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Gene expression in the pregnant endometrium is influenced by embryonic phenotype
• Comparison of the secretome of decidual cells from normally developing or failing pregnancies show differences consistent with an important role in progression.
• Exposure of embryos in vitro to these secretomes shows that decidua releases subatances that can promote or block development..
Deregulation of the endometrial stromal cell secretome precedes embryo implantation failure. Durairaj et al Mol Hum Reprod. 2017 PMID: 28402555
Multilevel hypothesis of receptivity based on layers of the endometrium
Epithelium Stroma
Vasculature
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