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Bone morphogenetic protein (BMP) signaling, integral to endometrial remodeling, is also dysregulated: BMP2 promotes decidualization via ALK3-mediated upregulation of genes like WNT4 and IGFBP3, while BMP7 inhibits this process, and their imbalance contributes to defective decidualization (50)

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No relationship was found between the cell death levels and the patients’ predominant clinical phenotype (Fig