TROPHOBLASTIC INVASION AND MODIFICATION OF UTERINE VEINS DURING PLACENTAL DEVELOPMENT IN MACAQUES

Trophoblast cells invade and modify the uterine vasculature to provide circulation of maternal blood through the placenta. Although evidence indicates fundamental differences between trophoblast modification of arteries and veins, interactions between trophoblast cells and uterine veins have not been addressed. In this report we describe the processes by which trophoblast cells invade and restructure uterine veins during placentation in the macaque. Antibodies were used to identify trophoblast, endothelium, and basement membranes. During early gestation, trophoblast migrated from the trophoblastic shell and, by intravasation, replaced portions of the wall and endothelium of veins in the vicinity of the shell; this is in contrast to invasion by extravasation reported for the arteries in this species. These areas had discontinuous endothelial basement membranes and the endothelial cells were variably hypertrophied. Deeper portions of veins were not invaded; this too is in contradistinction to the spiral arteries where trophoblastic modification extends to the myometrial segments. Later in gestation, those portions of veins interacting with trophoblast were contained within the trophoblastic shell or situated such that one side abutted the shell. These regions of the veins were lined by endothelium, but it could not be determined whether this represented re-endothelialization of regions formerly lined by trophoblast or if these endothelial cells were never displaced.