Uterine and Embryonic Factors in Early Pregnancy

Uterine and Embryonic Factors in Early Pregnancy PDF

Author: Jerome F. Strauss III

Publisher: Springer Science & Business Media

Published: 2012-12-06

Total Pages: 293

ISBN-13: 1461533805

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Human reproduction is the most dynamic of processes. The events which lead to the birth of a normal healthy infant have their origin long before actual fertilization. Indeed, the whole process can be looked upon as a continuum. Human fertilization and early development, once sequestered in the protective environment of the fallopian tubes and uterus, have now been exposed in the laboratory. These events have, over time, been extensively observed and catalogued in animal models. The tools of modem morphology and molecular biology have reopened issues long since considered settled as facets of early reproduction are reexplored. This volume, consisting of the proceedings of a workshop on uterine and embryonic factors in early pregnancy, has been designed to enhance that effort. Attention is focused largely on early embryonal development with special attention to the interrelationship between the embryo and the uterus in early pregnancy. Each of the contributing scientists brings with him or her the perspective of one specific discipline or another. The common denominator is the application of emerging techniques in modem molecular biology to problems pertaining to embryonal-uterine interaction. The goal is to consider specific areas of concern in a multidisciplinary way and to reexplore the factors behind early development and implantation. Uterine complement, the function of uterine macrophages immunoregulatory loops in the peri-implantation period, colony stimulating factors and interferon-like factors are reviewed and their interrelationship explored. Uterine angiogenesis factors as well as embryonic growth factors are also considered.

Pregnancy After Assisted Reproductive Technology

Pregnancy After Assisted Reproductive Technology PDF

Author: Eric Jauniaux

Publisher: Cambridge University Press

Published: 2012-09-06

Total Pages: 211

ISBN-13: 1107006473

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Practical, evidence-based guide to managing ART pregnancies, based on 30 years of clinical experience, including gynaecological, genetic and obstetric complications.

Immunological and Endometrial Changes of Early Pregnancy in Dairy Cattle

Immunological and Endometrial Changes of Early Pregnancy in Dairy Cattle PDF

Author: Maria Da Silva

Publisher:

Published: 2023

Total Pages: 0

ISBN-13:

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Research in bovine reproduction is crucial for enhancing fertility, efficiency, and sustainability in dairy production. Despite progress in breeding practices and herd health management, a significant number of bovine embryos do not survive past the first month of pregnancy. Factors like the immune system play a critical role in protecting against pathogens and tolerating the semiallogeneic embryo. Immune cells also mediate endometrial tissue remodeling and homeostasis during successful reproduction. However, little is known about immunological and endometrial changes during early pregnancy. To support pregnancy, the early conceptus secretes crucial proteins, including interferon tau (IFNT) that maintains the corpus luteum. Pregnancy-associated glycoproteins (PAGs) are another group of conceptus molecules abundantly secreted from the time of conceptus attachment until parturition, but their specific function remains unknown. In our first study (Chapter 2), we analyzed the transcriptome of the endometrium and blood leukocytes in cyclic heifers treated in vivo with intrauterine infusions of IFNT and PAG. IFNT activated interferon response, immune activation, inflammation, and cell death pathways in the endometrium, while downregulating genes related to vesicle transport and extracellular matrix (ECM) remodeling. Prolonged IFNT altered genes linked to cell invasion, retinoic acid (RA) signaling, and embryo implantation. In peripheral blood, PAG stimulated genes involved in leukocyte differentiation and TGFB signaling but had limited effects on endometrial genes. These findings shed light on how conceptus secretions impact endometrial and immune function during maternal recognition of pregnancy and embryo attachment/implantation. Shortly after attachment/implantation, the endometrium undergoes vascular remodeling to establish the maternal placenta. Adequate blood flow and vascular development are essential for successful embryo implantation, nutrient exchange, and overall fetal development. In the second study (Chapter 3), expression of HIF1A, AHR, and angiogenic factors were characterized in the cyclic and pregnant endometrium at the time of attachment/implantation. Contrary to our hypothesis, the expression of HIF1A, AHR, and angiogenic factors remains low during the attachment/implantation period. Moreover, our results suggest that IFNT may exert a suppressive effect on the expression of molecules of HIF signaling. Understanding the timing and mechanisms governing blood vessel growth, structure, and function in the placenta is crucial for the prevention of placental disorders that impact embryonic health and survival. Although the uterine environment undergoes major immunological adaptations to accommodate the developing embryo, the peripheral immune system is not isolated from pregnancy changes. Hormonal and metabolic signals associated with pregnancy have systemic effects on the immune response in the blood and extrauterine organs. It is generally accepted that systemic immunity must balance tolerance to the developing embryo while also remaining vigilant in eliminating pathogens and threats to pregnancy health. Understanding this delicate immunological balance can support efforts in the prevention of pregnancy loss and complications. In the third study (Chapter 4), we characterized changes in circulating leukocytes during early pregnancy and investigated peripheral immunity differences between lactating cows and heifers. In the first experiments, heifers and cows were studied separately, revealing both similarities and differences in the phenotype of blood leukocytes in response to early pregnancy. In the final experiment, we simultaneously compared samples from heifers and cows, and the results indicated that cows exhibited greater expression of proinflammatory cytokines and molecules associated with leukocyte migration and phagocytosis compared to heifers. Moreover, animals that failed to become pregnant showed altered expression of anti-inflammatory molecules compared to pregnant and cyclic animals. Overall, these findings support the notion that immune responses to early pregnancy differ in heifers and cows, which may contribute to the reduced fertility observed in lactating cows. During our experiments with PBL, we observed that some heifers experienced luteolysis between days 16 and 17 of the estrous cycle, while cows experienced it after day 18. Progesterone primarily regulates cell function via the nuclear progesterone receptor (PGR) and can also signal through membrane-associated receptors of the PAQR and PGRMC family. In cattle, progesterone secretion remains elevated throughout pregnancy, but there is conflicting evidence regarding the presence of PGR in leukocytes of both cattle and humans. In our last study (Chapter 5), we aimed to determine the expression of progesterone and estradiol receptors in bovine peripheral blood leukocytes (PBL) and if their expression was affected by reproductive status, parity, or the day of pregnancy. We also investigated the correlation between steroid hormone concentrations in plasma and the phenotype of blood leukocytes. The results revealed that bovine leukocytes lack PGR during early and mid-pregnancy but express nuclear ESR and membrane PGR (mPGR). Additionally, there was a positive correlation between plasma estradiol and a negative correlation of plasma progesterone with changes in the proportion of myeloid cells and the expression of molecules involved in leukocyte migration during proestrus. Contrary to some published literature, these findings suggest that bovine PBL do not express PGR, and instead, mPGR of the PAQR and PGRMC family may mediate progesterone effects on leukocyte function. In summary, the findings presented in this dissertation have expanded our understanding in several areas: (1) the effects of IFNT and PAG on gene expression in the endometrium and circulating leukocytes, (2) the expression of angiogenic factors in the uterus, (3) the peripheral immune response to early pregnancy in heifers and lactating cows, and (4) the expression of progesterone receptors in immune cells. Our results provide support for the hypothesis that uterine and peripheral immunity is regulated by conceptus and maternal signals to facilitate the establishment of successful pregnancies. The insights gained from this research can help identify immunological factors associated with embryo loss and offer valuable perspectives on the application of strategies to enhance fertility in dairy cattle, other domestic species, and potentially even in humans.

How to Prepare the Endometrium to Maximize Implantation Rates and IVF Success

How to Prepare the Endometrium to Maximize Implantation Rates and IVF Success PDF

Author: Gabor Kovacs

Publisher: Cambridge University Press

Published: 2019-01-17

Total Pages: 217

ISBN-13: 1108244386

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The last step in the IVF treatment cycle, embryo transfer, is also the process with the highest failure rate. No matter how good the laboratory technique is, a successful pregnancy will not be achieved without meticulous preparation of the uterus to accept the embryo. This book reviews the scientific evidence on endometrial receptivity, including histological, hormonal, biochemical, and immunological factors. Practical and concise, it supports gynecologists and embryologists to make evidence-based decisions that can influence the success rates of implantation and live births. Part of a series of books offering treatments and strategies for fertility and conception to optimize IVF outcomes, this volume is for all clinicians and embryologists working in reproductive medicine.

Placental Bed Disorders

Placental Bed Disorders PDF

Author: Robert Pijnenborg

Publisher: Cambridge University Press

Published: 2010-06-03

Total Pages: 325

ISBN-13: 1139488686

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It is now recognized that defective placentation in the human is a cause of many pregnancy complications, such as spontaneous abortion, preterm labor and delivery, pre-eclampsia, intrauterine growth restriction, fetal death and abruptio placenta. These clinical disorders can often have long-term consequences into adulthood, causing cardiovascular disease, obesity and diabetes for the newborn as well as an increased risk of premature death in the mother. This is the first book to be entirely focused on the placental bed, bringing together the results of basic and clinical research in cell biology, immunology, endocrinology, pathology, genetics and imaging to consolidate in a single, informative source for investigators and clinicians. Its core aim is to explore new approaches and improve current clinical practice. This is essential reading for clinicians in obstetric, cardiovascular and reproductive medicine.

Embryo Implantation

Embryo Implantation PDF

Author: Daniel D. Carson

Publisher: Springer Science & Business Media

Published: 1999-09-24

Total Pages: 336

ISBN-13: 9780387988061

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This volume contains the proceedings of the International Symposium on Embryo Implantation: Molecular, Cellular and Clinical Aspects, held from October 3-6, 1997 in Newport Beach, California. Internationally recognized experts discuss the development and future of human in vitro fertilization and embryo implantation, the cellular aspects of implantation, hormonal regulation, molecular markers of receptivity, trophoblast factors, primate models and animal studies, and transcriptional regulation of maternal-fetal recognition.

Ultrasonography in Reproductive Medicine and Infertility

Ultrasonography in Reproductive Medicine and Infertility PDF

Author: Botros R. M. B. Rizk

Publisher: Cambridge University Press

Published: 2010-03-25

Total Pages: 339

ISBN-13: 1139484575

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Nowhere has the impact of ultrasonography been more dramatic than in reproductive medicine, particularly in the diagnosis of female and male infertility, the management of assisted reproductive procedures and the monitoring of early pregnancy. This authoritative textbook encompasses the complete role of ultrasonography in the evaluation of infertility and assisted reproduction. Covering every indication for ultrasonography in assisted reproductive technology, this will prove an invaluable resource in the evaluation of the infertile patient and optimization of the outcome of treatment. The interpretation of images to improve fertility and reproductive success is emphasized throughout. Ultrasonography in Reproductive Medicine and Infertility is essential reading for clinicians working both in IVF clinics and in office practice. It will be particularly useful to gynecologists, infertility specialists, ultrasonographers and radiologists working in reproductive endocrinology and infertility, assisted reproductive technology, ultrasonography and radiology.

Maternal-Fetal and Neonatal Endocrinology

Maternal-Fetal and Neonatal Endocrinology PDF

Author: Christopher S. Kovacs

Publisher: Academic Press

Published: 2019-10-12

Total Pages: 1038

ISBN-13: 0128148241

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Maternal-Fetal and Neonatal Endocrinology: Physiology, Pathophysiology, and Clinical Management systematically examines the normal and abnormal endocrinology of the pregnant and lactating female and of the fetus and neonate. This reference volume expands coverage of specific disorders and diseases beyond the current endocrinology content on the market, which in most cases has a paragraph or no mention at all about pregnancy or aspects of fetal/neonatal development. Formalized source of maternal/fetal endocrine physiology and pathophysiology Key reference for fellows and residents for rarer endocrine pathologies Integrated presentation of new molecular and genetic causes of endocrine disorders Bridges the experience/knowledge gap of endocrinopathies rarely encountered in pregnancy