妊娠成立の鍵を握る子宮内環境形成の新機構を解明―TAZが細胞外マトリックスと血管形成を制御し、正常な胚発育を支える―

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2026-05-19 東京大学

東京大学医学部附属病院、筑波大学、JSTの共同研究チームは、妊娠成立に不可欠な子宮内環境形成の新たな分子機構を解明した。研究では、着床時に起こる子宮内膜の「脱落膜化」において、Hippoシグナル経路の因子TAZ(WWTR1)が中心的役割を果たすことを発見した。シングルセルRNA解析と空間トランスクリプーム解析により、TAZがコラーゲンを中心とする細胞外マトリックス(ECM)関連遺伝子を活性化し、血管新生や子宮内膜環境の形成を促進することが判明した。さらに、子宮特異的TAZ欠損マウスでは、脱落膜形成不全や胎盤形成障害が生じ、胚の早期消失や不妊につながることが確認された。研究成果は、着床不全、不妊症、胎児発育不全、妊娠高血圧症候群など妊娠合併症の新たな診断・治療法開発につながる可能性がある。

妊娠成立の鍵を握る子宮内環境形成の新機構を解明―TAZが細胞外マトリックスと血管形成を制御し、正常な胚発育を支える―
TAZ による脱落膜形成と妊娠制御

<関連情報>

TAZはECMリモデリングと子宮間質分化を統合し、妊娠初期の維持に寄与する TAZ integrates ECM remodeling with uterine stromal differentiation to maintain early pregnancy

Xueting He, Shizu Aikawa, Yamato Fukui, +5 , and Yasushi Hirota
Proceedings of the National Academy of Sciences  Published:May 19, 2026
DOI:https://doi.org/10.1073/pnas.2528309123

Significance

Early pregnancy loss and fetal growth restriction frequently arise from poorly formed decidua, yet upstream regulators remain unclear. Integrating single-cell RNA-seq from patients and mouse models with spatial mapping, we show that the Hippo effector TAZ coordinates extracellular matrix (ECM) remodeling required for uterine stromal differentiation. Uterine TAZ deletion precipitates decidual failure, disrupted vascularization, and compromised trophoblast invasion, culminating in subfertility. This cross-species evidence suggests TAZ as a conserved gatekeeper of the uterine microenvironment and highlights ECM dynamics as a mechanistic driver of implantation success. Our study provides a framework for TAZ and its ECM program as candidate biomarkers and intervention targets for disorders of early pregnancy.

Abstract

The uterine microenvironment is critical for establishing pregnancy and sustaining embryonic development. Embryo attachment induces profound endometrial transformation, including stromal differentiation and vascularization, termed decidualization. This process, conserved in humans and rodents, supports the embryo even before placentation. Poorly formed decidua leads to fetal growth restriction or placental defects, yet underlying mechanisms remain unclear. Here, we used single-cell RNA-seq of mouse and human endometria, including patient samples, to uncover key regulators. We identified that collagen-related extracellular matrix (ECM) remodeling depends on TAZ, a central effector of Hippo signaling, and is essential for decidual formation. ECM pathways were enriched in differentiating stromal cells alongside upregulation of TAZ and associated transcription factors. Conditional uterine knockout of TAZ (Wwtr1flox/floxPgrCre/+; Wwtr1-uKO) caused pregnancy failure in mice, marked by defective trophoblast invasion, early embryonic degradation, and severe subfertility. Spatial transcriptomic and histological analyses of TAZ-deficient endometria further revealed impaired decidualization, ECM remodeling, and vascularization. Thus, TAZ promotes temporal ECM remodeling at the feto–maternal interface, ensuring functional decidual zone formation and healthy pregnancy outcomes.

医療・健康
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