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Once implanted, embryo survival pivots on the transformation of the endometrium into an anti-inflammatory placental bed, termed decidua, under homeostatic control of uterine natural killer cells. Here, we examine the evolutionary context of embryo implantation and elaborate on uterine remodelling before and after conception in humans. We also discuss the interactions between the embryo and the decidualising endometrium that regulate interstitial implantation and determine embryo fitness. Together, this Review highlights the precarious but adaptable nature of the implantation process.<\/jats:p>","DOI":"10.1242\/dev.201507","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T09:19:48Z","timestamp":1685524788000},"source":"Crossref","is-referenced-by-count":131,"title":["Human embryo implantation"],"prefix":"10.1242","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6194-0165","authenticated-orcid":false,"given":"Joanne","family":"Muter","sequence":"first","affiliation":[{"name":"Warwick Medical School, University of Warwick 1 Division of Biomedical Sciences , , Coventry, CV2 2DX , UK"},{"name":"Tommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire NHS Trust 2 , Warwick Medical School, University of Warwick, Coventry, CV2 2DX , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5311-3824","authenticated-orcid":false,"given":"Vincent J.","family":"Lynch","sequence":"additional","affiliation":[{"name":"University at Buffalo 3 Department of Biological Sciences , , Buffalo, NY 14260-4610 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0615-146X","authenticated-orcid":false,"given":"Rajiv C.","family":"McCoy","sequence":"additional","affiliation":[{"name":"Johns Hopkins University 4 Department of Biology , , Baltimore, MD 21218 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0116-9329","authenticated-orcid":false,"given":"Jan J.","family":"Brosens","sequence":"additional","affiliation":[{"name":"Warwick Medical School, University of Warwick 1 Division of Biomedical Sciences , , Coventry, CV2 2DX , UK"},{"name":"Tommy's National Centre for Miscarriage Research, University Hospitals Coventry & Warwickshire NHS Trust 2 , Warwick Medical School, University of Warwick, Coventry, CV2 2DX , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"237","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"2023053109045134200_DEV201507C1","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1093\/humrep\/dez139","article-title":"Tissue stiffness at the human maternal-fetal interface","volume":"34","author":"Abbas","year":"2019","journal-title":"Hum. 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