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Details

Autor(en) / Beteiligte
Titel
Vessel remodelling, pregnancy hormones and extravillous trophoblast function
Ist Teil von
  • Molecular and cellular endocrinology, 2012-02, Vol.349 (2), p.138-144
Ort / Verlag
Ireland: Elsevier Ireland Ltd
Erscheinungsjahr
2012
Link zum Volltext
Quelle
Elsevier ScienceDirect Journals Complete
Beschreibungen/Notizen
  • ► Vessel remodelling in early human pregnancy requires trophoblast invasion. ► hCG, P4 and E2 are all found at high concentrations at the maternal–foetal interface. ► These hormones can control trophoblast movement and thus may regulate remodelling. ► We review the effects of these pregnancy hormones on trophoblast function. ► A role for these hormones in defective remodelling seen in pre-eclampsia is examined. During early human pregnancy, extravillous trophoblast (EVT) cells from the placenta invade the uterine decidual spiral arterioles and mediate the remodelling of these vessels such that a low pressure, high blood flow can be supplied to the placenta. This is essential to facilitate normal growth and development of the foetus. Defects in remodelling can manifest as the serious pregnancy complication pre-eclampsia. During the period of vessel remodelling three key pregnancy-associated hormones, human chorionic gonadotrophin (hCG), progesterone (P4) and oestradiol (E2), are found in high concentrations at the maternal–foetal interface. Potentially these hormones may control EVT movement and thus act as regulators of vessel remodelling. This review will discuss what is known about how these hormones affect EVT proliferation, migration and invasion during vascular remodelling and the potential relationship between hCG, P4, E2 and the development of pre-eclampsia.

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