Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 159
Filter
1.
Placenta ; 95: 26-32, 2020 06.
Article in English | MEDLINE | ID: mdl-32452399

ABSTRACT

In 1926, the German biologist Johanna (Hanni) Hrabowski published a study of the morphology and development of the fetal placenta in lizards that has proven to be of historical importance. Her anatomical descriptions and interpretations identified developmental patterns that differ from other amniotes -- features now recognized as unique attributes of squamate (lizards and snakes) development. Her 1926 monograph presented the first histological comparison of fetal membranes in closely-related oviparous and viviparous reptiles, thereby establishing a comparative framework for understanding placental specializations for viviparity. Hrabowski reported that yolk sac development did not differ between oviparous and viviparous species. The novel, shared components of yolk sac development she identified are now recognized as the foundation for the unique yolk sac placenta of reptiles, the omphaloplacenta. In addition, Hrabowski's extensive ontogenetic sampling and the detail and accuracy of her anatomical descriptions set high standards for subsequent studies of comparative evolutionary embryology.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Lizards/anatomy & histology , Placenta/anatomy & histology , Anatomy, Comparative/history , Animals , Biological Evolution , Female , History, 20th Century , Placentation , Pregnancy , Viviparity, Nonmammalian
2.
Pediatr Dev Pathol ; 23(4): 249-252, 2020 Aug.
Article in English | MEDLINE | ID: mdl-31739758

ABSTRACT

INTRODUCTION: Proper placental gross examination requires weighing the placental disc trimmed of fetal membranes and the umbilical cord. However, untrimmed placental weights are often reported, both in cases submitted for consultation and in publications. Thus, determining the contribution of membranes and cords to untrimmed placental weights would be helpful in estimating the true trimmed weight of placentas. We sought to report the average weights of membranes and cord in term placentas and to correlate these weights with common placental pathologies. METHODS: A total of 500 consecutive placentas delivered between 36 and 42 weeks gestational age were subjected to a modified grossing protocol, in which the weight of the trimmed and untrimmed placentas, fetal membranes, and umbilical cords were recorded. Acute chorioamnionitis, meconium, maternal vascular malperfusion, and fetal vascular malperfusion were included as pathologic correlates. Clinical data such as the presence of fetal hydrops, intrauterine growth restriction, intrauterine fetal demise, and maternal diabetes were also recorded. RESULTS: The mean weights of the trimmed placenta, fetal membranes, and umbilical cords were 442 g (180-805 g), 47.2 g (16-108 g), and 37.9 g (9-126 g), respectively. The fetal membranes and umbilical cord weights contributed a mean of 16% to the total untrimmed placental weight. Meconium was associated with heavier fetal membranes. Fetal vascular malperfusion was associated with longer umbilical cord and thus also with heavier umbilical cords. Maternal vascular malperfusion and intrauterine growth restriction were associated with lighter placentas. DISCUSSION: The trimmed placental disc weight may be estimated by subtracting 16% (ie, weight of the fetal membranes and umbilical cord) from the untrimmed placental weight, or alternatively by subtracting the mean weight of the membranes and umbilical cord. It is important to consider the effects of meconium, fetal and maternal vascular malperfusion, and intrauterine growth restriction on membrane and cord weights when estimating the trimmed placental disc weight.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Placenta Diseases/pathology , Placenta/anatomy & histology , Placenta/pathology , Umbilical Cord/anatomy & histology , Case-Control Studies , Female , Humans , Infant, Newborn , Male , Organ Size , Placenta Diseases/diagnosis , Pregnancy , Term Birth
3.
BMC Pregnancy Childbirth ; 19(1): 496, 2019 Dec 11.
Article in English | MEDLINE | ID: mdl-31829154

ABSTRACT

BACKGROUND: Triplet pregnancies are associated with higher fetal morbidity and mortality rates as well as life-threatening maternal complications. Monochorionic diamniotic (MCDA) triplet pregnancies are very rare compared to other types of triplet pregnancies. CASE PRESENTATION: We report three cases of MCDA triplet pregnancies between January 2012 and December 2017. Two of these MCDA triplet pregnancies received regular and intensive prenatal care, were diagnosed by ultrasonography during the first trimester or early second trimester, and had good perinatal outcomes. The case with irregular perinatal care had poor outcomes, and the MCDA triplet pregnancy was diagnosed intrapartum. CONCLUSIONS: The possibility of continuing an MCDA triplet pregnancy should be recognized. Early diagnosis, regular antenatal care, close prenatal monitoring, and sufficient communication are recommended to obtain better perinatal outcomes in MCDA triplet pregnancies.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Placenta/anatomy & histology , Pregnancy, Triplet , Adult , Fatal Outcome , Female , Humans , Infant, Newborn , Perinatal Care/methods , Pregnancy , Pregnancy Outcome , Triplets
4.
Placenta ; 53: 66-75, 2017 05.
Article in English | MEDLINE | ID: mdl-28487023

ABSTRACT

INTRODUCTION: Remodeling of human placental membranes (amniochorionic or fetalmembrane) throughout gestation, a necessity to accommodate increasing uterine volume, involves continuous alterations (replacement of cells and remodeling of extracellular matrix). Methodologic limitations have obscured microscopic determination of cellular and layer-level alterations. This study used a combination of advanced imaging by multiphoton autofluorescence microscopy (MPAM) and second harmonic generation (SHG) microscopy along with tissue optical clearing to characterize the 3Dimensional multilayer organization of placental membranes. METHODS: Placental membranes biopsies (6 mm) collected from term, not-in-labor cesarean deliveries (n = 7) were fixed in 10% formalin (native) or treated with 2,2'-thiodiethanol to render them transparent for deeper imaging. Native and cleared tissues were imaged using MPAM (cellular autofluorescence) and SHG (fibrillar collagen). Depth z-stacks captured the amnion epithelium, underlying matrix layers, and in the cleared biopsies, the decidua layer. RESULTS: MPAM and SHG revealed fetal membrane epithelial topography and collagen organization in multiple matrix layers. Term amnion layers showed epithelial shedding and gaps. Optical clearing provided full-depth imaging with improved visualization of collagen structure, mesenchymal cells in extracellular matrix layers, and decidua morphology. Layer thicknesses measured by imaging corroborated with histology. Mosaic tiling of MPAM/SHG image stacks allowed large area visualization of entire biopsies. CONCLUSION: MPAM-SHG microscopy allowed for study of this multi-layered tissue and revealed shedding, gap formation, and other structural changes. This approach could be used to study structural changes associated with membranes as well as other uterine tissues to better understand events in normal and abnormal parturition.


Subject(s)
Extraembryonic Membranes/diagnostic imaging , Microscopy, Fluorescence, Multiphoton , Placenta/diagnostic imaging , Second Harmonic Generation Microscopy , Extracellular Matrix , Extraembryonic Membranes/anatomy & histology , Female , Histocytological Preparation Techniques , Humans , Imaging, Three-Dimensional , Placenta/anatomy & histology , Pregnancy
5.
Placenta ; 35(12): 1065-9, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25443432

ABSTRACT

INTRODUCTION: In vitro studies on the structure of human fetal membranes have involved light or electron microscopy with fixation, dehydration, and staining. Recently, optical coherence tomography (OCT), an imaging technology, has provided high-resolution cross-sectional images of living biological tissues, with a penetration of 2-3 mm. We evaluated the use of this technology to examine the histologic features of human fetal membranes immediately after delivery. METHODS: Samples of fetal membranes of ten patients undergoing cesarean deliveries (four uncomplicated pregnancies, four with preeclampsia, and two with chorioamnionitis) and eight patients undergoing vaginal deliveries (six uncomplicated pregnancies and two with chorioamnionitis) were collected immediately after delivery. Samples were stretched across customized disks, rinsed, and analyzed using a time-domain OCT imaging system. Following OCT scanning, the samples were placed in formalin for histologic study. The OCT images were compared to histologic images of common human fetal membrane features. RESULTS: We were able to delineate the layers of the fetal membranes using bench-top time-domain OCT. The system was able to image histologic features of the fetal membranes, such as microscopic chorionic pseudocysts, ghost villi, meconium stained membranes, and chorioamnionitis. The OCT images corresponded with the histologic findings. DISCUSSION: This feasibility study demonstrates the potential of OCT technology for real-time assessment of human fetal membranes and may provide clinically useful information at delivery.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Tomography, Optical Coherence , Female , Humans , Pregnancy
6.
Theriogenology ; 80(7): 693-705, 2013 Oct 15.
Article in English | MEDLINE | ID: mdl-23849255

ABSTRACT

The bovine placenta has been the subject of many studies. Concurrently, several specialized terms have been developed to describe its development, morphology, components, function, and pathology. Many of these terms are simple, some are difficult to understand and use, and others are antiquated and may not be scientifically accurate. Defining and adopting terminology for the bovine placenta that is clear, precise and understandable, and available in a single source is expected to facilitate exchange of clinical and research information. This review presents a brief overview of the current knowledge regarding the bovine placenta and attempts to define terms. In this process, conventional terminology is presented, and contemporary and novel terms are proposed from a biological perspective. For example, use of terms such as syndesmochorial, retained placenta, and large offspring syndrome should be revisited. Furthermore, the clinical relevance of the structure and function of the bovine placenta is reviewed. Finally, terms discussed in this review are summarized (in table format).


Subject(s)
Cattle/physiology , Amniotic Fluid/metabolism , Animals , Cattle/anatomy & histology , Cattle Diseases/diagnostic imaging , Cattle Diseases/pathology , Extraembryonic Membranes/anatomy & histology , Female , Fetal Membranes, Premature Rupture/diagnostic imaging , Fetal Membranes, Premature Rupture/pathology , Fetal Membranes, Premature Rupture/veterinary , Placenta/anatomy & histology , Placenta/diagnostic imaging , Placenta/metabolism , Placenta/pathology , Placenta, Retained/diagnostic imaging , Placenta, Retained/pathology , Placenta, Retained/veterinary , Pregnancy , Pregnancy Proteins/metabolism , Terminology as Topic , Ultrasonography
7.
Res Vet Sci ; 95(1): 15-22, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23485173

ABSTRACT

To describe the histological changes of fetal adnexa throughout the physiological pregnancy, canine samples were obtained during natural delivery and caesarean section, as well as during ovariohysterectomy performed at any stage of undesired pregnancies (N=12). The first period of pregnancy (multiple samples collected at 10, 12, 14 days) was consistent with pre- and peri-implantation events, i.e. apposition and initial invasion steps into the endometrium. The second period (multiple samples collected at 18, 38, 40, 45 days) was related to the development of extra-embryonic structures, placenta establishment and labyrinth formation. At the end of this period the maximum morphological complexity of the endotheliochorial placenta was achieved, characterized by complete erosion of the endometrial epithelium and underlying interstitium with exposure of maternal capillaries to the chorial cells. The third period of gestation (multiple samples collected at 50, 53, 57, 60, 63 days) was characterized by enhancement either of placental and extra-embryonic tissues.


Subject(s)
Dogs/anatomy & histology , Extraembryonic Membranes/anatomy & histology , Placenta/anatomy & histology , Pregnancy, Animal/physiology , Animals , Dogs/physiology , Extraembryonic Membranes/physiology , Female , Histocytochemistry/veterinary , Image Processing, Computer-Assisted , Placenta/physiology , Pregnancy
8.
Placenta ; 33(8): 655-7, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22564874

ABSTRACT

Over the centuries, great interest has been devoted to the placenta and to its highly symbolic significance. The Renaissance represented the age of historical and cultural transition between classical and modern scientific paradigms. In the medical setting, Realdo Colombo represents one of the protagonists of this revolution. In his masterpiece, "De Re Anatomica", he revolutionized the former medical perspective. We present a passage from this book, which carries invaluable information on the Renaissance viewpoint on pregnancy and placental biology. The connections between Colombo's theories and the previous medical tradition are also analysed.


Subject(s)
Anatomy/history , Placenta/anatomy & histology , Books, Illustrated , Extraembryonic Membranes/anatomy & histology , Female , History, 16th Century , Humans , Pregnancy , Reference Books, Medical , Terminology as Topic , Uterus/anatomy & histology
9.
J Biomed Opt ; 16(11): 116006, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22112111

ABSTRACT

Microscopic chorionic pseudocyst (MCP) arising in the chorion leave of the human fetal membrane (FM) is a clinical precursor for preeclampsia which may progress to fatal medical conditions (e.g., abortion) if left untreated. To examine the utility of three-dimensional (3D) optical coherence tomography (OCT) for noninvasive delineation of the morphology of human fetal membranes and early clinical detection of MCP, 60 human FM specimens were acquired from 10 different subjects undergoing term cesarean delivery for an ex vivo feasibility study. Our results showed that OCT was able to identify the four-layer architectures of human FMs consisting of high-scattering decidua vera (DV, average thickness d(DV) ≈ 92±38 µm), low-scattering chorion and trophoblast (CT, d(CT) ≈ 150±67 µm), high-scattering subepithelial amnion (A, d(A) ≈ 95±36 µm), and low-scattering epithelium (E, d(E) ≈ 29±8 µm). Importantly, 3D OCT was able to instantaneously detect MCPs (low scattering due to edema, fluid buildup, vasodilatation) and track (staging) their thicknesses d(MCP) ranging from 24 to 615 µm. It was also shown that high-frequency ultrasound was able to compliment OCT for detecting more advanced thicker MCPs (e.g., d(MCP)>615 µm) because of its increased imaging depth.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Extraembryonic Membranes/pathology , Fetal Diseases/diagnosis , Imaging, Three-Dimensional/methods , Pre-Eclampsia/pathology , Tomography, Optical Coherence/methods , Cysts/chemistry , Cysts/diagnosis , Cysts/pathology , Extraembryonic Membranes/chemistry , Extraembryonic Membranes/diagnostic imaging , Female , Fetal Diseases/diagnostic imaging , Fetal Diseases/pathology , Histocytochemistry , Humans , Pre-Eclampsia/diagnostic imaging , Pregnancy , Trophoblasts/chemistry , Ultrasonography
10.
Gynecol Obstet Fertil ; 39(6): 373-7, 2011 Jun.
Article in French | MEDLINE | ID: mdl-21602078

ABSTRACT

The purpose of this study was to determine the biomechanical characteristics of human fetal membranes (FM) throughout gestation. Biomechanical properties were determined for 115 FM of 23-41 weeks gestation using our previously described methodology. The areas of membrane immediately adjacent to the strongest and weakest tested spots were sampled for histomorphometric analysis. Clinical data on the patients whose FM were examined were also collected. FM less than 28 weeks gestation were associated with higher incidence of abruption and chorioamnionitis. Topographically FM at all gestations had heterogeneous biomechanical characteristics over their surfaces with distinct weak areas. The most premature membranes were the strongest. FM strength represented by rupture force and work to rupture decreased with increasing gestation in both weak and strong regions of FM. This decrease in FM strength was most dramatic at more than 38 weeks gestation. The FM component amnion-chorion sublayers were thinner in the weak areas compared to strong areas. Compared to term FM, preterm FM are stronger but have similar heterogeneous weak and strong areas. Following a gradual increase in FM weakness with increasing gestation, there is a major drop-off at term 38 weeks gestation. The FM weak areas are thinner than the stronger areas. Whether the difference in thickness is enough to account for the strength differences is unknown.


Subject(s)
Extraembryonic Membranes/physiology , Fetal Membranes, Premature Rupture/physiopathology , Adolescent , Adult , Biomechanical Phenomena/physiology , Chorioamnionitis/physiopathology , Extraembryonic Membranes/anatomy & histology , Female , Gestational Age , Humans , Labor, Obstetric/physiology , Pregnancy , Young Adult
11.
J Morphol ; 272(4): 465-84, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21290418

ABSTRACT

Placental membranes mediate maternal-fetal exchange in all viviparous reptilian sauropsids. We used scanning electron microscopy to examine the placental interface in the mountain spiny lizard, Sceloporus jarrovi (Phrynosomatidae). From the late limb bud stage until birth, the conceptus is surrounded by placental membranes formed from the chorioallantois and yolk sac omphalopleure. The chorioallantois lies directly apposed to the uterine lining with no intervening shell membrane. Both fetal and maternal sides of the chorioallantoic placenta are lined by continuous layers of flattened epithelial cells that overlie dense capillary networks. The chorioallantoic placenta shows specializations that enhance respiratory exchange, as well as ultrastructural evidence of maternal secretion and fetal absorption. The yolk sac placenta contains enlarged fetal and maternal epithelia with specializations for histotrophic nutrient transfer. This placenta lacks intrinsic vascularity, although the vascular allantois lies against its inner face, contributing to an omphallantoic placenta. In a specialized region at the abembryonic pole, uterine and fetal tissues are separated by a compact mass of shed shell membrane, yolk droplets, and cellular debris. The omphalopleure in this region develops elongate folds that may contribute to sequestration and absorption of this material. Fetal membrane morphogenesis and composition in S. jarrovi are consistent with those of typical squamates. However, this species exhibits unusual placental specializations characteristic of highly placentotrophic lizards.


Subject(s)
Extraembryonic Membranes/ultrastructure , Lizards/anatomy & histology , Allantois/embryology , Allantois/ultrastructure , Animals , Chorioallantoic Membrane/anatomy & histology , Chorioallantoic Membrane/ultrastructure , Extraembryonic Membranes/anatomy & histology , Female , Lizards/embryology , Microscopy, Electron, Scanning , Uterus/embryology , Uterus/ultrastructure , Viviparity, Nonmammalian , Yolk Sac/anatomy & histology , Yolk Sac/ultrastructure
12.
Vet Rec ; 165(21): 615-22, 2009 Nov 21.
Article in English | MEDLINE | ID: mdl-19933541

ABSTRACT

Approximately 5 per cent of dairy cows are affected by retained fetal membranes. Retained fetal membranes are an important risk factor for the metritis/endometritis disease complex occurring in early lactation, and costs the UK dairy industry approximately pound16 million annually in lost production. Veterinary clinicians have described the clinical signs, treatment and some associated risk factors of the condition since early Victorian times, and these have not changed over time. Research carried out within the past 20 years suggests that there is an immunological basis for retained fetal membranes. In a normal calving, the maturation of the placenta and its separation from healthy caruncles depends upon incompatibility between maternal and fetal major histocompatibility complex class I expressed on epithelium within the fetomaternal unit. Placental maturation follows stimulation of the maternal immune response and the production of neutrophil-activating factors within the epithelium in the caruncular arcade. This affects the extracellular matrix components within the placentome, breaking down collagen within the chorionic villi and assisting in separation from the caruncle. Factors influencing normal placental maturation include downregulation of antioxidative defence mechanisms against reactive oxygen species, a lower ratio of prostaglandin E(2) to prostaglandin F(2alpha) within the fetomaternal compartments of the placentome, and an elevated steroid hormone receptor status, which reduces the rate of apoptosis occurring in the chorionic epithelium before calving.


Subject(s)
Cattle Diseases/etiology , Extraembryonic Membranes/anatomy & histology , Extraembryonic Membranes/physiology , Placenta, Retained/veterinary , Reproduction/physiology , Animals , Cattle , Cattle Diseases/immunology , Dairying , Endometritis/etiology , Endometritis/veterinary , Female , Placenta/anatomy & histology , Placenta/physiology , Placenta, Retained/etiology , Placenta, Retained/immunology , Postpartum Period , Pregnancy , Puerperal Disorders/etiology , Puerperal Disorders/veterinary , Risk Factors , Uterus/anatomy & histology , Uterus/physiology
13.
Placenta ; 30(9): 792-9, 2009 Sep.
Article in English | MEDLINE | ID: mdl-19674786

ABSTRACT

Bats are a highly successful, widely distributed group, with considerable variation in placental structure. The Egyptian slit-faced bat Nycteris thebaica is a member of one of the few families with previously undescribed placentation. It was found that, although the interhemal type of the Nycteris placenta is endotheliochorial with a single layer of cytotrophoblast, the arborizing pattern of the maternal vessels and especially the extraordinary major placental artery differs from the placenta of the emballonurid bats to which this family is considered to be most closely related. The major placental artery providing maternal blood to the vessels of the placental disk has a highly glycosylated matrix surrounded by two-layered folds of trophoblast, forming an apparently rigid structure of unique morphology. The yolk sac is collapsed, with hypertrophied endodermal and mesothelial cells similar to many other bat species. The paraplacenta is extensive with abundant fetal vessels underlying cytotrophoblast and syncytial trophoblast layers, fronting on an endometrium that largely lacks uterine epithelial cells but has large decidual cells and is poorly vascularized. The placenta of Nycteris lacks a hemophagous region, unlike the emballonurid bats Taphozous and Saccopteryx. Although the latter two species have similar placentas, the placental structure of Nycteris does little to relate it to the other family within the Emballonuroidea. Shared and divergent reproductive characters are discussed in relationship to bat phylogenetic relationships.


Subject(s)
Chiroptera/physiology , Placenta/anatomy & histology , Placentation/physiology , Animals , Erythrocytes/physiology , Extraembryonic Membranes/anatomy & histology , Female , Fetus/blood supply , Histocytochemistry , Lectins/metabolism , Phagocytosis , Phylogeny , Placenta/blood supply , Placenta/metabolism , Placenta/ultrastructure , Placental Circulation , Pregnancy , Species Specificity , Yolk Sac/anatomy & histology
14.
Placenta ; 30(4): 335-41, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19230968

ABSTRACT

OBJECTIVE: Human fetal membranes (FM) at term have been shown to contain a weak zone in the region overlying the cervix which exhibits characteristics of increased collagen remodeling and apoptosis. It has been hypothesized that the FM rupture initiation site is within this weak zone. Although the FM weak zone has been partially characterized, it is unclear what structural differences in the extracellular matrix result in its decreased rupture strength. A screen for differentially expressed proteins in the amnion of the weak zone versus other FM areas demonstrated that fibulin 1 was decreased. We investigated potential regional differences in all fibulin protein family members. METHODS: FM fibulins were localized by immunohistochemistry. Detected fibulins were screened by Western blot for differences in abundance in the amnion of the weak zone versus non-weak zone FM regions. Amnion epithelial and mesenchymal cells were also screened for fibulin production. RESULTS: Fibulins 1 and 5 were detected in the cytoplasm of and in a pericellular pattern surrounding all FM cells, and in a dense extracellular pattern in the amniotic compact zone. Fibulin 3 was detected within the cytoplasm of amnion epithelial and chorion trophoblast cells. Fibulins 2 and 4 were not detected. Fibulins 1, 3 and 5 demonstrated decreased abundance of 33%, 63% and 58% (all P<0.01) in amnion of the weak zone relative to other FM regions. Amnion cells produced all three detected fibulins. Furthermore, TNF inhibited amnion cell fibulin production in a dose dependent manner. CONCLUSION: Fibulins 1, 3 and 5 were localized coincident with major microfibrillar networks in amnion. Each showed decreased abundance in the amnion component of the FM weak zone. Amnion epithelial and mesenchymal cells produced all three fibulins and their abundance was inhibited by TNF. We speculate that the amnion microfibrillar layer undergoes significant remodeling with the development of the FM weak zone.


Subject(s)
Calcium-Binding Proteins/metabolism , Extraembryonic Membranes/metabolism , Amnion/cytology , Amnion/metabolism , Biomechanical Phenomena , Blotting, Western , Cells, Cultured , Cervix Uteri/anatomy & histology , Cervix Uteri/physiology , Down-Regulation , Extracellular Matrix Proteins/metabolism , Extraembryonic Membranes/anatomy & histology , Extraembryonic Membranes/physiology , Female , Humans , Immunohistochemistry , In Vitro Techniques , Pregnancy , Protein Array Analysis , Proteome , Tissue Distribution
15.
Placenta ; 30(2): 176-86, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19070893

ABSTRACT

Peroxisome proliferator-activated receptors (PPARs) and their transcriptional partner retinoid X receptor (RXR) are involved in transcriptionally regulating the events that contribute to the control of parturition in humans. Definitive data, however, are lacking with respect to PPAR and RXR expression and activation during term labour in human gestational tissues. The aim of this study, therefore, was to identify tissue and labour-associated changes of PPAR isoforms (alpha, delta and gamma) and RXRalpha in placenta, amnion and choriodecidua. Gestational tissues from term non-labouring women were used for immunohistochemistry localisation and confirmation studies of PPAR isoforms (alpha, delta and gamma) and RXRalpha. Human gestational tissues were then collected from term women not-in-labour (NIL) (elective Caesarean section), in-labour (IL) (emergency Caesarean section) and post-labour (PL) (normal vaginal delivery). Quantitative RT-PCR (qRT-PCR) and Western blotting were employed to study mRNA and protein expression profiles respectively. Significantly higher mRNA expression was observed in placental tissues taken from women in labour (PPARdelta, PPARgamma and RXRalpha). Elevated PPARdelta and RXRalpha mRNA expression in fetal membranes was also associated with being in labour. In contrast, PPARgamma mRNA in the amnion was decreased with term PL compared to NIL. In placenta, PPARalpha, PPARdelta and PPARgamma protein expression was significantly increased in the IL group compared to the NIL or PL group. There was no significant difference in PPAR or RXRalpha protein expression in both amnion and choriodecidua between the three labour groups. PPAR (alpha and gamma) transcription factor DNA binding activity was found to decline IL compared to NIL and PL in the placenta. PPARdelta DNA binding activity also decreased in the choriodecidua IL compared to PL. In amnion, PPARalpha DNA binding activity was found to be higher IL compared to NIL. In conclusion, term human labour is associated with changes in expression and activity of PPAR isoforms and its transcription partner, RXRalpha. This data is consistent with the hypothesis that PPAR:RXR are involved in regulating of the processes of human term parturition.


Subject(s)
Extraembryonic Membranes/metabolism , Labor, Obstetric/metabolism , Peroxisome Proliferator-Activated Receptors/metabolism , Placenta/metabolism , Retinoid X Receptor alpha/metabolism , Adult , Extraembryonic Membranes/anatomy & histology , Female , Fluorescent Antibody Technique, Indirect , Humans , Immunoenzyme Techniques , Peroxisome Proliferator-Activated Receptors/genetics , Placenta/anatomy & histology , Pregnancy , Protein Isoforms , RNA, Messenger/metabolism , Retinoid X Receptor alpha/genetics , Term Birth , Young Adult
16.
Reprod Fertil Dev ; 20(4): 537-45, 2008.
Article in English | MEDLINE | ID: mdl-18462617

ABSTRACT

Evidence from several sources supports a close phylogenetic relationship between elephants and sirenians. To explore whether this was reflected in similar placentation, we examined eight delivered placentae from the Amazonian manatee using light microscopy and immunohistochemistry. In addition, the fetal placental circulation was described by scanning electron microscopy of vessel casts. The manatee placenta was zonary and endotheliochorial, like that of the elephant. The interhaemal barrier comprised maternal endothelium, cytotrophoblasts and fetal endothelium. We found columnar trophoblast beneath the chorionic plate and lining lacunae in this region, but there was no trace in the term placenta of haemophagous activity. The gross anatomy of the cord and fetal membranes was consistent with previous descriptions and included a four-chambered allantoic sac, as also found in the elephant and other afrotherians. Connective tissue septae descended from the chorionic plate and carried blood vessels to the labyrinth, where they gave rise to a dense capillary network. This appeared to drain into shorter vessels near the chorionic plate. The maternal vasculature could not be examined in the same detail, but maternal capillaries ran rather straight and roughly parallel to the fetal ones. Overall, there is a close resemblance in placentation between the manatee and the elephant.


Subject(s)
Placentation/physiology , Pregnancy, Animal , Trichechus inunguis/physiology , Animals , Animals, Newborn , Extraembryonic Membranes/anatomy & histology , Extraembryonic Membranes/blood supply , Female , Male , Placenta/anatomy & histology , Placenta/physiology , Placenta/ultrastructure , Placental Circulation/physiology , Pregnancy , Umbilical Cord/ultrastructure
17.
Ultrasound Obstet Gynecol ; 29(5): 574-82, 2007 May.
Article in English | MEDLINE | ID: mdl-17444551

ABSTRACT

OBJECTIVE: To develop a quantitative method for characterizing gestational sac shape. METHODS: Twenty first-trimester gestational sacs in normal pregnancies were studied with three-dimensional (3D) ultrasonography. The 3D coordinates of surface-point sets were obtained for each sac using 30-, 15- and six-slice sampling. Cubic spline interpolation was used with the 15- and six-slice surface-point samples to generate coordinates for those 30-slice surface points not measured. Interpolated and measured values, the latter from the 30-slice sample, were compared and the percent error calculated. Cubic spline interpolation was used to determine the coordinates of a standard surface-point sample (3660) for each sac in each slice sample. These coordinate data were used to give each sac a standard configuration by moving its center of gravity to the origin, aligning its inertial axes along the coordinate axes and converting its volume to 1.0 mL. In this form, a volume shape descriptor could be generated for each sac that was then transformed into a vector containing only shape information. The 20 shape vectors of each slice sample were subjected to principal components analysis, and principal component scores (PCSs) calculated. The first four PCSs were used to define a gestational sac shape score (GSSS-30, GSSS-15 or GSSS-6) for each sac in a given slice sample. The characteristics of each set of GSSSs were determined and those for the GSSS-15 and GSSS-6 were compared with the GSSS-30 characteristics. RESULTS: Cubic spline interpolations were very accurate in most cases, with means close to 0%, and approximately 95% of the errors being less than 10%. GSSS-30 accounted for 67.6% of the shape variance, had a mean of zero and an SD of 1.1, was normally distributed and was not related to menstrual age (R=-0.16, P=0.51). GSSS-15 and GSSS-6 had essentially the same characteristics. No significant differences between individual GSSS-30 values and those for GSSS-15 or GSSS-6 were found, indicating the absence of a slice sample effect. CONCLUSION: Using sophisticated mathematical methods, the gestational sac shape, initially represented by the 3D coordinates of 3660 surface points, was converted to a single number, the GSSS. This score had the appropriate properties for quantitatively characterizing normal, first-trimester gestational sac shapes. As it can be obtained from as few as six slices, it should be useful in many clinical situations. This novel approach has the potential for providing quantitative shape information about a variety of biological shapes and how they change over time.


Subject(s)
Extraembryonic Membranes/diagnostic imaging , Ultrasonography, Prenatal/methods , Adult , Extraembryonic Membranes/anatomy & histology , Female , Humans , Image Processing, Computer-Assisted/methods , Imaging, Three-Dimensional/methods , Mathematics , Pregnancy , Pregnancy Trimester, First , Principal Component Analysis
18.
Am J Obstet Gynecol ; 196(3): 263.e1-7, 2007 Mar.
Article in English | MEDLINE | ID: mdl-17346548

ABSTRACT

OBJECTIVE: The purpose of this study was to compare the efficacy of native engineered amniotic scaffolds (AS) and polyesterurethane scaffolds (DegraPol) and document wound healing response when sealing iatrogenic fetal membrane defects in the rabbit model. STUDY DESIGN: Native AS were engineered from freshly harvested membranes of 23 days' gestational age (GA; term = 31-2 d). Acellularity of AS was assessed by histology, light and scanning electron microscopy. Fetal membrane defects were created by 14 gauge-needle puncture at GA 23 days and primarily closed with AS (n = 10) or DegraPol (n = 10) or left unclosed (positive controls; n = 10). Sixty-one sacs served as negative controls. At GA 30 days a second look hysterotomy was performed to assess presence of amniotic fluid (AF) and harvest plugging sites for microscopic evaluation. RESULTS: Engineered AS had a cell-free collagenous fiber network. AF was significantly higher only in the DegraPol group (78%; P < .05) compared to the AF in positive controls (17%). Integration of plugs in the fetal membrane defect was better with AS than DegraPol, with higher reepithelialization rates (AS: 52.5% +/- 6.5%; DegraPol: 11.6% +/- 2.6%; P < .001) and proliferation indices (AS: 0.47 +/- 0.03; DegraPol: 0.28 +/- 0.04; P = .001). In both treatment groups, cell proliferation in the myometrium was increased (P < .05). CONCLUSION: Native AS seal iatrogenic fetal membrane defects better than DegraPol. Within a week, there is abundant reepithelilization and minimal local inflammation. This yields the proof of principle that engineered native, amniotic membrane scaffolds enhance fetal membrane wound healing response.


Subject(s)
Amnion , Extraembryonic Membranes/injuries , Polyesters , Polyurethanes , Tissue Engineering/methods , Wound Healing , Animals , Extraembryonic Membranes/anatomy & histology , Models, Animal , Rabbits
19.
Theriogenology ; 66(6-7): 1699-702, 2006 Oct.
Article in English | MEDLINE | ID: mdl-16563485

ABSTRACT

The aim of this research was to compare the morphological aspects during the development of pregnancy in dogs and cats, distinguishing features of the fetal membranes, such as yolk sac evolution and differentiation of hemangioblasts, and the degree of elaboration of the amnion and allantois. Canine and feline placentae from 20, 24, 35, 45 and 55 d of pregnancy were perfusion-fixed for histological investigation and vascular corrosion casts were produced. The casts were prepared for scanning electron microscopy (SEM) and the embryo and fetal membrane development was analyzed. The growth patterns of the conceptuses were compared with the organization of the placentation process, and changes of the morphology during pregnancy were recorded. In feline placentae, an incomplete zonary shape was present in 62.5% out of 60 studied cases. This was located distal to the insertion of the umbilical cord. In the lamellar zone, the interhemal membrane or placental barrier resembled endotheliochorial conditions, and the maternal-fetal microvascular blood flow interrelationship was of simple crosscurrent type. Dogs have a zonary placenta, completely surrounding the fetus, and complex lamellar organization of maternal and fetal tissues. At the border, two marginal hematomes with green colouration delimited the central placental girdle. The yolk sac consisted of one large sacculation with an inverted "T" shape and an enormous number of blood vessels; it had hemangioblast cells in contact with the epithelium. The amnion was avascular in early stages, but became vascularized by blood vessels of the internal allantoic membrane in later stages of pregnancy by intrinsic relation.


Subject(s)
Cats/embryology , Dogs/embryology , Embryonic Development/physiology , Extraembryonic Membranes/growth & development , Placentation , Pregnancy, Animal/physiology , Animals , Cats/anatomy & histology , Cats/physiology , Dogs/anatomy & histology , Dogs/physiology , Extraembryonic Membranes/anatomy & histology , Female , Histocytochemistry/veterinary , Microscopy, Electron, Scanning/veterinary , Placenta/anatomy & histology , Pregnancy
20.
Placenta ; 27(2-3): 258-68, 2006.
Article in English | MEDLINE | ID: mdl-16338471

ABSTRACT

The otter shrews of mainland Africa are the closest relatives of the Madagascar tenrecs. We sought for similarities in placentation between the two groups and, in a wider context, with other mammals of the Afrotheria clade. Specimens of the Nimba otter shrew (Micropotamogale lamottei) were obtained from the Ivory Coast and examples of the giant otter shrew (Potamogale velox) from the Hill Collection. The Nimba otter shrew has a central haemophagous organ similar to that in tenrecs. The labyrinth of the Nimba otter shrew, however, is endotheliochorial with syncytial trophoblast enclosing the maternal vessels. On the other hand tenrecs have cellular haemomonochorial placentae and an associated spongy zone, which is not present in the Nimba otter shrew. The placenta of the giant otter shrew is also endotheliochorial. The central region of its placenta is particularly interesting, since the juxtafetal portion is clearly a haemophagous region whereas the labyrinth feeding this region is endotheliochorial. Thus there is considerable variation in placental morphology within Tenrecidae. Importantly, however, both otter shrews have a large allantoic sac divided into four intercommunicating lobes by two pairs of septal folds. A similar arrangement has been described for representatives of each of the remaining five orders within Afrotheria. This is significant because previous anatomical studies have failed to establish a single synapomorphy in support of Afrotheria.


Subject(s)
Extraembryonic Membranes/anatomy & histology , Otters/anatomy & histology , Otters/embryology , Placenta/anatomy & histology , Placentation , Animals , Female , Pregnancy
SELECTION OF CITATIONS
SEARCH DETAIL
...