2021
DOI: 10.1038/s42003-021-02194-y
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Menstrual flow as a non-invasive source of endometrial organoids

Abstract: Assessment of the endometrium often necessitates a biopsy, which currently involves an invasive, transcervical procedure. Here, we present an alternative technique based on deriving organoids from menstrual flow. We demonstrate that organoids can be derived from gland fragments recovered from menstrual flow. To confirm they faithfully reflect the in vivo state we compared organoids derived from paired scratch biopsies and ensuing menstrual flow from patients undergoing in vitro fertilisation (IVF). We demonstr… Show more

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Cited by 52 publications
(41 citation statements)
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“…Our method of generating MFO involves selecting EpCAM + gland fragments by magnetic beading. A recent work [22] that was completed at the same time as ours confirms our initial observations that MFO can also be derived from unbeaded endometrial epithelial fragments from a small fraction of cells obtained from previous studies [9]. On the other hand, methods for standard EMO (and therefore EMO-H) generate EMO from fragments of unbeaded endometrial tissue that are separated by filtration and therefore may contain stromal tissue fragments or other cell types.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…Our method of generating MFO involves selecting EpCAM + gland fragments by magnetic beading. A recent work [22] that was completed at the same time as ours confirms our initial observations that MFO can also be derived from unbeaded endometrial epithelial fragments from a small fraction of cells obtained from previous studies [9]. On the other hand, methods for standard EMO (and therefore EMO-H) generate EMO from fragments of unbeaded endometrial tissue that are separated by filtration and therefore may contain stromal tissue fragments or other cell types.…”
Section: Discussionsupporting
confidence: 88%
“…The individual gene expression profiles also clustered based on disease state for several gene sets. A number of GO gene sets as well as curated gene sets generated by us and others [22] showed the clustering of two control participants (23_20 and MR041B) compared to the other five participants. This included Epithelial Secretory Activity (Figure 7a) and Androgen Receptor Signalling and both the Regulation and Negative Regulation of Androgen Receptor Signalling (Figure 7b-d).…”
Section: Disease State Gene Expression Profilesmentioning
confidence: 88%
“…We and others have established a three-dimensional in vitro organoid culture model of human endometrial epithelium 10 , 11 . These organoids are generated from dissociated endometrial tissue and menstrual fluid samples 12 ; they retain the morphology, function and gene signature of the tissue in vivo and respond functionally to ovarian hormones with differentiation into ciliated and secretory cells. They are therefore powerful platforms to investigate endometrial disorders and study mechanisms regulating endometrial differentiation in humans.…”
Section: Mainmentioning
confidence: 99%
“…For example, equine endometrial organoids responded to oxytocin hormone treatment with changes in PTGS2 , PGES , and OXTR , which are genes associated with the prostaglandin synthesis cascade [ 36 ]. Cleverly, one group recently reported the successful generation of endometrial organoids from menstrual secretions in women, which was determined by confirming that endometrial organoids derived from biopsies and menstrual secretions display the same transcriptome signature, efficiency, proliferation rate, and response to exogenous steroid hormones, and precludes the need for tissue biopsies [ 37 ].…”
Section: In Vitro Models Used To Study Reproductive Physiologymentioning
confidence: 99%