Evidence map›Paper›PMID 41381569›Full record

ArticleNature communications2025

Lithium exposure causes ferroptosis to induce unexplained miscarriage through non-canonical MBOAT1 pathway.

Sun Yi, Huang Wen Xin, Qigang Fan, Xiaoping Yue, Yanbing Lin, Xueyu Chen, Jun Xie, Peize Li, Shuaishuai Xing, Yang Chen and 5 more

Abstract read
In one paragraph

Article in Nature communications, 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

15 authors.

Sun Yi *Research Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Huang Wen Xin *Research Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Qigang FanResearch Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Xiaoping YueKey Laboratory of Pharmaceutical Quality Control of Hebei Province, College of Pharmaceutical Sciences, Hebei University, Baoding, China.
Yanbing LinResearch Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Xueyu ChenDepartment of Reproductive Medicine, Shenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, Shenzhen, Guangdong Province, China.
Jun XieDepartment of Biochemistry and Molecular Biology, Shanxi Key Laboratory of Birth Defect and Cell Regeneration, MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention, Shanxi Medical University, Taiyuan, China.
Peize LiDepartment of Emergency, Cerebrovascular Disease Center, First Hospital of Shanxi Medical University, Taiyuan, China.
Shuaishuai XingResearch Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Yang ChenDepartment of Emergency, Cerebrovascular Disease Center, First Hospital of Shanxi Medical University, Taiyuan, China.
Qiong LeiDepartment of Obstetrics, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong Province, China.
Manli WangResearch Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Guo GengDepartment of Emergency, Cerebrovascular Disease Center, First Hospital of Shanxi Medical University, Taiyuan, China. guogeng973@163.com.ORCID http://orcid.org/0000-0003-4197-0399
Zhao De PengDepartment of Reproductive Medicine, Shenzhen Maternity and Child Healthcare Hospital, Women and Children's Medical Center, Southern Medical University, Shenzhen, Guangdong Province, China. zhaodepeng111@163.com.ORCID http://orcid.org/0000-0001-9135-4047
Zhang Hui DongResearch Center for Environment and Female Reproductive Health, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China. zhanghd29@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0001-7845-3331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High incidence of unexplained miscarriage (UM) limits global human reproduction. Lithium (Li) batteries are widely used but rarely recycled, causing Li to spread into environments and enter human body. Notably, the healthy effects of Li exposure on UM are rarely explored. Herein, higher serum Li levels, villous tissue ferroptosis, and UM are associated. Exposure to high levels of Li causes placental ferroptosis to induce mouse miscarriage. Li exposure down-regulates ER levels to suppress ER-mediated METTL1 and MBOAT1 transcription, and also suppresses METTL1-mediated m7G modification on MBOAT1 mRNA to reduce MBOAT1 mRNA stability. Therefore, Li exposure causes ferroptosis in a GPX4-independent manner. Supplement with murine Mboat1 suppresses placental ferroptosis and relieves miscarriage in LiCl-exposed mouse model. This study discovers health risks and pathogenesis of Li exposure-induced UM, reveals potential biological targets, and also proposes an important Li exposure theme in energy-environment-health field, which deserves attention by global governments and enterprises.

Indexed as

Abortion, SpontaneousFerroptosisLithiumAnimalsDisease Models, AnimalFemaleHumansMiceMice, Inbred C57BLPhospholipid Hydroperoxide Glutathione PeroxidasePlacentaPregnancySignal Transductionglutathione peroxidase 4, mouseLithiumPhospholipid Hydroperoxide Glutathione Peroxidase

Identifiers

PMID41381569
PMCPMC12796209

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.