The trophoblast (from

Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...

: to feed; and : germinator) is the outer layer of cells of the blastocyst. Trophoblasts are present four days after

fertilization Fertilisation or fertilization (see spelling differences), also known as generative fertilisation, syngamy and impregnation, is the fusion of gametes to give rise to a new individual organism or offspring and initiate its development. Proce ...

in humans. They provide nutrients to the embryo and develop into a large part of the

placenta The placenta is a temporary embryonic and later fetal organ that begins developing from the blastocyst shortly after implantation. It plays critical roles in facilitating nutrient, gas and waste exchange between the physically separate mate ...

. They form during the first stage of

pregnancy Pregnancy is the time during which one or more offspring develops (gestation, gestates) inside a woman, woman's uterus (womb). A multiple birth, multiple pregnancy involves more than one offspring, such as with twins. Pregnancy usually occur ...

and are the first cells to differentiate from the

fertilized Fertilisation or fertilization (see spelling differences), also known as generative fertilisation, syngamy and impregnation, is the fusion of gametes to give rise to a new individual organism or offspring and initiate its development. Proce ...

egg An egg is an organic vessel grown by an animal to carry a possibly fertilized egg cell (a zygote) and to incubate from it an embryo within the egg until the embryo has become an animal fetus that can survive on its own, at which point the a ...

to become extraembryonic structures that do not directly contribute to the embryo. After gastrulation, the trophoblast is contiguous with the ectoderm of the embryo and is referred to as the trophectoderm. After the first differentiation, the cells in the human embryo lose their

totipotency Pluripotency: These are the cells that can generate into any of the three Germ layers which imply Endodermal, Mesodermal, and Ectodermal cells except tissues like the placenta. According to Latin terms, Pluripotentia means the ability for many thin ...

and are no longer

totipotent Pluripotency: These are the cells that can generate into any of the three Germ layers which imply Endodermal, Mesodermal, and Ectodermal cells except tissues like the placenta. According to Latin terms, Pluripotentia means the ability for many thin ...

stem cells because they cannot form a trophoblast. They are now

pluripotent Pluripotency: These are the cells that can generate into any of the three Germ layers which imply Endodermal, Mesodermal, and Ectodermal cells except tissues like the placenta. According to Latin terms, Pluripotentia means the ability for many thin ...

stem cells.

Structure

2907 Embroyonic Disc, Amniotic Cavity, Yolk Sac-02

The trophoblast proliferates and differentiates into two cell layers at approximately six days after fertilization for humans.

Function

Trophoblasts are specialized cells of the

that play an important role in embryo implantation and interaction with the

decidua The decidua is the modified mucosal lining of the uterus (that is, modified endometrium) that forms every month, in preparation for pregnancy. It is shed off each month when there is no fertilised egg to support. The decidua is under the influen ...

lized maternal

uterus The uterus (from Latin ''uterus'', plural ''uteri'') or womb () is the organ in the reproductive system of most female mammals, including humans that accommodates the embryonic and fetal development of one or more embryos until birth. The ...

. The core of placental villi contain mesenchymal cells and placental blood vessels that are directly connected to the fetus’ circulation via the

umbilical cord In placental mammals, the umbilical cord (also called the navel string, birth cord or ''funiculus umbilicalis'') is a conduit between the developing embryo or fetus and the placenta. During prenatal development, the umbilical cord is physiologi ...

. This core is surrounded by two layers of trophoblasts, the cytotrophoblast and the syncytiotrophoblast. The cytotrophoblast is a layer of mono-nucleated cells that resides underneath the syncytiotrophoblast. The syncytiotrophoblast is composed of fused cytotrophoblasts which then form a layer that covers the placental surface. The syncytiotrophoblast is in direct contact with the maternal blood that reaches the placental surface. It then facilitates the exchange of nutrients, wastes and gases between the maternal and fetal systems. In addition, cytotrophoblasts in the tips of villi can differentiate into another type of trophoblast called the

extravillous trophoblast Extravillous trophoblasts (EVTs), are one form of differentiated trophoblast cells of the placenta. They are invasive mesenchymal cells which function to establish critical tissue connection in the developing placental-uterine interface. EVTs deri ...

. Extravillous trophoblasts grow out from the placenta and penetrate into the decidualized uterus. This process is essential not only for physically attaching the placenta to the mother, but also for altering the vasculature in the uterus. This alteration allows an adequate blood supply to the growing fetus as pregnancy progresses. Some of these trophoblasts even replace the

endothelial cells The endothelium is a single layer of squamous endothelial cells that line the interior surface of blood vessels and lymphatic vessels. The endothelium forms an interface between circulating blood or lymph in the lumen and the rest of the vessel ...

in the uterine

spiral arteries Spiral arteries are small arteries which temporarily supply blood to the endometrium of the uterus during the luteal phase of the menstrual cycle. In histology, identifying the presence of these arteries is one of the most useful techniques in i ...

as they remodel these vessels into wide bore conduits that are independent of maternal

vasoconstriction Vasoconstriction is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, in particular the large arteries and small arterioles. The process is the opposite of vasodilation, the widening of blood vess ...

. This ensures that the fetus receives a steady supply of blood, and the placenta is not subjected to fluctuations in oxygen that could cause it damage.

Clinical significance

The invasion of a specific type of trophoblast (extravillous trophoblast) into the maternal

is a vital stage in the establishment of

. Failure of the trophoblast to invade sufficiently is important in the development of some cases of pre-eclampsia. Invasion of the trophoblast too deeply may cause conditions such as

placenta accreta Placenta accreta occurs when all or part of the placenta attaches abnormally to the '' myometrium'' (the muscular layer of the uterine wall). Three grades of abnormal placental attachment are defined according to the depth of attachment and invas ...

placenta increta Placenta accreta occurs when all or part of the placenta attaches abnormally to the ''myometrium'' (the muscular layer of the uterine wall). Three grades of abnormal placental attachment are defined according to the depth of attachment and invasio ...

, or

placenta percreta Placenta accreta occurs when all or part of the placenta attaches abnormally to the ''myometrium'' (the muscular layer of the uterine wall). Three grades of abnormal placental attachment are defined according to the depth of attachment and invasi ...

Gestational trophoblastic disease Gestational trophoblastic disease (GTD) is a term used for a group of pregnancy-related tumours. These tumours are rare, and they appear when cells in the womb start to proliferate uncontrollably. The cells that form gestational trophoblastic tum ...

is a pregnancy-associated concept, forming from the villous and extravillous trophoblast cells in the placenta.

Choriocarcinoma Choriocarcinoma is a malignant, trophoblastic cancer, usually of the placenta. It is characterized by early hematogenous spread to the lungs. It belongs to the malignant end of the spectrum in gestational trophoblastic disease (GTD). It is also c ...

are trophoblastic tumors that form in the uterus from villous cells. Trophoblast stem cells (TSCs) are cells that can regenerate and they are similar to

embryonic stem cell Embryonic stem cells (ESCs) are pluripotent stem cells derived from the inner cell mass of a blastocyst, an early-stage pre- implantation embryo. Human embryos reach the blastocyst stage 4–5 days post fertilization, at which time they consist ...

s (ESCs) in the fact that they come from early on in the trophoblast lifetime. In the

, these stem cells are able to differentiate into any trophoblast cell because they are pluripotent.

Additional images

File:Gray10.png, Blastodermic

vesicle Vesicle may refer to: ; In cellular biology or chemistry * Vesicle (biology and chemistry) In cell biology, a vesicle is a structure within or outside a cell, consisting of liquid or cytoplasm enclosed by a lipid bilayer. Vesicles form nat ...

of ''Vespertilio murinus''. File:Gray11.png, Section through embryonic disk of ''Vespertilio murinus''. File:Gray35.png, Transverse section of a chorionic villus. File:Gray39.png, Scheme of placental circulation. File:HumanEmbryogenesis.svg, The initial stages of

human embryogenesis Human embryonic development, or human embryogenesis, is the development and formation of the human embryo. It is characterised by the processes of cell division and cellular differentiation of the embryo that occurs during the early stages of de ...

File:Histopathology of tubal pregnancy.jpg, Histopathology of a chorionic villus, in a

tubal pregnancy Tubal ( he, תֻבָל, ''Ṯuḇāl'', ), in Genesis 10 (the "Table of Nations"), was the name of a son of Japheth, son of Noah. He is known to be the father of the Caucasian Iberians (ancestors of the Georgians) according to primary sources ...

, with labeled cytotrophoblasts and syncytiotrophoblasts.

References

External links