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The decidualization process is initiated by progesterone, but this requires cyclic adenosine monophosphate (cAMP) to act as the initial signalling molecule to sensitize endometrial cells to progesterone. Consequently, human ESCs have been decidualized in culture with chemical analogs of cAMP and progesterone together.
Decidualization includes the process of differentiation of the spindle-shape stromal fibroblasts into the plump secretory decidual cells, which create a pericellular extracellular matrix rich in fibronectin and laminin (similar to epithelial cells). Vascularity, as well as vascular permeability, is enhanced in the decidualizing endometrium.
Experimentally, human endometrial stromal cells can be decidualized in culture by using analogs of cAMP and progesterone. The cells will exhibit a decidualized phenotype and display upregulation of common decidualization markers such as prolactin and IGFBP1 .
The endometrium increases thickness, becomes vascularized and its glands grow to be tortuous and boosted in their secretions. These changes reach their maximum about seven days after ovulation. [citation needed] Furthermore, the surface of the endometrium produces a kind of rounded cells, which cover the whole area toward the uterine cavity.
The endometrium is the ... About 20,000 protein coding genes are expressed in human cells and some 70% of these genes are expressed in the normal endometrium ...
The process known as decidualization occurs when the endometrium changes both physiologically and morphologically in order to support and maintain an early pregnancy. [21] The final effect of endometrial cell differentiation and lymphoid cell influx is the formation of a tissue that is functionally distinct. [21]
Ectopic decidua are decidual cells found outside inner lining of the uterus. This condition was first described in 1971 by Walker [1] and the name 'ectopic decidua' was coined by Tausig. [2] While ectopic decidua is most commonly seen during pregnancy, it rarely occurs in non-pregnant people, accompanied by bleeding and pain. [citation needed]
For example, it regulates endometrial stromal cell proliferation, survival, and differentiation. [7] These processes are all necessary for the development of an embryo. Ablation in female mice results in subfertility, with defects in implantation and decidualization. For instance, there is a decrease in responsiveness to progesterone signaling.