The role of the endometrial microbiome and the implications for the outcome of In Vitro Fertilisation (IVF)
- Publication Type:
- Thesis
- Issue Date:
- 2026
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Infertility can be treated with in vitro fertilisation (IVF). However, IVF success rates have not improved over the last 15 years. Previous endometrial microbiome profiling has shown that differing microbial profiles are associated with IVF outcomes. This study investigated the role of the endometrial microbiome by exploring functional impacts on cellular processes. Microbiota-associated metabolites were incorporated into cell culture models, and biomarkers for the development of receptivity, immune response, and implantation were measured. L-lactic and D-lactic acids were used to represent different Lactobacillus species based on their metabolic profiles, and acetic and succinic acids were used to represent diverse bacteria that produce short-chain fatty acids. L-lactic acid reduced endometrial epithelial cell migration. D-lactic and acetic acids reduced the expression of tight junction protein ZO-1. L-lactic, acetic, and succinic acids altered the expression of genes involved in the development of receptivity, including TGFBR1. D-lactic acid increased the secretion of IL-6, IL-8, and IL-10 in NK cells, which may aid embryo invasion. Media conditioned by NK cells reduced spheroid attachment to epithelial cells, suggesting metabolites could affect invasion. This study has shown that microbiota-associated metabolites can impact factors involved in receptivity, the immune status of the endometrium, and embryo implantation.
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