Telocytes, the New Kids on the Block. What Role do They Play in Female Reproductive System and Function? (A Review)

In: Cell and Tissue Biology · 2025 · vol. 19(6) , pp. 495–503 · doi:10.1134/s1990519x25600589 · W4414651687
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Telocytes, interstitial cells with long extensions, regulate female reproductive functions including embryo implantation and uterine contractility, and their altered presence is linked to conditions like endometriosis and infertility.

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This paper is a narrative review describing telocytes, interstitial cells with long telopodes, and their proposed roles in the female reproductive system, drawing on evidence across the myometrium, endometrium, ovaries, fallopian tubes, and placenta. It reports that telocytes regulate homeostasis, tissue regeneration, immune modulation, and pathological processes, and that they are implicated in embryo implantation, uterine contractility, and vascular adaptation during pregnancy. The review highlights reduced telocyte density in disorders including endometriosis and discusses mechanisms such as telocyte effects on macrophage immune responses and cytokine secretion, while also noting that evidence comes largely from heterogeneous studies and that signaling interactions remain to be clarified. This paper is centrally about endometriosis — it specifically summarizes telocyte reductions and proposed immune-modulatory roles in endometriosis pathophysiology.

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Abstract

Telocytes (TCs) are interstitial cells characterized by a small body and long extensions known as telopodes. Identified in various tissues, including the female reproductive system, they regulate homeostasis, tissue regeneration, immune modulation, and pathological processes. TCs contribute to key reproductive functions such as embryo implantation, uterine contractility, and vascular adaptation during pregnancy. Their presence in the myometrium, endometrium, ovaries, fallopian tubes, and placenta facilitates interactions with immune cells, stem cells, and the extracellular matrix. TC density is reduced in conditions like endometriosis, uterine fibroids, and infertility-related disorders. In endometriosis, TCs modulate immune responses by interacting with macrophages and influencing cytokine secretion. In leiomyomas, their loss correlates with fibrosis and altered steroid hormone receptor expression, suggesting roles in tissue remodeling and hormonal regulation. In fallopian tubes, TCs contribute to motility, with dysfunction linked to ectopic pregnancies. Experimental models highlight TC-derived exosomes in tissue repair, suggesting therapeutic potential for intrauterine adhesions and endometrial fibrosis. Current evidence underscores the role of TCs as key regulators of reproductive physiology and pathology, positioning them as promising targets for future regenerative and gynecological therapies. Further research is essential to elucidate their signaling mechanisms, interactions with other cell types, and potential applications in cell-based therapies for reproductive disorders.
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Abstract

Telocytes (TCs) are interstitial cells characterized by a small body and long extensions known as telopodes. Identified in various tissues, including the female reproductive system, they regulate homeostasis, tissue regeneration, immune modulation, and pathological processes. TCs contribute to key reproductive functions such as embryo implantation, uterine contractility, and vascular adaptation during pregnancy. Their presence in the myometrium, endometrium, ovaries, fallopian tubes, and placenta facilitates interactions with immune cells, stem cells, and the extracellular matrix. TC density is reduced in conditions like endometriosis, uterine fibroids, and infertility-related disorders. In endometriosis, TCs modulate immune responses by interacting with macrophages and influencing cytokine secretion. In leiomyomas, their loss correlates with fibrosis and altered steroid hormone receptor expression, suggesting roles in tissue remodeling and hormonal regulation. In fallopian tubes, TCs contribute to motility, with dysfunction linked to ectopic pregnancies. Experimental models highlight TC-derived exosomes in tissue repair, suggesting therapeutic potential for intrauterine adhesions and endometrial fibrosis. Current evidence underscores the role of TCs as key regulators of reproductive physiology and pathology, positioning them as promising targets for future regenerative and gynecological therapies. Further research is essential to elucidate their signaling mechanisms, interactions with other cell types, and potential applications in cell-based therapies for reproductive disorders. Similar content being viewed by others

References

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Dev.,2023, vol. 69, pp. 87–94. https://doi.org/10.1262/jrd.2022-132 Zondervan, K.T., Becker, C.M., and Missmer, S.A., Endometriosis, N. Engl. J. Med., 2020, vol. 382, pp. 1244–1256. https://doi.org/10.1056/NEJMra1810764 Funding This study did not receive any funding from public or private institutions. Author information Authors and Affiliations Contributions Antonio La Marca contributed to the conception and design of the study. Material preparation, data collection and analysis of tissues were performed by Laura Botticelli, Francesca Liuzzi, and Serena De Carlini. Literature review was performed by Serena Lecis and Antonio La Marca. The first draft of the manuscript was written by Serena Lecis and Antonio La Marca; all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Corresponding author Ethics declarations This article does not contain any studies with human or animal participants performed by any of the authors. The authors of this work declare that they have no conflicts of interest. Additional information Publisher's Note. Pleiades Publishing remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. AI tools may have been used in the translation or editing of this article. Rights and permissions About this article Cite this article Marca, A.L., Lecis, S., Botticelli, L. et al. Telocytes, the New Kids on the Block. What Role do They Play in Female Reproductive System and Function? (A Review). Cell Tiss. Biol. 19, 495–503 (2025). https://doi.org/10.1134/S1990519X25600589 Received: Revised: Accepted: Published: Version of record: Issue date: DOI: https://doi.org/10.1134/S1990519X25600589

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