Evidence mapPaperPMID 38830769Full record

ArticleLife science alliance2024

Twisting the theory on the origin of human umbilical cord coiling featuring monozygotic twins.

Pia Todtenhaupt, Thomas B Kuipers, Kyra L Dijkstra, Lenard M Voortman, Laura A Franken, Jip A Spekman, Thomas H Jonkman, Sophie G Groene, Arno Aw Roest, Monique C Haak and 5 more

Abstract read
In one paragraph

Article in Life science alliance, 2024. 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.

Pia TodtenhauptMolecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-0865-5883
Thomas B KuipersMolecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-5373-6765
Kyra L DijkstraDepartment of Pathology, Leiden University Medical Center, Leiden, Netherlands.
Lenard M VoortmanDepartment of Cell and Chemical Biology, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-9794-067X
Laura A FrankenMolecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID 0009-0005-8715-4671
Jip A SpekmanNeonatology, Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.
Thomas H JonkmanMolecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.
Sophie G GroeneNeonatology, Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-8832-045X
Arno Aw RoestPediatric Cardiology, Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-0153-5934
Monique C HaakDepartment of Obstetrics, Division of Fetal Therapy, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0002-0443-1997
EJoanne T VerweijDepartment of Obstetrics, Division of Fetal Therapy, Leiden University Medical Center, Leiden, Netherlands.
Melissa van PelNecstGen, Leiden, Netherlands.
Enrico LoprioreNeonatology, Willem-Alexander Children's Hospital, Department of Pediatrics, Leiden University Medical Center, Leiden, Netherlands.
Bastiaan T HeijmansMolecular Epidemiology, Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, Netherlands.ORCID 0000-0001-5918-0534
Lotte E van der MeerenDepartment of Pathology, Leiden University Medical Center, Leiden, Netherlands L.vandermeeren@lumc.nl.ORCID 0000-0002-4537-5645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The human umbilical cord (hUC) is the lifeline that connects the fetus to the mother. Hypercoiling of the hUC is associated with pre- and perinatal morbidity and mortality. We investigated the origin of hUC hypercoiling using state-of-the-art imaging and omics approaches. Macroscopic inspection of the hUC revealed the helices to originate from the arteries rather than other components of the hUC. Digital reconstruction of the hUC arteries showed the dynamic alignment of two layers of muscle fibers in the tunica media aligning in opposing directions. We observed that genetically identical twins can be discordant for hUC coiling, excluding genetic, many environmental, and parental origins of hUC coiling. Comparing the transcriptomic and DNA methylation profile of the hUC arteries of four twin pairs with discordant cord coiling, we detected 28 differentially expressed genes, but no differentially methylated CpGs. These genes play a role in vascular development, cell-cell interaction, and axis formation and may account for the increased number of hUC helices. When combined, our results provide a novel framework to understand the origin of hUC helices in fetal development.

Indexed as

DNA MethylationTwins, MonozygoticUmbilical CordFemaleFetal DevelopmentHumansMalePregnancyTranscriptome

Identifiers

PMID38830769
PMCPMC11147950

What Socratic holds

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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 Socratic graph.