E-Poster Presentation ESA-SRB-ANZBMS 2021

The fate of SUSD2+ endometrial mesenchymal stem cells during decidualization (#592)

Tina Gorsek Sparovec 1 , Udo Markert 2 , Philipp Reif 1 , Wolfgang Schoell 1 , Caroline Gargett 3 , Zala Nikita Mihalic 1 , Julia Kargl 1 , Daniela Gold 1
  1. Medical University of Graz, Graz, AUSTRIA, Austria
  2. Placenta Lab, Department of Obstetrics, University Hospital Jena, Jena, Germany
  3. The Ritchie Centre, Hudson Institute of Medical Research and Department of Obstetrics and Gynaecology, Monash University, Melbourne, Australia

Regeneration of the endometrial stromal compartment in premenopausal women is likely maintained by the perivascular endometrial mesenchymal stem/stromal cells (eMSC) expressing sushi domain containing 2 (SUSD2). The fate of SUSD2 eMSC during pregnancy and their role in decidualization is not fully known. The aim of our study was to determine the effect of progesterone on the stemness of the SUSD2+ eMSC isolated from non-pregnant uterine samples. Secondary objectives were to characterize the functional capacity including differentiation into the mesenchymal cell lineage and CFU assays of SUSD2+ eMSC isolated from decidua at full term and compare it to the capacity of those isolated from non-pregnant uterine samples. Progesterone treatment induced changes in the decidual gene expression profile in non-pregnant SUSD2+ eMSC. However, the major MSC membrane surface markers remained unchanged. Histological analysis revealed a significantly lower abundance of SUSD2+ eMSC in 1st trimester and full term samples compared to non-pregnant samples, p=0.0296 and 0.005, respectively. The differentiation and the colony forming capacity did not differ significantly between the cells isolated from non-pregnant and pregnant uterine samples. In summary, pregnancy reduced the abundance of SUSD2+ eMSC, however, eMSCs function remained intact. Our results suggest that SUSD2+ eMSC undergo decidualization proces in vitro, while maintaining MSC membrane surface phenotype. Therefore, eMSCs likely play an important role in the course of endometrial decidualization and embryo implantation.