Chemical Immunology and Allergy, 2005 2005
DOI: 10.1159/000087833
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Trophoblast Invasion and Placentation: Molecular Mechanisms and Regulation

Abstract: Trophoblast invasion is a key process during human placentation. This event constitutes the basis of the conversion of the uterine spiral arteries, a process which allows an adequate vascular connection between the intervillous space and the maternal blood flow. Trophoblast invasion is transient, with stringent spatial and temporal control. Preeclampsia, a leading cause of maternal and fetal mortality and morbidity, is associated with decreased, shallow trophoblastic invasion. In this article, we review the mo… Show more

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Cited by 26 publications
(25 citation statements)
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“…The formation of a functional placenta requires the extensive, although well-controlled, invasion of trophoblast cells through the stromal compartment [5]. Therefore, the mechanisms controlling this process involve both the signals that promote and limit trophoblast invasion.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The formation of a functional placenta requires the extensive, although well-controlled, invasion of trophoblast cells through the stromal compartment [5]. Therefore, the mechanisms controlling this process involve both the signals that promote and limit trophoblast invasion.…”
Section: Discussionmentioning
confidence: 99%
“…Invasion of the trophoblast into the maternal decidua is regulated by both the trophoectoderm and the stroma, and requires the action of tissue remodelling enzymes [5]. Metalloproteinases (MMPs) are a family of zinc-dependent enzymes that play a key role in degrading components of the extracellular matrix (ECM).…”
Section: Introductionmentioning
confidence: 99%
“…The disease is manifest in the third trimester of pregnancy with a wide variety of maternal symptoms, of which hypertension, proteinuria, and edema are late manifestations of a multifactorial, multisystemic disorder initiated in early pregnancy [2] . Although the precise etiology of PE remains unknown, increasing evidence suggests that abnormal trophoblast invasion is considered the core feature of this disease [3,4] . For instance, trophoblastic remodeling of the uterine spiral arterioles is diminished in virtually all cases of PE [5,6] compared to normal pregnancy.…”
Section: Introductionmentioning
confidence: 99%
“…Insufficient trophoblast invasion can lead to a number of placental complications such as preeclampsia [26], whereas excessive invasion is associated with disorders such as placenta creta [27]. A finely tuned balance between individual RHO signaling pathways may therefore contribute to the mechanism by which the endometrium controls the appropriate level of trophoblast invasion.…”
Section: Discussionmentioning
confidence: 99%