The following two reviews deal with the important topic of the physiology of amino acid metabolism in the maternal-placental-fetal unit. Dr. Jansson discusses the biology of amino acid transporters and Dr. Cetin reviews studies of amino acid transport and metabolism in experimental animals and humans. Recent work on the relation between abnormalities of amino acid transport and intrauterine growth retardation underline the importance of this topic and of these timely reviews.
Alvin Zipursky Editor-in-ChiefAmino Acid Transporters in the Human Placenta
THOMAS JANSSONPerinatal Center, Department of Physiology and Pharmacology, Göteborg University, Sweden Amino acid transport across the human placenta is active, mediated by specific transporters in syncytiotrophoblast plasma membranes. Using functional criteria such as substrate specificity and sodium dependence, approximately 15 transport systems have been identified in the human placenta. Recently, the area of molecular biology of amino acid transporters has evolved rapidly and at least 25 cDNA clones coding for mammalian amino acid transporters or transporter subunits have been identified. The primary objective of this review is to integrate the available functional data on placental amino acid transport systems with recent molecular information on mammalian amino acid transporters. Furthermore, models for the mechanisms for net materno-fetal transfer of amino acids are discussed. Finally, the evidence to suggest that alterations in placental amino acid transport systems may play a crucial role in the regulation of fetal growth are presented briefly. The plasma concentrations of most amino acids are higher in the fetus than in the mother (1), suggesting an active transport of amino acids across the human placenta. There are only two cell layers positioned between the maternal and fetal circulation in the human placenta: the syncytiotrophoblast and the fetal capillary endothelium. The endothelium has been shown to be of the continuous type, closely resembling other continuous nonbrain capillaries (2). This endothelial type allows for relatively unrestricted passage of amino acids through pores within the interendothelial cleft (3) and is therefore unlikely to represent a significant barrier to transport of amino acids. Instead, the transport across the polarized plasma membranes of the syncytiotrophoblast probably represents the limiting step in transplacental amino acid transfer. Consequently, isolated microvillous and basal syncytiotrophoblast membranes studied in vitro are particularly valuable experimental systems in elucidating the cellular mechanisms of amino acid transport across the placenta.Amino acids are transported across plasma membranes mediated by transporter proteins. As a result of pioneer work some 50 years ago, in particular originating from Christensen et al. (4), mammalian amino acid transport systems were identified and characterized according to functional criteria such as substrate specificity and sodium dependence.