STUDY OF
STAGES OF
IMPLANTATION IN MICE
C. A. FINN and ANNE McLAREN
Department of
Biological
Sciences,
Wye
College
( University of London), Ashford,
Kent,
andA.R.C. Unit
of
AnimalGenetics,
Instituteof
AnimalGenetics,
West MainsRoad,
Edinburgh
(Received
1stJuly 1966)
Summary.
In order tostudy
thechanges
taking place
in theblastocyst
and
locally
in the uterus at thesite of theblastocyst
attachment,
preg-nantmicewere killedatintervals between 3days
21hrand 4days
16 hrpost
coitum. The uteri were tested for the presence of Pontamine Blue areas(indicating
increasedpermeability
ofcapillaries)
andhistochemic-ally
foralkalinephosphatase
inthe stroma, andalso examinedhistologic-ally. By
classifying
each female for the various featuresstudied,
thefollow-ing
order of appearancewas established: Pontamine Bluereactivity,
`W\x=req-\bodies'
emerging
fromblastocyst,
local oedema of the uterine stroma, alkalinephosphatase
inthe uterine stroma,histological
decidualization. Giant cell transformation ofthetrophoblast
occurredatabout the sametime as the emergence of W-bodies from the
blastocyst.
Blastocyst
elongation began
after theappearance of PontamineBluereactivity
andbefore
histological
decidualization,
but was notsequentially
related tothe other features studied.
INTRODUCTION
Implantation
ofova in rodents involvesacomplex
series ofmorphological
andbiochemical interactions between the
blastocyst
and the uterus,culminating
in the attachment of the
embryo
to the motherby
means of theplacenta.
Recently
threeseparate
local reactions have been demonstrated to occur soonafter the
blastocyst
makes contact with the endometrium.Psychoyos
(1961)
showed,
originally
inrats, thatthe blood vesselsnear the site ofanimplanting
blastocyst
become morepermeable,
so that aftertheinjection
ofalarge
mole¬cular
weight dye,
such as PontamineSky
Blue,
a coloured band appears across theuterus where ablastocyst
ispresent.
Thisreactionoccurs before anyother
macroscopic
evidenceofimplantation
canbe seenintheuterus.Secondly
Wilson(1963)
demonstrated the passage ofcells,
which he called'primary
invasivecells',
from theblastocyst
into the uterineepithelium,
andthirdly
Finn & Hinchliffe
(1964)
showed that the enzyme alkalinephosphatase
appeared
in the endometrial stroma around animplanting
blastocyst.
Histo-*Present address: Department ofPhysiology, Royal Veterinary College, Royal College Street,
London,N.W.I.
260
logically,
the uterine stroma around animplanting
blastocyst
shows marked oedema at anearly
stage, with the formation ofthe'primary
decidualzone',
consisting
ofclosely packed
cells around the uterinelumen,
following
later(Krehbiel, 1937).
The
object
of thepresent
experiments
was tostudy
these reactions in the same animals in order to obtain information about the order in whichthey
appeared.
This isanecessarypreliminary
to anycausalanalysis
of theprocessesinvolved. In
particular,
thequestion
of howtheuterusis stimulatedtorespond
locally
to thepresence ofablastocyst
isstillopen. Blandau(1949) reported
thatplacing glass
andparaffin
beadsintheuteruswould induce decidualchanges
in rats andguinea-pigs
; thishasoften beeninterpreted
asdemonstrating
that itis the pressureof theblastocyst
against
the uterineepithelium
whichis theeffective stimulus in normal pregnancy.However,
there are almostcertainly
otherfactors
involved,
since unfertilizedmouseova(Orsini
&McLaren,
unpublished),
deadratblastocysts
(Segal
&Nelson,
1958)
andfixed sea-urchinova(Alden
&Smith,
1959)
allfailtoinduceadecidual response.The
basically staining
RNA-rich bodies contained in Wilson's'primary
invasive cells' areeasily
seen under themicroscope.
The cellsthemselves,
however,
are not so easy to see. We shall therefore referthroughout
not to'primary
invasivecells',
butto'W-bodies',
atermwhich makesnoassumptions
about theirfunction.
MATERIAL AND METHODS
Females
belonged
to therandomly
bred0_strain,
and werenulliparous.
They
werepaired
with males of their own strain in theafternoon,
examined forcopulation plugs
thefollowing
morning,
and killed between 3days
21 hr and 4days
16 hrpost
coitum(assuming
coitustookplace
at01.00hoursduring
thenight
ofmating).
Theexperiment
was carried out in twoparts,
the first inAugust
andthesecond in
November;
thetwobatchesof micedidnotdiffersignificantly
fromoneanother,
andhavetherefore been combined.Fifteen minutes before each animal was
killed,
0-25 ml ofa 1%
solution ofPontamine
Sky
Blue 5BXwasinjected
intravenously.
Theposition, intensity
andnumber of blue areas in the two uterine horns was recorded after death. One
uterine horn ofeach animal was fixed in cold 80
%
alcohol; afterremaining
overnight
in arefrigerator
these horns wereposted
in ice fromEdinburgh
toWye,
wherethey
were sectioned and examined for the presence of alkalinephosphatase
by
the Gomoritechnique.
The other horn of each female wasfixed in either AFA
(30
ml95% alcohol,
10 ml commercialformalin,
10 mlglacial
aceticacid,
50 mlwater)
orinCarnoy's
fluid;
these hornswere clearedaccording
to the method describedby
Orsini(1962a,
b)
sothat the PontamineSky
Blueareascould be examinedmoreclosely
;they
werethenserially
sectioned,
stained with Iron
Haematoxylin
orwithMethyl
GreenandToluidineBlue,
andexamined
histologically.
Allblastocysts
inthese sectionswerephotographed,
so thatthey
could be morereadily
compared.
Left andright
horns were allottedalternately
to the two treatments.Pontamine Blue reactions wererecorded as :
—
(no
Early
of implantation
areas, too faint to count
accurately),
+(faint
blueareas),
+ 4-(strong
blueareas, + 4- +
(strong
blue areas, with centralopacity
visible afterclearing).
Alkaline
phosphatase
reactions of the uterine stroma were recorded as:—
(negative),
+
(faintly
positive),
+ 4-(strongly positive) (PI.
1,
Figs.
1 to4).
Localized oedema of the stroma was recorded as: —
(absent)
or +(present)
(PI.
2,
Figs.
2 and4).
The decidual response of the uterine endometriumwas classifiedas :—
(absent)
or +
(present) (PI.
2,
Fig.
6). Blastocysts
wereclassified asround,
oval orelongate (PI.
2,
Figs.
1,
3 and5).
Where theblastocyst
itself wasdistorted,
itsoriginal shape
could often be deduced from the form of the uterine chamber.Emerging
W-bodies(PL
3,
Figs.
1 to7)
were recorded as:—
(absent),
+?
(sparse
anddubious),
+(sparse
anddefinite),
+ +(numerous
anddefinite).
Both authorsindependently
examined the sectioned uteri forW-bodies;
their classifications wereingood
agreement.RESULTS
Of the
twenty-nine
females,
three were notpregnant
(one
of these had un¬ fertilized eggs in theuterus).
Data on theremaining
twenty-six
are listed inTable
1,
in order oftimeofkilling.
Six showedno responseto the testfor alka¬line
phosphatase,
even in theserosalregion
which isnormally
strongly
positive.
All alkalinephosphatase
must therefore have beeninactivated,
probably
as a result ofoverheating
in transit. Three other uteri were lost in transit beforethey
couldbe examinedhistologically
for the presence of W-bodiesanddecidualresponse. The uterine horns tested forthe presenceof alkaline
phosphatase
and those examinedhistologically
had shown an average of4-2 and 4-5 PontamineBlue areas
respectively.
Onehundredblastocysts
were examined forW-bodies. There was somevariability
within uterinehorns,
particularly
withrespect
toblastocyst
shape.
This is indicated in Table 1. Infemale12,
oneimplantation
site showed alkaline
phosphatase
in the stroma, while the other three sites in the horn werenegative.
In female5,
oneblastocyst
was at an earlier stage ofdevelopment
than the otherfour,
and still showed remnants of the zonapellucida.
Itwas not associated witha Pontamine Blue area. In female11,
oneof the two
blastocysts
was very advanced indevelopment,
and showed noW-bodies;
the other was lessadvanced,
and showed W-bodies.In females 19 and
20,
theblastocysts
in the uterine horn examined histo¬logically
wereclustered nearthe middle of the horn. Inthe otherfemales,
they
werespread
along
thelength
of the horn. On three occasions(females
8,
10 and19),
twoblastocysts
were foundsharing
the sameimplantation
chamber(PI.
2,
Fig.
7).
The Pontamine Blue reaction
As may be seen from Table 1 the Pontamine Blue reaction was
already
evident at22.15
hours,
whenthefirstmouse waskilled. Ofthethirteenfemaleskilledup to
midnight,
two werenegative,
seven werefaintly
positive
and fourstrongly
positive.
Of the thirteen killed aftermidnight,
one wasnegative,
threefaintly
positive
andninestrongly positive.
In the threenegative
females,
all the262 C. A. Finn
Table 1
OBSERVATIONS ON FEMALE MICE KILLED DURING THE 4 NIGHT AND 5 DAY AFTER A COPULATION PLUG HAD BEEN FOUND
Female Timekillingof (GMT)
Pontamine
Blue Blastocysts W-bodiesemerging
Alkaline phosphatase Oedema Decidual response 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 22.15 22.45 22.45 23.00 23.00 23.15 23.15 23.30 23.30 23.45 23.45 24.00 24.00 00.15 00.15 00.30 00.45 00.45 01.00 01.15 08.30 09.30 11.00 14.00 17.00 17.15 + + + + +? + + + 4-4-? + + + + + + +- + + + + 4-4-+ ? + + + 4-+ 4-+ + ++ + + 4-4-Oval Round,oval Round,oval Round Round,oval Round Round,oval Round Round Round,oval Round,oval Oval Oval Oval Round,oval Round,oval Oval Round Round Round Elongate Round Oval Oval Elongate Round + + + + + + ++ + + 4-4-4-? ++ 4- + + + + + + 4-4-+ 4-4-+ 4- + 4-+ + + 4-+ 4-+ 4-+ +
*InTables 2 and3,female 23 isomitted,asthe absence of W-bodies isprobably secondary.
Table 2
thenumbers of uteri found withnegative,faintly positive or strongly positive reactions with pontamine blue, classified with respectto the other changes
studied
(data
extracted from table1)
W-bodies Oedema Blastocyst shape Alkaline-phosphatase Decidual response +, +4-+ Elongate Oval
Roundand oval Round 4-PontamineBlue 4-4-,+++ No.offemales classifiedfor both 21 23 26 20 23
Early
oedemaor
positive
alkalinephosphatase
reactions. The time ofappearance ofthe other
changes,
relative to the Pontamine Bluereaction,
is summarized inTable 2.
The alkaline
phosphatase
reactionThe
alkaline-phosphatase
results correlated rather well with the time ofkilling.
The firstpositive
reaction was seen in the mouse killed at 23.45 hours.By
thefollowing morning,
all the micesuccessfully
testedwerepositive (5/5).
The
relationship
between the time of appearance of alkalinephosphatase
andthe Pontamine Blue reactionisshown in Table 2. Thetwoare
closely
correlated,
butthe Pontamine Blue reactionclearly
occurs first.Alkaline
phosphatase activity
in theuterineendometrium firstappeared
as apositive
area inthestromain theneighbourhood
oftheblastocyst.
Intheearly
responses the
activity
waspresent,
not in the area of stromaimmediately
adjacent
to theepithelium,
but as acrescent-shaped
area in the middle of the subendometrialstroma(PI.
1,
Figs.
2 and3).
This hadnotbeenobservedin the earlierstudy (Finn
&Hinchliffe, 1964)
;there,
however,
the first responseswere not examined until the
morning
of the 5thday
post
coitum,
so that theinitiation of theresponse, which from the
present
dataappears to startduring
the
previous
night,
had beenoverlooked.Alkaline
phosphatase
ispresent
in theblastocysts
beforeit canbe detected inthe uterine stroma, andin
early specimens
is found around the entire circum¬ference, indicating
perhaps
the continued presence of the zonapellucida.
In thelaterstages,atabout the timeofits appearanceinthe uterinestroma, alkalinephosphatase disappears
from theabembryonic
regions
oftheblastocyst,
except
foranoccasional
cell,
butthe innercellmassremainsstrongly
positive.
Themigration
of
W-bodiesW-bodies weremost
clearly
seen in theepithelium
afterstaining
withTolui-dine
Blue,
butthey
were alsofairly readily
identified afterstaining
withiron-haematoxylin.
With thelight microscope they appeared
asspecks
ofbasically
staining
material in which it was notpossible
to differentiate any internal structure.They
variedconsiderably
inshape
,somebeing
circular whilst others wereelongated
in the moretypical
form describedby
Wilson(1963).
Itwas usual to find more than one in eachblastocyst,
and sometimes as many as a dozen were found. Cellscontaining
W-bodies were sometimes observedin the wall oftheblastocysts,
butonly
in thosespecimens
from which other W-bodieswere
already emerging.
Wilson(1963) reported
the presenceofcells,
which he believed to be identical with theprimary
invasive cells later to be seen in thetrophoblast,
in the inner cell mass up to 12 hr earlier than the earliest stagesstudied here.
Emerging
W-bodies werealways
accompanied by
apositive
Pontamine Bluereaction,
but in at least six cases(Nos.
2, 5, 7, 10,
13 and16)
their emergencepreceded
thedevelopment
of apositive alkaline-phosphatase
reaction. Theapparent absence of W-bodies in the later
stages
of theimplantation
reaction,
e.g. female
23,
is consistentwiththefindings
of Wilson(1963),
and isprobably
due tothedifficulty
ofdetecting
themoncethedecidualreaction has started.Blastocyst
morphology
The
changes
in the appearance of theblastocysts
werefairly
well correlated with the other reactions. Thus3/7
uteri in whichonly
roundblastocysts
werefound showed an
alkaline-phosphatase
reaction,
and3/8
showedW-bodies,
whereasinuteri
containing only
ovalorelongated blastocysts,
thecorresponding
proportions
were5/6
and5/6,
respectively.
On the otherhand,
blastocyst
morphology
was veryvariable withrespect
to time; thefirstfemale killed con¬tainedoval
blastocysts,
whereas intwo out ofthe six animals killed on the 5thday
theblastocysts
were round.The
trophoblastic giant
cell reaction(Dickson, 1963)
wasclosely
correlatedwith theemergenceof the W-bodies. The timeoflossof thezona
pellucida
could not be ascertained with anycertainty
as the zona is removedcompletely
by
AFA andpartially by Carnoy's
fluid. Traces ofzonae were seen around theblastocysts
of females8,
19 and20. Oedemaanddecidual reactionsLike the
alkaline-phosphatase
reaction,
the appearance of oedema in the uterine stroma showedgood
correlation with the timeofkilling.
Thus,
of thetwenty-three
femalesstudied,
only
one killed before 23.30 hours(Table 1)
showed
oedema,
whereasonly
two of those killed after that time failed to showit.Ofthe nine femalesnot
showing
oedema,
sixwerepositive
for PontamineBlue,
andthreealready
showed the presence of W-bodies in the uterineepithelium.
None of the females without oedema showed apositive
alkalinephosphatase
reaction,
but four with oedema had not yetdeveloped
alkalinephosphatase.
On the other
hand,
themassing
of stroma cells around the anti-mesometrial side of the uterinelumen,
which was taken as indicative ofthebeginning
of the decidual response, occurred after the appearanceof alkalinephosphatase.
The four miceshowing
a decidual response(Table
1)
were allpositive
foralkaline
phosphatase,
but one femalepositive
for alkalinephosphatase (No.
18)
hadnotyet
developed
anyhistological
signs
of decidualization.DISCUSSION
Ourresults
present
a consistentpicture
of thechronology
of theearly
stages ofimplantation
in the mouse. In the strain of miceused,
the Pontamine Bluereaction,
anindex oflocally
increasedcapillary permeability,
waspositive
in themajority
ofpregnant
females beforemidnight
on the4thday
post
coitum. Inthepresent
study,
this was the earliest indication that the uterus wasreacting
locally
tothe presenceofablastocyst.
The timeof appearance of the PontamineBlue reaction is consistent with that
reported by
Orsini & McLaren(1967).
The relativeordering
of thephenomena
studiedcanbest beappreciated
if thedataare
displayed
asinTable3. Allthefemalesexaminedfall intoone orother ofthe six
'stages' (though
one or two females have been omitted from theTableon account of
incomplete classification).
The fact that the females can be soarranged
implies
that,
asfarasthepresent
dataareconcerned,
thefivecharac¬of implantation
any one will also show all those earlier in the list.
(This
neednotnecessarily
meanthatthey
are alsocausally
dependent.) Change
ofshape
of theblastocyst,
on the otherhand,
isindependent
ofmost of the characters listed:blastocyst
elongation
was not seen instage-1
females,
and was present in allstage-6
females,
butstages
2,
4and 5 all include some femalescontaining only
roundblastocysts,
andothersin whichelongation
hadbegun.
The appearance of alkaline
phosphatase
in the uterine stroma,indicating
that this has become a
region
of increased cellularactivity,
followed thePontamine Bluereaction
by
notmore thana fewhours. The localization of theearly
alkalinephosphatase
reaction ispuzzling:
the initialsignal
foractivity
Table 3
the sequential dependence of the observed changes
Stage 1 2 3 4 5 6 Pontamine Blue + + + + + W-bodies + + + + Stromal oedema + + Alkaline phosphatase + + Decidual response Females (6),8, 19 3,4,20 (0,2,7 5, 10, 13, 16 14,18,22 11, 12,21
Numbersinparenthesesindicate females whichwerenotclassifiedfor alkalinephosphatase activity. Females9, 15and 17,also unclassified for alkalinephosphatase activity,have been omitted sincetheycould havebelongedeithertostage4ortostage5.
to
begin
must come from theblastocyst
in the uterinelumen,
yet it was notthose
regions
of the stromaadjacent
to the lumen which showed the reactionfirst.
Possibly
the initial distribution of alkalinephosphatase
is related to thepattern ofvascularization of thestroma.
The emergenceof W-bodiesfromthe
blastocyst
andtheirpenetration
into the uterineepithelium appeared
to takeplace
before the appearanceof the alkalinephosphatase
but after the Pontamine Blue reaction. If this is confirmed itwouldmeanthatthe W-bodiesarenot
responsible
forinforming
theuterus that ablastocyst
ispresent.
We therefore remain inignorance
both ofthe functionof these remarkable
objects,
and of the natureof theinitialsignal
from blasto¬cystto uterus.
ACKNOWLEDGMENTS
We
gratefully acknowledge
financialsupport
from the Ford Foundation(A.McL.)
and the Medical Research Council(C.A.F.),
and would liketothank Mr K. Barber for histechnical assistance.REFERENCES
Alden,R.H. &Smith,M.J. (1959) Implantationof therategg.IV. Some effects of artificialovaon
therat uterus.J. exp. Z°°l· 142,215.
Blandau,R.J.(1949) Embryo-endometrialinterrelationshipin theratandguinea pig.Anat. Ree.104,
Dickson, . D. (1963)Trophoblastic giantcell transformation ofmouseblastocysts.J. Reprod.Fert. 6,
465.
Finn, C. A. &Hinchliffe,J.R. (1964) Reaction of themouseuterusduring implantationand deci-duoma formationasdemonstrated by changes inthe distribution of alkaline phosphatase. J.
Reprod.Fert.8,331.
Krehbiel,R. H. (1937) Cytologicalstudies of the decidual reaction in theratduringearlypregnancy
andin theproductionof deciduomata.Physiol. <W.10,212.
Orsini, M.W. (1962a) Techniqueofpreparation, studyandphotographyofbenzyl-benzoatecleared material forembryologicalstudies.J. Reprod.Fert.3,283.
Orsini,M.W.(1962b) Studyofova-implantationinthehamster,rat,mouse,guinea-pigandrabbit in cleareduterinetracts.J. Reprod.Fert.3,278.
Orsini, M. W. & McLaren, A. (1967) Loss ofthe zonapellucida in mice,and the effect of tubai ligation andovariectomy.J. Reprod.Fert. (Inpress).
Psychoyos, A. (1961) Perméabilitécapillaire et decidualization utérine. C. r. hebd. Séanc. Acad. Sci.,
Paris, 252, 1515.
Segal, S.J. & Nelson, W. O. (1958) An orally active compound with antifertilityeffects inrats. Proc. Soc.exp.Biol.Med.98,431.
Wilson, I.B. (1963) Anewfactorassociatedwith theimplantationof themouseegg.J. Reprod.Fert. 5,281.
EXPLANATION OF PLATES
Plate 1
Fig. 1.Transverse section ofuterusof female3, negativefor alkalinephosphataseactivity
inthe uterinestroma. Note the presence of alkalinephosphataseactivityin theserosa,
around the uterineglands,and intheblastocyst. 70.
Fig.2.Transversesection ofuterusof female 14,faintlypositivefor alkalinephosphatase activityinthe uterinestroma. Notetheoedema intheouterareas ofthe mucosa, con¬
trastingwith thecloselypacked cells around the uterine lumen ( = primary decidual
zone).Thealkalinephosphatase activity begins neartheoutermarginof theexpanding
primarydecidual zone, 70.
Fig. 3. Highpowerview ofFig. 2,to showearlydistribution of alkalinephosphatase activity, 200.
Fig.4. Transversesection ofuterusof female24, stronglypositivefor alkalinephosphatase activityintheuterinestroma. X60.
Plate 2
Fig.1. 'Round'blastocyst,from female15.Althoughtheblastocystiscrumpled,itsoriginal
shape canbe deducedfrom the shapeof the anti-mesometrial chamber inwhich it is situated.Hereandinalltheotherfigures,the space in the uterine lumen andbetweenthe
blastocystand the uterine epithelium is a shrinkage artefact. In vivo, the walls of the uterine lumenarepressed tightly togetheratthisstageofpregnancy, 220.
Fig.2.Transversesection ofuterusof female5,toshow oedema oftheuterinestroma, 70.
Fig.3. 'Oval'blastocyst,from female3. 300.
Fig.4.Highpowerview of uterinestromaof female13,toshow oedema, 300. Fig.5. 'Elongate' blastocyst,from female 21. 220.
Fig. 6. Transversesection ofuterusof female21, showingenlargingareaof cellularhyper¬
plasiaaroundtheuterine lumen (= primarydecidualzone). This femalewasclassified
asshowingadecidualresponse. Thedecidualcellreaction isnotyetevident. X70.
Fig. 7.Transversesection ofuterusof female19, showingtwoblastocystsinasingle
anti-mesometrial chamber. Thecorrugatedbordertothe uterine lumen wherethe wallsare
pressed togetheris characteristic ofthisstageofpregnancyorpseudopregnancy, and is
Early
stages
of implantation
Plate 3Figs. 1 to7. Transverse sections ofblastocysts,showingW-bodies(indicated by arrows). Figs.2 to5areof uteri stained withMethyl Greenand ToluidineBlue,Figs. 1,6 and7 with iron haematoxylin. The focal plane has, in eachcase, been selected toshow the W-bodiesasclearlyaspossible,withthe result thattherestof the sectionisoftensome¬
whatoutof focus.
Fig. 1. A blastocyst from female 16, attached subterminally. One and perhaps two
W-bodiesarefaintlyseen in the uterineepithelium adjacenttotheblastocyst;afurther
twoare seen enteringthe uterineepithelium ontheoppositeside of thelumen, against
which theblastocystwaspressedbefore fixationshrinkagetookplace. One ofthese was
stillattachedtotheblastocystbyafilament,whichhasbroken;thebroken ends ofthe
filamentcanbeseenprotrudingfrom theblastocystand from theW-body. 300.
Fig. 2. The W-bodiesinembryonic regionofblastocyst.Female5. 300.
Fig. 3. OneW-body crossingfrom the blastocystinto the uterine epithelium,another possible W-body alreadyinthe epithelium, 300.
Fig. 4.SameblastocystasinFig. 2.TwoW-bodiescrossingfromblastocystinto uterine epithelium,oneofthemstretchedout toform afilament, 300.
Fig. 5. Adifferent blastocyst, also from female 5. Two W-bodiesentering the uterine epithelium, 300.
Fig.6. Two W-bodiesenteringthe uterineepitheliumandathirdaboutto enter.Female 22. x400.
Fig.7. Two W-bodiesenteringthe uterineepitheliumfromablastocystatasubterminal
attachmentsite.The antimesometrial end of theuterine lumenisatthebottom left-hand