted transforming growth factor β-SMAD signalling, which was restored by proline supplementation. These findings highlight the essential role of amino acids, particularly proline, for proper decidualization and suggest potential therapeutic strategies for improved reproductive health.

Indexed as

Amino AcidsDeciduaEndometriumProlineStromal CellsDietary SupplementsEmbryo ImplantationFemaleHumansInsulin-Like Growth Factor Binding Protein 1LeucinePiperidinesPregnancyQuinazolinonesSignal TransductionSmad ProteinsAmino AcidsIGFBP1 protein, humanInsulin-Like Growth Factor Binding Protein 1LeucinePiperidinesProlineQuinazolinonesSmad Proteinsdeciduafetal growth restrictiongrowth factorshalofuginoneleucineplacentapreeclampsiaproline

Identifiers

PMID40956656
PMCPMC12439679

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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.