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Abstract
Chorionic villi in the human placenta serve as essential
structures in fetomaternal exchanges. According to the
embryology and placentology literature, in the first
trimester, the cytotrophoblast (CTB) layer that is
subjacent to the syncytiotrophoblast (STB) and supported
by a basal lamina is nearly complete but later becomes
discontinuous. In this study, we investigated the
structural integrity of the CTB layer in the normal
villous tree by advanced microscopy techniques using an
antibody to hepatocyte growth factor (HGF) activator
inhibitor type 1 (SPINT1), a potent inhibitor of HGF
activators expressed exclusively on villous CTB. In
fullterm placenta, the cell surface of the CTB layer was
spread over the basal lamina but was not interrupted.
Morphometric analysis showed that throughout the villous
tree, 80% of the continuity of the CTB layer of full-term
placenta and 90% of that of first-trimester placenta were
preserved. Gestation was accompanied by unique structural
change of the basal domain of the trophoblast layer. The
initially cuboidal-shaped CTB cells were transformed to
flat cells with many cellular processes that, together
with those of the adjacent STB, eventually covered the
trophoblast basal lamina in a complex network of
interdigitations. In addition, the expression levels of
SPINT1, ST14, HGF, and MET mRNAs in the villous tree
increased over the course of gestation. These results
suggest that the structural integrity of the
SPINT1-positive CTB layer may play an important role in
villous differentiation and the maintenance of the villous
tree via HGF signaling system during gestation.
Key words:
Placenta
Trophoblast
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