“…Exposure of TS cells to low oxygen can disrupt differentiation toward a trophoblast giant cell phenotype and instead promote development of the invasive trophoblast cell lineage (Cowden Dahl, Fryer, et al, 2005; Cowden Dahl, Robertson, et al, 2005; Gultice et al, ; Chakraborty et al, , ). These responses are dependent upon HIF signaling, which redirects the epigenetic landscape and gene expression of trophoblast cells (Chakraborty et al, , ). Hypoxiaâdependent HIF activation drives pivotal events, including the downregulation of Eâcadherin and upregulation of KDM3A, which promotes the expression of MMP12 and a proâinvasive phenotype (Chakraborty et al, , ).…”