Evidence map›Paper›PMID 41216333›Full record

ArticleHuman reproduction open2025

Modeling the window of implantation: insights from endometrial biopsy and menstrual blood-derived organoids and endometrial stromal cells.

Francesca Paola Luongo, Irene Ortega Baño, Giuseppe Belmonte, Mariangela Gentile, Eugenio Paccagnini, Andres Salumets, Paola Piomboni, Alice Luddi

Abstract read
In one paragraph

Article in Human reproduction open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Francesca Paola LuongoDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
Irene Ortega BañoDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
Giuseppe BelmonteDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.
Mariangela GentileDepartment of Life Sciences, University of Siena, Siena, Italy.
Eugenio PaccagniniDepartment of Life Sciences, University of Siena, Siena, Italy.
Andres SalumetsDivision of Obstetrics and Gynaecology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-1251-8160
Paola PiomboniDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.ORCID https://orcid.org/0000-0003-2987-7028
Alice LuddiDepartment of Molecular and Developmental Medicine, University of Siena, Siena, Italy.ORCID https://orcid.org/0000-0002-4946-7336

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

study questionCan menstrual blood-derived organoids (MB-organoids) and human endometrial stromal cells (MB-ESCs) serve as a physiologically relevant, non-invasive model for studying endometrial function and hormonal response? SUMMARY ANSWER: MB-organoids and ESCs recapitulate key structural and functional features of the endometrium, responding to hormonal stimulation in a manner comparable to biopsy-derived models, supporting their use in reproductive research. WHAT IS KNOWN ALREADY: Endometrial organoids derived from biopsy samples have provided valuable insights into endometrial physiology and implantation. However, their reliance on invasive tissue sampling limits their clinical and research applications. Menstrual blood contains viable endometrial cells, yet its potential for generating functional three-dimensional (3D) models remains underexplored. STUDY DESIGN SIZE DURATION: This cross-sectional, PARTICIPANTS/MATERIALS SETTING

methodsMenstrual blood samples were collected from healthy fertile donors ( MAIN RESULTS AND THE ROLE OF CHANCE: MB-organoids demonstrated structural and functional characteristics similar to biopsy-derived endometrial organoids, including glycogen accumulation and pinopode formation, indicative of endometrial receptivity. Immunofluorescence confirmed the presence of both epithelial and stromal populations as well as glycodelin A production. MB-ESCs underwent decidualization in response to hormonal stimulation, with LIMITATIONS REASONS FOR CAUTION: This WIDER IMPLICATIONS OF THE

findingsMenstrual blood provides a non-invasive, accessible source for generating functional endometrial models. MB-organoids and MB-ESCs offer promising applications in reproductive medicine, including drug screening, disease modeling, and personalized therapies for endometrial disorders. STUDY FUNDING/COMPETING INTERESTS: This work is supported by the Italian Ministry of University and Research-NextGenerationEU PNRR «THE» (Tuscany Health Ecosystem), Spoke 6-Precision Medicine & Personalized Healthcare ECS_00000017, the Estonian Research Council grant no. PRG1076, Swedish Research Council grant no. 2024-02530, Novo Nordisk Foundation grant no. NNF24OC0092384, and Horizon Europe grant NESTOR, grant no. 101120075. The University of Siena Open Access funding partially supported the APC fees. The authors declare no competing interests.

Indexed as

decidualizationendometrial receptivityimplantationmenstrual blood-derived endometrial stromal cellsmenstrual blood-derived organoidsreproductive medicinewindow of implantation

Identifiers

PMID41216333
PMCPMC12596476

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.