Inhibition of E2 hyper-sensitivity with ICI treatment rescues defective luminal closure and partially restores Rbpjd/d mouse fertility. (A) Relative expression levels of E2-regulated genes in day 4 uteri in Rbpjf/f and Rbpjd/d mice treated with a sesame oil vehicle or low-dose ICI. ICI, ICI 182780. The values are normalized to the GAPDH expression level and indicated as the mean ± SEM. n = 3. *P < 0.05, **P < 0.01. (B) Immunohistochemical staining of p-ERα and Ki-67 in vehicle- or ICI-treated Rbpjd/d mice on day 4. The black arrows indicate positive signals. (C) Representative photos of immunofluorescence staining of untreated Rbpjf/f, and vehicle- or ICI-treated Rbpjd/d implantation sites on day 5. Similar results were obtained in 6 ICI-treated Rbpjd/d mice. The white arrows denote extra epithelial folds. Cy3-labeled cytokeratin is shown in red; Hoechst 33342-labeled nuclei are shown in blue. (D) Representative uteri from Rbpjf/f, Rbpjd/d and ICI-treated Rbpjd/d females on day 12. (E) Pregnancy outcomes in Rbpjf/f, Rbpjd/d and ICI-treated Rbpjd/d females. (F) Average litter sizes in Rbpjf/f, Rbpjd/d and ICI-treated Rbpjd/d females, *P < 0.05, **P < 0.01. Numbers within bars indicate the number of implantation sites/number of mice examined.