Pinopodes (also known as pinopods and uterodomes) are protrusions on the apical cellular

membrane A membrane is a selective barrier; it allows some things to pass through but stops others. Such things may be molecules, ions, or other small particles. Membranes can be generally classified into synthetic membranes and biological membranes. ...

uterine The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The ...

epithelial Epithelium or epithelial tissue is one of the four basic types of animal tissue, along with connective tissue, muscle tissue and nervous tissue. It is a thin, continuous, protective layer of compactly packed cells with a little intercell ...

cell Cell most often refers to: * Cell (biology), the functional basic unit of life Cell may also refer to: Locations * Monastic cell, a small room, hut, or cave in which a religious recluse lives, alternatively the small precursor of a monastery ...

s. Pinopodes have a pinocytotic role (hence the name pinopode - Greek for "drinking foot"), as well as a secretory role. Their secretory

vacuole A vacuole () is a membrane-bound organelle which is present in plant and fungal cells and some protist, animal, and bacterial cells. Vacuoles are essentially enclosed compartments which are filled with water containing inorganic and organic m ...

s reach towards the lumen; The contents within the vesicle may provide necessary nutrients to the embryo. This feature also assists in its ability to attach to the uterine endometrium. With the development of pinipodes, there is a decrease in epithelial cell contact, which prompts blastocyst attachment and penetration. The usefulness of pinopodes as a marker for endometrial receptivity has been debated in past literature,Quinn, CE and Casper, RF. Pinopodes: a questionable role in endometrial receptivity. Human Reproduction Update 2009 15(2):229-236 http://humupd.oxfordjournals.org/cgi/content/abstract/15/2/229 but is now generally accepted.

Structure and morphology

Pinopodes are usually measured to be 5–10 μm. Their structure is dependent upon the organism's current stage of the menstrual cycle, as pinopodes are regulated by the

sex hormone Sex hormones, also known as sex steroids, gonadocorticoids and gonadal steroids, are steroid hormones that interact with vertebrate steroid hormone receptors. The sex hormones include the androgens, estrogens, and progestogens. Their effect ...

estrogen Estrogen or oestrogen is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens that have estrogenic hormonal ac ...

and progesterone. Studies in the rat have shown that progesterone stimulates the development of pinopodes, while estrogen is responsible for their regression. Generally, the first developmental stage occurs during the early

luteal phase The corpus luteum (Latin for "yellow body"; plural corpora lutea) is a temporary endocrine structure in female ovaries involved in the production of relatively high levels of progesterone, and moderate levels of estradiol, and inhibin A. It is th ...

, around days 17-18 of the menstrual cycle. During this time, cellular bulging appears. The second mid-luteal stage of development, around days 20-22, is when the pinopodes are most prominent. During this peak phase, their structures look spherical and smooth, without microvilli. Towards the end of the secretory phase, around days 23-35, the regression period occurs. In this stage, the structure shrivels and appears wrinkly. Not every pinopode on the endometrial surface develops at the same time, affecting the consistency of distribution along the membrane.

F-actin Actin is a family of globular multi-functional proteins that form microfilaments in the cytoskeleton, and the thin filaments in muscle fibrils. It is found in essentially all eukaryotic cells, where it may be present at a concentration of ov ...

is found within pinopodes. The cytoskeleton is mainly made up of actin microfilaments. The structure varies between species. In rodents, pinopodes contain many vacuoles; Human pinopodes do not contain large vacuoles but do have secretory

vesicles Vesicle may refer to: ; In cellular biology or chemistry * Vesicle (biology and chemistry), a supramolecular assembly of lipid molecules, like a cell membrane * Synaptic vesicle ; In human embryology * Vesicle (embryology), bulge-like features o ...

, a

rough endoplasmic reticulum The endoplasmic reticulum (ER) is, in essence, the transportation system of the eukaryotic cell, and has many other important functions such as protein folding. It is a type of organelle made up of two subunits – rough endoplasmic reticulum ( ...

, and a

golgi apparatus The Golgi apparatus (), also known as the Golgi complex, Golgi body, or simply the Golgi, is an organelle found in most eukaryotic cells. Part of the endomembrane system in the cytoplasm, it packages proteins into membrane-bound vesicles ...

. Mitochondria and glycogen have been found in both rodent and human pinopodes.

Endometrial receptivity

Previous literature had questioned the validity of the pinopodes' role in endometrial receptivity and implantation. However, more recent literature has found correlations between the presence of pinopodes and endometrial receptivity. Women undergoing

in-vitro fertilization In vitro fertilisation (IVF) is a process of fertilisation where an egg is combined with sperm in vitro ("in glass"). The process involves monitoring and stimulating an individual's ovulatory process, removing an ovum or ova (egg or eggs) ...

with a high presence of pinopodes are more likely to have higher embryo implantation and pregnancy rates when compared to women with low pinopode coverage. The implantation window is known as the period of time in which the endometrium is receptive to blastocyst attachment. Due to pinopode development overlapping with the implantation window, blastocyst attachment takes place, which provides adhesion molecules necessary for the implantation process. Current trials and research have shown pinopodes to be a reliable endometrial receptivity marker.

References

{{Reflist Human female reproductive system