M. Meseguer et al., Human endometrial mucin MUC1 is up-regulated by progesterone and down-regulated in vitro by the human blastocyst, BIOL REPROD, 64(2), 2001, pp. 590-601
Expression of MUC1 in endometrial epithelium has been suggested to create a
barrier to embryo attachment that must be lifted at the time of implantati
on. In this study, we investigated the hormonal regulation of human endomet
rial MUC1 in hormone replacement therapy cycles and in the human blastocyst
. We also analyzed the embryonic regulation of MUC1 in human endometrial ep
ithelial cells (EECs) during the apposition and adhesion phases of human im
plantation using two different in vitro models. Our results indicate that e
ndometrial MUC1 mRNA and immunoreactive protein increase in receptive endom
etrium compared to nonreceptive endometrium. Human blastocysts express MUC1
, as demonstrated by reverse transcription-polymerase chain reaction and im
munocytochemistry, localized at the trophectoderm. In vitro, MUC1 was prese
nt at the surface of primary cultures of human EEC, and presence of a human
blastocyst (i.e., apposition phase) increases EEC MUC1 protein and mRNA co
mpared to control EEC lacking embryos. Interestingly, when human blastocyst
s were allowed to attach to the EEC monolayer (i.e., adhesion phase), MUC1
was locally removed in a paracrine fashion on EEC at the implantation site.
These results demonstrate a coordinated hormonal and embryonic regulation
of EEC MUC1. Progesterone combined with estradiol priming induces an up-reg
ulation of MUC1 at the receptive endometrium. During the apposition phase,
presence of a human embryo increases EEC MUC1. However, at the adhesion pha
se, the embryo induces a paracrine cleavage of EEC MUC1 at the implantation
site. These findings strongly suggest that MUC1 may act as an endometrial
antiadhesive molecule that must be locally removed by the human blastocyst
during the adhesion phase.