Evidence map›Paper›PMID 41912917›Full record

ArticleFunctional & integrative genomics2026

A preliminary single-cell map of endometriosis suggests roles for fibroblast metabolism and macrophage polarization in disease progression.

Xiurong Cao, Hui Tao, Xiang Fan, Yifei Wang, Jia Yang, Wenbo Zhou, Pingping Xue, Pengfeng Zhu

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Article in Functional & integrative genomics, 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.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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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

8 authors.

Xiurong Cao *Changzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China.
Hui Tao *Changzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China.
Xiang FanChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China.
Yifei WangChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China.
Jia YangChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China.
Wenbo ZhouChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China. wenbozhou@njmu.edu.cn.
Pingping XueChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China. 13616118039@163.com.
Pengfeng ZhuChangzhou Maternal and Child Health Care Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, 213000, Jiangsu, China. zpf68999@163.com.

Funding

Key Medical Research Project of Jiangsu Province Health Commission K2023058Study on the Mechanism of AQP9-Mediated Lactate Transport in Macrophages Involved in Endometriosis YJ202408The Application Foundation Project of Changzhou Science and Technology Bureau CJ20245041This work was supported by Project for Pioneering Clinical Technologies through Open Challenge by Changzhou Municipal Health Commission WJJBGS202505
6 · The paper itself

Abstract

Single-cell RNA sequencing (scRNA-seq) serves as a crucial tool for rapidly and accurately quantifying tissue heterogeneity and its associated biological significance within highly organized life systems. In this study, we utilized scRNA-seq to compare and analyze the characteristics of cell populations in eutopic endometrium (EUE) and its paired ectopic endometrium (ECE). Also, through multiple analytical approaches, we revealed the distinct contributions of fibroblasts and immune cells in endometriosis (EMs), with a particular focus on the features of fibroblasts and macrophages during pseudo-time differentiation. Notably, we not only identified Aquaporin 9-positive monocyte/macrophages (AQP9+/CD68+ cells) by anchoring the target protein AQP9 from the macrophage marker gene, but further quantitative analysis confirmed that AQP9 expression abundance was positively correlated with the disease stage of EMs (rASRM stage), i.e., the higher the disease stage, the higher the expression level of AQP9 in ectopic lesions. This suggests that AQP9 may be involved in the pathological progression of EMs, and its expression shows a preliminary association with disease severity. In summary, our results provide a high-resolution, preliminary cellular map of EMs, proposing novel hypotheses regarding disease progression mechanisms, and informing potential research priorities for future investigations.

Indexed as

EndometriosisFibroblastsMacrophagesAquaporinsDisease ProgressionEndometriumFemaleHumansSingle-Cell AnalysisSingle-Cell Gene Expression AnalysisAQP9 protein, humanAquaporinsAquaporin 9EndometriosisFibroblast-to-myofibroblast transdifferentiationHeterogeneitImmune dysfunctionSingle-cell RNA sequencing

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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.