INTRODUCTION    
    Embryonic diapause refers to a reversible arrest of the    development of blastocysts. In wildlife, the phenomenon ensures    that the young are born in a favorable environment. Embryonic    diapause can be induced in a laboratory condition and is best    studied in rodents. In mice, ovariectomy in the early morning    of day 4 post-fertilization followed by progesterone    administration induces embryonic diapause, during which the    blastocysts become dormant and do not implant in the uterus,    but can implant and develop normally when reactivated by a    single dose of estradiol (1).    A recent study showed that sheep blastocysts, which do not    normally undergo embryonic diapause, could be induced to become    dormant in the uterus of delayed implanting mice and could be    reactivated when transferred back to the uterus of the ewe    (2), suggesting that embryonic    diapause is an evolutionary conserved phenomenon.  
    The onset, maintenance, and termination of embryonic diapause    are under maternal control (3).    Various factors regulate embryonic diapause. For instance,    photoperiod influences embryonic diapause in minks and    lactation affects that in rodents (3).    High levels of uterine anandamide maintain embryonic diapause    in mice (4), while the metabolite of    estrogen, catechol estrogen (5),    and polyamines (6) reactivates the    dormant embryos in mice and mink, respectively. However, the    factors that induce the onset of embryonic diapause in vivo    remain unknown.  
    Let-7 is a family of microRNAs up-regulated in the dormant    mouse blastocysts (7). Their expressions    return to a low level after estrogen-induced reactivation    (8). Although an overexpression of    let-7a suppresses implantation (7),    the origin and role of let-7 in the dormant blastocysts are    unknown. As embryonic diapause is mainly a maternally    controlled event and endometrial cells produce extracellular    vesicles (EVs) containing microRNAs (9), we tested the hypothesis that    endometrial cells produced let-7 containing EVs to induce    embryonic diapause in this report. The mechanisms of the action    of let-7 on embryonic diapause were investigated. In addition,    we provided evidence suggesting that the actions of let-7 on    embryos were conserved in humans.  
      To test the hypothesis, the precursor of let-7a (pre-let-7a)      or scrambled RNA (control) was electroporated into mouse      blastocysts on day 4 of pregnancy. The level of mature let-7a      was >40-fold higher in the pre-let-7a blastocysts than in      the control blastocysts (fig. S1A). After 3 days of culture      (day 7), the level of let-7a remained threefold higher in the      pre-let-7a group (fig. S1A). The majority of the pre-let-7a      blastocysts (95  3.2%) were morphologically viable, with a      large blastocoel (Fig. 1A), whereas 31  2.2% of      the control embryos had shrunken in size and some degenerated      by that time. On day 12, over 50% of the embryos with a      pre-let-7a overexpression remained morphologically viable,      while all the control embryos had degenerated (Fig. 1A).    
      (A) Overexpression of let-7a extended the      survival of blastocysts in culture. Survived blastocysts were      defined as those with a well-defined blastocoel.      (B) The percentage of apoptotic cells was      low in blastocysts with overexpression of let-7a on day 7      (D7-let7) and was comparable to that in day 4 activated      (D4-act) blastocysts. Blastocysts electroporated with      scrambled RNA (D7-scr) had significantly higher percentage of      TUNEL+ cells. *P < 0.05.      (C) Glucose metabolism of the D7-let7 and in      vivo dormant (Dor) blastocysts was low with significant      reduction in glucose, pyruvate uptake, and ATP levels when      compared with the D4-act blastocysts and      E2-induced reactivated blastocysts      (E2-act), respectively. D7-let7 had a high lactate      production, which was low in the dormant blastocysts.      *P < 0.05. (D) Expression of      genes related to glucose metabolism. (E and      F) The percentages of proliferating      (Ki67+, green) cells (E) and cells with DNA      synthesis (EdU+, green) (F) were lower in      blastocysts of D7-let7 when compared to that in D4-act      blastocysts. Numbers in parenthesis are number of embryos      analyzed. *P < 0.05. (G) Dor,      D7-let7, and D7-scr blastocysts did not bind significant      amount of FITC-labeled EGF. The binding of EGF was high in      the D4-act blastocysts and the delayed implanting mice 6      hours after E2-act.    
      Consistent with the above observation, the percentage of      apoptotic [terminal deoxynucleotidyl transferasemediated      deoxyuridine triphosphate nick end labelingpositive (      TUNEL+)] cells in the day 7 blastocysts      (N = 6 embryos per group) with electroporation of      pre-let-7a on day 4 (D7-let7) was significantly lower than      that of the control embryos (D7-scr, P < 0.05;      Fig. 1B). Blastocysts collected in the      afternoon of day 4 of pregnancy (in vivo activated      blastocysts, D4-act) had a low percentage of      TUNEL+ cells comparable to that of D7-let7      blastocysts (Fig. 1B).    
      It is well established that metabolism is suppressed in the      dormant embryos (10).      Therefore, we tested whether an overexpression of let-7a      would change the energy metabolism of embryos. As expected,      D7-let7 and in vivo dormant (Dor) blastocysts had low glucose      metabolism; their glucose, pyruvate uptakes, and adenosine      triphosphate (ATP) levels were significantly lower than those      of the D4-act and estrogen-induced reactivated      (E2-act) blastocysts, respectively (Fig. 1C; N = 5). The reduced      glucose metabolism was likely a result of the inhibitory      action of let-7 on its target genes related to glucose      metabolism (predicted by TargetScan or RNA22), Hk2,      Fbp1, Dld, and Dlst (Fig. 1D). Lactate production was      unexpectedly significantly higher in the D7-let7 blastocysts      than in the D4-act blastocysts (Fig. 1C), which      might be due to a high level of Ldha (lactate      dehydrogenase A) mRNA in the former (Fig. 1D).    
      The effects of an overexpression of let-7a on the      proliferation and extent of the active DNA synthesis of      blastomeres were determined by immunostaining for Ki67 and      5-ethynyl-2-deoxyuridine (EdU) incorporation assay,      respectively. The percentage of Ki67+ cells in the      D7-let7 blastocysts (N = 12) was significantly lower      than that of the D4-act blastocysts (N = 10,      P < 0.05; Fig. 1E). The      Ki67+ cells in the D7-let7 blastocysts were      concentrated in the inner cell mass; this is consistent with      the observation that the mouse trophectoderm cells entered      dormancy earlier than the inner cell mass cells (11, 12). Consistent with cell      proliferation, the percentage of EdU+ cells was      about fourfold higher (P < 0.05) in the D4-act      blastocysts (N = 5) than in the D7-let7 blastocysts      (N = 7) (Fig. 1F). The      observations were in line with the report that cell cycle      arrest in the delayed implanting blastocysts occurs before      the S phase (13).    
      An increase in epidermal growth factor (EGF) binding is a      marker of reactivation of dormant mouse blastocysts (5). Dormant blastocysts did not      bind a significant amount of fluorescein isothiocyanate      (FITC)labeled EGF (Dor; Fig. 1G). EGF      binding was up-regulated in blastocysts from delayed      implanting mice at 6 hours after estradiol-induced      reactivation (E2-act). However, D7-let7 and D7-scr      blastocysts exhibited a low EGF binding. The similarly low      EGF binding of D7-let7 and D7-scr blastocysts could be      attributed to different causes; the former reflected a      diapause state, while the latter reflected a deteriorating      state with many apoptotic cells (Fig. 1B).    
      To determine whether the overexpression of let-7 in embryos      had been in a reversible dormant state in vivo, a      2-fluoroestradial-17 (2-Fl-E2)treated mouse      model was used. 2-Fl-E2 treatment induces a      receptive state of the endometrium (5). It also inhibits the uterine      estrogen-2/4-hydroxlyase activity, thereby suppressing the      synthesis of 4-hydroxy-E2, a catechol metabolite      of estradiol-17 (E2) required for the activation      of dormant mouse blastocysts (5). Thus, 2-Fl-E2      injection induces uterine receptivity but fails to reactivate      the dormant blastocysts in the delayed implanting mice      (5). We transferred D7-let7      blastocysts into the 2-Fl-E2treated      pseudo-pregnant uteri (N = 6 mice per group); the      number of implantation sites at 28 hours after embryo      transfer was significantly lower than that after the transfer      of the D4-act blastocysts (P < 0.05; Fig. 2A).    
      (A) The implantation rate of D7-let7 after      embryo transfer into 2-Fl-E2treated mice was      significantly lower than that of D4-act. 2-Fl-E2      injection induces uterine receptivity but fails to activate      the dormant blastocysts in the delayed implanting mice.      Numbers in parenthesis are number of animals receiving the      transferred embryos. *P < 0.05.      (B) Live births were obtained after transfer      of blastocysts with overexpression of let-7a for 3 days      (D7-let7) and 4 days (D8-let7), although the live birth rate      was lower than that from D4-act blastocysts. Numbers in      parenthesis are number of live birth/total number of embryos      transferred. (C) Survival curve of      blastocysts carrying an inducible let-7g transgene with and      without DOX treatment cultured in KSOM + AA medium. Most of      the control embryos survived until day 6, whereas 50% of the      DOX-treated embryos maintained good morphology even on day      13. (D) Live births were obtained after      transfer of let-7g blastocysts treated with DOX treatment for      3 days (D7+DOX) and 5 days (D9+DOX). No live birth was      obtained from transfer of day 7 WT blastocysts. Numbers in      parenthesis are number of live birth/total number of embryos      transferred. (E) Microarray analyses of the      mRNA expression of D4-act (D4-act-7g), in vitro (DOX      treatment in culture, DOX-7g), and in vivo induced dormant      (Dor-7g) let-7g blastocysts. Heatmap of the top 500      differentially expressed genes between the dormant and D4-act      blastocysts was shown. (F) Venn diagram      showing the number of differentially expressed genes between      in vitro (DOX treatment in culture) or in vivo induced      dormant blastocysts against D4-act blastocysts. Photo credit:      W. M. Liu, The University of Hong Kong.    
      The reversible nature of let-7induced embryonic diapause was      tested by transferring D7-let7 blastocysts into D3      pseudo-pregnant uteri. Live births were obtained from      blastocysts with an overexpression of let-7a for 3 days      (D7-let7) and 4 days (D8-let7; Fig. 2B). All      the pups had normal birth weight (fig. S1B). No pup was born      after the transfer of the D12-let7 and D7-scr blastocysts      (data not shown).    
      In the above experiments, electroporation induced only a      transient rise in the let-7a level for a few days. To      determine the prolonged action of a high level of let-7 on      embryo survival in vitro, we produced transgenic mice from      embryonic stem cells with doxycycline (DOX)inducible let-7g      (a gift from G. Q. Daley, Harvard Stem Cell Institute,      Boston, MA, USA). DOX treatment induces let-7g expression in      the transgenic mice. The transgene is unique in that the loop      region of the precursor let-7g (pre-let-7g) in the transgene      is replaced by that of microRNA-21. Therefore, endogenous      Lin28 cannot bind to pre-let-7g and block let-7g biogenesis      in the transgenic mice (14). Let-7 family members      contain a similar seed sequence that spans from nucleotide      2 to 8 in mice (15). This      conserved feature suggests that the let-7 family members have      similar target mRNAs and functions. Identical changes in the      expression of 14 genes were observed in the blastocysts after      an overexpression of let-7a and let-7g (fig. S2). The above      embryo transfer experiment was repeated with the transgenic      mice.    
      When blastocysts from the transgenic mice were treated with      DOX during culture, the let-7g level in the embryos increased      32-fold, and 50% of the blastocysts survived for 14 days in      vitro (Fig. 2C). Pups were obtained after the      transfer of DOX-treated day 7 (D7+DOX) and day 9 (D9+DOX)      blastocysts, but not day 7 wild-type (D7WT) blastocysts,      into WT day 3 pseudo-pregnant mice (Fig. 2D).      Because the inducible let-7g transgenic mice better simulated      the in vivo condition, their blastocysts were mainly used for      subsequent experiments unless otherwise stated.    
      To understand the molecular actions of let-7 on embryonic      diapause, the GeneChipTM Mouse Gene 2.0 ST Array      was used to determine the transcriptomes of D4-act, in vivo      dormant, and let-7induced dormant blastocysts from      let-7gtransgenic mice. Unsupervised hierarchy clustering      (Fig. 2E) and principal components analysis      (fig. S3A) showed that the mRNA profiles (table S1) of the in      vitro induced dormant blastocysts (DOX treatment in culture,      DOX-7g) and the in vivo dormant blastocysts (Dor-7g) were      similar but distinct from those of the D4-act let-7g      blastocysts (D4-act-7g). To confirm the data obtained from      the mRNA profiles, the total RNAs isolated from five pools of      D4-act-7g, Dor-7g, and DOX-7g blastocysts were subjected to      direct quantitative polymerase chain reaction (qPCR) analyses      for the transcript levels of six genes, namely,      Ccne1, Btg1, Pkm, Oxct1,      Fbp1, and Sap1 (fig. S3B). These genes were      involved in cell cycle (Ccne1 and Btg1),      carbohydrate metabolism, energy pathway (Pkm and      Oxct1), and chromatin remodeling (Sap30).      The expression patterns were consistent with the results of      the array. Among them, two genes (Btg1 and      Oxct1) were significantly higher, while the rest      were significantly lower in the Dor-7g and DOX-7g blastocysts      than in the D4-act-7g blastocysts (P < 0.05).    
      Compared with the D4-act-7g blastocysts, the in vitro and the      in vivo induced dormant blastocysts exhibited 3444 and 2452      differentially expressed genes, respectively (Fig. 2F). Among the differentially      expressed genes, 1006 of them were common in the two      comparisons (Fig. 2F). Gene ontology analysis of      these common genes using Database for Annotation,      Visualization, and Integrated Discovery (DAVID) showed that      they were related to mitotic nuclear division, cell division,      G1-S transition of mitotic cell cycle, DNA repair,      DNA replication, and cell cycle (table S2).    
      Because embryonic diapause is a maternally regulated      phenomenon, we tested the possibility of a maternal origin of      let-7 in the delayed implanting blastocysts. This possibility      is supported by three observations. First, transmission and      scanning electron microscopy showed EV-like structures in the      mouse uterine lumen (fig. S4A) and on the trophectoderm of      blastocysts collected in the uterine lumen (fig. S4B),      respectively. Second, immunostaining detected the presence of      CD63, a marker of EVs, in the uterine epithelium of mice      (fig. S4C) and on the surface of EVs from uterine luminal      fluid (ULF; fig. S4D). Nanoparticle tracking analysis showed      that the EVs in ULF had a mean size of 82.3 nm (fig. S4E).      Western blot analysis showed that these ULF-EVs were positive      for HSP70, CD63, and TSG101 and negative for calnexin and      GM130. Third, mouse ULF contains let-7 carrying      CD63+ EVs, which can be internalized by      blastocysts (16). To obtain      further evidence, the expression patterns of let-7 in the      endometrial epithelial cells, EVs from ULF (ULF-EVs), and in      blastocysts from mice before embryonic diapause, during      embryonic diapause, and after E2-induced      reactivation were determined. The results showed that they      had similar patterns with a high let-7a expression only in      the dormancy period (Fig. 3A). The pattern was      markedly different from that of the stromal cells (fig. S5),      supporting the idea that the endometrial epithelial cells      produced EVs containing let-7a during delayed implantation.    
      (A) The expression patterns of let-7a in      endometrium epithelial cells, EVs of ULF-EVs, and blastocysts      in the mouse delayed implantation model before and during      diapause and 1, 3, and 24 hours after estradiol-induced      reactivation were similar. *P < 0.05;      **P < 0.01; ***P < 0.001.      (B) The expression of pre-S7gL21 was      significantly higher in ULF-EVs from DOX-treated transgenic      mice carrying an inducible let-7g transgene relative to that      of ICR mice (upper panel) and in ICR blastocysts after      transfer into the DOX-treated let-7g transgenic mice when      compared to ICR blastocysts without transfer (lower panel).      **P < 0.01. (C) Let-7 in EVs      suppressed the level of LIN28 in human trophoblast JEG-3      cells. Let-7acontaining EVs generated by transfection of      endometrial cells with pre-let-7a, but not EV-free let-7a,      suppressed expression of LIN28. *P < 0.05.      (D and E) Let-7aenriched      EVs suppressed expression of c-myc protein (D) and DNA      synthesis (E) in day 4 mouse blastocysts. Day 4 embryos were      cocultured with let-7aenriched EVs or control EVs.      Expression of c-myc protein (green) was observed by confocal      microscopy after immunohistochemical staining and analyzed      with the ImageJ software (n = 15 embryos for each      group). DNA synthesis was determined by EdU incorporation      assay. Green, newly synthesized DNA; blue, DAPI. n =      20 embryos for each group. **P < 0.01.      (F) Let-7genriched EVs from DOX-treated      endometrial epithelial cells of let-7g transgenic mice      (Let-7g-EV) prolonged the survival of WT day 4 blastocysts in      KSOM + AA medium. The survival rate on day 7 of untreated      blastocysts and those treated with EVs from WT mice was low.      Numbers in parenthesis are number of embryos analyzed.      *P < 0.05.    
      The inducible let-7g transgenic mice carry a unique chimeric      let-7g Stem/miR-21 loop sequence (S7gL21), in which the loop      of pre-let-7g is replaced by that of microRNA-21. qPCR assay      was developed to detect the expression of the transgene; the      forward primer targeted on a sequence that crossed the stem      and the loop of S7gL21 so that only the precursor of the      transgene, but not pre-let-7g, was amplified. DOX treatment      significantly induced the expression of the sequence in the      liver (data not shown) and ULF-EVs (Fig. 3B,      upper panel) of the transgenic mice, but not that of the ICR      (Institute of Cancer Research) mice. Blastocysts from ICR      mice were transferred into the pseudo-pregnant delayed      implanting let-7g transgenic mice. Three days later, the      expression of the S7gL21 sequence was significantly higher in      the transferred embryos than in those that were not      transferred (Fig. 3B, lower panel). The result      confirmed that let-7 was transferred from the mother to the      embryos in vivo.    
      To study the biological effect of let-7a and let-7g in EVs,      we produced let-7enriched EVs by two methods. First,      let-7aenriched EVs were isolated from the spent culture      medium of human endometrial Ishikawa cells transfected with      pre-let-7a. Transfection with scrambled RNA was used as      control. The collected EVs at physiological concentration      were then used to treat day 4 blastocysts or human      trophoblast JEG-3 cells. Endometrial EVs containing let-7a,      but not EV-free let-7a, were biologically active in      suppressing the expression of let-7 targets, LIN28A [lin-28      homolog A (Caenorhabditis elegans); Fig. 3C], C-MYC (MYC proto-oncogene), and      RICTOR (RPTOR independent companion of MTOR, complex 2; fig.      S5B) in the JEG-3 cells. Incubation of the let-7aenriched      EVs for 24 hours significantly decreased the protein      expression of c-myc in the treated blastocysts relative to      the control embryos (Fig. 3D) and reduced their      DNA synthesis (let-7 EVs; Fig. 3E) to a      level comparable to that in the in vivo dormant blastocysts      (Dor; Fig. 3E).    
      To better simulate the in vivo situation, let-7genriched EVs      were obtained from endometrial epithelial cells of let-7g      transgenic mice treated with DOX for 4 days in a medium      supplemented with 10% EV-free fetal bovine serum (FBS) and      were used at physiological concentration to treat WT day 4      blastocysts in KSOM + amino acid (AA) medium. After 3 days of      culture, 82  16.2% (N = 150) of the      let-7g-EVtreated blastocysts still had the blastocoel, and      12  5.4% of them developed to term after an embryo transfer.      In contrast, 85  10.1% (N = 100) of the blastocysts      degraded in the absence of EVs (Fig. 3F), and      the survived ones produced no pups after transfer.    
      Inhibition of mTOR (mammalian target of rapamycin) (17) or MYC (18) induces a diapause-like      state in mouse embryos. We consistently observed significant      decreases in the transcript expression of c-myc and      Akt1 (mTOR activator) and increases in that of      Tsc1 and Tsc2 (mTOR inhibitors) in the      let-7ginduced dormant blastocysts when compared with the      untreated blastocysts (Fig. 4A). On the other      hand, Pten of PIK3 (phosphatidylinositol-3-kinase)      signaling, an upstream pathway of mTOR, was unaffected by the      DOX treatment.    
      (A) RT-PCR analysis showing the expression      of c-myc and mTOR signaling components after let-7g      overexpression. D4 blastocysts from let-7g transgenic mice      were cultured in the presence or absence of DOX for 48 hours      before determination of gene expression. *P <      0.05. (B) Expression of c-myc in JEG-3      trophoblast cells at 24 hours after transfection of c-myc      mRNA. **P < 0.01. (C)      Representative confocal images of EdU incorporation (green)      in blastocysts at 24 hours after electroporation of c-myc      mRNAs or scrambled RNA. Blue, nuclei. Scale bar, 50 m.      (D) Expression of c-Myc and pRpS6 in JEG-3      cells treated with mTOR inhibitor, INK-128, for 24 hours.      ***P < 0.001. (E) Western blot      analysis of the effect of c-myc inhibitor 10058-F4 (MI) on      mTORC1 targets (pRpS6 and p4EBP1) and mTORC2 target (pAKT) in      JEG-3 cells. All quantification measurements are normalized      to -actin. **P < 0.01. (F)      Representative confocal images of blastocysts immunostained      for p4EBP1 and pRpS6. D4 blastocysts from let-7g transgenic      mice were electroporated with or without c-myc mRNA before      culture in the presence or absence of DOX. ICR D4 blastocysts      (D4) and dormant embryos (Dor) served as positive and      negative controls, respectively. (G)      Expression of Rictor and phosphorylated AKT protein in JEG-3      cells transfected with either let-7a mimics or scramble for      24 hours. Data are presented as means  SE. *P <      0.05; **P < 0.01. (H)      Representative confocal microscope images showing Rictor in      embryos during diapause and at 6-hour postestrogen-induced      reactivation (A6h). Scale bar, 50 m.    
      Next, we determined whether c-myc mediated the      action of let-7g on the induction of embryonic diapause. In      vitro transcription was used to generate c-myc mRNA.      The mRNA was biologically active, and the level of C-MYC      protein in the JEG-3 cells increased fourfold at 24 hours      after transfection of the mRNA (Fig. 4B).      Electroporation of the c-myc mRNA enhanced C-MYC      expression (fig. S6A) and EdU incorporation (Fig. 4C) in D4 blastocysts. Overexpression      of c-myc also nullified the effects of let-7g      overexpression on the prolongation of the embryo survival in      vitro; in the presence of DOX, the let-7g transgenic      blastocysts transfected with c-myc mRNA could only      survive until day 6; the vast majority died the next day,      whereas 50% of the DOX-treated transgenic blastocysts without      the transfection survived up to day 15 (fig. S6B).    
      C-MYC is upstream of mTORC1 in rat fibroblasts (19). The incubation of JEG-3      cells with an inhibitor of mTORC1/mTORC2 pathways, INK-128,      for 24 hours reduced phosphorylation of mTORC1 target and      RpS6 phosphorylated at Ser235/236 (pRpS6) and had      no effect on the expression of C-MYC (Fig. 4D).      On the other hand, treatment with the C-MYC inhibitor      10058-F4 [MYC inhibitor (MI)] (20) significantly decreased the      phosphorylation of mTORC1 targets, pRpS6, and p4EBP1 (4EBP1      phosphorylated at Thr37/46) in the JEG-3 cells      (Fig. 4E) and D4 blastocysts (fig. S6C).      The phosphorylation level of mTORC2 target, AKT at      Ser473 (pAKT), was unexpectedly not affected      (Fig. 4E and fig. S6C), suggesting that      mTORC1, but not mTORC2, signaling was downstream of C-MYC in      blastocysts and trophoblast cells. Overexpression of      c-myc mRNA in day 4 let-7g blastocysts for 48 hours      reduced the inhibitory effects of DOX-induced let-7g on      mTORC1 targets (Fig. 4F).    
      Inhibition of mTORC1 alone was insufficient to induce      embryonic diapause (17).      Therefore, bioinformatics analysis was conducted to find      whether let-7 also targeted the mTORC2 pathway. TargetScan      identified that a component of mTORC2, Rictor, was a      potential target of let-7. The prediction was supported by      the down-regulation of RICTOR expression in the JEG-3 cells      at 48 hours after transfection of the cells with pre-let-7a      (Fig. 4G). Dual luciferase assay confirmed      that Rictor was a direct target of let-7a. At 24      hours after transfection, let-7a mimics reduced the      luciferase activity of Rictor 3 untranslated region      (3UTR) reporter by about fivefold when compared to the      scramble control (fig. S7). Mutation of the let-7a binding      sites on the reporter construct abolished the reduction in      luciferase activity (fig. S7). As expected, the expression of      RICTOR was lower in the dormant embryos (Dor) than in those      at 6-hour postE2-induced reactivation (A6h;      Fig. 4H). The action of let-7 on mTORC2      signaling was further confirmed by a significant decrease in      pAKT expression in the JEG-3 cells at 48 hours after      transfection of pre-let-7a when compared with the scramble      control (Fig. 4G).    
      The inhibition of polyamine biosynthesis delays the      reactivation of dormant embryos in vitro (21). We consistently found an      increased expression of polyamine biosynthesis enzymes,      ornithine decarboxylase (ODC1) and spermine synthesis enzyme      (SMS) in the reactivated embryos (A24h), relative to the      dormant embryos (Dor; Fig. 5A).    
      (A) Representative confocal microscope      images of Dor and Act-24h embryos immunostained for ODC1 and      SMS. Scale bar, 50 m. (B) Schematic      representation of the five putative myc response elements in      the proximal Odc1 promoter (upper). Luciferase      activities in 293T cells after cotransfection of a      c-myc expression vector with empty luciferase      reporter (pGL3) and long or short Odc1 promoter      constructs (lower). Data represent means  SE. ***P      < 0.001 versus empty reporter (pGL3);      ###P < 0.001 versus long Odc1      promoter construct. (C) ChIP-qPCR assay to      evaluate the relative myc binding to the Odc1      promoter isolated from uterine epithelial cells on day 4 of      pregnancy (D4-ME) and during diapause (Dor-ME). Amplified      putative myc response elements (1, 2, 3, and 4-5) are      depicted in the upper panel of (B). Data represent means       SE. *P < 0.05 and **P < 0.01.      (D and E) The expression of      ODC1 was detected at 24 hours after incubation with or      without the c-myc inhibitor 10058-F4 (MI) in JEG-3      trophoblast cells (D) and in blastocysts (E). All      quantification measurements in Western blot were normalized      to -actin. Scale bar, 50 m. (F) D4      blastocysts from let-7g transgenic mice were electroporated      with or without c-myc mRNA before culture in the presence of      DOX. D4 and Dor blastocysts served as positive and negative      controls, respectively. (G) Schematic      diagram summarizing the molecular actions of      endometrium-derived let-7 in inducing embryonic diapause.      Blastocysts take up endometrial EVs enriched with let-7.      Let-7 inhibits c-myc, leading to reduction of mTORC1 activity      and reduction in ODC1 biosynthesis. Polyamines are required      for reactivation of diapausing embryo. Let-7 also suppresses      mTORC2 directly by its action on mTORC2 component      Rictor.    
      Odc1 encodes a rate-limiting enzyme in polyamine      biosynthesis. An analysis of a genome-wide embryonic C-MYC      chromatin immunoprecipitation (ChIP) sequencing dataset      (22) revealed recruitment of      C-MYC at the promoter of Odc1 and identified five      putative c-myc response elements on the promoter (Fig. 5B). Luciferase reporter assays      showed that response elements 3, 4, and 5 were the major      sites that conferred C-MYC responsiveness (Fig. 5B). Site-specific ChIP assays using      the DNA from mouse primary uterine epithelial cells isolated      from delayed implanting (Dor-ME) and day 4 activated mouse      uteri (D4-act) confirmed the recruitment of C-MYC to these      response elements (Fig. 5C). There were      reductions in the recruitment of C-MYC to these elements of      Odc1 promoter in the uterine epithelial cells during      embryonic diapause (Dor-ME) when compared to those from      D4-act mice (Fig. 5C).    
      Our data further showed that the inhibition of C-MYC by MI      for 24 hours significantly decreased the protein level of      ODC1 in the JEG-3 cells (Fig. 5D) and D4      blastocysts (Fig. 5E). Treatment with DOX reduced      the protein expression of ODC1 in the let-7g blastocysts      relative to the D4 blastocysts (Fig. 5F). The      action was mediated by C-MYC as the transfection of      c-myc mRNA abolished the let-7induced      down-regulation of ODC1 in the embryos (Fig. 5F).      Together, endometrial epithelial cellderived let-7      suppressed c-myc/mTORC1, mTORC2 signaling, and polyamine      biosynthesis to induce embryonic diapause (Fig. 5G).    
      Non-diapause sheep blastocysts become dormant in the uteri of      delayed implanting mice and can be reactivated after a      transfer to the uterus of ewe (2). We tested whether      let-7enriched EVs would affect the differentiation of a      human embryo surrogate model termed BAP-EB (23). BAP-EB was derived by BAP      (BMP4, A83-01, and PD173074)induced differentiation of      embryoid bodies of human embryonic stem cells (hESCs) into      trophoblast spheroids. BAP-EB spheroids resemble human      blastocysts in size and morphology. They express markers of      trophectoderm and trophoblast and do not express those of      other germ layers. BAP-EB selectively attached onto primary      receptive endometrial epithelial cells and receptive      endometrial epithelial cell lines, but not other      nonendometrial cell lines, nonreceptive endometrial cell      line, and primary prereceptive endometrial epithelial cells      (23).    
      The time when BAP was added to induce trophoblast      differentiation was considered as time zero of post-induction      of differentiation (pid). During differentiation, the      expression of the marker of inner cell mass (OCT4)      in the BAP-EB spheroids decreased rapidly at 48-hour pid and      was undetectable by 96-hour pid. The expression pattern was      different from that of the trophectoderm and trophoblast      markers. The trophectoderm marker (CDX2) showed a      transient increase at 48-hour pid, while those of trophoblast      (CK7, CDH1, and GATA2),      syncytiotrophoblast (ERVW-1 and CGB), and      extravillous trophoblast (MMP2 and HLA-G)      increased progressively with differentiation. Treatment with      let-7g-EVs at 48-hour pid significantly affected the mRNA      expression of these trophoblast markers at 96-hour pid      relative to the control-EVtreated spheroids (Fig. 6A); let-7treated BAP-EB at 96-hour      pid exhibited significantly higher levels of trophectoderm      marker (CDX2) and lower levels of trophoblastic      markers (GATA2, CK7, CDH1,      ERVW-1, CGB, MMP2, and      HLA-G). The comparable expression levels of these      markers in the let-7g-EVtreated spheroids at 96-hour pid      with that of the spheroids at 48-hour pid were consistent      with a high level of let-7induced dormancy and cessation of      differentiation.    
      (A) Treatment of hESC-derived trophoblast      spheroids (BAP-EB, human embryo surrogates) with      Let-7genriched EVs at 48-hour pid significantly reduced the      mRNA expression of trophoblast [CK7 (keratin 7),      CDH1 (cadherin 1), and GATA2 (GATA-binding      protein 2)], syncytiotrophoblast [ERVW-1 (endogenous      retrovirus group W member 1, envelope) and CGB      (chorionic gonadotropin subunit beta 3)], and extravillous      trophoblast [MMP2 (matrix metallopeptidase 2) and      HLA-G (major histocompatibility complex, class I,      G)] markers at 96-hour pid relative to the control EVtreated      BAP-EB. The expression of pluripotent genes [OCT4      (POU class 5 homeobox 1) and CDX2 (caudal type      homeobox 2)] decreased within this period. *P <      0.05. (B) Treatment with let-7genriched EVs      significantly reduced the attachment of BAP-EB onto receptive      endometrial epithelial cells, Ishikawa. At 48-hour pid of      BAP-EB, control EVs or Let-7genriched EVs were incubated      with BAP-EB until 72-hour pid; the spheroids were evenly      transferred onto a confluent monolayer of Ishikawa cells and      further cocultured for 3 hours. Nonadherent spheroids were      removed, and the percentage of attached BAP-EB was      calculated. *P < 0.05. (C)      Viability of day 5 human blastocysts after treatment with      let-7enriched EVs or control EVs for 3 days. Blastocysts      with a blastocoel were considered viable.    
      BAP-EB spheroids attach specifically onto receptive      endometrial cells resembling the early implantation event      (23). Treatment with let-7g-EVs      reduced the protein expression of c-myc (fig. S8) in the      BAP-EB and significantly decreased their attachment onto the      receptive endometrial epithelial Ishikawa cells (P      < 0.05; Fig. 6B).    
      Good quality human blastocysts can be obtained in 65% of the      cultured blastocysts on day 5 and 30% on day 6, but only 5%      on day 7 (24). In this      study, day 5 human blastocysts (N = 21) were treated      with let-7genriched EVs and their viability in terms of the      presence of a blastocoel, morphology of the trophectoderm      cells, and the inner cell mass cells were examined. The      blastocoel and good morphology were maintained in 52% of      let-7g-EVtreated blastocysts on day 7, whereas only 30% did      so in the untreated group (N = 10). One of the      EV-treated blastocysts remained viable until day 8 (Fig. 6C). The observations were consistent      with a beneficial effect of let-7 on embryo survival in      vitro.    
    There have long been efforts searching for the natural    initiator of embryonic diapause but without much success. Our    data show that let-7 of endometrial epithelial origin is a key    inducer of embryonic diapause in vivo. Specifically, when the    mice undergo diapause, the endometrium generates let-7enriched    EVs, which are taken up by blastocysts. Two observations    support the role of let-7 in the induction of embryonic    diapause. First, the overexpression of let-7a and incubation    with let-7enriched EVs prolonged blastocyst survival in vitro.    Second, the treated embryos developed to term after an embryo    transfer. The study further demonstrates a conserved action of    let-7 on the induction of diapause-like phenotype in a human    embryo surrogate and the prolongation of survival of human    embryos in vitro.  
    Let-7 is a key inducer of embryonic diapause because it can    simultaneously regulate the two known pathways leading to    embryonic diapause. Two recent studies showed that simultaneous    inhibition of C-MYC and N-MYC (18) or inhibition of mTORC1 and    mTORC2 (17) signaling is required for    the induction of embryonic diapause. The present data showed    that let-7 induced embryonic diapause via the inhibition of    both the C-MYC/mTORC1 and mTORC2 signaling pathways. Although    the action of let-7 on n-myc has not been studied, it    is known that there are two let-7 binding sites in the 3UTR of    Mycn (25). Therefore, it    is likely that let-7 also suppresses the expression of    n-myc.  
    Let-7 inhibits Odc1 expression via the suppression of    c-myc. This can be a mechanism reducing the potential    of diapausing blastocysts to be reactivated, as polyamine    biosynthesis is required for reactivation, and inhibition of    their biosynthesis in embryos delays reactivation in vitro    (21). Our site-specific ChIP assay    demonstrated a reduced recruitment of C-MYC to the    Odc1 promoter during diapause. Whether the reduction    is due to the suppression of C-MYC expression resulting from a    high expression of let-7 in the cells during diapause remains    to be determined.  
    We localized the C-MYC protein mainly to the cytoplasm of    embryos. This differs from the expected nuclear localization of    C-MYC in many cell types. The antibody used in this report    localized the expression of C-MYC to the nuclei of embryonic    stem cells (fig. S6D). Three other antiC-MYC antibodies were    tested and showed similar cytoplasmic C-MYC expression in    embryos (data not shown). The expression of cytoplasmic MYC has    been reported. MYC-nick is a cytoplasmic cleavage product of    the full-length C-MYC, widely expressed in a large number of    cell lines (26). It is    expressed in differentiating cells and tissues and plays a    significant role in the differentiation of myofibroblasts and    the trans-differentiation of fibroblasts into muscle cells    (26). Thus, a let-7induced    decrease of cytoplasmic C-MYC may lead to a decrease in the    differentiation potential of the diapausing blastocysts.  
    Let-7 overexpression induced dormancy via the suppression of    apoptosis, cell proliferation, DNA synthesis, and energy    metabolism. The majority of these phenotypes can be explained    by the actions of let-7 on its targets, for instance, a high    level of let-7 targets on c-myc to inhibit    proliferation (27), caspase-3 to    suppress apoptosis (28), and HK2    to reduce glucose utilization (29). A high let-7 expression is    also associated with the quiescence of fibroblasts (30). Our results on Hk2    and Fbp1 mRNA expression are in contrast with those of    a previous proteomic study (31). The discrepancies could    possibly be due to different comparisons made in the two    studies: dormant versus reactivated blastocysts at 12 to 14    hours after E2 injection in the previous studies but    dormant versus D4 activated blastocysts in the present study.  
    Contrary to the low lactate production of dormant embryos in    vivo, an overexpression of let-7 up-regulated lactate    production. Dld and Dlst are let-7    targets. They are subunits of the 2-oxo-glutarate complex and    the -ketoglutarate dehydrogenase complex of carbohydrate    metabolism. Inhibition of DLD (Dihydrolipoamide dehydrogenase)    activity in spermatozoa causes lactate accumulation (32), and infantile lactic acidosis    is associated with severe deficiencies of the -ketoglutarate    dehydrogenase complex (33). These    conditions may have been recapitulated in the present model by    the suppressive action of let-7 on Dld and    Dlst. Alternatively, the observation could be due to    an indirect action of let-7 on Ldha via its well-known    target Lin28a. Overexpression of Lin28a    decreases the expression of Ldha in the human    embryonic kidney cells (34). The    molecular mechanism of Lin28a on the observation    remains to be determined.  
    Transcriptomic analyses showed that the mRNA profile of    let-7ginduced embryonic diapause is about 30 to 40% similar to    that of in vivo dormant embryos. These common genes represent    the let-7affected genes contributing to in vivoinduced    embryonic diapause. Consistently, gene ontology analysis of the    common genes showed that they were related to pathways expected    to be involved in embryonic diapause. The present study    demonstrates that ULF-EVs are important in the induction of    embryonic diapause. EVs contain many other components. The lack    of some of these components could explain the differential    expression of genes between the let-7ginduced and in vivo    dormant embryos. The differentially expressed genes may be    responsible for the phenotypes that are different between the    let-7induced and the in vivo embryonic diapause, such as high    lactate production after let-7induced embryonic diapause.    Their absence may also explain the inability of an    overexpression of let-7 alone in maintaining the survival of    embryos for a very long term.  
    The endometrium produces ULF-EVs containing proteins, mRNAs,    and microRNAs that are believed to be important means of    communication between the blastocysts and the endometrium    (9). Let-7 containing EVs inhibited    the differentiation of human embryo surrogates and reduced    their attachment onto receptive endometrial epithelial cells.    Dysregulation of endometrial microRNAs occurs in subfertile    women (35). It is possible that an    abnormal expression of embryonic diapause-related microRNAs in    the endometrial-derived EVs would retard the differentiation of    the implanting embryos, leading to asynchronous development    between the embryos and the endometrium. Desynchronization in    the development between the blastocyst and the endometrium is a    cause of implantation failure (36). However, further studies are    required to explore this possibility.  
    In conclusion, the study showed an important role of    endometrial EVs in embryo dormancy, demonstrating that let-7 in    EVs is a major player in the induction of embryonic diapause.  
    A summary of the techniques and procedures for addressing the    questions raised in the report can be found in the    Supplementary Materials.  
      The study protocol was approved by the Committee on the Use      of Live Animals in Teaching and Research, The University of      Hong Kong (CULATR number: 3560-15). Females of the ICR mice      were mainly used. Transgenic mice carrying a DOX-inducible      let-7g gene (Slet-7gLmiR-21) were generated by the injection      of embryonic stem cells carrying the let-7gStem/21loop      sequence (a gift from G. Daley, Harvard Stem Cell Institute,      Boston, MA, USA) into ICR blastocysts. The chimeric mice      generated were then bred with CD-1 females to generate      germline-transmitted pups. To match the genetic background of      the embryonic stem cells carrying the transgene (V6.5 mESC),      the mouse line was maintained on a C57/B6 background by      backcrossing more than five times.    
      ICR female mice aged 6 to 8 weeks were superovulated by      successive intraperitoneal injections of 5 IU of pregnant      mare serum gonadotropin (Sigma-Aldrich, St. Louis, USA) and 5      IU of human chorionic gonadotropin (hCG; Sigma-Aldrich) 47 to      48 hours apart and were mated with male mice. The vaginal      plug was checked the day following mating. The day when a      vaginal plug was seen was considered as day 1 of pregnancy.      Blastocysts were collected from the uteri at 96 hours after      hCG injection and cultured in M16 medium (Sigma-Aldrich) or      KSOM + AA medium (Millipore, MA, USA). In normal pregnancy,      blastocysts are activated by an estradiol surge in the      afternoon of day 4 of pregnancy.    
      Delayed implanting mice were generated as reported (7). Briefly, pregnant mice were      ovariectomized in the morning (8:00 a.m. to 9:00 a.m.) of day      4 followed by daily subcutaneous injection of progesterone      (P4; 2 mg per mouse; Sigma-Aldrich) from days 5 to      7 (5) to maintain the delayed      implantation status. Dormant blastocysts were activated by a      single subcutaneous injection of E2 (25 ng per      mouse; Sigma-Aldrich) into the delayed implanting mice on day      7 of pregnancy.    
      Female mice were mated with vasectomized males to generate      pseudo-pregnant mice. Embryos were flushed out on day 4 of      pregnancy and cultured as described above. Before embryo      transfer, the mice were anesthetized with pentobarbital (40      mg/kg, intraperitoneally). Twenty embryos were transferred to      each mouse. The implantation sites on day 5 of pregnancy were      identified by intravenous injection of 0.1 ml of 1% Chicago      blue dye (Sigma-Aldrich) in saline, or the numbers of live      birth were recorded.    
      Endometrial epithelial and stromal cells were isolated after      the collection of ULF. Briefly, the uteri were opened      longitudinally, and the tissues were digested in trypsin      (Difco, BD Biosciences, MD, USA) for 1.5 hours at 4C and      then for 30 min at 37C. Dulbeccos modified Eagles medium      (DMEM)/F12 medium (Sigma-Aldrich) supplemented with 10% FBS      (Thermo Fisher Scientific, CA, USA) was used to stop the      digestion. The epithelial cells were collected after a gentle      shaking to separate the cells from the uterine tissues and      were washed with phosphate-buffered saline (PBS) thrice at      300g for 10 min. The cells were then cultured      briefly for 30 min to remove the contaminated stromal cells      before reseeding to another culture well for experimentation.      The remaining tissues were further digested by collagenase I      (10 mg/ml; Invitrogen, Carlsbad, USA) and deoxyribonuclease      (DNase; 5 mg/ml; Invitrogen) for 30 min with shaking at 37C.      After stopping the digestion as described above, the stromal      cells were shaken from the tissues. The cell pellets      collected were washed by PBS thrice and filtered through a      nylon mesh with pore size of 40 m (BD Falcon Co., NJ, USA)      before RNA isolation. The purity of the epithelial cells and      stromal cells was over 90% as determined by immunostaining,      using antibodies against mouse cytokeratin (Dako, Glostrup,      Denmark) and mouse CD90 (BD Biosciences, MA, USA),      respectively.    
        Electroporation.        Pre-let-7a or scrambled miRNA control (Thermo Fisher        Scientific) was electroporated into day 4 blastocysts from        ICR mice as described (7). Briefly, the uteri of day 4        pregnant mice were flushed with Hanks solution to obtain        blastocysts, which were then transferred to prewarmed        droplets of M16 medium. Pre-let-7a or scramble control was        electroporated into the embryos in a flat electrode chamber        (1-mm gap between electrodes; BTX Inc., San Diego, USA) in        20 l of Hepes-buffered saline (150 mM NaCl, 20 mM Hepes,        Sigma-Aldrich), by two sets of three electric pulses of 1        ms at 30 V with 1-min interval between sets, and inverting        polarity using the 830 Electro Square Porator (BTX Inc.,        San Diego, USA). Following electroporation, the embryos        were cultured in KSOM + AA or M16 for experimentation.        About 95% of the electroporated embryos survived the        process; they showed no sign of cell lysis at 2 hours after        electroporation.      
        Treatment with        let-7enriched EV. Ishikawa cells were        transfected with pre-let-7a or pre-miR scramble using        Lipofectamine 2000 (Thermo Fisher Scientific). After        transfection, the transfection medium was replaced by fresh        MEM medium supplemented with 1% penicillin/streptomycin, 1%        l-glutamine, and 10% EV-depleted        FBS (Thermo Fisher Scientific, CA, USA). The spent medium        after 48 hours of culture was collected for EV isolation.        EVs were isolated from the spent medium with the Total        Exosome Isolation Kit (Thermo Fisher Scientific) according        to the manufacturers instruction. The let-7a levels in the        EVs were detected by reverse transcription qPCR (RT- qPCR)        (let-7a primer, Thermo Fisher Scientific). Alternatively,        let-7genriched EVs were isolated from the spent medium        after culture of DOX-treated endometrial epithelial cells        from the let-7g transgenic mice in medium supplemented with        10% EV-depleted FBS for 48 hours. The epithelial cells with        a purity of more than 90% were isolated as above. The        protein concentration of the EV preparation was determined        with the BCA Protein Assay Kit (Thermo Fisher Scientific)        with a working concentration range of 5 to 2000 g/ml. The        let-7enriched EVs at a final concentration of 100 g/ml        were used for coincubation with embryos.      
      Pregnant mice or delayed implanting mice at 3, 6, and 24      hours after E2 reactivation were sacrificed by an      overdose of pentobarbital (150 to 200 mg/kg,      intraperitoneally). Their uteri were isolated, and ULF was      collected by flushing the uterine lumen with 500 l of PBS.      The embryos in the flushing were removed under a dissection      microscopy. EVs in the ULF were isolated with the Total      Exosome Isolation Kit. Briefly, the ULF was centrifuged      successively at 300g for 10 min to remove cells, at      2000g for 10 min to remove dead cells, and at      20,000g for 60 min to remove cell debris and large      vesicles. The pellets that formed in each centrifugation were      discarded. After the last centrifugation, the total exosome      isolation reagent (250-l volumes) was mixed with the      supernatant overnight at 4C on a roller mixer, before the      samples were centrifuged at 10,000g for 60 min at      4C. The supernatant was discarded, and the ULF-EV pellet was      gently washed once with 200 l of PBS to remove residual      extract buffer and resuspended in 20 l of PBS and stored at      80C. The size and purity of the isolated ULF-EVs were      determined using a nanoparticle tracking analyzer (ZetaView      PMX 120, Particle Metrix, Germany), electron microscopy (FEI      Tecnai G2 20 Scanning TEM, FEI Co., USA), and Western blot      analysis of EV-specific markers HSP70 (Abcam, Cambridge, UK),      CD63 (Abcam), and TSG101 (Abcam) and negative control markers      GM130 (Abcam) and calnexin (Abcam), as described (16). The average protein content      of pooled ULF-EV preparations was 1.2  0.2 g per mice as      determined with the BCA Protein Assay Kit (Thermo Fisher      Scientific). The volume of mouse ULF on days 2 to 5 of      pseudo-pregnancy is 2 to 5 l per mice (37). Therefore, the protein      concentration of EV in ULF was estimated to be 240 to 600      g/ml in vivo. In this study, embryos were treated with EVs      at a physiological dose of 100 g/ml.    
      Cell apoptosis was examined with the In Situ Cell Death      Detection Kit (Roche Diagnostics GmbH, Mannheim, Germany)      according to the manufacturers instruction. Briefly, embryos      were fixed in 4% paraformaldehyde for 15 min at room      temperature, permeabilized with 0.1% Triton X-100 in      Dulbeccos PBS (DPBS) for 30 min, and then incubated with      TUNEL reaction mixture containing 5 l of enzyme solution and      45 l of label solution at 37C for 60 min. The embryos were      washed three times with PBS. Their nuclei were stained with      propidium iodide (Sigma-Aldrich) for 5 min before the embryos      were mounted on microscope slides for examination under a      fluorescence-inverted microscope (TE300; Nikon, Japan).    
      The method used was a miniaturized version of conventional      enzymatic methods, which rely on the detection of ultraviolet      (UV)excited NADH (reduced form of nicotinamide adenine      dinucleotide) and NADPH (reduced form of nicotinamide adenine      dinucleotide phosphate) in enzyme coupled reactions (38). Instead of having the      enzymatic reactions conducted in cuvettes, they were done in      20-l droplets on a petri dish. The specific enzyme cocktails      for the metabolite studied were as follows: glucose cocktail:      42 mM EPP S (4-(2-Hydroxyethyl)-1-piperazinepropanesulfonic      acid) buffer (pH 8.0), 42 M dithiothreitol, 3 mM      MgSO47H2O, 0.42 mM ATP, 1.2 mM NADP,      and hexokinase (14 U/ml)/glucose-6-phosphate dehydrogenase (7      U/ml; Roche Applied Science); pyruvate cocktail: 63 mM EPP      buffer (pH 8.0), 0.1 mM NADH, and l-lactate dehydrogenase (75 U/ml; Roche Applied      Science); lactate cocktail: 0.45 M glycine/0.73 M hydrazine      buffer, 4.5 mM NAD, and l-lactate      dehydrogenase (69 U/ml; Roche Applied Science).    
      The cocktail droplet (2 l) was mixed with 18 l of spent      culture media. Following a 3-min incubation at room      temperature, 5 l of the medium was transferred to a homemade      chamber with a chamber depth of 1 mm, and its fluorescence      intensity was determined under a fluorescence microscope. The      fluorescence signal relative to the background was determined      by the pixel intensities using the Image-Pro Plus 6.0      software (Media Cybernetics Inc., Silver Spring, MD, USA).      The background signal was estimated using a method described      previously (39). The changes      in fluorescence were converted to changes in the      concentration based on standard curves performed on the same      day with known concentrations of the appropriate substrates.    
      DNA synthesis was determined by the EdU incorporation assay      (Thermo Fisher Scientific) according to the manufacturers      instruction. Briefly, embryos were cultured in KSOM medium      containing 10 M EdU for 30 min before washing with PBS.      After the removal of the zona pellucida, the embryos were      fixed in methanol at 20C for 20 min and permeated in PBS      containing 1% bovine serum albumin (BSA) and 0.5% Triton      X-100. The incorporated EdU was detected by incubation with 1      mM CuSO4 and 100 M fluorescent azide for 30 min.      The staining mixture was prepared fresh each time. The      embryos were washed three times with PBS containing 0.05%      Tween 20 before the fluorescence signal was visualized under      a confocal microscope (Carl Zeiss LSM 700, Zeiss, Germany).    
      The embryos were washed with M2 medium (Sigma-Aldrich) and      fixed in 4% paraformaldehyde for 15 min at room temperature.      They were permeabilized with 0.1% Triton X-100 in DPBS for 30      min and incubated for 1 hour in DPBS containing 1% BSA at      room temperature before incubation with antibodies against      C-MYC, pAKT, pRpS6, p4EBP1 (Abcam, UK), or Ki67 (Santa Cruz      Biotechnology Inc., Santa Cruz, CA) at 4C overnight followed      by incubation with secondary antibody [FITC-labeled anti-goat      immunoglobulin G (IgG)] for 1 hour at 37C. Nuclei were      stained with 4,6-diamidino-2-phenylindole (DAPI) (5 g/ml;      Sigma-Aldrich) or propidium iodide (1 g/ml) for 5 min. Last,      the embryos were rinsed in DPBS to remove excess reagents and      examined under a confocal microscope.    
      Proteins were extracted from the JEG-3 cells and the uterine      epithelial cells with radioimmunoprecipitation assay (RIPA)      lysis buffer supplemented with protein inhibitor and      phosphatase inhibitors (Sigma-Aldrich). The concentration of      proteins in the extract was measured using the BCA Kit      (Thermo Fisher Scientific). The protein extracts were      separated on 10% SDSpolyacrylamide gel electrophoresis,      transferred onto polyvinylidene difluoride membranes (Merck      Millipore, Germany), and probed with antibodies against c-myc      (Cell Signaling Technology, MA, USA), ODC1, SMS, pAKT,      p4EBP1, pRpS6, and the total protein of AKT, 4EBP1, and RpS6      (Cell Signaling Technology). -Actin (Sigma-Aldrich) was used      as the internal control. The membranes were incubated with      the WesternBright ECL Kit (Advansta, CA, USA) and exposed to      x-ray films.    
      Embryos at the same developmental stage were randomly pooled      into three groups with five embryos per group. Total RNA was      extracted from each group in 0.5 l of 2 M guanidine      isothiocyanate (Sigma-Aldrich) buffer at room temperature for      5 min. Complete lysis of the embryos in the buffer was      confirmed under a microscope. The samples were diluted to 5      l with double-distilled water and were used directly for the      multiplex microRNA assays.    
      To amplify the precursor-microRNA, the forward and reverse      primers were designed to anneal to the stem portion of the      hairpin. The forward primer was designed for a sequence that      crossed the stem and the loop of the precursor of      Slet-7gLmiR-21 so that only its stem, but not that of the      pre-let-7g, was amplified. The sequences of the primers used      for pre-S7gL21 were as follows: forward:      5-GTAGTAGTTTGTACAGTTCTGT-3; reverse:      5-TAAATCCTGGCAAGGC-3; probe: 5-CTGTACAGTCCATGAGATT-3; Rt      reverse: 5-TAAATCCTGGCAAGGCA-3.    
      Embryos were lysed in 5% NP-40 to release the total RNA. RT      primer annealing was performed at 85C for 5 min by adding 1      pmol of RT reverse primer to 1 g of the above RNA. Then, the      samples were placed immediately in ice to avoid the formation      of stem-and-loop structure. RT was performed at 45C for 60      min and at 85C for 5 min and then kept at 4C in a thermal      cycler (T100 Thermal Cycler, Bio-Rad, CA, USA). RT-qPCR was      performed with the 7500 Real-Time PCR System (Thermo Fisher      Scientific). The program was a 10-min cycle at 95C, followed      by 45 cycles of 15 s at 95C and 60 s at 60C.    
      Microarray (GeneChipTM Mouse Gene 2.0 ST) was used      to study the effect of let-7 overexpression on the      transcriptome of the treated blastocysts. For each sample,      RNA was collected from 10 blastocysts. RNA extraction,      amplification, and purification were performed according to      Kurimoto et al. (40). The complementary DNAs      (cDNAs) from day 7 dormant blastocysts, D4-act, and      DOX-induced blastocysts were hybridized to the      GeneChipTM Mouse Gene 2.0 ST array in duplicates      (Affymetrix, CA, USA). All cDNA hybridizations were performed      by the Centre for Genomic Sciences, The University of Hong      Kong. The microarray data have been deposited to the Gene      Expression Omnibus (GSE141900). The data were analyzed using      Partek Genomics Suite 6.6 (St. Louis, MO, USA). The      expression matrix was further subjected to the R package      linear models for microarray data (41) for identifying the      differentially expressed genes. Principal components were      computed and plotted with the R packages FactoMineR and      factoextra. Heatmaps were plotted with the R package gplots      using z scores calculated for each gene across      different samples. Biological process analysis was performed      by DAVID (v6.8) (42).    
      To obtain the DNA template for in vitro transcription, the      pcDNA 3.1_cMyc plasmid containing the coding DNA sequence was      PCR-amplified using the following primers:      5-TAATACGACTCACTATAGATGCCCCTCAACGTGAAC-3 (with T7      polymerase promoter) and 5-TTATGCACCAGAGTTTCGAAGC-3. The      product was purified using the GeneJET PCR Purification Kit      (Thermo Fisher Scientific). The MEGAscript T7 ULTRA      Transcription Kit (Thermo Fisher Scientific) was used for in      vitro transcription from DNA to mRNA according to the      manufacturers instructions. Briefly, DNA template was      recovered at a final concentration of 1 g/l. Transcription      reaction was performed by incubation at 37C for 4 hours.      TURBO DNase (1 l) was added into the reaction and incubated      for 15 min at 37C before the addition of the tailing      reagents for poly(A) tailing. Last, RNA was recovered using      phenol:chloroform extraction and isopropanol precipitation.      The recovered RNA was then quantified and stored at 80C and      was ready for transfection.    
      The mouse genomic DNA was extracted from the ICR mouse liver      using a DNA extraction kit (Thermo Fisher Scientific)      according to the manufacturers protocol. The 3UTR of      Rictor was amplified with the Not I and Xho I      digestion sites by the Phusion High Fidelity DNA Polymerase      (New England Biolabs, Beverly, MA, USA). The PCR products      were first purified with the GeneJET PCR Purification Kit      (Thermo Fisher Scientific), digested with the Not I and Xho I      enzymes (New England Biolabs), and purified with the GeneJET      PCR Purification Kit again. The purified PCR products were      ligated with the Not I and Xho Idigested psiCHECK-2 vector      (Promega, WI, USA). Lipofectamine 2000 transfection reagent      (Thermo Fisher Scientific) was used to cotransfect 1 g of      the WT and mutant (Mut) reporter constructs with 5 nM let-7a      mimic (Thermo Fisher Scientific) into a monolayer of JEG-3      cells at 70% confluence in Opti-MEM (Thermo Fisher      Scientific). At 24 hours after transfection, the cells were      lysed in 100 l of 1 passive lysis buffer (Promega). The      luciferase assays were performed using a luciferase assay kit      (Promega) according to the manufacturers protocol and were      measured using a luminometer (GloMax 96 Microplate      Luminometer, Promega). Renilla luciferase was used for      normalization.    
      ChIP analysis was performed using the Pierce Chromatin Prep      Module (Thermo Fisher Scientific, 26158) according to the      manufacturers instruction. Uterine epithelium cells from      delayed implanting and activated mice were isolated as      described above. Formaldehyde was used to cross-link DNA and      its interacting proteins in the cells. The cells were then      lysed in the Lysis Buffer on ice for 10 min and centrifuged.      The supernatant was discarded, while the nuclei were      resuspended in the MNase Digestion Buffer. Micrococcal      nuclease was added to digest the chromatin.      Immunoprecipitation was performed with the ChIP-grade c-Myc      antibody (Cell Signaling Technology) at a dilution of 1:100.      Proteinase K was used to disrupt the cross-links between the      DNA and proteins. The DNA was then purified using the PCR      Cleanup Extraction Kit (Thermo Fisher Scientific), after      which quantitative RT-PCR was performed with the SYBR Green      Master Mix (Thermo Fisher Scientific) using the following      ChIP primer sequences (Table      1).    
          The data obtained were normalized to the input [fold          differences = 2(Ct sample  Ct          input)].        
      Blastocysts were incubated for 10 min at 37C in an      atmosphere of 5% CO2 in 40-l microdrops of M16      containing Alexa Fluor 488labeled EGF (2 g/ml; Thermo      Fisher Scientific). Unlabeled EGF peptide at a concentration      of 20 g/ml was used as control for nonspecific binding of      the labeled peptide. After termination of the incubation,      blastocysts were washed in medium and fixed in 4%      paraformaldehyde in PBS for 15 min at 4C. Z-stack      images of fixed embryos were captured with a confocal      fluorescence microscope (Carl Zeiss LSM700, Germany). For      quantification of the EGF binding, the images of the embryos      were analyzed with the ImageJ software (1.52p, USA). The      average fluorescence intensity was calculated. The data      presented were the averages of the fluorescence intensity      from at least three embryos.    
      BAP-EB spheroids were generated from hESCs as described      (23). Briefly, hESCs (VAL3,      Spanish Stem Cell Bank, Spain) were digested to single cells      with accutase (Thermo Fisher Scientific, Waltham, USA) and      aggregated in AggreWellTM400 (STEMCELL Technologies Inc.,      Canada) in mTeSRTM1 medium (STEMCELL Technologies Inc.,      Canada) for 24 hours before the induction of trophoblast      differentiation in BAP medium (mouse embryonic      fibroblastconditioned medium supplemented with BMP4 (10      ng/ml; R&D Systems, Minneapolis, USA), 1 M A83-01      (Stemgent, San Diego, USA), and 0.1 M PD173074 (Stemgent).      The medium was changed daily during a 96-hour      differentiation.    
      Control EVs or let7-enriched EVs were added to the BAP-EB      culture at 48-hour pid. For the attachment assay, BAP-EB at      72-hour pid was transferred onto a confluent monolayer of      Ishikawa cells and cocultured for 3 hours. Nonadherent      spheroids were removed, and the percentage of attached BAP-EB      was determined. For the gene expression analyses, BAP-EB at 0      and 48 hours before EV treatments and BAP-EB at 96 hours      after EV treatments were collected and subjected to total RNA      extraction and real-time quantification of marker      expressions, as described (23).    
      Human embryos were obtained from infertile couples attending      the assisted reproduction clinics at the Department of      Obstetrics and Gynecology, General Hospital of Chinese      Peoples Liberation Army and the Center for Reproductive      Medicine, The Third Affiliated Hospital, Sun Yat-Sen      University. The Institutional Review Board of the Hospital      approved the project (S2017-095-01), and written consent was      obtained from each donor. The embryos were donated because      the donor couples had completed their family (N =      17), or the embryos were chromosomal abnormal as determined      by preimplantation genetic testing for aneuploidy (N      = 4). The donated embryos were cryopreserved on day 5 before      experimentation.    
      EVs were obtained from endometrial cells of let-7g transgenic      mice after treatment with DOX in DMEM/F12 medium supplemented      with EV-free FBS for 4 days. Control EVs were obtained from      cells without DOX treatment. On the day of experimentation,      the donated blastocysts were thawed and cultured in G2 medium      (Vitrolife, Sweden) supplemented with let-7genrched EVs or      control EVs until they were morphologically not viable.    
      All the results are shown as means  SEM. All the data were      analyzed using one-way analysis of variance (ANOVA). A      P value of less than 0.05 was considered      statistically significant.    
  Acknowledgments: Funding: The  project is supported by a grant from the National Natural Science  Foundation of China (NSFC 31471398); a grant from the Research  Grant Council (GRF 17107915), Hong Kong; and a National Key Basic  Research Development Program (973 Program) from the Ministry of  Science and Technology of the Peoples Republic of China (MOST  2018YFC1004402) to W.S.B.Y. Author  contributions: Conceptualization: W.S.B.Y., W.M.L., and  R.R.C.; conduct of the experiments: W.M.L., R.R.C., Z.R.N.,  M.Y.M., T.L., P.C.C., and R.T.P.; data analysis: W.S.B.Y.,  Y.L.L., W.M.L., and A.C.C.; writing (original draft): W.S.B.Y.  and W.M.L.; writing (review and editing): all authors.  Competing interests: The authors declare that  they have no competing interests. Data and materials  availability: All data needed to evaluate the  conclusions in the paper are present in the paper and/or the  Supplementary Materials. The microarray data have been deposited  to the Gene Expression Omnibus. Additional data available from  W.S.B.Y. upon request.
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Let-7 derived from endometrial extracellular vesicles is an important inducer of embryonic diapause in mice - Science Advances