Jones C J, Fazleabas A T
Academic Unit of Obstetrics and Gynaecology, University of Manchester, St Mary's Hospital, Whitworth Park, Manchester M13 0JH, UK.
Hum Reprod. 2001 Dec;16(12):2680-90. doi: 10.1093/humrep/16.12.2680.
To understand factors controlling endometrial responses to pregnancy, we have established a model using the baboon and examined the effects of infused human chorionic gonadotrophin (HCG) on the preparation of the luminal epithelium and stromal cell differentiation for the establishment of pregnancy.
The ultrastructure of endometrium from normal day 10 post-ovulation animals, cycling females treated with either HCG or FSH (control), and a day 15 pregnant animal has been compared.
In the control endometrium, the luminal epithelium was smooth and regular, with underlying spindle shaped stromal cells. In pregnancy, the luminal epithelium underwent a plaque reaction, while stromal cells enlarged and developed filament-rich cell processes. Infusion of HCG produced changes similar to those seen in pregnancy, with generalized plaque formation and stromal decidualization, while in the animal treated with FSH there was no response.
This study indicates that infusion of HCG into the uterus can duplicate many of the responses of the endometrium to pregnancy, although in this case the plaque reaction involved the whole of the luminal epithelium, rather than only the implantation site as in pregnancy.
为了解控制子宫内膜对妊娠反应的因素,我们建立了一个使用狒狒的模型,并研究了注入人绒毛膜促性腺激素(HCG)对为妊娠建立做准备的腔上皮和基质细胞分化的影响。
比较了排卵后第10天正常动物、用HCG或FSH(对照)处理的周期性雌性动物以及妊娠第15天动物的子宫内膜超微结构。
在对照子宫内膜中,腔上皮光滑规则,其下方为梭形基质细胞。在妊娠时,腔上皮发生斑块反应,而基质细胞增大并形成富含细丝的细胞突起。注入HCG产生了与妊娠时相似的变化,出现广泛的斑块形成和基质蜕膜化,而用FSH处理的动物则无反应。
本研究表明,向子宫内注入HCG可复制子宫内膜对妊娠的许多反应,尽管在这种情况下,斑块反应涉及整个腔上皮,而不像妊娠时仅涉及着床部位。