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Modelling the impact of decidual senescence on embryo implantation in human endometrial assembloids

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Rawlings, Thomas M., Makwana, Komal, Taylor, Deborah, Molè, Matteo A., Fishwick, Katherine J., Tryfonos, Maria, Odendaal, Joshua, Hawkes, Amelia, Zernicka-Goetz, Magdalena, Hartshorne, Geraldine M., Brosens, Jan J. and Lucas, Emma S. (2021) Modelling the impact of decidual senescence on embryo implantation in human endometrial assembloids. eLife, 10 . e69603. doi:10.7554/elife.69603 ISSN 2050-084X.

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Official URL: https://doi.org/10.7554/elife.69603

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Abstract

Decidual remodelling of midluteal endometrium leads to a short implantation window after which the uterine mucosa either breaks down or is transformed into a robust matrix that accommodates the placenta throughout pregnancy. To gain insights into the underlying mechanisms, we established and characterized endometrial assembloids, consisting of gland-like organoids and primary stromal cells. Single-cell transcriptomics revealed that decidualized assembloids closely resemble midluteal endometrium, harbouring differentiated and senescent subpopulations in both glands and stroma. We show that acute senescence in glandular epithelium drives secretion of multiple canonical implantation factors, whereas in the stroma it calibrates the emergence of anti-inflammatory decidual cells and pro-inflammatory senescent decidual cells. Pharmacological inhibition of stress responses in pre-decidual cells accelerated decidualization by eliminating the emergence of senescent decidual cells. In co-culture experiments, accelerated decidualization resulted in entrapment of collapsed human blastocysts in a robust, static decidual matrix. By contrast, the presence of senescent decidual cells created a dynamic implantation environment, enabling embryo expansion and attachment, although their persistence led to gradual disintegration of assembloids. Our findings suggest that decidual senescence controls endometrial fate decisions at implantation and highlight how endometrial assembloids may accelerate the discovery of new treatments to prevent reproductive failure.

Item Type: Journal Article
Subjects: Q Science > QH Natural history
Q Science > QM Human anatomy
Q Science > QP Physiology
R Medicine > RG Gynecology and obstetrics
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Cells -- Aging, Endometrium, Human embryo -- Transplantation -- Mathematical models, Infertility, Female -- Treatment, Miscarriage
Journal or Publication Title: eLife
Publisher: eLife Sciences Publications, Ltd
ISSN: 2050-084X
Official Date: 18 October 2021
Dates:
DateEvent
18 October 2021Published
6 September 2021Available
3 September 2021Accepted
Volume: 10
Article Number: e69603
DOI: 10.7554/elife.69603
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: © 2021, Rawlings et al.
Date of first compliant deposit: 28 October 2021
Date of first compliant Open Access: 28 October 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
212233/Z/18/ZWellcome Trust Centre for Mitochondrial Researchhttp://dx.doi.org/10.13039/501100013372
MR/N014294/1[MRC] Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
Warwick-Wellcome Trust Translational Partnership initiativeUniversity of Warwickhttp://dx.doi.org/10.13039/501100000741
Warwick-Wellcome Trust Translational Partnership initiativeWellcome Trusthttp://dx.doi.org/10.13039/100010269
Related URLs:
  • http://creativecommons.org/licenses/by/4...
Contributors:
ContributionNameContributor ID
UNSPECIFIEDSpencer, Thomas E.UNSPECIFIED
UNSPECIFIEDCooper, Jonathan A.UNSPECIFIED

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