Evidence map›Paper›PMID 40906814›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Evidence for coopetition at the maternal-fetal interface shaping placental invasion.

Junaid Afzal, Yasir Suhail, Wenqiang Du, Yamin Liu, Ramalakshmi Ramasamy, Zukai Liu, Ruchi Goyal, Ashkan Novin, Sameera Suhail, Jamie Maziarz and 4 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Stromal resistance to placental invasion is a derived trait in ruminants.The Journal of reproduction and development · 2026
    Review
  4. Review
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

14 authors.

Junaid Afzal *Division of Cardiology, Department of Medicine, University of California, San Francisco, CA 94143.ORCID 0000-0002-2877-234X
Yasir Suhail *Department of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.ORCID 0000-0002-1296-9738
Wenqiang Du *Department of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.ORCID 0000-0003-2605-4325
Yamin LiuDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.
Ramalakshmi RamasamyThe Jackson Laboratory, Farmington, CT 06032.
Zukai LiuThe Jackson Laboratory, Farmington, CT 06032.
Ruchi GoyalDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.
Ashkan NovinDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.
Sameera SuhailDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.
Jamie MaziarzSystems Biology Institute, Yale West Campus, Orange, CT 06516.
Khadija WaliDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.
Paul RobsonThe Jackson Laboratory, Farmington, CT 06032.ORCID 0000-0002-0191-3958
Günter P WagnerSystems Biology Institute, Yale West Campus, Orange, CT 06516.ORCID 0000-0002-3097-002X
KshitizDepartment of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06030.ORCID 0000-0003-4241-9427

Funding

Dysregulation of Endometrial Invasibility Proximal to Uterine Scar as a Mechanism of Placenta AccretaR01HD112424 · NICHD · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Molly A. Brewer, . Kshitiz · 2024 to 2026
$1.5M
Mapping inter-cellular trophoblast-decidual signaling to its effects on invasion related maternal-fetalR00HD105973 · NICHD · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Yasir Suhail · 2025 to 2026
$498k
Mapping inter-cellular trophoblast-decidual signaling to its effects on invasion related maternal-fetal diseasesK99HD105973 · NICHD · UNIVERSITY OF CONNECTICUT STORRS · PI SUHAIL, YASIR · 2022 to 2024
$311k
NICHD NIH HHS R00 HD105973NICHD NIH HHS R01 HD112424NIH HHS K99HD105973NIH HHS R01HD112424
6 · The paper itself

Abstract

Coopetition is a term from game theory that describes a mix of cooperative and competitive behavior. The maternal-fetal interface (MFI) among eutherian mammals presents close interaction of two distinct individuals. These interactions have resulted in a remarkable diversity in MFI structure, often interpreted as the outcome of maternal-fetal conflict. Nevertheless, the fetus and the mother share evolutionary interests since 50% of fetal genes are maternal. In hemochorial species, characterized by invasive placentation, endometrial stromal fibroblasts (ESFs) undergo decidualization to regulate embryo implantation. In great apes, hemochorial placentation is driven by highly invasive extravillous trophoblast cells (EVT). Here, using EVTs differentiated from trophoblast stem cells, term placenta, as well as HTR8/SVneo, we demonstrate that EVTs orchestrate a transformation of the maternal stroma, reducing its resistance to invasion acquired during decidualization. Through paracrine signals, in particular IL-11, trophoblasts transform decidual ESFs from a matrix-producing to a matrix-degrading state. Notably, noninvasive cytotrophoblast cells, do not transform decidual ESFs. We further provide evidence that maternal coadaptation is critical to EVT-induced decidual transformation. Decidual ESFs upregulate expression of Suppressor of Cytokine Signaling 3 in response to EVTs, rewiring downstream IL-11 signaling from JAK/STAT to AP-1 specific transcription. We conclude that the evolution of highly invasive placentation is the outcome of both the evolution of invasive EVTs, as well as the evolution of maternal traits, i.e., the switch from JAK/STAT to AP-1 signaling. We interpret this as evidence for co-opetition (cooperation among competitors).

Indexed as

Maternal-Fetal ExchangePlacentaPlacentationTrophoblastsAnimalsDeciduaEmbryo ImplantationFemaleFibroblastsHumansInterleukin-11PregnancySignal TransductionInterleukin-11co-opetitiondecidual cellsfetal–maternal interactionplacentationtrophoblast invasion

Identifiers

PMID40906814
PMCPMC12435225

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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 Socratic graph.