The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation

IntroductionThe expression of genes in female reproductive organs is influenced by the cyclic changes in hormone levels during the menstrual cycle. While the molecular changes in the endometrium that facilitate embryo implantation have been extensively studied, there is limited knowledge about the i...

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Main Authors: Amruta D. S. Pathare, Merli Saare, Alvin Meltsov, Ankita Lawarde, Vijayachitra Modhukur, Aive Kalinina, Aire Sekavin, Viktorija Kukushkina, Helle Karro, Andres Salumets, Maire Peters
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Reproductive Health
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Online Access:https://www.frontiersin.org/articles/10.3389/frph.2023.1224919/full
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author Amruta D. S. Pathare
Merli Saare
Merli Saare
Alvin Meltsov
Alvin Meltsov
Ankita Lawarde
Ankita Lawarde
Vijayachitra Modhukur
Vijayachitra Modhukur
Aive Kalinina
Aire Sekavin
Viktorija Kukushkina
Helle Karro
Helle Karro
Andres Salumets
Andres Salumets
Andres Salumets
Andres Salumets
Maire Peters
Maire Peters
author_facet Amruta D. S. Pathare
Merli Saare
Merli Saare
Alvin Meltsov
Alvin Meltsov
Ankita Lawarde
Ankita Lawarde
Vijayachitra Modhukur
Vijayachitra Modhukur
Aive Kalinina
Aire Sekavin
Viktorija Kukushkina
Helle Karro
Helle Karro
Andres Salumets
Andres Salumets
Andres Salumets
Andres Salumets
Maire Peters
Maire Peters
author_sort Amruta D. S. Pathare
collection DOAJ
description IntroductionThe expression of genes in female reproductive organs is influenced by the cyclic changes in hormone levels during the menstrual cycle. While the molecular changes in the endometrium that facilitate embryo implantation have been extensively studied, there is limited knowledge about the impact of the menstrual cycle on cervical cells. Cervical cells can be easily and routinely collected using a cytobrush during gynecological examination, offering a standardized approach for diagnostic testing. In this study we investigated how the transcriptome of cervical cells changes during the menstrual cycle and assessed the utility of these cells to determine endometrial receptivity.MethodsEndocervical cells were collected with cytobrushes from 16 healthy women at different menstrual cycle phases in natural cycles and from four women undergoing hormonal replacement cycles. RNA sequencing was applied to gain insight into the transcriptome of cervical cells.ResultsTranscriptome analysis identified four differentially expressed genes (DEGs) between early- and mid-secretory samples, suggesting that the transcriptome of cervical cells does not change significantly during the opening of the implantation window. The most differences appeared during the transition to the late secretory phase (2136 DEGs) before the onset of menstruation. Cervical cells collected during hormonal replacement cycles showed 1899 DEGs enriched in immune system processes.ConclusionsThe results of our study suggested that cervical cells undergo moderate transcriptomic changes throughout the menstrual cycle; however, these changes do not reflect the gene expression pattern of endometrial tissue and offer little or no potential for endometrial receptivity diagnostics.
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spelling doaj.art-45dc6171cefb41d5bd7f408aa4ef3e442023-07-14T23:07:02ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532023-07-01510.3389/frph.2023.12249191224919The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantationAmruta D. S. Pathare0Merli Saare1Merli Saare2Alvin Meltsov3Alvin Meltsov4Ankita Lawarde5Ankita Lawarde6Vijayachitra Modhukur7Vijayachitra Modhukur8Aive Kalinina9Aire Sekavin10Viktorija Kukushkina11Helle Karro12Helle Karro13Andres Salumets14Andres Salumets15Andres Salumets16Andres Salumets17Maire Peters18Maire Peters19Department of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaDepartment of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaCompetence Centre on Health Technologies, Tartu, EstoniaCompetence Centre on Health Technologies, Tartu, EstoniaDepartment of Genetics and Cell Biology, GROW School for Oncology and Developmental Biology, Maastricht University, Maastricht, NetherlandsCompetence Centre on Health Technologies, Tartu, EstoniaInstitute of Clinical Medicine, University of Tartu, Tartu, EstoniaDepartment of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaCompetence Centre on Health Technologies, Tartu, EstoniaSouth Estonia Hospital, Võru, EstoniaWomen’s Clinic, Tartu University Hospital, Tartu, EstoniaInstitute of Genomics, University of Tartu, Tartu, EstoniaDepartment of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaWomen’s Clinic, Tartu University Hospital, Tartu, EstoniaDepartment of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaCompetence Centre on Health Technologies, Tartu, EstoniaInstitute of Genomics, University of Tartu, Tartu, EstoniaDivision of Obstetrics and Gynecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, and Karolinska University Hospital, Stockholm, SwedenDepartment of Obstetrics and Gynecology, Institute of Clinical Medicine, University of Tartu, Tartu, EstoniaCompetence Centre on Health Technologies, Tartu, EstoniaIntroductionThe expression of genes in female reproductive organs is influenced by the cyclic changes in hormone levels during the menstrual cycle. While the molecular changes in the endometrium that facilitate embryo implantation have been extensively studied, there is limited knowledge about the impact of the menstrual cycle on cervical cells. Cervical cells can be easily and routinely collected using a cytobrush during gynecological examination, offering a standardized approach for diagnostic testing. In this study we investigated how the transcriptome of cervical cells changes during the menstrual cycle and assessed the utility of these cells to determine endometrial receptivity.MethodsEndocervical cells were collected with cytobrushes from 16 healthy women at different menstrual cycle phases in natural cycles and from four women undergoing hormonal replacement cycles. RNA sequencing was applied to gain insight into the transcriptome of cervical cells.ResultsTranscriptome analysis identified four differentially expressed genes (DEGs) between early- and mid-secretory samples, suggesting that the transcriptome of cervical cells does not change significantly during the opening of the implantation window. The most differences appeared during the transition to the late secretory phase (2136 DEGs) before the onset of menstruation. Cervical cells collected during hormonal replacement cycles showed 1899 DEGs enriched in immune system processes.ConclusionsThe results of our study suggested that cervical cells undergo moderate transcriptomic changes throughout the menstrual cycle; however, these changes do not reflect the gene expression pattern of endometrial tissue and offer little or no potential for endometrial receptivity diagnostics.https://www.frontiersin.org/articles/10.3389/frph.2023.1224919/fullcervix uteriendometriummenstrual cyclemolecular diagnostic techniquestranscriptome
spellingShingle Amruta D. S. Pathare
Merli Saare
Merli Saare
Alvin Meltsov
Alvin Meltsov
Ankita Lawarde
Ankita Lawarde
Vijayachitra Modhukur
Vijayachitra Modhukur
Aive Kalinina
Aire Sekavin
Viktorija Kukushkina
Helle Karro
Helle Karro
Andres Salumets
Andres Salumets
Andres Salumets
Andres Salumets
Maire Peters
Maire Peters
The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
Frontiers in Reproductive Health
cervix uteri
endometrium
menstrual cycle
molecular diagnostic techniques
transcriptome
title The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
title_full The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
title_fullStr The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
title_full_unstemmed The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
title_short The cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
title_sort cervical transcriptome changes during the menstrual cycle but does not predict the window of implantation
topic cervix uteri
endometrium
menstrual cycle
molecular diagnostic techniques
transcriptome
url https://www.frontiersin.org/articles/10.3389/frph.2023.1224919/full
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