“…Importantly, LPS levels in the uterine fluid were higher in RBC group than in the normal group. Since it is known that bacterial flora exists in the uterus of cows ( Yagisawa et al, 2023 ), it is possible that LPS is produced from them and exists in the uterus. Additionally, the uterine fluid of RBCs clearly up-regulated inflammation-related pathways and molecules such as IL-8, GRO1, and CCL2, as shown in Table 3 , suggesting that uterine fluid, including LPS, directly induces inflammatory responses in endometrial epithelial cells.…”