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Ashary, Nancy; Tiwari, Abhishek; Modi, Deepak
Endocrinology (Philadelphia), 02/2018, Volume: 159, Issue: 2Journal Article
Abstract Contrary to widespread belief, the implantation of an embryo for the initiation of pregnancy is like a battle, in that the embryo uses a variety of coercive tactics to force its acceptance by the endometrium. We propose that embryo implantation involves a three-step process: (1) identification of a receptive endometrium; (2) superimposition of a blastocyst-derived signature onto the receptive endometrium before implantation; and finally (3) breaching by the embryo and trophoblast invasion, culminating in decidualization and placentation. We review here the story that is beginning to emerge, focusing primarily on the cells that are in “combat” during this process. In the present review, we describe the mechanisms that are involved in implantation of the embryo to the uterus and initiation of pregnancy.
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