Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.

Pregnancy is widely viewed as dependent upon an intimate dialogue, mediated by locally secreted factors between a developmentally competent embryo and a receptive endometrium. Reproductive success in humans is however limited, largely because of the high prevalence of chromosomally abnormal preimpla...

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Main Authors: Gijs Teklenburg, Madhuri Salker, Mariam Molokhia, Stuart Lavery, Geoffrey Trew, Tepchongchit Aojanepong, Helen J Mardon, Amali U Lokugamage, Raj Rai, Christian Landles, Bernard A J Roelen, Siobhan Quenby, Ewart W Kuijk, Annemieke Kavelaars, Cobi J Heijnen, Lesley Regan, Jan J Brosens, Nick S Macklon
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2010-04-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC2858159?pdf=render
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author Gijs Teklenburg
Madhuri Salker
Mariam Molokhia
Stuart Lavery
Geoffrey Trew
Tepchongchit Aojanepong
Helen J Mardon
Amali U Lokugamage
Raj Rai
Christian Landles
Bernard A J Roelen
Siobhan Quenby
Ewart W Kuijk
Annemieke Kavelaars
Cobi J Heijnen
Lesley Regan
Jan J Brosens
Nick S Macklon
author_facet Gijs Teklenburg
Madhuri Salker
Mariam Molokhia
Stuart Lavery
Geoffrey Trew
Tepchongchit Aojanepong
Helen J Mardon
Amali U Lokugamage
Raj Rai
Christian Landles
Bernard A J Roelen
Siobhan Quenby
Ewart W Kuijk
Annemieke Kavelaars
Cobi J Heijnen
Lesley Regan
Jan J Brosens
Nick S Macklon
author_sort Gijs Teklenburg
collection DOAJ
description Pregnancy is widely viewed as dependent upon an intimate dialogue, mediated by locally secreted factors between a developmentally competent embryo and a receptive endometrium. Reproductive success in humans is however limited, largely because of the high prevalence of chromosomally abnormal preimplantation embryos. Moreover, the transient period of endometrial receptivity in humans uniquely coincides with differentiation of endometrial stromal cells (ESCs) into highly specialized decidual cells, which in the absence of pregnancy invariably triggers menstruation. The role of cyclic decidualization of the endometrium in the implantation process and the nature of the decidual cytokines and growth factors that mediate the crosstalk with the embryo are unknown.We employed a human co-culture model, consisting of decidualizing ESCs and single hatched blastocysts, to identify the soluble factors involved in implantation. Over the 3-day co-culture period, approximately 75% of embryos arrested whereas the remainder showed normal development. The levels of 14 implantation factors secreted by the stromal cells were determined by multiplex immunoassay. Surprisingly, the presence of a developing embryo had no significant effect on decidual secretions, apart from a modest reduction in IL-5 levels. In contrast, arresting embryos triggered a strong response, characterized by selective inhibition of IL-1beta, -6, -10, -17, -18, eotaxin, and HB-EGF secretion. Co-cultures were repeated with undifferentiated ESCs but none of the secreted cytokines were affected by the presence of a developing or arresting embryo.Human ESCs become biosensors of embryo quality upon differentiation into decidual cells. In view of the high incidence of gross chromosomal errors in human preimplantation embryos, cyclic decidualization followed by menstrual shedding may represent a mechanism of natural embryo selection that limits maternal investment in developmentally impaired pregnancies.
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spelling doaj.art-b5367540c86a41c39c1b7169889fd6c02022-12-22T03:52:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032010-04-0154e1025810.1371/journal.pone.0010258Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.Gijs TeklenburgMadhuri SalkerMariam MolokhiaStuart LaveryGeoffrey TrewTepchongchit AojanepongHelen J MardonAmali U LokugamageRaj RaiChristian LandlesBernard A J RoelenSiobhan QuenbyEwart W KuijkAnnemieke KavelaarsCobi J HeijnenLesley ReganJan J BrosensNick S MacklonPregnancy is widely viewed as dependent upon an intimate dialogue, mediated by locally secreted factors between a developmentally competent embryo and a receptive endometrium. Reproductive success in humans is however limited, largely because of the high prevalence of chromosomally abnormal preimplantation embryos. Moreover, the transient period of endometrial receptivity in humans uniquely coincides with differentiation of endometrial stromal cells (ESCs) into highly specialized decidual cells, which in the absence of pregnancy invariably triggers menstruation. The role of cyclic decidualization of the endometrium in the implantation process and the nature of the decidual cytokines and growth factors that mediate the crosstalk with the embryo are unknown.We employed a human co-culture model, consisting of decidualizing ESCs and single hatched blastocysts, to identify the soluble factors involved in implantation. Over the 3-day co-culture period, approximately 75% of embryos arrested whereas the remainder showed normal development. The levels of 14 implantation factors secreted by the stromal cells were determined by multiplex immunoassay. Surprisingly, the presence of a developing embryo had no significant effect on decidual secretions, apart from a modest reduction in IL-5 levels. In contrast, arresting embryos triggered a strong response, characterized by selective inhibition of IL-1beta, -6, -10, -17, -18, eotaxin, and HB-EGF secretion. Co-cultures were repeated with undifferentiated ESCs but none of the secreted cytokines were affected by the presence of a developing or arresting embryo.Human ESCs become biosensors of embryo quality upon differentiation into decidual cells. In view of the high incidence of gross chromosomal errors in human preimplantation embryos, cyclic decidualization followed by menstrual shedding may represent a mechanism of natural embryo selection that limits maternal investment in developmentally impaired pregnancies.http://europepmc.org/articles/PMC2858159?pdf=render
spellingShingle Gijs Teklenburg
Madhuri Salker
Mariam Molokhia
Stuart Lavery
Geoffrey Trew
Tepchongchit Aojanepong
Helen J Mardon
Amali U Lokugamage
Raj Rai
Christian Landles
Bernard A J Roelen
Siobhan Quenby
Ewart W Kuijk
Annemieke Kavelaars
Cobi J Heijnen
Lesley Regan
Jan J Brosens
Nick S Macklon
Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
PLoS ONE
title Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
title_full Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
title_fullStr Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
title_full_unstemmed Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
title_short Natural selection of human embryos: decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation.
title_sort natural selection of human embryos decidualizing endometrial stromal cells serve as sensors of embryo quality upon implantation
url http://europepmc.org/articles/PMC2858159?pdf=render
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