Evidence map›Paper›PMID 41391548›Full record

ArticleF&S science2026

Angiotensin II drives proliferation and extracellular matrix deposition in human uterine fibroid cells in vitro.

Abigail Lepsch Combs, Gregory W Kirschen, Malak El Sabeh, Sadia Afrin, Mariko Miyashita-Ishiwata, Sruthi Tatavarthi, Jasmine Diallo, Rachel Michel, M Soriful Islam, Mostafa A Borahay

Abstract read
In one paragraph

Article in F&S science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Abigail Lepsch CombsDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland.
Gregory W KirschenDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland; Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Malak El SabehDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland; Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
Sadia AfrinDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland; Laboratory of Genetics and Genomics, National Institute on Aging, Baltimore, Maryland.
Mariko Miyashita-IshiwataDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland; Department of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
Sruthi TatavarthiJohns Hopkins University Krieger School of Arts and Sciences, Baltimore, Maryland.
Jasmine DialloJohns Hopkins University Krieger School of Arts and Sciences, Baltimore, Maryland.
Rachel MichelDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland; Dartmouth Geisel School of Medicine, Hanover, New Hampshire.
M Soriful IslamDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland.
Mostafa A BorahayDepartment of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, Maryland. Electronic address: Mboraha1@jhmi.edu.

Funding

Mechanisms of actions(s) of simvastatin in uterine leiomyomaR01HD094380 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BORAHAY, MOSTAFA A. · 2018 to 2022
$4.0M
Role of senescent cells in uterine fibroid pathogenesisR01HD111243 · NICHD · JOHNS HOPKINS UNIVERSITY · PI Mostafa A. Borahay, JENNIFER H ELISSEEFF · 2023 to 2026
$3.2M
NICHD NIH HHS R01 HD094380NICHD NIH HHS R01 HD111243
6 · The paper itself

Abstract

objectiveTo investigate the effect of angiotensin II (Ang II) on proliferation and extracellular matrix (ECM) deposition in human uterine leiomyoma cells and normal myometrial cells.

designExperimental in vitro study using immortalized human leiomyoma (HuLM) cells, immortalized human uterine smooth muscle (UTSM) cells, and patient-derived primary fibroid and myometrial cells. SUBJECTS: Women with uterine fibroids who underwent hysterectomy. EXPOSURE: Administration of physiological and supraphysiological levels of Ang II (to mimic essential hypertension) to cultured HuLM, UTSM, primary fibroid, and myometrial cells to assess effects on cellular proliferation and ECM deposition.

main outcome measuresWe evaluated HuLM, UTSM, primary fibroid, and UTSM cells for the presence of the Ang II type 1 receptor. Angiotensin II-induced proliferation and ECM deposition was assessed through MTS assay, Western blot analysis, immunofluorescence, and real-time polymerase chain reaction.

resultsImmortalized and primary leiomyoma and myometrial cells expressed Ang II type 1 receptor. Leiomyoma cells responded to Ang II with increased cellular proliferation measured by MTS assay, proliferating cell nuclear antigen protein levels, and Ki67 staining. The Ang II treatment of fibroid cells showed increased expression of Collagen 1A1, the predominant fibroid and myometrial collagen. Integrin β1, an upstream regulator of fibrosis, also showed an increase in protein and messenger ribonucleic acid expression in fibroid cells treated with Ang II. No difference in proliferation or ECM production was observed in myometrial cell controls.

conclusionAngiotensin II promoted growth and matrix accumulation in fibroid cells, highlighting a potential link between fibroids and cardiovascular disease.

Indexed as

Angiotensin IIExtracellular MatrixLeiomyomaUterine NeoplasmsCell ProliferationFemaleHumansMyometriumReceptor, Angiotensin, Type 1Angiotensin IIReceptor, Angiotensin, Type 1cell culturecollagenfibrosisLeiomyomarenin angiotensin system

Identifiers

PMID41391548
PMCPMC12895543

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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.