“…At the first steps of implantation, hCG is able to prolong the WOI, by inhibiting decidual Insulin like Growth Factor (IGF)-Binding Protein and IGFI (both markers of complete decidualization) (Fluhr et al, 2008b), and in association with interleukin 1 (IL-1), to favor adhesion via the increase in trophinin expression on endometrial epithelium (Sugihara et al, 2008). Concerning trophoblast functions hCG (and its hyperglycosylated variant) has been demonstrated to promote trophoblastic cells migration, and to reduce endometrial barrier, through its action on matrix metalloprotease protein 9 (MMP9, increased), TIMP-1, -2, -3 (reduced), GM-CSF, IL-11 Fluhr et al, 2008a;Paiva et al, 2011).…”