Mapping the temporal and spatial dynamics of the human endometrium in vivo and in vitro
Luz García‐AlonsoiD, Louis‐François Handfield, Kenny RobertsiD, Κωνσταντίνα ΝικολακοπούλουiD, Ridma C. Fernando, Lucy GardneriD, Benjamin WoodhamsiD, Anna ArutyunyaniD, Krzysztof PolańskiiD, Regina HooiD, Carmen Sancho‐SerraiD, Tong LiiD, Kwasi Kwakwa, Elizabeth J. TuckiD, Valentina LorenziiD, Hassan MassalhaiD, Martin PreteiD, Vitalii KleshchevnikoviD, Aleksandra TarkowskaiD, Tarryn PorteriD, Cecilia Icoresi-MazzeoiD, Stijn van DongeniD, Monika H. Dabrowska, Vasyl VaskivskyiiD, Krishnaa T. A. MahbubaniiD, , Roser Vento‐TormoiD
Abstract
The endometrium, the mucosal lining of the uterus, undergoes dynamic changes throughout the menstrual cycle in response to ovarian hormones. We have generated single-cell and spatial reference maps of the human uterus and 3D endometrial organoid cultures. We dissect the signalling pathways that determine cell fate of the epithelial lineages in the lumenal and glandular microenvironments. Our benchmark of the endometrial organoids highlights common pathways regulating the differentiation of secretory and ciliated lineage in vivo and in vitro. We show in vitro that downregulation of WNT or NOTCH pathways increases the differentiation efficiency along the secretory and ciliated lineages, respectively. These mechanistic insights provide a platform for future development of treatments for a range of common endometrial disorders including endometriosis and carcinoma.
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