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Abstract
Mammalian pregnancy depends on the ability of the uterus to support embryo implantation. Previous studies reveal the Sox17 gene as a downstream target of the Pgr-Gata2-dependent transcription network that directs genomic actions in the uterine endometrium receptive for embryo implantation. Here, we report that ablating Sox17 in the uterine epithelium impairs leukemia inhibitory factor (LIF) and Indian hedgehog homolog (IHH) signaling, leading to failure of embryo implantation. In vivo deletion of the SOX17-binding region 19 kb upstream of the Ihh locus by CRISPR-Cas technology reduces Ihh expression specifically in the uterus and alters proper endometrial epithelial–stromal interactions, thereby impairing pregnancy. This SOX17-binding interval is also bound by GATA2, FOXA2, and PGR. This cluster of transcription factor binding is common in 737 uterine genes and may represent a key regulatory element essential for uterine epithelial gene expression.
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Details

1 Reproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA; Department of Animal Science, North Carolina State University, Raleigh, NC, USA
2 Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA; Feed Research Institute, Chinese Academy of Agricultural Sciences, Beijing, China
3 Integrative Bioinformatics Support Group, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA
4 Reproductive and Development Biology Laboratory, National Institute of Environmental Health Sciences, Research Triangle Park, NC, USA
5 Department of Obstetrics and Gynecology and Reproductive Biology, Michigan State University, Grand Rapids, MI, USA
6 Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA
7 Deptartment of Obstetrics and Gynecology, University of South Carolina School of Medicine, Greenville, SC, USA
8 Department of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX, USA