Abstract:Objective To explore the effects of autophagy on endometrial receptivity during the peri-implantation period in mice.Methods Thirty-six pregnant ICR female mice were randomly divided into a blank group and an autophagy inhibitor group, with eighteen mice in each group. The autophagy inhibitor group received daily intraperitoneal injections of the autophagy inhibitor 3-MA starting from the 1st day of pregnancy (PD1) until sacrifice. The blank group received daily intraperitoneal injections of an equal volume of PBS as a control. Six mice in each group were sacrificed by cervical dislocation on PD4, PD5, and PD6. The uterine morphology of the mice in each group was observed, and the number of embryo implantation sites was counted. The mRNA and protein expression levels of the autophagy-related factors Beclin-1, LC3-I, and LC3-II, as well as the endometrial receptivity markers ERα, PR, and HOXA10 in the endometrial tissues were detected by qRT-PCR and Western blotting. The morphology of pinopodes on the endometrial surface was observed by scanning electron microscopy, and the autophagic structures in the endometrial cells were observed by transmission electron microscopy.Results In the blank group, the uterus on PD4 showed no obvious bead-like changes, while the implantation sites were enlarged on PD5 and PD6, exhibiting a bead-like appearance with uniform distribution and a pinkish coloration. In the autophagy inhibitor group, the uterus on PD4 appeared pale and thin, with no obvious bead-like changes. The implantation sites in the uterine body were slightly enlarged, with fewer embryos, uneven distribution, and a pale red coloration. Compared to the blank group, the implantation site numbers in the autophagy-inhibitor groups PD5 and PD6 were reduced (P < 0.05). Compared with the blank group, the expression of LC3-II mRNA was decreased in the autophagy inhibitor group on PD4, PD5, and PD6 (P < 0.05). The expression of LC3-II protein and the LC3-II/LC3-I ratio were decreased (P < 0.05), while the expression of LC3-I protein was increased on PD4, PD5, and PD6 in the autophagy inhibitor group (P < 0.05). Compared with the blank group, the expression of PR mRNA was decreased on PD4, PD5, and PD6 (P < 0.05), and the expression of HOXA10 mRNA was decreased on PD4 and PD5 in the autophagy inhibitor group (P < 0.05). The expression of ERα protein was increased on PD4, PD5, and PD6 (P < 0.05), while the expressions of PR and HOXA10 protein were decreased on PD5 and PD6 in the autophagy inhibitory group (P < 0.05). Scanning electron microscopy showed a small number of pinopodes on the endometrial surface on PD4 in the blank group, while numerous pinopodes homogeneous in size presented on PD5 and PD6. In the autophagy inhibitor group, pinopodes on the endometrial surface were unobvious and wrinkled on PD4, and a few of pinopodes heterogenous in size were observed on PD5 and PD6. Transmission electron microscopy demonstrated abundant autolysosomes in endometrial cells of the blank group on PD4, with a decline on PD5 and PD6. In the autophagy inhibitor group, only a small number of autolysosomes were observed on PD4, and none were evident on PD5 and PD6, indicating a significant reduction compared with the control group.Conclusions Autophagy may participate in the establishment and regulation of endometrial receptivity during the peri-implantation period and is involved in the process of embryo implantation.