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Figure 4: Proposed role of L-selectin and trophinin in human embryo implantation. Source: Fukuda and Sugihara, 2008. (a) A human blastocyst entering the uterine cavity is prevented from attaching to the endometrial epithelia by MUC1, except for epithelia that express the L-selectin ligand (T). The human blastocyst expresses L-selectin (L), and ‘rolls' on the surface of the endometrium covered by glycocalyx. (b) The blastocyst feebly interacts with the glycocalyx. Here, human chorionic gonadotropin (hCG) which is secreted from the blastocyst, acts locally on endometrial epithelia to induce trophinin expression. (c) Trophinin expressed by endometrial epithelia is enriched in the pinopodes, the structure extended above the glycocalyx. MUC1, which carries the L-selectin ligand, is down-regulated from the endometrial epithelia underneath the blastocyst, allowing direct contact and attachment of blastocyst trophectoderm cells and pinopodes via trophinin-trophinin binding.