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CD138 expression in the endometrium associates with endometrial timing and inflammatory status but not microbiota composition - PubMed

4 hours ago
  • #endometrium
  • #microbiome
  • #recurrent miscarriage
  • CD138 expression in the endometrium is cycle-dependent and linked to impaired luteal phase endometrial timing but not microbiota composition.
  • Three patterns of CD138 immunoreactivity were identified: membranous punctate, diffuse, and mixed staining.
  • Stromal CD138 expression is high in proliferative endometrium and declines post-ovulation.
  • Diffuse stromal CD138 staining correlates with earlier endometrial histological dating and lower molecular timing ratios.
  • No significant difference in vaginal, ectocervical, or endometrial microbiota was found with CD138 expression.
  • Inverse correlation between stromal CD138 immunoreactivity and levels of IL-10, TNF-α, and VEGF was observed.
  • Study challenges the link between CD138+ chronic endometritis (CE) and recurrent pregnancy loss (RPL).
  • CD138-based CE testing and treatment should not be performed outside research contexts.