A genomic diagnostic tool for human endometrial receptivity based on the transcriptomic signature.

OBJECTIVE

To create a genomic tool composed of a customized microarray and a bioinformatic predictor for endometrial dating and to detect pathologies of endometrial origin. To define the transcriptomic signature of human endometrial receptivity.

DESIGN

Two cohorts of endometrial samples along the menstrual cycle were used: one to select the genes to be included in the customized microarray (endometrial receptivity array [ERA]), and the other to be analyzed by ERA to train the predictor for endometrial dating and to define the transcriptomic signature. A third cohort including pathological endometrial samples was used to train the predictor for pathological classification.

SETTING

Healthy oocyte donors and patients.

PATIENT(S): Healthy fertile women (88) and women with implantation failure (5) or hydrosalpinx (2).

INTERVENTION(S): Human endometrial biopsies.

MAIN OUTCOME MEASURE(S): The gene expression of endometrial biopsies.

RESULT(S): The ERA included 238 selected genes. The transcriptomic signature was defined by 134 genes. The predictor showed a specificity of 0.8857 and sensitivity of 0.99758 for endometrial dating, and a specificity of 0.1571 and a sensitivity of 0.995 for the pathological classification.

CONCLUSION(S): This diagnostic tool can be used clinically in reproductive medicine and gynecology. The transcriptomic signature is a potential endometrial receptivity biomarkers cluster.