Evidence map›Paper›PMID 40987331›Full record

ArticleJournal of the Royal Society, Interface2025

A functional shunt in the umbilical cord: the role of coiling in solute and heat transfer.

Tianran Wan, Edward D Johnstone, Shier Nee Saw, Oliver E Jensen, Igor L Chernyavsky

Abstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 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

5 authors.

Tianran WanDepartment of Mathematics, University of Manchester, Manchester M13 9PL, UK.
Edward D JohnstoneMaternal and Fetal Health Research Centre, University of Manchester, Manchester M13 9WL, UK.
Shier Nee SawDepartment of Artificial Intelligence, Faculty of Computer Science and Information Technology, Universiti Malaya, Kuala Lumpur 50603, Malaysia.
Oliver E JensenDepartment of Mathematics, University of Manchester, Manchester M13 9PL, UK.ORCID 0000-0003-0172-6578
Igor L ChernyavskyDepartment of Mathematics, University of Manchester, Manchester M13 9PL, UK.ORCID 0000-0003-0284-9318

Funding

A*STAR Bioinformatics InstituteWellcome Leap
6 · The paper itself

Abstract

The umbilical cord plays a critical role in delivering nutrients and oxygen from the placenta to the fetus through the umbilical vein, while the two umbilical arteries carry deoxygenated blood with waste products back to the placenta. Although solute exchange in the placenta has been extensively studied, exchange within the cord tissue has not been investigated. Here, we explore the hypothesis that the coiled structure of the umbilical cord could strengthen diffusive coupling between the arteries and the vein, resulting in a functional shunt. We calculate the diffusion of solutes, such as oxygen, and heat in the umbilical cord to quantify how this shunt is affected by vascular configuration within the cord. We demonstrate that the shunt is enhanced by coiling and vessel proximity. Furthermore, our model predicts that typical vascular configurations of the human cord tend to minimize shunting, which could otherwise disrupt thermal regulation of the fetus. We also show that the exchange, amplified by coiling, can provide additional oxygen supply to the cord tissue surrounding the umbilical vessels.

Indexed as

Models, BiologicalOxygenUmbilical ArteriesUmbilical CordUmbilical VeinsFemaleHot TemperatureHumansPregnancyOxygendiffusive solute transportheat exchangehelicityoxygenationumbilical cordvascular configuration

Identifiers

PMID40987331
PMCPMC12457040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.