1. Introduction
Endometrium (uterine mucosa) plays a pivotal role in human reproduction: its normal function is closely related to menstruation defined as a periodic (monthly) bleeding from the genital tract in women. During menstruation, the endometrium exfoliates, undergoes rapid healing, and in later phases of menstrual cycle completely restores resulting in full-thickness regeneration of this functional layer.
However, menstrual cycle is not as common among species as one may expect. Indeed, among placental animals, the majority demonstrate an estrous cycle in which ovulation is regulated by sex hormones, male pheromones, and seasonal changes, but excludes menstruation as defined above [
1]. Among approximately 6000 identified mammals, less than 2% adopt a reproductive strategy of cyclic shedding and restoration of the endometrium.
In menstruating animals, endometrium undergoes regular shedding followed by vaginal bleeding. These events are preceded by decidualization of the endometrial mucosa, including phenotype changes of stromal cells to secretory decidual cells. The latter is a prerequisite for embryo implantation involving disruption of epithelium and trophoblast invasion to the endometrial layer.
Decidualized endometrium provides a physiological interface between the embryo and the maternal organism. It is rich in capillaries, decidual, and regulatory immune cells that contribute to the normal and timely development of the fetus. It is noteworthy that in non-menstruating mammals, decidualization is triggered by embryo implantation to the uterine mucosa. Described sequence is contrasting to events in menstruating mammals in which decidualization is driven by hormones (predominantly progesterone) prior to and regardless of fertilization [
2]. If pregnancy does not occur, the decidualized endometrium is rejected by shedding during menstruation.
Generally, menstruation is an important reproductive trait characteristic exclusively for mammals that exhibit spontaneous decidualization. From this point of view, menstruation is a periodic release of blood and pieces of decidualized endometrium induced by decline of blood progesterone levels [
3,
4].
The majority of identified menstruating species belong to the order of
Primates, while few exceptions are known, including several bat species and the elephant shrew [
1]. Recent discovery of menstruation in the Egyptian spiny mouse (
Acomys cahirinus) places this species within a small group of menstruating mammals. Taking into account the general similarities between the house and laboratory mouse (
Mus musculus) including anatomy, husbandry, and ease of handling, the spiny mouse is considered as a model species for the study of menstrual cycle physiology. This provides researchers with an accessible model (especially compared to primates) for the investigation of endometrial turnover molecular mechanisms. However, Peitz, in an early study of
A. cahirinus uterine cycle, did not observe menstruation in this species after evaluating 110 animals [
5].
The present study provides a comparative and descriptive assessment of uterine cycle in a colony of spiny mice (identified as A. cahirinus) at Lomonosov Moscow State University and demonstrates absence of menstrual bleeding along with observation of typical decidual cells within endometrial tissue.
3. Discussion
Menstrual cycle is confined to a certain set of species, including humans, and evolutionary basis for this strategy remains highly enigmatic [
1]. However, the investigation of menstrual cycle molecular patterns is important for several reasons. First, repeated scar-free healing after each shedding of endometrium is an amazing case in humans, indicating conserved ability for regeneration. It also provides targets that can be utilized for interventions inducing similar outcomes in tissues prone to fibrosis [
4,
8,
9]. Second, the understanding of menstrual cycle regulation may unveil targets for treatment of numerous conditions in female reproductive system that cause infertility or hinder pregnancy (e.g., thin endometrium, Asherman syndrome, endometriosis, etc.).
Relevant animal models in this field are scarce, especially murine ones, which are the most feasible for researchers, yet commonly used
M. musculus strains, characterized by an estrous cycle, do not always fit the task [
10]. Recent reports on spiny mouse, particularly its Cairo (also known as
Egyptian or
Arabian) species known as
A. cahirinus, characterized by menstruation [
5], triggered interest to this object. This provided a significant pool of data using them as an experimental animal [
7,
10,
11,
12,
13,
14,
15,
16], while reports on active menstrual bleeding in this animal were contradictory.
Based on our results, we can conclude that the spiny mouse is an interesting research object, and, despite the absence of menstruation in animals from our colony, it shows the ability for spontaneous decidualization (
Figure 1 and
Figure 2) correlated with an increase in serum progesterone (
Figure 3).
Focusing on the first point—the failure to detect menstrual bleeding in spiny mouse—once smear microscopy was not convincing enough, we used a chemical occult blood assay (
Figure 1D) to confirm the absence of bleeding. However, our results are concordant with an earlier study by B. Peitz [
6] who did not observe menstruation in her colony of
A. cahirinus after evaluating 110 animals. It should be noted that B. Peitz detected erythrocytes in vaginal smears, but only after the induction of decidual reaction by traumatization.
A putative explanation of this contradiction is the potential existence of subspecies with specific traits. This issue currently under genomic investigation to clarify the diversity within
Acomys, which have even been given different region-specific names due to the wide distribution of spiny mice. Indeed, as far as we know, the genomic assembly [
17] for
A. cahirinus has yet to be cross-aligned and validated. As a result, researchers in the field lack a reliable reference genome to confirm which animal they are working with.
The impact of stress, known to cause menstrual cycle disturbance in women, is also barely a factor in our case, since spiny mice in our colony were getting regular pregnancies and normal litters, uncommon in human with amenorrhea. Interestingly, female
A. cahirinus in the colony of Dr. Oleg Gusev’s group [
18] at Kazan federal university (Kazan, Russia) have demonstrated vaginal bleedings (personal communication). This basically excluded our first suggestion on potential climate or stress impact on rodents, suggesting instead that we are using two different subspecies of
Acomys with specific reproductive traits. This partially explains why certain groups may acquire different observations in this genus. Overall, we may have failed to observe bleeding as Bellofiore’s group, while the spontaneous decidualization in spiny mice from our colony supports menstrual turnover of endometrium.
A peculiar finding we specifically address in our work is the observation of well-distinguished decidual cells in the endometrium of spiny mice from our colony (
Figure 3). This feature was of interest because in mammals that do not menstruate, decidualization is triggered by embryo implantation into the uterine mucosa. In menstruating ones, decidualization occurs regardless of fertilization under influence of sex hormones, and signs of decidualization were found in the uteri of non-pregnant spiny mice from our colony, suggesting high similarity to humans. Other authors also reported decidualization in this species while none have previously communicate on detection of such cells [
7,
11].
It should be noted that, since we did not observe prominent bleeding, we need to address the contradiction between obvious decidualization and the lack of menstruation. Our initial focus on blood expulsion through reproductive tract resulted in a limitation that should be the focus of future studies. Specifically, the weight/thickness of the uterine wall as indicators of edema, along with histological observations using longitudinal sections, may detect partial shedding of the endometrium lining. Furthermore, the diversity of Acomys colonies may also impact observations; thus, every researcher might require colony-specific tests prior to further investigation.
Structural traits of spiny mouse uteri were investigated in thick (100–120 μm) sections and, to our knowledge, this is the first study providing such data. A major strength of the analysis in thick sections with 3D reconstruction is a certain degree of confidence in detecting the presence/absence of structure and resulting quantitative morphometric data in a volume of tissue.
Two major differences between the spiny mice from our colony and CD1 laboratory mice were related to glandular structures and the innervation of endometrium (
Figure 4 and
Figure 5). Interspecies differences in smooth-muscle cell-bearing structures (muscular layer, arteries and arterioles) and lymphatic vessels were less pronounced (
Figure 6 and
Figure 7).
We were much surprised by the absence of glandular structures in the stroma of spiny mice endometrium contrasting their abundance in CD1 mouse strain. It is important to note that human endometrium has prominent well-developed glands [
7]. Using fluorescent microscopy of thick cleared samples of the endometrium, a tubular network of glandular epithelium, the so-called “rhizome”, was discovered, from which seemingly separate simple tubular glands rise to the epithelium, lining the uterine cavity [
19]. According to our data, the glands in CD1 mice are also not plainly tubular, but branched. The absence of glands in spiny mice, on the one hand, may question the degree of similarity to humans, but, on the other hand, it suggests the role of stroma in endometrium growth.
This feature is of importance since the stromal compartment of endometrium drives its growth under the action of estrogens [
20,
21,
22]. In murine species research attention is generally drawn to epithelial cells due to their estrogen-dependent proliferation, while
A. cahirinus may be a feasible rodent model for understanding the mechanisms of endometrial stroma renewal and growth.
Another trait of spiny mice was higher density of nerve fibers compared to CD1 mouse strain, which should be taken into account when using them for experimental studies. Generally, the role of nerve fibers in the regulation of endometrial function has been poorly studied. It is only known that one of the possible diagnostic tests for minimal to mild endometriosis is the evaluation of nerve density in the eutopic endometrium [
23]. Overall, this stresses the importance of neural regulation of endometrial functions, and
A. cahirinus is a rodent species with a more pronounced dense endometrium innervation (
Figure 5) compared to
M. musculus.In humans, spiral arteries are found in the endometrial functional layer, and desquamation is preceded by their constriction [
24]. In our observations spiral arteries were not detected in both species, while only in
A. cahirinus similar vascular structures were penetrating into the myometrial layer (
Figure 6). The significance of this morphological feature is yet to be investigated. Unlike arteries, the appearance of lymphatic vessels did not show any significant differences (
Figure 7).
One may be interested in how these features may impact regenerative capacity and menstrual cycle turnover in spiny mice. Unfortunately, recent data in the field remains limited; thus, our data indicates further directions of investigation—namely, the roles of the peripheral nervous system, regulation of decidualization, and the role of spiral artery in menstruation—once its hallmarks (bleeding and tissue discharge) are detected in future studies.
4. Materials and Methods
4.1. Animal Strains and Husbandry
Spiny mice (identified as Acomys cahirinus) were obtained from the Moscow Zoo (Moscow, Russia), and a colony was established at Lomonosov Moscow State University Faculty of Medicine (Moscow, Russia). Spiny mice were housed in groups of 5–6 per cage. Cages were lined with wood shavings and supplemented with cardboard tunnel structures and wooden houses. Food (chow pellets, special food, and water) was available ad libitum, and fresh vegetables were added weekly at a rate of up to 50 g per cage, including carrots and celery. Temperature was maintained between 25 and 27 °C and humidity at 30–40%, with a 12 h light/dark cycle (lights on at 7 am).
CD1 laboratory mice were obtained from Laboratory Animal Nursery “Pushchino” (Pushchino, Russia) and housed in cages of 4–6 individuals, with ad libitum access to water and standard mouse food at 20–22 °C and humidity at 40–60%.
Animal manipulations and euthanasia procedures were performed in compliance with National and European Union regulations and were approved by the Institutional (Ethics Board for Animal Care) Animal Care and Use Committee (Lomonosov Moscow State University; permit 205-G; 27 March 2025).
4.2. Design of Experimental Studies
General concept was based on comparative analysis of uterine cycles in female wild-type spiny mouse and CD1 mouse strain (Mus musculus). For this purpose, vaginal swabs with subsequent staining were used to determine the timespan of the cycle, and occult blood tests were used to detect blood in the vaginal discharge. To assess the level of progesterone, blood serum from the heart cavity was used for enzyme immunoassay. Eventually we obtained uterine samples for histological staining and immunofluorescent labeling followed by light or fluorescent confocal microscopy to analyze the morphological dynamics.
4.3. Vaginal Smear Collection and Analysis
Vaginal smears were collected daily from 10 spiny mice and 3 female CD1 mice aged 3–4 month and 3–4 weeks, respectively, using sterile saline. Female spiny mice were placed supine with a small towel gently wrapped around the neck and shoulders due to fragile connective tissue and tendency for the skin to tear. The vulva was moistened with an unscented water-based lubricant and approximately 50 μL of saline was drawn to a 200 μL disposable plastic tip. The tip was inserted into the vaginal canal to a depth of no more than 8 mm well before contact with the cervix and saline was injected into the vagina twice. The solution was withdrawn back into the pipette, applied to a glass slide and allowed to dry for 5 min at room temperature. Smears were fixed by placing the slides successively in 70% and 96% ethyl alcohol for 5 min each.
Fixed samples were stained with aqueous hematoxylin and eosin (BioVitrum, Moscow, Russia) as follows. Fixed slides were washed in PBS for 30 s to 1 min. Then they were placed in hematoxylin solution for 2 min, washed by tap water, and placed in eosin solution for 15 min. Slides were then washed three times with tap water to remove excess dye. Stained slides were gradually dehydrated in several ethanol solutions (70% and 96%), air-dried, and mounted with Dako Mounting Medium (Agilent, Santa Clara, CA, USA) under coverslips. Cytological studies of the stained smears from both spiny and CD1 mice were made at 100- and 200-fold magnification using light microscope (Leica Microsystems, Wetzlar, Germany).
4.4. Occult Blood Test
To detect blood in vaginal smears from 5 of 10 spiny mice, a modified Gregersen test (benzidine test) was used to assay occult blood in the material. The peripheral blood as a positive control was obtained from 2 more spiny mice. Before the test, vaginal smears and spiny mouse peripheral blood were frozen five times in liquid nitrogen and thawed at 37°C for lysis. In a 96-well plate, 45 μL of TMB (3,3′, 5,5′-tetramethylbenzidine), 45 μL of 40% acetic acid, and 10 μL of 10% H2O2 were mixed in each well. Then 50 μL of vaginal smear material was added, with diluted spiny mouse blood (from 1:8000 to 1:32,000) as a positive control and water as a negative control. After 30 min of incubation, the color change in the samples in the wells was visually determined (in the case of a positive result—the presence of hemoglobin—the color of the solution changed from colorless to yellow; the color intensity increased in direct proportion to the amount of hemoglobin), and the change in the optical density of the solution was determined using a spectrophotometer (Perkin-Elmer, Shelton, CT, USA) at λ = 450 nm.
4.5. Animal Euthanasia and Sample Harvest
The animals (spiny mice or CD1 mice) were sacrificed by CO2 asphyxiation, and cardiac puncture was performed to draw 0.5–1.0 mL of blood from each animal. Blood samples were centrifuged in cooled (4°C) Eppendorf 5415R centrifuge (Eppendorf, Hamburg, Germany) for 20 min at 2000 rpm, and obtained supernatant serum samples were collected and frozen at −80°C for further analysis. After blood collection, the abdomen of sacrificed mouse was cleaned by 70% alcohol wipe, and about 10 mL of 10% formalin solution (for spiny mice) or about 5 mL of 10% formalin (for CD1 mice) was injected into the abdominal cavity by a 15 mL syringe to fix the uterus for 10 min. Then, formalin was removed from the abdominal cavity, and the collection of uteri was performed. Obtained samples were placed in 14 mL of 10% formalin solution, followed by taking macro images of organs using a stereomicroscope (Nikon, Tokyo, Japan)
After 2 days in formalin, the organs were dissected from residual fat and cut into the following parts: the uterus was divided into 2 horns (I and II) with 4 equal parts from each horn going from the base of the uterus to the ovaries. The numbered parts of the uteri were divided for either immunofluorescent labeling or routine histology stains.
4.6. Serum Progesterone Assays
Quantitative analysis of progesterone in the serum of spiny mice was carried out using «ImmunoFA-Progesterone» enzyme-linked immunosorbent assay (ELISA) kits (Immunoteks, Moscow, Russia). Prior to the experiment, 25 μL of calibration samples, control serum or test blood sera with 0.1 mL of conjugate was first added to the wells of a 96-well plate and incubated for 1 h at 37°C. After washing, 0.1 mL of substrate solution was added to the wells and incubated for 10–15 min at 37°C, followed by 0.1 mL of stop reagent. A spectrophotometer (Perkin-Elmer, Shelton, CT, USA) was used to measure the optical density at λ = 450 nm.
4.7. Routine Histology and Hematoxylin–Eosin Staining
For histological staining, the uteri and ovaries were initially placed in a 30% sucrose solution for 24 h and then frozen in liquid nitrogen in Tissue-tek® OCT compound (Sakura Finetek, Torrance, CA, USA) in cryomolds.
Sections with a thickness of 15 μm were prepared on a cryotome (Leica Microsystems, Wetzlar, Germany) and attached to glass slides (Epredia, Kalamazoo, MI, USA), and dried at room temperature for 24 h. The sections were stained with hematoxylin and eosin (5 min with intermediate rinse in tap water) and gradually dehydrated in ethanol solutions (40% and 70%). Aqua-Poly/Mount medium (Polysciences, Warrington, PA, USA) was used to embed the preparations under coverslips.
Microimages were obtained using a microscope with constant illumination at 200× magnification and analyzed using Fiji software (v. 1.54r, NIH, Bethesda, MD, USA).
4.8. Immunofluorescent Labeling and Confocal Microscopy
Thick (100–120 μm) sections of isolated uteri were prepared using a Leica 1200s vibrotome (Leica Microsystems, Wetzlar, Germany) after incubation for 12 h in 50% tetrahydrofuran (Reactivetorg, Moscow, Russia). Immunofluorescent labeling was performed directly in 0.5 mL tubes. The antibody solution contained PBS, 0.1% Triton X−100, 2% goat serum (Thermo Fisher Scientific, Waltham, MA, USA). The samples were incubated for 16 h at 37 °C with antibodies to α-SMA (ab5694, Abcam, Cambridge, UK), LYVE1 (ab14917), PGP_9.5 (ab108986) at a 1:100 dilution, and CK (ab9377) at a 1:50 dilution. After washing from the primary antibodies by PBS containing 0.1%, Triton incubation with the corresponding rabbit secondary antibodies (Invitrogen, Waltham, MA, USA) was performed for 16 h at 37°C. Final washing was performed 3 times for 1 h. The nuclei were labeled with DAPI (Sigma-Aldrich, Burlington, MA, USA) for 8 h (1 μg/mL) in parallel with clearing of the samples according to the EZ clear protocol [
25]. Upon completion of the labeling and clearing, the samples were placed in the same clearing solution with metal spacers, and were analyzed by confocal microscopy using a Leica TCS SP5 (Leica Microsystems, Wetzlar, Germany). The obtained images were processed and analyzed with Fiji software (NIH, Bethesda, MD, USA).
4.9. Statistical Analysis
Data processing and statistical analysis were performed in Excel and StatPlus v.8 (AnalystSoft Inc, Tampa, FL, USA) software. Comparison of independent groups was performed using the Mann–Whitney U test. A 0.05 significance level was applied.