scholarly journals Uterine Glands Provide Histiotrophic Nutrition for the Human Fetus during the First Trimester of Pregnancy

2002 ◽  
Vol 87 (6) ◽  
pp. 2954-2959 ◽  
Author(s):  
Graham J. Burton ◽  
Adrian L. Watson ◽  
Joanne Hempstock ◽  
Jeremy N. Skepper ◽  
Eric Jauniaux

Providing adequate nutrition to the fetus is key to a successful pregnancy. The interstitial form of implantation displayed by the human blastocyst is generally associated with early onset of maternal blood flow to the developing placenta, and hence hemotrophic exchange. However, the recent finding that the maternal intraplacental circulation is not fully established until the third month of gestation suggests that human fetal nutrition may be initially histiotrophic. We therefore investigated activity of the uterine glands during early pregnancy. We demonstrate here that these glands remain active until at least wk 10 of pregnancy, and that their secretions are delivered freely into the placental intervillous space. We also demonstrate phagocytic uptake by the placental syncytiotrophoblast of two glycoproteins, the mucin MUC-1 and glycodelin A, synthesized in the maternal glands. Glycodelin was also detected within the epithelium of the secondary yolk sac lining the exocoelomic cavity, indicating that the yolk sac may play an important role in nutrient exchange before vascularisation of the chorionic villi. Our findings demonstrate that the uterine glands are an important source of nutrients during organogenesis, when metabolism is essentially anaerobic.

1983 ◽  
Vol 63 (4) ◽  
pp. 349-357 ◽  
Author(s):  
G. Simoni ◽  
B. Brambati ◽  
C. Danesino ◽  
F. Rossella ◽  
G. L. Terzoli ◽  
...  

Cells ◽  
2019 ◽  
Vol 8 (10) ◽  
pp. 1174 ◽  
Author(s):  
Jael Miranda ◽  
Dolores Martín-Tapia ◽  
Yolotzin Valdespino-Vázquez ◽  
Lourdes Alarcón ◽  
Aurora Espejel-Nuñez ◽  
...  

The cytotrophoblast of human placenta transitions into an outer multinucleated syncytiotrophoblast (STB) layer that covers chorionic villi which are in contact with maternal blood in the intervillous space. During pregnancy, the Zika virus (ZIKV) poses a serious prenatal threat. STB cells are resistant to ZIKV infections, yet placental cells within the mesenchyme of chorionic villi are targets of ZIKV infection. We seek to determine whether ZIKV can open the paracellular pathway of STB cells. This route is regulated by tight junctions (TJs) which are present in the uppermost portion of the lateral membranes of STB cells. We analyzed the paracellular permeability and expression of E-cadherin, occludin, JAMs –B and –C, claudins -1, -3, -4, -5 and -7, and ZO-1, and ZO-2 in the STB of placentae from ZIKV-infected and non-infected women. In ZIKV-infected placentae, the pattern of expression of TJ proteins was preserved, but the amount of claudin-4 diminished. Placentae from ZIKV-infected women were permeable to ruthenium red, and had chorionic villi with a higher mean diameter and Hofbauer hyperplasia. Finally, ZIKV added to the basolateral surface of a trophoblast cell line reduced the transepithelial electrical resistance. These results suggest that ZIKV can open the paracellular pathway of STB cells.


The implantation of the blastocyst of Loxodonta , and the early development of the placenta, are described from material collected in Africa by Dr R. M. Laws. Implantation is central, the blastocyst settling in one of three or four deep longitudinal grooves in the uterine lumen. Its growth distends the uterine horn before it becomes attached to the uterine wall. As the bilaminar blastocyst continues to grow the trophoblast erodes the uterine epithelium over a zonary area and is there closely applied to the uterine stroma. It remains unattached over the embryonal and abembryonal poles, where the uterine epithelium is retained. As the yolk-sac approaches its maximum volume it is invested by mesoderm, forming an extensive trilaminar omphalopleur, the outer layer (trophoblast) of which immediately begins to invade the uterine stroma by peg-like proliferations that enter by the uterine glands. The latter undergo little change during these early stages and do not undergo extensive modification at any stage, but their basal portions become moderately distended after the gland openings are blocked by the trophoblast. As the trophoblast of the yolk-sac wall invades the stroma the allantois reaches the chorion and from this time the yolk-sac is rapidly reduced in volume. The allantois soon fills the exocoel and occupies the whole cavity of the conceptus surrounding the embryo and amnion. The allantochorionic placenta develops (over three discrete areas in the specimen described) by the growth of villi which are formed as the earliest trophoblast proliferations acquire a mesenchymal core and become vascularized. There remain areas where the trophoblast does not attach to the uterine wall and in these areas the uterine epithelium proliferates in a characteristic manner and appears to shed cellular material into the residual uterine lumen. As the allantochorionic villi develop, the underlying uterine stroma thickens, and large blood channels appear in it, lined by a shallow endothelium. These blood vessels, which have few branches, penetrate to the face of the placenta. Their investment by the advancing trophoblast leads to the ‘ vasochorial ’ condition described in an earlier account. The characteristic marginal haematomata of the elephant apparently form where an extending villous area meets an area of intact (although modified) uterine epithelium. This epithelium is undermined by lateral extension of the invading foetal tissue and some of the adventitious maternal blood vessels that reach the face of the placenta are disrupted and release blood into the uterine lumen where the stromal tissue is exposed between the advancing foetal villi and the surviving uterine epithelium. This blood is trapped in folds of the allantochorion, the trophoblast cells of which often contain maternal erythrocytes. These developmental characters are discussed with reference to their functional significance, and compared with the corresponding changes in the Carnivora, most of which are also characterized by an endotheliochorial placenta of zonary form with haematomata, marginal or otherwise. It is suggested that their occurrence is related to the intermediate position of the endotheliochorial placenta between the epitheliochorial type, in which the uterine glands contribute more importantly to embryonic nourishment, and the haemochorial type, in which transfer from the maternal circulation to the trophoblast is facilitated by the direct contact between them. The mode of implantation is shown to be very different from that in hyrax, which superficially resembles Loxodonta in the morphology of the foetal membranes. Comparison is also made with the aard-vaak and the manatee. The aard-vaak has a zonary endothelial placenta, marginal haematomata and a quadrilocular allantois, but does not resemble Loxodonta closely in detailed placental structure. The mid-term placenta of the manatee, on the other hand, bears a very striking resemblance to that of the elephant in many respects, especially in the manner in which the trophoblast is modified where it invests large maternal blood vessels. The phylogenetic significance of these similarities and differences is briefly discussed.


BMJ ◽  
1983 ◽  
Vol 286 (6377) ◽  
pp. 1542-1544 ◽  
Author(s):  
R H Ward ◽  
B Modell ◽  
M Petrou ◽  
F Karagozlu ◽  
E Douratsos

Author(s):  
Ganiyu Arinola ◽  
Anindita Dutta ◽  
Oluwafemi Oluwole ◽  
Christopher Olopade

Cooking with kerosene emits toxic pollutants that may impact pregnancy outcomes. Sixty-eight women in their first trimester of pregnancy, kerosene users (n = 42) and liquefied natural gas (LNG) users (n = 26), were followed until birth. Maternal and cord blood were collected immediately after birth. Levels of micronutrients and heavy metals were quantified. Pregnancy outcomes (gestation age (GA), birth weight (BW), and chest and head circumference) were also measured. Mean (± standard deviation (SD)) age of mothers in kerosene and LNG groups were similar (p = 0.734). Mean (±SD) BW of newborns of LNG users was significantly higher compared to newborns of kerosene users (3.43 ± 0.32 vs. 3.02 ± 0.43, p < 0.001). Mean GA (in weeks) was similar between the two groups (p = 0.532). Women in the kerosene group had significantly higher cord blood levels of zinc, lead, mercury, iodine and vitamin B6 and lower levels of folic acid compared to LNG users (p < 0.05). Newborns of kerosene users had reduced levels of zinc, lead, mercury, iodine, vitamins B6 and B12, folic acid, and homocysteine compared with LNG users (p < 0.05). Also, cooking with kerosene was significantly associated with reduced birth weight after adjusting for potential confounders (β ± standard error (SE) = −0.326 ± 0.155; p = 0.040). Smoke from kerosene stove was associated with reduced birth weight and micronutrients imbalance in mothers and newborns.


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