2021
DOI: 10.1530/raf-21-0023
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Organoids to model the endometrium: implantation and beyond

Abstract: Despite advances in assisted reproductive techniques in the four decades since the first human birth after in vitro fertilisation, 1-2 % of couples experience recurrent implantation failure, and some will never achieve a successful pregnancy even in the absence of a confirmed dysfunction. Furthermore, 1-2 % of couples who do conceive, either naturally or with assistance, will experience recurrent early loss of karyotypically normal pregnancies. In both cases, embryo-endometrial interaction is a clear candidate… Show more

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Cited by 26 publications
(15 citation statements)
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References 136 publications
(224 reference statements)
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“…Studies in cultured stromal cells are one key model, as they are amenable to mechanistic studies; however, in vitro models in which to study epithelial cells have proven challenging. Recently, however, innovative organoid culture systems have been developed that provide a platform to study processes intrinsic to endometrial epithelial cells [ 23 , 24 , 25 ].…”
Section: Introductionmentioning
confidence: 99%
“…Studies in cultured stromal cells are one key model, as they are amenable to mechanistic studies; however, in vitro models in which to study epithelial cells have proven challenging. Recently, however, innovative organoid culture systems have been developed that provide a platform to study processes intrinsic to endometrial epithelial cells [ 23 , 24 , 25 ].…”
Section: Introductionmentioning
confidence: 99%
“…There are many technical and ethical challenges to overcome in defining the intricacies of human embryo implantation, and there are still many aspects that are not fully understood. Much of our knowledge of embryo implantation has stemmed from animal studies and in vitro two-dimensional (2D) monolayer culture systems, neither of which accurately represent the in vivo endometrial or embryo physiology, or environment [ 48 , 171 ]. 3D investigation of the human endometrium and embryo implantation is an important avenue for future research [ 48 , 51 , 52 ].…”
Section: Avenues For Future Researchmentioning
confidence: 99%
“…3D investigation of the human endometrium and embryo implantation is an important avenue for future research [ 48 , 51 , 52 ]. The advent of ‘organoids’ has led to huge advances in in vitro 3D modelling techniques [ 171 , 172 , 173 ]. Endometrial organoids arise from single or small clusters of cells and resemble endometrial tissue ex vivo [ 174 ].…”
Section: Avenues For Future Researchmentioning
confidence: 99%
“…Previously, cultures of 3D uterine glands explants and stromal cells had limited viability surviving only for four days with the resemblance of spheroids beginning to form (Stadler et al, 2009). Endometrium organoids may be useful for investigating endometriosis and endometrial cancers (Turco et al, 2017), as well as studies regarding implantation (Rawlings et al, 2021). Research regarding human physiology and the function of the endometrium is difficult due to variability between individuals; however, co-culturing endometrium organoids on three-dimensional scaffolds may allow investigation into implantation studies (Cindrova-Davies et al, 2021).…”
Section: Uterusmentioning
confidence: 99%