Placenta perfusion models are very effective when studying the placental mechanisms in order to extrapolate to reallife situations. The models are most often used to investigate the transport of substances between mother and foetus, including the potential metabolism of these. We have studied the relationships between maternal and foetal exposures to various compounds including pollutants such as polychlorinated biphenyls, polybrominated flame retardants, nanoparticles as well as recombinant human antibodies. The compounds have been studied in the human placenta perfusion model and to some extent in vitro with an established human monolayer trophoblast cell culture model. Results from our studies distinguish placental transport of substances by physicochemical properties, adsorption to placental tissue, binding to transport and receptor proteins and metabolism. We have collected data from different classes of chemicals and nanoparticles for comparisons across chemical structures as well as different test systems. Our test systems are based on human material to bypass the extrapolation from animal data. By combining data from our two test systems, we are able to rank and compare the transport of different classes of substances according to their transport ability. Ultimately, human data including measurements in cord blood contribute to the study of placental transport.With our work, we contribute to the paradigm shift in toxicology research from the use of animal studies towards alternative models with high relevance to human beings. Modes of actions, exposures and analysis can be studied with modelling, new omics technologies and in silico testing, preferably including study material of human origin [1,2]. Replacement of animal use in this area calls for human mechanistic and human toxicity pathway analysis bridged with exposure information as currently developed in the USA in the report Toxicity Testing in the 21st Century: A Vision and a Strategy [3], which also includes transport studies across cellular barriers such as the placenta.Risks from prenatal exposure to environmental toxicants are highly dependent on placental transport of substances from the maternal circulation to the foetal circulation. The presence of a substance in human cord blood is the ultimate demonstration of transport during pregnancy. Placental transport kinetics can be investigated by using the human dually perfused recirculating placental perfusion model and the BeWo cell transfer model.In the placental perfusion model, a human term placenta is obtained directly after birth and a single cotyledon is reperfused in the laboratory set-up. Foetal and maternal circulations are re-established by a pump system, and the transport of a chosen test substance can be investigated. This perfusion model is a simplified model of placental transport, and it does not take all the physiological and biochemical variables in the mother and foetus into account. The model can only represent transport in the late third trimester. However, the ass...