{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T11:26:35Z","timestamp":1784978795445,"version":"3.55.0"},"reference-count":57,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T00:00:00Z","timestamp":1675123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82171667"],"award-info":[{"award-number":["82171667"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cell Proliferation"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tubal ectopic pregnancy (TEP) occurs when an embryo aberrantly implants in the fallopian tube, leading to abortive or ruptured tubal ectopic pregnancy (AEP or REP). Poor outcomes of REP include maternal infertility or mortality. Current studies on the prevention and treatment of ruptured tubal ectopic pregnancy (REP) are unfortunately hampered by a lack of the cell spectrum and cell\u2013cell communications in the maternal\u2013foetal interface. Here, we investigate the mechanisms of tubal rupture through single\u2010cell transcriptome profiling of the fallopian tube\u2010trophoblast interface in REP, AEP and intrauterine pregnancy patients. In REP, extravillous trophoblast (EVTs) cells form a dominant cell population, displaying aggressive invasion and proliferation, with robust differentiation into three subsets. Cell communication analysis identified colony\u2010stimulating factor 1 (CSF1), overexpressed by fallopian tube secretory epithelial cells in REP, with CSF1R on EVTs and macrophages, as a ligand\/receptor pair that stimulates EVT invasion and macrophage accumulation. CSF1+ secretory epithelial cells stimulate EVTs migration and invasion, leading to a tubal rupture in REP. These results provide a mechanistic context and cellular milieu leading to tubal rupture, facilitating further study and development of therapeutics for REP in early pregnancy.<\/jats:p>","DOI":"10.1111\/cpr.13408","type":"journal-article","created":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T04:26:08Z","timestamp":1675225568000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["<scp>Colony\u2010stimulating factor 1 positive (CSF1<sup>+<\/sup>)<\/scp> secretory epithelial cells induce excessive trophoblast invasion in tubal pregnancy rupture"],"prefix":"10.1111","volume":"56","author":[{"given":"Xiaoya","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine Shanghai Jiaotong University  Shanghai China"},{"name":"Shanghai Municipal Key Clinical Specialty  Shanghai 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Jiaotong University  Shanghai China"},{"name":"Shanghai Municipal Key Clinical Specialty  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisai","family":"Ha","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine Shanghai Jiaotong University  Shanghai China"},{"name":"Shanghai Municipal Key Clinical Specialty  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuqing","family":"He","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, International Peace Maternity and Child Health Hospital, School of Medicine Shanghai Jiaotong University  Shanghai China"},{"name":"Shanghai Municipal Key Clinical Specialty  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and 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