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Placenta- Molecular Development

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Introduction

The placenta (Gk. plakuos= flat cake) is a mateno-fetal organ which begins developing at implantation of the blastocyst and is delivered with the fetus at birth. During that 9 month period it provides nutrition, gas exchange, waste removal, endocrine and immune support for the developing fetus. There is a developmental overview on this current page.

Transverse section through Human Placental Cord (3 month).

Development of the Placenta

  • Placenta
    • (Gk. plakuos= flat cake)
  • embryonic/maternal organ
  • villous chorion/decidua basalis
  • continuous with amniotic and chorionic sacks
  • Dimensions
    • discoid up to 20cm diameter and 3 cm thick (term)
    • weighs 500-600 gm
  • Shapes
    • accessory placenta, bidiscoid, diffuse, horseshoe
  • maternal and embryonic surface
  • delivered at parturition
  • retention may cause uterine hemorrhage
  • Maternal Surface
    • Cotyledons
    • form cobblestone appearance
    • originally placental septa formed grooves
    • covered with maternal decidua basalis
  • Fetal Surface
    • umbilical cord attachment
    • cord 1-2 cm diameter, 30-90cm long
    • covered with amniotic attached to chorionic plate
    • umbilical vessels branch into chorionic vessels
    • which anastomose
  • Chorionic Villi-Primary Villi
    • week 2
    • trophoblastic shell cells
    • syncitiotrophoblasts, cytotrophoblasts
    • frorm finger-like extensions
  • Chorionic Villi- Secondary Villi
    • week 3
    • extraembryonic mesoderm grows into villi
    • covers entire surface of chorionic sac
  • Chorionic Villi- Tertiary Villi
    • mesenchyme differentiates into blood vessels and cells
    • forms arteriocapillary network
    • fuse with placental vessels
    • developing in connecting stalk
  • Chorionic Villi
    • Stem
      • or anchoring villi
      • cytotrophoblast cells attached to maternal tissue
    • Branched
      • or terminal villi
      • grow from sides of stem villi
      • region of main exchange
    • surrounded by maternal blood in intervillous spaces
    • maternal sinusoids
  • Chorionoic Villi
    • originally cover entire chorionic surface
    • become restricted to decidua basalis region
    • Frondosum
    • Capsularis
  • Maternal Decidua basalis reaction
    • deposition of glycogen
    • proliferation of blood vessels
  • Placental- Histology
    • Placental- Histology UNSW Histology- slide 96
  • Placental Function
    • 4 layers separate maternal and fetal blood
      • syncitiotrophoblast
      • cytotrophoblast
      • villi connective tissue
      • fetal capillary endothelium
    • 3 main functions
      • metabolism
      • transport
      • endocrine
  • Placental Metabolism
    • synthesizes
      • glycogen
      • cholesterol
      • fatty acids
    • provides nutrient and energy
  • Placental Transport
    • gases and nutrition
      • oxygen, carbon dioxide, carbon monoxide
    • water, glucose, vitamins
    • hormones, mainly steroid not protein
    • electrolytes
    • maternal antibodies
    • waste products
      • urea, uric acid, bilirubin
    • drugs and their metabolites
      • fetal drug addiction
    • infectious agents
      • cytomegalovirus, rubella, measles, microorganisms
  • Placental Endocrine
    • Human chorionic gonadotrophin (hCG)
      • like leutenizing hormone, supports corpus luteum
    • Human chorionic somatommotropin (hCS)
      • or placental lactogen
      • stimulate mammary development
    • Human chorionic thyrotropin (hCT)
    • Human chorionic corticotropin (hCACTH)
    • progesterone and estrogens
      • support maternal endometrium
    • relaxin

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References

  • Selected Lists of References from PubMed March 1999 search results are available for School of Anatomy computers without internet access. Computers with internet access can search from either Page 2 or PubMed Internet Access
    • Selected Research Articles and Reviews

Search Pubmed Now

By clicking on the listed keywords below (used to search the database) the most current references on Medline will be displayed.

About Notes

  • Notes from the Embryology Program compiled and written by Dr Mark Hill.
  • Note Links to OMIM Entries are copies of originals for computers without internet access. Computers with internet access can directly access the database.

Links

Serial Sections Homepage
Human Homepage
Pig Homepage

m.hill@unsw.edu.au
Date Last Modified: 11/10/99
This site maintained by Dr M. Hill

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