Evidence map›Paper›PMID 40474053›Full record

ArticleReproductive sciences (Thousand Oaks, Calif.)2025

The Human Myometrial Transcriptome and the DNA Methylome of Testosterone-treated Patients Resemble the Myometria from Fibroid Patients.

Emmanuel N Paul, Tyler J Carpenter, Andrew Bossick, Ghassan Allo, Ganesa R Wegienka, Jose M Teixeira

Abstract read
In one paragraph

Article in Reproductive sciences (Thousand Oaks, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Emmanuel N PaulDepartment of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, MI, 49503, USA. paulemma@msu.edu.ORCID 0000-0001-5714-4994
Tyler J CarpenterDepartment of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, MI, 49503, USA.
Andrew BossickDepartment of Public Health Sciences, Henry Ford Health, Detroit, MI, 48202, USA.
Ghassan AlloDepartment of Pathology, Henry Ford Hospital, Detroit, MI, 48202, USA.
Ganesa R WegienkaDepartment of Public Health Sciences, Henry Ford Health, Detroit, MI, 48202, USA.
Jose M TeixeiraDepartment of Obstetrics, Gynecology and Reproductive Biology, College of Human Medicine, Michigan State University, Grand Rapids, MI, 49503, USA. teixei15@msu.edu.

Funding

Patient-specific targeting of uterine fibroidsR01HD096259 · NICHD · MICHIGAN STATE UNIVERSITY · PI TEIXEIRA, JOSE M. · 2019 to 2023
$2.4M
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
National Institute of Child Health and Human Development K99HD112539National Institute of Child Health and Human Development R01HD096259NICHD NIH HHS K99 HD112539NICHD NIH HHS R01 HD096259
6 · The paper itself

Abstract

Uterine fibroids, or leiomyomas, are noncancerous tumors of the myometrium and the most common tumors in women, with a cumulative incidence of approximately 80% by age 50. Currently, hysterectomy is the only definitive cure, and effective non-hormonal therapeutics are lacking. Understanding the etiology of fibroids may lead to alternative, less invasive treatments. Several obstetric disorders, including polycystic ovary syndrome (PCOS), have been linked to uterine fibroids, and women with PCOS often exhibit hormonal imbalances, particularly elevated serum testosterone levels. However, the impact of testosterone on the myometrium remains poorly understood. We hypothesize that elevated testosterone may increase the risk of developing uterine fibroids. Using RNA sequencing and MethylationEPIC array analyses, we compared myometrial tissue from women without fibroids (MyoN, n = 33), with fibroids (MyoF, n = 66), and after testosterone therapy as part of clinical care for gender dysphoria (MyoT, n = 7). The transcriptomic and methylation profiles of MyoT clustered with MyoF and were distinct from MyoN. We identified 1,321 differentially expressed protein-coding genes between MyoT and MyoN, while only 494 were found between MyoT and MyoF. Disease ontology analysis of MyoT vs. MyoN revealed enrichment of the fibroid tumor gene set. Fibroid associated genes including TGFβ3, CCND1, SERPINE1, and FGFR1 were upregulated in MyoT and MyoF samples compared to MyoN samples. The DNA methylation profiles of MyoT were closer to those of MyoF, but no correlation was observed between methylation status and gene expression. Our preliminary data suggest that exogenous testosterone induces transcriptional and methylation changes in the myometrium consistent with those observed in MyoF tissues. These findings suggest that elevated testosterone may be associated with an increased risk of developing uterine fibroids.

Indexed as

DNA MethylationEpigenomeLeiomyomaMyometriumTestosteroneTranscriptomeUterine NeoplasmsAdultFemaleHumansMiddle AgedTestosteroneLeiomyomaMethylomeMyometriumTestosteroneTranscriptome

Identifiers

PMID40474053
PMCPMC12271253

What Socratic holds

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LicenceCC BY
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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.