Evidence map›Paper›PMID 41574608›Full record

ArticleJCI insight2026

Single-cell mapping of human endometrium and decidua reveals epithelial and stromal contributions to fertility.

Gregory W Burns, Emmanuel N Paul, Manisha Persaud, Qingshi Zhao, Rong Li, Kristin Blackledge, Jessica Garcia de Paredes, Pratibha Shukla, Ripla Arora, Anat Chemerinski and 1 more

Abstract read
In one paragraph

Article in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

11 authors.

Gregory W BurnsDepartment of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, Michigan, USA.
Emmanuel N PaulDepartment of Obstetrics, Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, Michigan, USA.
Manisha PersaudDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Qingshi ZhaoDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Rong LiReproductive Medicine Center, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
Kristin BlackledgeDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Jessica Garcia de ParedesDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Pratibha ShuklaDepartment of Pathology and Laboratory Medicine, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Ripla AroraDepartment of Obstetrics, Gynecology and Reproductive Biology, Institute for Quantitative Health Science and Engineering, Michigan State University, East Lansing, Michigan, USA.
Anat ChemerinskiDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.
Nataki C DouglasDepartment of Obstetrics, Gynecology and Reproductive Health, Rutgers Health, New Jersey Medical School, Newark, New Jersey, USA.

Funding

Innate Immune Mechanisms at the Maternal-Fetal Interface in Normal and Superovulatory PregnancyR01AI148695 · NIAID · RUTGERS BIOMEDICAL AND HEALTH SCIENCES · PI BEAULIEU, AIMEE MELISSA, DOUGLAS, NATAKI C · 2019 to 2023
$3.8M
Signaling mechanisms that modulate uterine 3D structure for pregnancy successR01HD109152 · NICHD · MICHIGAN STATE UNIVERSITY · PI Ripla Arora · 2022 to 2026
$2.0M
Understanding the functional role of fibroid subtype mutations for drug discoveryK99HD112539 · NICHD · HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES · PI PAUL, EMMANUEL · 2024 to 2025
$236k
NIAID NIH HHS R01 AI148695NICHD NIH HHS K99 HD112539NICHD NIH HHS R01 HD109152
6 · The paper itself

Abstract

The human endometrium undergoes dynamic changes across the menstrual cycle to establish a receptive state for embryo implantation. Using bulk and single-cell RNA-Seq, we characterized gene expression dynamics in the cycling endometrium and the decidua from early pregnancy. We demonstrated that during the mid-secretory phase - the period encompassing the window of implantation - secretory glandular epithelial cells undergo notable transcriptional changes and alterations in cell-cell communication. Through comprehensive analyses, we identified the glandular epithelium receptivity module (GERM) signature, comprising 556 genes associated with endometrial receptivity. This GERM signature was consistently perturbed across datasets of endometrial samples from women with impaired fertility, validating its relevance as a marker of receptivity. In addition to epithelial changes, we observed shifts in stromal cell populations, notably involving decidual and senescent subsets, which also play key roles in modulating implantation. Together, these findings provide a high-resolution transcriptomic atlas of the receptive and early pregnant endometrium and shed light on key molecular pathways underlying successful implantation.

Indexed as

DeciduaEndometriumEpithelial CellsFertilityStromal CellsAdultEmbryo ImplantationFemaleGene Expression ProfilingHumansMenstrual CyclePregnancySingle-Cell AnalysisSingle-Cell Gene Expression AnalysisTranscriptomeCell biologyFertilityReproductive biologyTranscriptomics

Identifiers

PMID41574608
PMCPMC12892900

What OpenQuestion holds

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LicenceCC BY
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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.