Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity
Abstract Purpose We evaluated factors affecting the development of endometrial receptivity according to age and changes in the endometrial microbiota. Methods We recruited patients with infertility who underwent transcriptomic analyses of endometrial receptivity and the endometrial microbiome prior...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Reproductive Medicine and Biology |
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| Online Access: | https://doi.org/10.1002/rmb2.12523 |
| _version_ | 1827398907303297024 |
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| author | Shunsaku Fujii Takaaki Oguchi |
| author_facet | Shunsaku Fujii Takaaki Oguchi |
| author_sort | Shunsaku Fujii |
| collection | DOAJ |
| description | Abstract Purpose We evaluated factors affecting the development of endometrial receptivity according to age and changes in the endometrial microbiota. Methods We recruited patients with infertility who underwent transcriptomic analyses of endometrial receptivity and the endometrial microbiome prior to frozen embryo transfer. An endometrial biopsy was performed 108 h after initial progesterone administration. Results In 185 tests from 185 eligible patients, the results of endometrial receptivity analysis were receptive in 111 (60.0%) patients and pre‐receptive in 74 (40.0%) patients. Compared with receptive patients, pre‐receptive patients had significantly older ages (36.0 ± 0.5 vs. 38.2 ± 0.5, p = 0.0021), a smaller proportion of normal Lactobacillus‐dominant microbiota (27.9% vs. 12.2%), and a greater proportion of microbiota with ultralow biomass (22.5% vs. 41.9%) (p = 0.0074). Patient age (adjusted odds ratio: 1.08, 95% confidence interval: 1.01–1.16, p = 0.0351) and a microbiome with ultralow biomass (adjusted odds ratio: 3.82, 95% confidence interval: 1.49–9.82, p = 0.0039) were independent predictive factors for pre‐receptive endometrium. Conclusions Older age was accompanied by a decrease in Lactobacillus‐dominant microbiota; aging and endometrial microbiota with ultralow biomass were significantly associated with pre‐receptive endometrium. Our findings suggest that the quantity (rather than proportion) of Lactobacillus in the endometrium is important in the development of endometrial receptivity. |
| first_indexed | 2024-03-08T19:35:43Z |
| format | Article |
| id | doaj.art-b96f1785125c4311b53061f723336dc2 |
| institution | Directory Open Access Journal |
| issn | 1445-5781 1447-0578 |
| language | English |
| last_indexed | 2024-03-08T19:35:43Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Reproductive Medicine and Biology |
| spelling | doaj.art-b96f1785125c4311b53061f723336dc22023-12-26T04:30:45ZengWileyReproductive Medicine and Biology1445-57811447-05782023-01-01221n/an/a10.1002/rmb2.12523Age‐ and endometrial microbiota‐related delay in development of endometrial receptivityShunsaku Fujii0Takaaki Oguchi1ef.clinic Aomori Japanef.clinic Aomori JapanAbstract Purpose We evaluated factors affecting the development of endometrial receptivity according to age and changes in the endometrial microbiota. Methods We recruited patients with infertility who underwent transcriptomic analyses of endometrial receptivity and the endometrial microbiome prior to frozen embryo transfer. An endometrial biopsy was performed 108 h after initial progesterone administration. Results In 185 tests from 185 eligible patients, the results of endometrial receptivity analysis were receptive in 111 (60.0%) patients and pre‐receptive in 74 (40.0%) patients. Compared with receptive patients, pre‐receptive patients had significantly older ages (36.0 ± 0.5 vs. 38.2 ± 0.5, p = 0.0021), a smaller proportion of normal Lactobacillus‐dominant microbiota (27.9% vs. 12.2%), and a greater proportion of microbiota with ultralow biomass (22.5% vs. 41.9%) (p = 0.0074). Patient age (adjusted odds ratio: 1.08, 95% confidence interval: 1.01–1.16, p = 0.0351) and a microbiome with ultralow biomass (adjusted odds ratio: 3.82, 95% confidence interval: 1.49–9.82, p = 0.0039) were independent predictive factors for pre‐receptive endometrium. Conclusions Older age was accompanied by a decrease in Lactobacillus‐dominant microbiota; aging and endometrial microbiota with ultralow biomass were significantly associated with pre‐receptive endometrium. Our findings suggest that the quantity (rather than proportion) of Lactobacillus in the endometrium is important in the development of endometrial receptivity.https://doi.org/10.1002/rmb2.12523agingassisted reproductive techniquesendometriuminfertilitymicrobiota |
| spellingShingle | Shunsaku Fujii Takaaki Oguchi Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity Reproductive Medicine and Biology aging assisted reproductive techniques endometrium infertility microbiota |
| title | Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity |
| title_full | Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity |
| title_fullStr | Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity |
| title_full_unstemmed | Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity |
| title_short | Age‐ and endometrial microbiota‐related delay in development of endometrial receptivity |
| title_sort | age and endometrial microbiota related delay in development of endometrial receptivity |
| topic | aging assisted reproductive techniques endometrium infertility microbiota |
| url | https://doi.org/10.1002/rmb2.12523 |
| work_keys_str_mv | AT shunsakufujii ageandendometrialmicrobiotarelateddelayindevelopmentofendometrialreceptivity AT takaakioguchi ageandendometrialmicrobiotarelateddelayindevelopmentofendometrialreceptivity |