Evidence map›Paper›PMID 41003804›Full record

ArticleMetabolomics : Official journal of the Metabolomic Society2025

Metabolic remodeling and its hidden heterogeneity in uterine fibroids: comprehensive metabolomic profiling and mass spectrometry imaging.

Jialin Liu, Maokun Liao, Jingchao Liu, Shuo Liang, Jin Xie, Dandan Liang, Mingzhao Du, Honghui Shi, Wei Song

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In one paragraph

Article in Metabolomics : Official journal of the Metabolomic Society, 2025. 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.

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

1 citing paper in PubMed.

  1. 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

9 authors.

Jialin Liu *Institute of Clinical Medicine, Peking Union Medical College Hospital, National Infrastructures for Translational Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Maokun Liao *Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, National Clinical Research Center for Obstetric and Gynecologic Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Jingchao Liu *Department of Gynecology, Beijing Daxing Maternal and Child Health Hospital, Beijing, 102600, China.
Shuo LiangDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, National Clinical Research Center for Obstetric and Gynecologic Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Jin XieDepartment of Obstetrics and Gynecology, Shijiazhuang Maternity & Child Healthcare Hospital, Shijiazhuang, China.
Dandan LiangDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, National Clinical Research Center for Obstetric and Gynecologic Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Mingzhao DuFuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.
Honghui ShiDepartment of Obstetrics and Gynecology, Peking Union Medical College Hospital, National Clinical Research Center for Obstetric and Gynecologic Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China. honghuishi@sina.com.
Wei SongInstitute of Clinical Medicine, Peking Union Medical College Hospital, National Infrastructures for Translational Medicine, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China. sw-yy1990@163.com.

Funding

Beijing Natural Science Foundation 7254512National High Level Hospital Clinical Research Funding 2022-PUMCH-A-204National High Level Hospital Clinical Research Funding 2022-PUMCH-C-031National Natural Science Foundation of China 82274336Peking Union Medical College Hospital Talent Cultivation Program Category D UHB12051
6 · The paper itself

Abstract

introductionAs the most common benign gynecological tumor in women, uterine fibroids not only pose a serious threat to reproductive health but also directly impair fertility. The structural abnormalities of the uterus and metabolic disturbances they induce have become critical pathological contributors to infertility, recurrent miscarriage, and obstetric complications in reproductive-aged women. However, the underlying metabolic mechanisms of uterine fibroids remain poorly understood.

objectiveThis study aimed to explore metabolic remodeling of uterine fibroids from patients.

methodsWe performed global metabolomics analysis on myometrium and uterine fibroid tissues by combining ultra-high performance liquid chromatography coupled with mass spectrometry (UHPLC-MS) analysis and gas chromatography coupled with mass spectrometry (GC-MS) analysis. Spatially resolved metabolomics was carried out to analyze intratumor metabolic heterogeneity via desorption electrospray ionization mass spectrometry imaging (DESI-MSI). Combined with machine learning, important metabolites related to uterine fibroids were identified.

resultsThis study enabled mapping a comprehensive metabolome atlas up to 825 metabolites in human myometrium and uterine fibroid tissues via combining UHPLC-MS with GC-MS. Metabolic shifts from myometrium to uterine fibroids were clearly observed, which was accompanied by large changes in metabolites and amino acid metabolic pathways to display metabolic remodeling of uterine fibroids. Combined with machine learning, a total of ten metabolites were identified to characterize metabolic properties of uterine fibroids. Furthermore, DESI-MSI was employed to effectively differentiate regions of hyaline degeneration from those devoid of such degeneration, thereby firstly highlighting the intrinsic metabolic heterogeneity present in uterine fibroids.

conclusionThe findings offer new insights into the metabolic pathophysiology of fibroids, which may aid in the development of targeted therapeutic strategies for this widespread gynecological disorder.

Indexed as

LeiomyomaMetabolomeMetabolomicsUterine NeoplasmsAdultChromatography, High Pressure LiquidFemaleGas Chromatography-Mass SpectrometryHumansMiddle AgedMyometriumSpectrometry, Mass, Electrospray IonizationGlobal metabolomicsMass spectrometry imagingMetabolic reprogrammingSpatially resolved metabolomicsUterine fibroids

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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.