Proceedings of the National Academy of Sciences · 2010 · 88 citations · 39 references
Life SciencesDevelopmental BiologyPhysiologyCalcium HomeostasisMineral MetabolismReproductive PhysiologyCalcium MetabolismFetal GrowthFetal PhysiologyMaternal-fetal PhysiologyPlacental BiologyPlacental PhysiologyCalcium TransportCalcium-binding Protein ExpressionFetal Nutrient TransportIntrauterine Fetal Growth RestrictionNutrient Transfer Across The PlacentaNutrient Transport Across The PlacentaPlacental Nutrient TransferPlacental Nutrient Transport
Placental nutrient supply adapts to fetal demand, as emerging evidence suggests. The study tests whether placental calcium transport adjusts to fetal calcium needs. The authors used a placental‑specific Igf2 knockout mouse model of fetal growth restriction to assess calcium transport adaptation. In Igf2‑knockout mice, fetal and placental weights were lower, fetal ionized calcium was reduced, and the fetomaternal calcium gradient reversed; by E19, maternofetal calcium clearance and placental calbindin‑D9K expression rose, indicating increased placental calcium transport as an adaptive response to earlier fetal calcium deficits.
Evidence is emerging that the ability of the placenta to supply nutrients to the developing fetus adapts according to fetal demand. To examine this adaptation further, we tested the hypothesis that placental maternofetal transport of calcium adapts according to fetal calcium requirements. We used a mouse model of fetal growth restriction, the placental-specific Igf2 knockout (P0) mouse, shown previously to transiently adapt placental System-A amino acid transporter activity relative to fetal growth. Fetal and placental weights in P0 mice were reduced when compared with WT at both embryonic day 17 (E17) and E19. Ionized calcium concentration [Ca 2+ ] was significantly lower in P0 fetal blood compared with both WT and maternal blood at E17 and E19, reflecting a reversal of the fetomaternal [Ca 2+ ] gradient. Fetal calcium content was reduced in P0 mice at E17 but not at E19. Unidirectional maternofetal calcium clearance ( Ca K mf ) was not different between WT and P0 at E17 but increased in P0 at E19. Expression of the intracellular calcium-binding protein calbindin-D 9K , previously shown to be rate-limiting for calcium transport, was increased in P0 relative to WT placentas between E17 and E19. These data show an increased placental transport of calcium from E17 to E19 in P0 compared to WT. We suggest that this is an adaptation in response to the reduced fetal calcium accumulation earlier in gestation and speculate that the ability of the placenta to adapt its supply capacity according to fetal demand may stretch across other essential nutrients.
39
Placental-specific IGF-II is a major modulator of placental and fetal growth
Miguel Constância, Myriam Hemberger, Jennifer Hughes et al. · Nature · 2002 · 1.1K citations
Classification of stillbirth by relevant condition at death (ReCoDe): population based cohort study
Jason Gardosi, Sue M. Kady, Pat McGeown et al. · BMJ · 2005 · 556 citations · Full text
Christopher S. Kovács, Beate Lanske, Joy L. Hunzelman et al. · Proceedings of the National Academy of Sciences · 1996 · 351 citations · Full text
Medicine, Endocrinology, Physiology +17
Miguel Constância, Emily Angiolini, Ionel Sandovici et al. · Proceedings of the National Academy of Sciences · 2005 · 331 citations · Full text