The Human placenta: an atypical endocrine organ

Authors

  • Danièle Evain-Brion
  • Andre Malassiné

Abstract

The human placenta is characterized by the intensity and the specificity of its endocrine functions. Placental hormones are required for the establishment and maintenance of pregnancy, the adaptation of the maternal organism to pregnancy, fetal growth and well being, and the development of the mechanisms involved in parturition. The endocrine tissue of the placenta is the syncytiotrophoblast, which covers the chorionic villi, the main structure of exchange. Primary cultures of villous cytotrophoblasts have provided insight into the mechanisms involved in syncytiotrophoblast formation by cell-cell fusion. Bathing in maternal blood, the syncytiotrophoblast secretes the majority of its polypeptide hormones into maternal circulation. Among those, hCG (human chorionic gonadotropin) plays an essential role in the maintenance of the corpus luteum and is directly implicated in trophoblastic differentiation. The placental GH (growth hormone) secreted continuously by the syncytiotrophoblast replaces the maternal pituitary GH during pregnancy. Capturing the cholesterol from the maternal lipoproteins, the syncytiotrophoblast synthesizes large amounts of progesterone essential for uterine quiescence. Deprived of cytochrome P450 17αhydroxylase/17-20lyase, it uses the maternal and fetal adrenal androgens to synthesize estrogens. The observation of any maternal hormonal anomaly during pregnancy must take into account these data and, in particular, the enzymatic characteristics of the placenta.

Published

2007-12-28