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Isolation of Human Endometrial Stromal Cells for In Vitro Decidualization
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Isolation of Human Endometrial Stromal Cells for In Vitro Decidualization

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Regulatory mechanisms of endometrial decidualization and pregnancy-related diseases

Yifei Sang1,2, Yanhong Li1,2, Ling Xu1,2

  • 1NHC Key Lab of Reproduction Regulation (Shanghai Institute of Planned Parenthood Research), Hospital of Obstetrics and Gynecology, Fudan University Shanghai Medical College, Shanghai 200011, China.

Acta Biochimica Et Biophysica Sinica
|December 20, 2019
PubMed

Endometrial decidualization is one of the earliest changes by which the uterus adapts to pregnancy. During this period, the endometrium undergoes complex changes in its biochemistry, physiology, and function at various levels, providing a suitable microenvironment for embryo implantation and development. Favorable decidualization lays an essential foundation for subsequent gestation, without which pregnancy failure or pregnancy complications may occur. The interaction between pregnancy-related hormones and cytokines produced by embryonic and uterine cells is known to be essential for decidualization, in which some transcription factors also play pivotal roles. Increasing evidence has revealed the importance of metabolism in regulating decidualization. Here, we summarize and discuss these crucial elements in decidualization and the relationship between decidualization and pregnancy complications. A better comprehension of these issues should help to improve the prediction of pregnancy outcomes and the use of appropriate intervention.

Keywords:
decidualizationpreeclampsiarecurrent implantation failurerecurrent spontaneous abortionregulatory mechanism

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