Membrane transporters are considered essential for placental amino acid transfer,
but the contribution of other factors, such as blood flow and metabolism, is
poorly defined. In this study we combine experimental and modeling approaches to
understand the determinants of [14C]phenylalanine transfer across the
isolated perfused human placenta. Transfer of [14C]phenylalanine
across the isolated perfused human placenta was determined at different maternal
and fetal flow rates. Maternal flow rate was set at 10, 14, and 18 ml/min for 1
h each. At each maternal flow rate, fetal flow rates were set at 3, 6, and 9
ml/min for 20 min each. Appearance of [14C]phenylalanine was measured
in the maternal and fetal venous exudates. Computational modeling of
phenylalanine transfer was undertaken to allow comparison of the experimental
data with predicted phenylalanine uptake and transfer under different initial
assumptions. Placental uptake (mol/min) of [14C]phenylalanine
increased with maternal, but not fetal, flow. Delivery (mol/min) of
[14C]phenylalanine to the fetal circulation was not associated
with fetal or maternal flow. The absence of a relationship between placental
phenylalanine uptake and net flux of phenylalanine to the fetal circulation
suggests that factors other than flow or transporter-mediated uptake are
important determinants of phenylalanine transfer. These observations could be
explained by tight regulation of free amino acid levels within the placenta or
properties of the facilitated transporters mediating phenylalanine transport. We
suggest that amino acid metabolism, primarily incorporation into protein, is
controlling free amino acid levels and, thus, placental transfer.