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Placenta: The Forgotten Organ
Abstract
The placenta sits at the interface between the maternal and fetal vascular beds where it mediates nutrient and waste exchange to enable in utero existence. Placental cells (trophoblasts) accomplish this via invading and remodeling the uterine vasculature. Amazingly, despite being of fetal origin, trophoblasts do not trigger a significant maternal immune response. Additionally, they maintain a highly reliable hemostasis in this extremely vascular interface. Decades of research into how the placenta differentiates itself from embryonic tissues to accomplish these and other feats have revealed a previously unappreciated level of complexity with respect to the placenta's cellular composition. Additionally, novel insights with respect to roles played by the placenta in guiding fetal development and metabolism have sparked a renewed interest in understanding the interrelationship between fetal and placental well-being. Here, we present an overview of emerging research in placental biology that highlights these themes and the importance of the placenta to fetal and adult health.
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“Little evidence exists on the neglected role of the placental characteristics and the prediction of these complications [106].”
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Metadata
- Authors
- Maltepe, E., & Fisher, S. J.
- Affiliations
- University of California, San Francisco (US)
- Venue
- Annual Review of Cell and Developmental Biology
- Publisher
- Annual Reviews
- Published
- 2015-11-13
- Volume
- 31
- Issue
- 1
- Pages
- 523-552
- ISSN
- 1081-0706 (ISSN-L)
- 1530-8995
- OpenAlex
- W2101822059
- Semantic Scholar
- 4e22a122e4d9dbec6ecc8419350745b2d4db94da
- Cited by
- 592
- References
- 257
- Citations by year
- 2026: 82 · 2025: 87 · 2024: 76 · 2023: 90 · 2022: 80 · 2021: 66 · 2020: 37 · 2019: 23 · 2018: 21 · 2017: 22 · 2016: 7 · 2015: 1
- FWCI
- 2.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Cell and Developmental Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (U54HD055764, R01HD072455)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- placenta, trophoblast, maternal-fetal interface, maternal-fetal immune tolerance, hemostasis, placental differentiation, fetal development, fetal metabolism, placental biology
- MeSH terms
- Animals, Biological Transport, Female, Humans, Placenta, Pregnancy, Trophoblasts, Fetal Development
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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