Why the aging uterus struggles to support pregnancy

Deciphering molecular mechanisms controlling age-associated uterine adaptabilityto pregnancy

NIH-funded research North Carolina State University Raleigh · NIH-11258992

Explores why the uterus becomes less responsive to progesterone with age and how that may cause pregnancy loss in women over 35.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionNorth Carolina State University Raleigh NIH-funded
Lab location1 site (Raleigh, United States)
Project IDNIH-11258992 on NIH RePORTER

What this research studies

The team uses mouse models that mimic normal reproductive aging and a genetic mouse model missing the uterine gene SIRT1 to study age-related changes in the uterus. They will examine how reduced progesterone receptor (PGR) levels and loss of SIRT1 change uterine cell behavior needed for embryo implantation and decidualization. By comparing physiological aging and SIRT1-deficient mice, the researchers aim to map the molecular steps that weaken uterine support for pregnancy. The goal is to identify targets that could be used to restore uterine hormone responsiveness in older women.

Who could benefit from this research

Good fit: Women aged 35 and older, particularly those with recurrent pregnancy loss or unexplained infertility where uterine factors are suspected, would be the eventual candidates for therapies developed from this research.

Not a fit: Patients whose pregnancy loss is due to embryo chromosomal abnormalities or non-uterine medical causes are unlikely to benefit directly from this uterine-focused work.

Why it matters

Potential benefit: Could point to new ways to restore uterine hormone response and reduce miscarriage or infertility risk in older women.

How similar studies have performed: Prior animal research links uterine hormone signaling to pregnancy success, but targeting SIRT1 as a driver of uterine aging is a relatively new approach mainly tested in mice so far.

Where this research is happening

Raleigh, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.