Semin Reprod Med 2009; 27(1): 062-079
DOI: 10.1055/s-0028-1108011
© Thieme Medical Publishers

The Role of Growth Factors and Cytokines during Implantation: Endocrine and Paracrine Interactions

Ozlem Guzeloglu-Kayisli1 , Umit Ali Kayisli1 , Hugh S. Taylor1
  • 1Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut
Further Information

Publication History

Publication Date:
05 February 2009 (online)

ABSTRACT

Implantation, a critical step for establishing pregnancy, requires molecular and cellular events resulting in uterine growth and differentiation, blastocyst adhesion, invasion, and placental formation. Successful implantation requires a receptive endometrium, a normal and functional embryo at the blastocyst stage, and a synchronized dialogue between maternal and embryonic tissues. In addition to the well-characterized role of sex steroids, the complexity of embryo implantation and placentation is exemplified by the number of cytokines and growth factors with demonstrated roles in these processes. Disturbances in the normal expression and action of these cytokines result in an absolute or partial failure of implantation and abnormal placental formation in mice and human. Members of the gp130 cytokine family, interleukin-11 (IL-11) and leukemia inhibitory factor, the transforming growth factor beta superfamily, the colony-stimulating factors, and the IL-1 and IL-15 systems are crucial molecules for a successful implantation. Chemokines are also important, both in recruiting specific cohorts of leukocytes to the implantation site and in trophoblast trafficking and differentiation. This review provides discussion of the embryonic and uterine factors that are involved in the process of implantation in autocrine, paracrine, and/or juxtacrine manners at the hormonal, cellular, and molecular levels.

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Hugh S TaylorM.D. 

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine

333 Cedar Street, New Haven, CT 06520-8063

Email: hugh.taylor@yale.edu

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