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      Compartmentalized Culture of Perivascular Stroma and Endothelial Cells in a Microfluidic Model of the Human Endometrium

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          Abstract

          The endometrium is the inner lining of the uterus. Following specific cyclic hormonal stimulation, endometrial stromal fibroblasts (stroma) and vascular endothelial cells exhibit morphological and biochemical changes to support embryo implantation and regulate vascular function, respectively. Herein, we integrated a resin-based porous membrane in a dual chamber microfluidic device in polydimethylsiloxane that allows long term in vitro co-culture of human endometrial stromal and endothelial cells. This transparent, 2-μm porous membrane separates the two chambers, allows for the diffusion of small molecules and enables high resolution bright field and fluorescent imaging. Within our primary human co-culture model of stromal and endothelial cells, we simulated the temporal hormone changes occurring during an idealized 28-day menstrual cycle. We observed the successful differentiation of stroma into functional decidual cells, determined by morphology as well as biochemically as measured by increased production of prolactin. By controlling the microfluidic properties of the device, we additionally found that shear stress forces promoted cytoskeleton alignment and tight junction formation in the endothelial layer. Finally, we demonstrated that the endometrial perivascular stroma model was sustainable for up to 4 weeks, remained sensitive to steroids and is suitable for quantitative biochemical analysis. Future utilization of this device will allow the direct evaluation of paracrine and endocrine crosstalk between these two cell types as well as studies of immunological events associated with normal vs. disease-related endometrial microenvironments.

          Electronic supplementary material

          The online version of this article (doi:10.1007/s10439-017-1797-5) contains supplementary material, which is available to authorized users.

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          Cyclic decidualization of the human endometrium in reproductive health and failure.

          Decidualization denotes the transformation of endometrial stromal fibroblasts into specialized secretory decidual cells that provide a nutritive and immunoprivileged matrix essential for embryo implantation and placental development. In contrast to most mammals, decidualization of the human endometrium does not require embryo implantation. Instead, this process is driven by the postovulatory rise in progesterone levels and increasing local cAMP production. In response to falling progesterone levels, spontaneous decidualization causes menstrual shedding and cyclic regeneration of the endometrium. A growing body of evidence indicates that the shift from embryonic to maternal control of the decidual process represents a pivotal evolutionary adaptation to the challenge posed by invasive and chromosomally diverse human embryos. This concept is predicated on the ability of decidualizing stromal cells to respond to individual embryos in a manner that either promotes implantation and further development or facilitates early rejection. Furthermore, menstruation and cyclic regeneration involves stem cell recruitment and renders the endometrium intrinsically capable of adapting its decidual response to maximize reproductive success. Here we review the endocrine, paracrine, and autocrine cues that tightly govern this differentiation process. In response to activation of various signaling pathways and genome-wide chromatin remodeling, evolutionarily conserved transcriptional factors gain access to the decidua-specific regulatory circuitry. Once initiated, the decidual process is poised to transit through distinct phenotypic phases that underpin endometrial receptivity, embryo selection, and, ultimately, resolution of pregnancy. We discuss how disorders that subvert the programming, initiation, or progression of decidualization compromise reproductive health and predispose for pregnancy failure.
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            The role of sex hormones in immune protection of the female reproductive tract.

            Within the human female reproductive tract (FRT), the challenge of protection against sexually transmitted infections (STIs) is coupled with the need to enable successful reproduction. Oestradiol and progesterone, which are secreted during the menstrual cycle, affect epithelial cells, fibroblasts and immune cells in the FRT to modify their functions and hence the individual's susceptibility to STIs in ways that are unique to specific sites in the FRT. The innate and adaptive immune systems are under hormonal control, and immune protection in the FRT varies with the phase of the menstrual cycle. Immune protection is dampened during the secretory phase of the cycle to optimize conditions for fertilization and pregnancy, which creates a 'window of vulnerability' during which potential pathogens can enter and infect the FRT.
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              A protocol for isolation and culture of human umbilical vein endothelial cells.

              We describe a protocol for easy isolation and culture of human umbilical vein endothelial cells (HUVECs) to supply every researcher with a method that can be applied in cell biology laboratories with minimum equipment. Endothelial cells (ECs) are isolated from umbilical vein vascular wall by a collagenase treatment, then seeded on fibronectin-coated plates and cultured in a medium with Earles' salts and fetal calf serum (FCS), but without growth factor supplementation, for 7 days in a 37 degrees C-5% CO2 incubator. Cell confluency can be monitored by phase-contrast microscopy; ECs can be characterized using cell surface or intracellular markers and checked for contamination. Various protocols can be applied to HUVECs, from simple harvesting to a particular solubilization of proteins for proteomic analysis.
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                Author and article information

                Contributors
                +44(0)7713371521 , V.Pensabene@leeds.ac.uk
                Journal
                Ann Biomed Eng
                Ann Biomed Eng
                Annals of Biomedical Engineering
                Springer US (New York )
                0090-6964
                1573-9686
                20 January 2017
                20 January 2017
                2017
                : 45
                : 7
                : 1758-1769
                Affiliations
                [1 ]ISNI 0000 0004 1936 9916, GRID grid.412807.8, Women’s Reproductive Health Research Center, , Vanderbilt University Medical Center, ; Nashville, TN USA
                [2 ]ISNI 0000 0004 1936 9916, GRID grid.412807.8, Department of Pathology, Immunology and Microbiology, , Vanderbilt University Medical Center, ; Nashville, TN USA
                [3 ]ISNI 0000 0004 1936 8403, GRID grid.9909.9, School of Electronic and Electrical Engineering, , University of Leeds, ; Woodhouse Lane, Leeds, LS2 9JT UK
                [4 ]ISNI 0000 0004 1936 8403, GRID grid.9909.9, School of Medicine, Leeds Institute of Biomedical and Clinical Sciences, , University of Leeds, ; Leeds, UK
                [5 ]ISNI 0000 0001 0668 7243, GRID grid.266093.8, Department of Biomedical Engineering, , University of California, ; Irvine, CA USA
                [6 ]Veteran Affairs Tennessee Valley Healthcare System, Nashville, TN USA
                Author notes

                Associate Editor Christiani Amorim oversaw the review of this article.

                Author information
                http://orcid.org/0000-0002-3352-8202
                Article
                1797
                10.1007/s10439-017-1797-5
                5489603
                28108942
                f0ceec41-cbe4-4edb-b565-97253a054e69
                © The Author(s) 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 6 October 2016
                : 11 January 2017
                Funding
                Funded by: U.S. Department of Veterans Affairs (US)
                Award ID: BX002853
                Award Recipient :
                Funded by: National Institute of Environmental Health Sciences (US)
                Award ID: ES14942
                Award Recipient :
                Funded by: Environmental Toxicology Training Grant
                Award ID: T32 ES007028
                Award Recipient :
                Funded by: U.S. Environmental Protection Agency (US)
                Award ID: 83573601
                Award Recipient :
                Categories
                Reproductive Tissue Engineering
                Custom metadata
                © Biomedical Engineering Society 2017

                Biomedical engineering
                endometrium,stroma,organs-on-a-chip,microfluidic,porous membrane
                Biomedical engineering
                endometrium, stroma, organs-on-a-chip, microfluidic, porous membrane

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