Excessive intrauterine fluid cause aberrant implantation and pregnancy outcome in mice

PLoS One. 2013 Oct 23;8(10):e78446. doi: 10.1371/journal.pone.0078446. eCollection 2013.

Abstract

The normal intrauterine fluid environment is essential for embryo implantation. In hydrosalpinx patients, the implantation and pregnancy rates are markedly decreased after IVF-embryo transfer, while salpingectomy could significantly improve the pregnancy rates. The leakage of hydrosalpinx fluid into the endometrial cavity was supposed to be the major cause for impaired fertility. However, the underlying mechanisms of hydrosalpinx fluids on implantation and ongoing pregnancy were not fully understood and remain controversial regarding its toxicity. In present study, by infusing different volume of non-toxic fluid (0.9% saline) into uterine lumen before embryo implantation in mice (Day4 08:30), we found that while the embryos were not "flushed out" from the uteri, the timing of implantation was deferred and normal intrauterine distribution (embryo spacing) was disrupted. The abnormal implantation at early pregnancy further lead to embryo growth retardation, miscarriage and increased pregnancy loss, which is similar to the adverse effects observed in hydrosalpinx patients undergoing IVF-ET. We further examined uterine receptivity related gene expression reported to be involved in human hydrosalpinx (Lif, Hoxa10, Integrin α(v) and β(3)). The results showed that expression of integrin α(v) and β(3) were increased in the fluid infused mouse uteri, implicating a compensatory effect to cope with the excessive fluid environment. Our data suggested that the adverse effects of excessive non-toxic luminal fluid on pregnancy are primarily due to the mechanical interference for normal timing and location of embryo apposition, which might be the major cause of decreased implantation rate in IVF-ET patients with hydrosalpinx.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Embryo Implantation, Delayed / physiology*
  • Fallopian Tube Diseases / complications*
  • Female
  • Follicular Fluid / physiology*
  • Gene Expression Regulation / physiology*
  • Infertility, Female / etiology*
  • Infertility, Female / physiopathology
  • Integrin alphaV / metabolism
  • Integrin beta3 / metabolism
  • Mice
  • Pregnancy
  • Pregnancy Outcome

Substances

  • Integrin alphaV
  • Integrin beta3

Grants and funding

This work was supported by National Natural Science Foundation of China (81000275, 31300957, 31300960) and National Basic Research Program of China (2011CB944503, 2011CB944401). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.