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Cited by 355

The DOI matches its Crossref record; 139 of the 139 references it cites were found in a registry or an index.

Endometrial Decidualization: The Primary Driver of Pregnancy Health

Open access
Ng, Shu-Wing, Norwitz, Gabriella A., Pavlicev, Mihaela, Tilburgs, Tamara, Simón, Carlos, Norwitz, Errol R.·2020·International Journal of Molecular Sciences

Abstract

Interventions to prevent pregnancy complications have been largely unsuccessful. We suggest this is because the foundation for a healthy pregnancy is laid prior to the establishment of the pregnancy at the time of endometrial decidualization. Humans are one of only a few mammalian viviparous species in which decidualization begins during the latter half of each menstrual cycle and is therefore independent of the conceptus. Failure to adequately prepare (decidualize) the endometrium hormonally, biochemically, and immunologically in anticipation of the approaching blastocyst—including the downregulation of genes involved in the pro- inflammatory response and resisting tissue invasion along with the increased expression of genes that promote angiogenesis, foster immune tolerance, and facilitate tissue invasion—leads to abnormal implantation/placentation and ultimately to adverse pregnancy outcome. We hypothesize, therefore, that the primary driver of pregnancy health is the quality of the soil, not the seed.

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Crossref · 10.3390/ijms21114092

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Metadata

Authors
Ng, S.-W., Norwitz, G. A., Pavlicev, M., Tilburgs, T., Simón, C., & Norwitz, E. R.
Venue
International Journal of Molecular Sciences
Publisher
MDPI AG
Published
2020-06-08
Volume
21
Issue
11
Pages
4092
ISSN
1422-0067 (ISSN-L)
OpenAlex
W3033214241
Cited by
355
References
139
FWCI
12.14
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Endometrial Decidualization: The Primary Driver of Pregnancy Health. https://app.cochat.ai/papers/10.3390/ijms21114092
The paper
Ng, S.-W., Norwitz, G. A., Pavlicev, M., Tilburgs, T., Simón, C., & Norwitz, E. R. (2020). Endometrial Decidualization: The Primary Driver of Pregnancy Health. International Journal of Molecular Sciences. https://doi.org/10.3390/ijms21114092

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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