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免疫系统的细胞如何使子宫内膜为着床做好准备。

How cells of the immune system prepare the endometrium for implantation.

作者信息

Teles Ana, Zenclussen Ana Claudia

机构信息

Experimental Obstetrics and Gynaecology, Medical Faculty, Otto-von-Guericke University, Magdeburg, Germany.

出版信息

Semin Reprod Med. 2014 Sep;32(5):358-64. doi: 10.1055/s-0034-1383735. Epub 2014 Jun 24.

Abstract

Characterized by its cyclical regeneration and differentiation, the endometrium is one of the most dynamic tissues of the human body. As a main player during implantation and later development of the embryo it has a unique and extremely important role in the survival of species. This study is a review of the current literature focused on the cyclical restructuring of the endometrium and the morphological and cellular alterations during the different phases of the reproductive cycle. These changes confer specific receptive capabilities for implantation to take place. The mechanism of implantation is addressed as well as possible receptivity obstacles that can influence this process. More specifically, we discuss the involvement of immune cells in the establishment of implantation and its consequences for a successful pregnancy. A deep knowledge of the mechanisms involved in the regulation and transformation of the endometrium and embryo implantation is essential to understand disorders that can influence fertility and women health.

摘要

子宫内膜以其周期性再生和分化为特征,是人体最具活力的组织之一。作为胚胎着床及后续发育过程中的主要参与者,它在物种生存中具有独特且极其重要的作用。本研究是对当前文献的综述,重点关注子宫内膜的周期性重塑以及生殖周期不同阶段的形态和细胞变化。这些变化赋予了子宫内膜特定的着床接受能力。文中还探讨了着床机制以及可能影响这一过程的接受性障碍。更具体地说,我们讨论了免疫细胞在着床建立过程中的作用及其对成功妊娠的影响。深入了解子宫内膜调节与转化以及胚胎着床所涉及的机制,对于理解可能影响生育能力和女性健康的疾病至关重要。

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