Evidence mapPaperPMID 41718273Full record

ReviewJournal of xenobiotics2026

The Impact of Endocrine-Disrupting Chemicals on Embryonic Recurrent Implantation Failure: A Narrative Review.

Anastasios Potiris, Panagiotis Antsaklis, Panagiotis Christopoulos, Nikolaos Kathopoulis, Efthalia Moustakli, Ismini Anagnostaki, Eirini Drakaki, Nefeli Arkouli, Aikaterini-Lydia Vogiatzoglou, Athanasios Zikopoulos and 2 more

Abstract readReview
In one paragraph

Review in Journal of xenobiotics, 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.

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

12 authors.

Anastasios PotirisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0001-7716-1521
Panagiotis AntsaklisFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0003-2106-5922
Panagiotis ChristopoulosSecond Department of Obstetrics and Gynecology, "Aretaieion" Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.ORCID 0000-0003-4112-8396
Nikolaos KathopoulisFirst Department of Obstetrics and Gynecology, Alexandra Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Efthalia MoustakliDepartment of Nursing, School of Health Sciences, University of Ioannina, 45500 Ioannina, Greece.ORCID 0009-0005-3333-2620
Ismini AnagnostakiFaculty of Medicine, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Eirini DrakakiFaculty of Medicine, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Nefeli ArkouliDepartment of Obstetrics and Gynecology, Tzanio Hospital, 18536 Piraeus, Greece.
Aikaterini-Lydia VogiatzoglouThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Athanasios ZikopoulosTorbay and South Devon NHS Foundation Trust Lowes Brg, Torquay TQ2 7AA, UK.ORCID 0009-0002-9553-6803
Sofoklis StavrosThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Charalampos TheofanakisThird Department of Obstetrics and Gynecology, University General Hospital "ATTIKON", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.ORCID 0000-0002-3943-5971

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A significant and persistent issue in assisted reproduction is recurrent implantation failure (RIF), which is often observed even after the transfer of embryos of high morphological and/or genetic quality. Accumulating data suggest that exposure to chemicals with endocrine-disrupting effects (EDCs) may be associated with adverse implantation outcomes. Many environmentally widespread substances have the potential to interfere with the regulation of the endocrine system, affecting critical mechanisms involved in implantation, such as endometrial receptivity, steroid hormone receptor signaling, immune tolerance at the maternal-fetal interface, and the epigenetic regulation of genes that are essential for successful implantation. Experimental studies have shown that exposure to EDCs can alter gene expression in the endometrium, inflammatory pathways, and the dynamics of early embryonic development, while clinical and epidemiological data have associated increased levels of EDCs in the body with lower implantation rates in assisted reproductive technology (ART) cycles. This narrative review examines the implications of these findings in reproductive medicine, summarizes recent experimental and clinical data, and highlights the molecular mechanisms linking exposure to endocrine disruptors with recurrent implantation failure. Recognizing environmental chemical exposure as a potentially modifiable risk factor may offer new perspectives for the prevention of RIF and the development of more personalized therapeutic strategies.

Indexed as

ARTendometrial receptivityenvironmental exposureepigenetic modificationhormone receptor signalingimmune regulationreproductive toxicology

Identifiers

PMID41718273
PMCPMC12921948

What Socratic holds

Textmetadata
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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.