McGlade Emily A, Mao Jiude, Stephens Kalli K, Marquardt Ryan M, Arguc Feyza Nur, Lais Peter F, Wu San-Pin, Winuthayanon Sarayut, Shirwan Haval, Yolcu Esma S, Hunter Mark I, Pru James K, Lydon John P, DeMayo Francesco J, Winuthayanon Wipawee
Department of Obstetrics, Gynecology and Women's Health, School of Medicine, University of Missouri-Columbia, Columbia, MO 65211 USA.
Reproductive and Developmental Biology Laboratory, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709 USA.
Sci Adv. 2025 Apr 18;11(16):eadt6113. doi: 10.1126/sciadv.adt6113.
More than 60% of pregnancy losses occur during the first trimester, highlighting the need to understand the role of the oviduct in early pregnancy. In this study, we conditionally ablated the classical progesterone receptor () in oviductal epithelial cells, called the mouse model. We found that 40% of embryos collected from females were nonviable or developmentally delayed, indicating that epithelial PGR expression is crucial for embryonic development. Single-cell RNA sequencing revealed up-regulation of proinflammatory genes, including interleukin-22 (IL-22), in the epithelial cells of females. Pharmacological inhibition of inflammation using nonsteroidal anti-inflammatory drugs significantly reduced IL-22 levels in the oviducts and rescued embryonic developmental rates in females. Coculture of wild-type zygotes with IL-22 significantly decreased the number of expanded blastocysts. Our findings suggest that progesterone signaling is vital for immunoregulation and normal preimplantation development, potentially providing insights for developing diagnostic tools and therapeutic strategies to address pregnancy failures.
超过60%的妊娠丢失发生在孕早期,这凸显了了解输卵管在早期妊娠中作用的必要性。在本研究中,我们在输卵管上皮细胞中条件性敲除经典孕酮受体(),即小鼠模型。我们发现,从雌性小鼠收集的胚胎中有40%无法存活或发育延迟,这表明上皮细胞中的孕酮受体表达对胚胎发育至关重要。单细胞RNA测序显示,雌性小鼠的上皮细胞中促炎基因上调,包括白细胞介素-22(IL-22)。使用非甾体抗炎药对炎症进行药理抑制可显著降低输卵管中的IL-22水平,并挽救雌性小鼠的胚胎发育率。野生型合子与IL-22共培养显著减少了扩张囊胚的数量。我们的研究结果表明,孕酮信号对于免疫调节和正常的植入前发育至关重要,这可能为开发诊断工具和治疗策略以解决妊娠失败问题提供见解。