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Chapter 2 - The Placenta as an Endocrine Organ/Placental Endocrinology

from Section I - Hormones in the Physiology and Pharmacology of Pregnancy

Published online by Cambridge University Press:  09 November 2022

Felice Petraglia
Affiliation:
Università degli Studi, Florence
Mariarosaria Di Tommaso
Affiliation:
Università degli Studi, Florence
Federico Mecacci
Affiliation:
Università degli Studi, Florence
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Summary

The placenta forms from the trophectoderm of the blastocyst. The demethylation of the sperm and ovum DNA allows the de-repression of endogenous viral DNA elements and the transcription of the viral coat proteins syncytin 1 and 2. The syncytins cause the fusion of cytotrophoblast cells to form the key hormone producing layer of syncytiotrophoblast. Unlike other endocrine organs the syncytiotrophoblast secretes its steroid and peptide hormones continuously rather than in response to acute stimuli. As the placenta follows its maturational trajectory its production of hormones changes. Placental hormones act to facilitate implantation and to maintain pregnancy, to mobilize maternal nutrients to enable fetal growth, to promote the growth of the uterus, to stimulate breast development and lactogenesis, to orchestrate the onset of labor, and likely to alter maternal behavior before and after delivery to enhance the survival prospects of the fetus.

Type
Chapter
Information
Hormones and Pregnancy
Basic Science and Clinical Implications
, pp. 13 - 19
Publisher: Cambridge University Press
Print publication year: 2022

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References

Smith, R, Paul, JW, and Tolosa, JM. Sharpey-Schafer Lecture 2019: From retroviruses to human birth. Exp Physiol. 2020, 105(4):555561.CrossRefGoogle ScholarPubMed
Sultana, Z, Maiti, K, Aitken, J, et al. Oxidative stress, placental ageing-related pathologies and adverse pregnancy outcomes. Am J Reprod Immunol. 2017, 77(5).CrossRefGoogle ScholarPubMed
Jin, J, and Menon, R. Placental exosomes: A proxy to understand pregnancy complications. Am J Reprod Immunol. 2018, 79(5):e12788.CrossRefGoogle ScholarPubMed
Zeng, Y, and Chen, T. DNA methylation reprogramming during mammalian development. Genes (Basel). 2019, 10(4).CrossRefGoogle ScholarPubMed
Tolosa, JM, Schjenken, JE, Clifton, VL, et al. The endogenous retroviral envelope protein syncytin-1 inhibits LPS/PHA-stimulated cytokine responses in human blood and is sorted into placental exosomes. Placenta. 2012, 33(11):933941.CrossRefGoogle ScholarPubMed
Cheng, YH, and Handwerger, S. A placenta-specific enhancer of the human syncytin gene. Biol Reprod. 2005, 73(3):500509.CrossRefGoogle ScholarPubMed
Makrigiannakis, A, Vrekoussis, T, Zoumakis, E, et al. The role of HCG in implantation: A mini-review of molecular and clinical evidence. Int J Mol Sci. 2017, 18(6).CrossRefGoogle ScholarPubMed
Fisher, JJ, Bartho, LA, Perkins, AV, et al. Placental mitochondria and reactive oxygen species in the physiology and pathophysiology of pregnancy. Clin Exp Pharmacol Physiol. 2020, 47(1):176184.CrossRefGoogle ScholarPubMed
Gomez-Concha, C, Flores-Herrera, O, Olvera-Sanchez, S, et al. Progesterone synthesis by human placental mitochondria is sensitive to PKA inhibition by H89. Int. J. Biochem. Cell Biol. 2011, 43(9):14021411.Google Scholar
Martinez, F, Olvera-Sanchez, S, Esparza-Perusquia, M, et al. Multiple functions of syncytiotrophoblast mitochondria. Steroids. 2015, 103:1122.CrossRefGoogle ScholarPubMed
Berkane, N, Liere, P, Oudinet, JP, et al. From pregnancy to preeclampsia: A key role for estrogens. Endocr Rev. 2017, 38(2):123144.CrossRefGoogle ScholarPubMed
Smith, R, Mesiano, S, Chan, EC, et al. Corticotropin-releasing hormone directly and preferentially stimulates dehydroepiandrosterone sulfate secretion by human fetal adrenal cortical cells. J Clin Endocrinol Metab. 1998, 83(8):29162920.Google ScholarPubMed
Nagashima, K, Yagi, H, Yunoki, H, et al. Cord blood levels of corticotropin-releasing factor. Biol Neonate. 1987, 51(1):14.CrossRefGoogle ScholarPubMed
Clark, D, Thody, AJ, Shuster, S, et al. Immunoreactive alpha-MSH in human plasma in pregnancy. Nature. 1978, 273(5658):163164.Google Scholar
Sasaki, A, Shinkawa, O, and Yoshinaga, K. Placental corticotropin-releasing hormone may be a stimulator of maternal pituitary adrenocorticotropic hormone secretion in humans. J Clin Invest. 1989;84(6), 19972001.CrossRefGoogle ScholarPubMed
Steine, IM, LeWinn, KZ, Lisha, N, et al. Maternal exposure to childhood traumatic events, but not multi-domain psychosocial stressors, predict placental corticotrophin releasing hormone across pregnancy. Soc Sci Med. 2020, 266:113461.CrossRefGoogle Scholar
Smith, R, Smith, JI, Shen, X, et al. Patterns of plasma corticotropin-releasing hormone, progesterone, estradiol, and estriol change and the onset of human labor. J Clin Endocrinol Metab. 2009, 94(6):20662074.CrossRefGoogle ScholarPubMed
Melamed, M, Castano, E, Notides, AC, et al. Molecular and kinetic basis for the mixed agonist/antagonist activity of estriol. Mol Endocrinol. 1997, 11(12):18681878.CrossRefGoogle ScholarPubMed
Lappano, R, Rosano, C, De Marco, P, et al. Estriol acts as a GPR30 antagonist in estrogen receptor-negative breast cancer cells. Mol Cell Endocrinol. 2010, 320(1-2):162170.CrossRefGoogle ScholarPubMed
King, BR, Smith, R, and Nicholson, RC. Novel glucocorticoid and cAMP interactions on the CRH gene promoter. Mol Cell Endocrinol. 2002, 194(1–2), 1928.CrossRefGoogle ScholarPubMed
Matsuo, H, Maruo, T, Hoshina, M, et al. [Selective inhibition of synthesis and secretion of hCG by progesterone and its correlation with hCG (alpha, beta) mRNA levels]. Nihon Naibunpi Gakkai Zasshi. 1985, 61(9):882892.Google ScholarPubMed
Morrish, DW, Marusyk, H, and Siy, O. Demonstration of specific secretory granules for human chorionic gonadotropin in placenta. J Histochem Cytochem. 1987, 35(1):93101.CrossRefGoogle ScholarPubMed
Gellersen, B, Brosens, IA, and Brosens, JJ. Decidualization of the human endometrium: mechanisms, functions, and clinical perspectives. Semin Reprod Med. 2007, 25(6):445453.CrossRefGoogle ScholarPubMed
Burton, GJ, Jauniaux, E, and Charnock-Jones, DS. Human early placental development: potential roles of the endometrial glands. Placenta. 2007, 28 Suppl A:S64–9.CrossRefGoogle ScholarPubMed
Doheny, HC, Houlihan, DD, Ravikumar, N, et al. Human chorionic gonadotrophin relaxation of human pregnant myometrium and activation of the BKCa channel. J Clin Endocrinol Metab. 2003, 88(9):43104315.Google Scholar
Karolczak-Bayatti, M, Loughney, AD, Robson, SC, et al. Epigenetic modulation of the protein kinase A RIIalpha (PRKAR2A) gene by histone deacetylases 1 and 2 in human smooth muscle cells. J Cell Mol Med. 2011, 15(1):94108.CrossRefGoogle ScholarPubMed
Anamthathmakula, P, Kyathanahalli, C, Ingles, J, et al. Estrogen receptor alpha isoform ERdelta7 in myometrium modulates uterine quiescence during pregnancy. EBioMedicine. 2019, 39:520530.Google Scholar
Jones, SA, and Challis, JR. Effects of corticotropin-releasing hormone and adrenocorticotropin on prostaglandin output by human placenta and fetal membranes. Gynecol Obstet Invest. 1990, 29(3):165168.Google Scholar
Mesiano, S, Chan, EC, Fitter, JT, et al. Progesterone withdrawal and estrogen activation in human parturition are coordinated by progesterone receptor A expression in the myometrium. J Clin Endocrinol Metab. 2002, 87(6):29242930.CrossRefGoogle ScholarPubMed
Nadeem, L, Balendran, R, Dorogin, A, et al. Pro-inflammatory signals induce 20alpha-HSD expression in myometrial cells: A key mechanism for local progesterone withdrawal. J Cell Mol Med. 2021.Google Scholar
Brizzi, P, Tonolo, G, Esposito, F, et al. Lipoprotein metabolism during normal pregnancy. Am J Obstet Gynecol. 1999, 181(2):430434.Google Scholar
Angelin, B, Olivecrona, H, Reihner, E, et al. Hepatic cholesterol metabolism in estrogen-treated men. Gastroenterology. 1992, 103(5):16571663.Google Scholar
Faggiano, A, Pivonello, R, Melis, D, et al. Evaluation of circulating levels and renal clearance of natural amino acids in patients with Cushing’s disease. J Endocrinol Invest. 2002, 25(2):142151.Google Scholar
Bridges, RS, Robertson, MC, Shiu, RP, et al. Endocrine communication between conceptus and mother: placental lactogen stimulation of maternal behavior. Neuroendocrinology. 1996, 64(1):5764.CrossRefGoogle ScholarPubMed
Bridges, RS. Neuroendocrine regulation of maternal behavior. Front Neuroendocrinol. 2015, 36:178196.CrossRefGoogle ScholarPubMed
Schiller, CE, Meltzer-Brody, S, and Rubinow, DR. The role of reproductive hormones in postpartum depression. CNS Spectr. 2015, 20(1):4859.CrossRefGoogle ScholarPubMed
Macias, H, and Hinck, L. Mammary gland development. Wiley Interdiscip Rev Dev Biol. 2012, 1(4):533557.CrossRefGoogle ScholarPubMed

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