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Yet, the underlying causes of most of these malformations remain largely unknown. ADGRA3 (GPR125) is involved in WNT signaling and planar cell polarity, mechanisms vital to female reproductive tract development. Although ADGRA3 is a well-established spermatogonial stem cell marker, its role within the female urogenital system remains unclear.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In this study, we found <jats:italic>Adgra3<\/jats:italic> to be expressed throughout the murine female urogenital system, with higher expression pre-puberty than after sexual maturation. We generated a global <jats:italic>Adgra3<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> mouse line and observed imperforate vagina in 44% of <jats:italic>Adgra3<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> females, resulting in distension of the reproductive tract and infertility. Ovarian morphology, plasma estradiol, ovarian <jats:italic>Cyp19a1<\/jats:italic>, and vaginal estrogen receptor \u03b1 (<jats:italic>Esr1<\/jats:italic>) expression were unaffected. However, compared to controls, a significantly lower bone mineral density was found in <jats:italic>Adgra3<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> mice. Whereas vaginal opening in mice is an estrogen-dependent process, 17\u03b2-estradiol treatment failed to induce vaginal canalization in <jats:italic>Adgra3<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> mice. Furthermore, a marked reduction in vaginal and ovarian progesterone receptor expression was observed concomitant with an upregulation of apoptotic regulators <jats:italic>Bcl2<\/jats:italic>, <jats:italic>Bid<\/jats:italic>, and <jats:italic>Bmf<\/jats:italic> in adult <jats:italic>Adgra3<\/jats:italic><jats:sup><jats:italic>\u2212\/\u2212<\/jats:italic><\/jats:sup> females with a closed vagina.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our collective results shed new insights into the complex mechanisms by which the adhesion receptor ADGRA3 regulates distal vaginal tissue remodeling during vaginal canalization via altered sex hormone responsiveness and balance in apoptotic regulators. This highlights the potential of ADGRA3 as a target in diagnostic screening and\/or therapy for obstructive vaginal malformations in humans.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12915-024-01873-6","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T22:01:28Z","timestamp":1712613688000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["High incidence of imperforate vagina in ADGRA3-deficient mice"],"prefix":"10.1186","volume":"22","author":[{"given":"Jone Marita","family":"Kvam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja Lind","family":"Nybo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lola","family":"Torz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riia Karolina","family":"Sustarsic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian H\u00f8j Reveles","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Erik","family":"Nielsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanne","family":"Frederiksen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarina","family":"Gadgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Spiess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steen Seier","family":"Poulsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper Skovhus","family":"Thomsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Cowin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Blomberg Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Kurita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9600-3254","authenticated-orcid":false,"given":"Mette Marie","family":"Rosenkilde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,8]]},"reference":[{"issue":"2","key":"1873_CR1","doi-asserted-by":"publisher","first-page":"525","DOI":"10.1016\/j.fertnstert.2014.04.043","volume":"102","author":"E Dreisler","year":"2014","unstructured":"Dreisler E, Stampe SS. 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