Abstract

In human glandular endometrial epithelial cells, desmosomal and adherens junction proteins have been shown to extend from a subapically restricted lateral position to the entire lateral membrane during the implantation window of the menstrual cycle. Similarly, a menstrual cycle stage-dependent redistribution of the extracellular matrix adhesion protein α6-integrin has been reported. These changes are believed to be important for endometrial receptiveness and successful embryo implantation. To prove the hypothesis that steroid hormones and human choriogonadotropin can induce the redistribution of these adhesion molecules, we used the human endometrial cell line Ishikawa in a 3D culture system. Gland-like spheroids were grown in reconstituted basement membrane (Matrigel™). The lumen-bearing spheroids were treated for 2 or 4 days with ovarian steroids or human choriogonadotropin and then assessed by immunofluorescence microscopy. In addition, human endometrial biopsies were obtained from patients, who were in therapy for assisted reproductive technology, and were examined in parallel. Lateral redistribution of the desmosomal plaque protein desmoplakin 1 was observed in the spheroids treated either with progesterone, medroxyprogesterone acetate or human choriogonadotropin. Furthermore, the extracellular matrix adhesion protein α6-integrin showed an increased lateral membrane localization upon gestagen stimulation in the 3D culture system. The results of this study demonstrate that the 3D endometrial Ishikawa cell culture might be suited as an experimental model system to prove the effect of hormonal changes like those occurring during the window of implantation.

Highlights

  • Implantation of the human embryo is a crucial step for the initiation of human pregnancy (Norwitz et al 2001)

  • Since only α6-integrin localization changed from basal to lateral membrane staining in Ishikawa spheroids under P, medroxyprogesterone acetate (MPA) and human choriogonadotropin (hCG) treatment, we examined only this marker in human primary tissue

  • We could show a redistribution of the desmosomal plaque protein desmoplakin 1 in Ishikawa cells after stimulation with progesterone, medroxyprogesterone acetate and hCG in vitro

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Summary

Introduction

Implantation of the human embryo is a crucial step for the initiation of human pregnancy (Norwitz et al 2001). This initial step is rate limiting for the success of pregnancy. Studies on assisted reproductive technology (ART) suggest that only a third of all embryos succeed in implanting into the endometrium (Kasius et al 2014; Koot et al 2012; Macklon et al 2002). Due to ethical restrictions to study early human embryo implantation, clinical data are based on estimates. In the context of basic reproductive sciences, the invasion of maternal uterine endometrium by trophectodermderived cells provides insight into fundamental aspects of benign, non-cancerous tissue infiltration.

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