S. K. Dey,
H. Lim,
Sanjoy K. Das,
Jeff Reese,
B. C. Paria,
Takiko Daikoku and
Haibin Wang
Departments of Pediatrics (S.K.De., S.K.Da., J.R., B.C.P., T.D., H.W.), Cell and Developmental Biology, and Pharmacology (S.K.De.), Vanderbilt University Medical Center, Nashville, Tennessee 37232; and Departments of Obstetrics and Gynecology, and Cell Biology and Physiology (H.L.), Washington University School of Medicine, St. Louis, Missouri 63110
Correspondence: Address all correspondence and requests for reprints to: S. K. Dey, Ph.D., Department of Pediatrics, Vanderbilt University Medical Center, MCN D4100, Nashville, Tennessee 37232. E-mail: sk.dey{at}vanderbilt.edu.
Successful implantation is the result of reciprocal interactionsbetween the implantation-competent blastocyst and receptiveuterus. Although various cellular aspects and molecular pathwaysof this dialogue have been identified, a comprehensive understandingof the implantation process is still missing. The receptivestate of the uterus, which lasts for a limited period, is definedas the time when the uterine environment is conducive to blastocystacceptance and implantation. A better understanding of the molecularsignals that regulate uterine receptivity and implantation competencyof the blastocyst is of clinical relevance because unravelingthe nature of these signals may lead to strategies to correctimplantation failure and improve pregnancy rates. Gene expressionstudies and genetically engineered mouse models have providedvaluable clues to the implantation process with respect to specificgrowth factors, cytokines, lipid mediators, adhesion molecules,and transcription factors. However, a staggering amount of informationfrom microarray experiments is also being generated at a rapidpace. If properly annotated and explored, this information willexpand our knowledge regarding yet-to-be-identified unique,complementary, and/or redundant molecular pathways in implantation.It is hoped that the forthcoming information will generate newideas and concepts for a process that is essential for maintainingprocreation and solving major reproductive health issues inwomen.
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