Evidence map›Paper›PMID 41228249›Full record

ArticleCancers2025

Medroxyprogesterone Acetate Inhibits Tumorigenesis in Mouse Models of Oviductal High-Grade Serous Carcinoma.

Yali Zhai, Karan Bedi, Rong Wu, Ying Feng, Maranne E Green, Celeste Leigh Pearce, Malcolm C Pike, Eric R Fearon, Kathleen R Cho

Abstract read
In one paragraph

Article in Cancers, 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

9 authors.

Yali ZhaiDepartment of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.ORCID 0000-0001-9792-7336
Karan BediDepartment of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.ORCID 0000-0002-7843-738X
Rong WuDepartment of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Ying FengDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Maranne E GreenDepartment of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Celeste Leigh PearceDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.
Malcolm C PikeDepartment of Epidemiology & Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.ORCID 0000-0003-4891-1199
Eric R FearonDepartment of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Kathleen R ChoDepartment of Pathology, University of Michigan Medical School, Ann Arbor, MI 48109, USA.ORCID 0000-0003-0500-9998

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric R. Fearon · 1988 to 2026
$178.2M
Modeling Factors Associated with Risk of High-Grade Serous Carcinoma in MiceR01CA226756 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHO, KATHLEEN R. · 2019 to 2023
$2.6M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA046592NCI NIH HHS R01 CA226756
6 · The paper itself

Abstract

BACKGROUND/

objectivesTubo-ovarian high-grade serous carcinoma (HGSC) is a highly lethal malignancy, usually diagnosed at an advanced stage due to the lack of early symptoms and biomarkers. Contraceptive hormone use is associated with a reduced risk of HGSC, but the relative contributions of natural versus synthetic progestins, and their interaction with estrogens, are poorly understood.

methodsWe evaluated the chemo-preventive efficacy of a synthetic progestin medroxyprogesterone acetate (MPA), progesterone (P4), and combined 17β-estradiol-progesterone (E2 + P4) in a well-characterized genetically engineered mouse model (GEMM) of oviductal HGSC based on the conditional inactivation of one or both alleles of the

resultsMPA significantly reduced HGSC incidence and delayed tumor progression compared to the placebo, P4, and P4 + E2 in both

conclusionsThese findings demonstrate that a synthetic progestin, specifically MPA, confers robust protection against HGSC development, while a combination including E2 (E2 + P4) increases risk. This work also illustrates how HGSC GEMMs can be used to compare the chemo-preventive effects of various synthetic progestins on HGSC development in order to prioritize the most effective ones for use in preventing HGSC in both general and high-risk populations.

Indexed as

epithelial–mesenchymal transitiongenetically engineered mouse modelhigh-grade serous carcinomamedroxyprogesterone acetateoral contraceptivesovarian cancer prevention

Identifiers

PMID41228249
PMCPMC12610104

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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.