Embryonic implantation requires co-ordinated development of the blastocyst
and the maternal endometrium. Considerable advances have been made in under
standing the cell biology of these partner tissues separately. Nevertheless
, communication between these tissues and the reciprocal effects of these t
issues on each other constitutes an exciting and as yet unsolved paradigm i
n reproductive medicine. Crosstalk between the embryo, endometrium and the
corpus luteum is known to occur in ruminants and primates, and, more specif
ically, endometrial-embryonic interactions are reported in rodents and prim
ates. In this review, an ill vitro model for analysing the interactions bet
ween human endometrial epithelium and blastocyst in the adhesion phase of e
mbryonic implantation is presented. The results of investigations of embryo
nic regulation of endometrial epithelial molecules such as adhesion molecul
es, mucins, chemokines and cytoskeleton proteins are also presented.