RT Journal Article T1 Meta-signature of human endometrial receptivity: a meta-analysis and validation study of transcriptomic biomarkers. A1 Altmäe, Signe A1 Koel, Mariann A1 Võsa, Urmo A1 Adler, Priit A1 Suhorutšenko, Marina A1 Laisk-Podar, Triin A1 Kukushkina, Viktorija A1 Saare, Merli A1 Velthut-Meikas, Agne A1 Krjutškov, Kaarel A1 Aghajanova, Lusine A1 Lalitkumar, Parameswaran G A1 Gemzell-Danielsson, Kristina A1 Giudice, Linda A1 Simón, Carlos A1 Salumets, Andres AB Previous transcriptome studies of the human endometrium have revealed hundreds of simultaneously up- and down-regulated genes that are involved in endometrial receptivity. However, the overlap between the studies is relatively small, and we are still searching for potential diagnostic biomarkers. Here we perform a meta-analysis of endometrial-receptivity associated genes on 164 endometrial samples (76 from 'pre-receptive' and 88 from mid-secretory, 'receptive' phase endometria) using a robust rank aggregation (RRA) method, followed by enrichment analysis, and regulatory microRNA prediction. We identify a meta-signature of endometrial receptivity involving 57 mRNA genes as putative receptivity markers, where 39 of these we confirm experimentally using RNA-sequencing method in two separate datasets. The meta-signature genes highlight the importance of immune responses, the complement cascade pathway and the involvement of exosomes in mid-secretory endometrial functions. Bioinformatic prediction identifies 348 microRNAs that could regulate 30 endometrial-receptivity associated genes, and we confirm experimentally the decreased expression of 19 microRNAs with 11 corresponding up-regulated meta-signature genes in our validation experiments. The 57 identified meta-signature genes and involved pathways, together with their regulatory microRNAs could serve as promising and sought-after biomarkers of endometrial receptivity, fertility and infertility. YR 2017 FD 2017-08-30 LK http://hdl.handle.net/10668/11544 UL http://hdl.handle.net/10668/11544 LA en DS RISalud RD Apr 6, 2025