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NLM361584660 |
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20240410232213.0 |
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231226s2023 xx |||||o 00| ||eng c |
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|a 10.1016/j.clim.2023.109750
|2 doi
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|a pubmed24n1371.xml
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|a (DE-627)NLM361584660
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|a (NLM)37660744
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|a (PII)S1521-6616(23)00513-2
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|a DE-627
|b ger
|c DE-627
|e rakwb
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|a eng
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|a Gupta, Prachi Mehrotra
|e verfasserin
|4 aut
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|a Systems analysis reveals differential expression of endocervical genes in African women randomized to DMPA-IM, LNG implant or cu-IUD
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|c 2023
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|a Text
|b txt
|2 rdacontent
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|a ƒaComputermedien
|b c
|2 rdamedia
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|a ƒa Online-Ressource
|b cr
|2 rdacarrier
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|a Date Completed 16.11.2023
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|a Date Revised 10.04.2024
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|a published: Print-Electronic
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|a Citation Status MEDLINE
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|a Copyright © 2023. Published by Elsevier Inc.
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|a Although effective contraceptives are crucial for preventing unintended pregnancies, evidence suggests that their use may perturb the female genital tract (FGT). A comparative analysis of the effects of the most common contraceptives on the FGT have not been evaluated in a randomized clinical trial setting. Here, we evaluated the effect of three long-acting contraceptive methods: depot medroxyprogesterone acetate(DMPA-IM), levonorgestrel(LNG) implant, and a copper intrauterine device (Cu-IUD), on the endocervical host transcriptome in 188 women from the Evidence for Contraceptive Options and HIV Outcomes Trial (ECHO) trial. Cu-IUD usage showed the most extensive transcriptomic changes, and was associated with inflammatory and anti-viral host responses. DMPA-IM usage was enriched for pathways associated with T cell responses. LNG implant had the mildest effect on endocervical gene expression, and was associated with growth factor signaling. These data provide a mechanistic basis for the diverse influence that varying contraceptives have on the FGT
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|a Randomized Controlled Trial
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|a Journal Article
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|a Research Support, Non-U.S. Gov't
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|a Research Support, N.I.H., Extramural
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|a Contraception
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|a Female genital tract
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|a Mucosa
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|a Randomized clinical trial
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|a Reproductive health
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|a Transcriptome
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|a Copper
|2 NLM
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|a 789U1901C5
|2 NLM
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|a Levonorgestrel
|2 NLM
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7 |
|a 5W7SIA7YZW
|2 NLM
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|a Contraceptive Agents
|2 NLM
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1 |
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|a Balle, Christina
|e verfasserin
|4 aut
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1 |
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|a Tharp, Gregory K
|e verfasserin
|4 aut
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1 |
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|a Nelson, Sydney A
|e verfasserin
|4 aut
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1 |
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|a Gasper, Melanie A
|e verfasserin
|4 aut
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1 |
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|a Brown, Bryan
|e verfasserin
|4 aut
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1 |
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|a Alisoltani, Arghavan
|e verfasserin
|4 aut
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1 |
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|a Onono, Maricianah
|e verfasserin
|4 aut
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1 |
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|a Palanee-Phillips, Thesla
|e verfasserin
|4 aut
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1 |
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|a Nair, Gonsagrie
|e verfasserin
|4 aut
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1 |
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|a Ayele, Hosseana
|e verfasserin
|4 aut
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1 |
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|a Noel-Romas, Laura
|e verfasserin
|4 aut
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1 |
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|a Passmore, Jo-Ann S
|e verfasserin
|4 aut
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1 |
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|a Burgener, Adam D
|e verfasserin
|4 aut
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1 |
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|a Heffron, Renee
|e verfasserin
|4 aut
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1 |
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|a Jaspan, Heather B
|e verfasserin
|4 aut
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1 |
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|a Bosinger, Steven E
|e verfasserin
|4 aut
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773 |
0 |
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|i Enthalten in
|t Clinical immunology (Orlando, Fla.)
|d 1999
|g 255(2023) vom: 01. Okt., Seite 109750
|w (DE-627)NLM098196855
|x 1521-7035
|7 nnns
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|g volume:255
|g year:2023
|g day:01
|g month:10
|g pages:109750
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|u http://dx.doi.org/10.1016/j.clim.2023.109750
|3 Volltext
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|a GBV_ILN_11
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|a GBV_ILN_24
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|a GBV_ILN_350
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|a AR
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|d 255
|j 2023
|b 01
|c 10
|h 109750
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