不妊症の原因解明につながる新研究(Research Sheds Light on Potential Causes of Infertility)

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2026-03-25 ラトガース大学

ラトガース大学の研究チームは、不妊症の原因解明に関する新たな知見を明らかにした。研究では、生殖機能に関与する分子や細胞プロセスを解析し、これまで十分に理解されていなかった要因が不妊に関与している可能性を示した。特に、生殖細胞の発達やホルモン調節に関連する異常が、受精や妊娠成立に影響を及ぼすことが示唆された。本成果は不妊症の診断精度向上や治療法開発に貢献する基盤となり、個別化医療の推進にも寄与することが期待される。今後は臨床応用に向けたさらなる検証が求められる。

<関連情報>

ヒト子宮内膜および脱落膜の単一細胞マッピングにより、生殖能力に対する上皮細胞と間質細胞の寄与が明らかになった Single-cell mapping of human endometrium and decidua reveals epithelial and stromal contributions to fertility

Gregory W. Burns, Emmanuel N. Paul, Manisha Persaud, Qingshi Zhao, Rong Li, Kristin Blackledge, Jessica Garcia de Paredes, Pratibha Shukla, Ripla Arora, Anat Chemerinski, and Nataki C. Douglas
JCI Insight  Published: January 23, 2026
DOI:https://doi.org/10.1172/jci.insight.195254

不妊症の原因解明につながる新研究(Research Sheds Light on Potential Causes of Infertility)

Abstract

The human endometrium undergoes dynamic changes across the menstrual cycle to establish a receptive state for embryo implantation. Using bulk and single-cell RNA-Seq, we characterized gene expression dynamics in the cycling endometrium and the decidua from early pregnancy. We demonstrated that during the mid-secretory phase — the period encompassing the window of implantation — secretory glandular epithelial cells undergo notable transcriptional changes and alterations in cell-cell communication. Through comprehensive analyses, we identified the glandular epithelium receptivity module (GERM) signature, comprising 556 genes associated with endometrial receptivity. This GERM signature was consistently perturbed across datasets of endometrial samples from women with impaired fertility, validating its relevance as a marker of receptivity. In addition to epithelial changes, we observed shifts in stromal cell populations, notably involving decidual and senescent subsets, which also play key roles in modulating implantation. Together, these findings provide a high-resolution transcriptomic atlas of the receptive and early pregnant endometrium and shed light on key molecular pathways underlying successful implantation.

医療・健康
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