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Marion Böing, Beate Brand-Saberi, Markus Napirei

• The murine basic helix-loop-helix transcription (bHLH) factor mouse atonal homolog 6 (Math6) is expressed in numerous organs and supposed to be involved in several developmental processes. However, so far neither all aspects nor the molecular mechanisms of Math6 function have been explored exhaustively. To analyze the in vivo function of Math6 in detail, we generated a constitutive knockout (KO) mouse (\(\it {Math6}\)\(^{−}/^{−}\)) and performed an initial histological and molecular biological investigation of its main phenotype. Pregnant \(\it {Math6}\)\(^{−}/^{−}\) females suffer from a disturbed early placental development leading to the death of the majority of embryos independent of the embryonic \(\it {Math6}\) genotype. A few placentas and fetuses survive the severe uterine hemorrhagic events at late mid-gestation (E13.5) and subsequently develop regularly. However, these fetuses could not be born due to obstructions within the gravid uterus, which hinder the birth process. Characterization of the endogenous spatiotemporal \(\it {Math6}\) expression during placenta development reveals that Math6 is essential for an ordered decidualization and an important regulator of the maternal-fetal endocrine crosstalk regulating endometrial trophoblast invasion and differentiation. The strongly disturbed vascularization observed in the maternal placenta appears as an additional consequence of the altered endocrine status and as the main cause for the general hemorrhagic crisis.