Molecular and immunological developments in placentas

Akitoshi Nakashima, Tomoko Shima, Aiko Aoki, Mihoko Kawaguchi, Ippei Yasuda, Sayaka Tsuda, Satoshi Yoneda, Akemi Yamaki-Ushijima, Shi Bin Cheng, Surendra Sharma, Shigeru Saito

Research output: Contribution to journalReview articlepeer-review

Abstract

Cytotrophoblasts differentiate in two directions during early placentation: syncytiotrophoblasts (STBs) and extravillous trophoblasts (EVTs). STBs face maternal immune cells in placentas, and EVTs, which invade the decidua and uterine myometrium, face the cells in the uterus. This situation, in which trophoblasts come into contact with maternal immune cells, is known as the maternal-fetal interface. Despite fetuses and fetus-derived trophoblast cells being of the semi-allogeneic conceptus, fetuses and placentas are not rejected by the maternal immune system because of maternal-fetal tolerance. The acquired tolerance develops during normal placentation, resulting in normal fetal development in humans. In this review, we introduce placental development from the viewpoint of molecular biology. In addition, we discuss how the disruption of placental development could lead to complications in pregnancy, such as hypertensive disorder of pregnancy, fetal growth restriction, or miscarriage.

Original languageEnglish (US)
Pages (from-to)317-324
Number of pages8
JournalHuman Immunology
Volume82
Issue number5
DOIs
StatePublished - May 2021
Externally publishedYes

Keywords

  • Autophagy
  • Placenta
  • Regulatory T cells
  • Senescence
  • Syncytialization

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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