Welsh A O, Enders A C
Department of Cell Biology and Human Anatomy, University of California, Davis 95616.
Am J Anat. 1991 Dec;192(4):347-65. doi: 10.1002/aja.1001920404.
Rat gestation sites were examined on days 7 through 9 of pregnancy by light microscopy and transmission and scanning electron microscopy to determine the extent of vascular modifications in the vicinity of the mesometrial part of the implantation chamber (mesometrial chamber). At a later time, the mesometrial chamber is, in conjunction with the uterine lumen, the site of chorioallantoic placenta formation. On day 7, in the vicinity of the mesometrial chamber, vessels derived from a subepithelial capillary plexus and venules draining the plexus were dilating. By early day 8, this network of thin-walled dilated vessels (sinusoids) was further enlarged and consisted primarily of hypertrophied endothelial cells with indistinct basal laminas. Sinusoids were frequently close to the mesometrial chamber's luminal surface which was devoid of epithelial cells but was lined by decidual cell processes and extracellular matrix. By late day 8, cytoplasmic projections of endothelial cells extended between healthy-appearing decidual cells and out onto the mesometrial chamber's luminal surface, and endothelial cells were sometimes found on the luminal surface indicating that endothelial cells were migrating. The presence of maternal blood cells in the mesometrial chamber lumen suggested that there was continuity between the chamber and blood-vessel lumens. On day 9, the mesometrial chamber was completely lined with hypertrophied endothelial cells, and sinusoid lumens were clearly continuous with the lumen of the mesometrial chamber. Mesometrial sinusoids and possibly the mesometrial chamber lumen were continuous with vessels in vicinity of the uterine lumen that were fed by mesometrial arterial vessels. Clearing of the mesometrial chamber lumen during perfusion fixation via the maternal vasculature indicated the patency of this luminal space and its confluence with mesometrial arterial vessels and sinusoids. The conceptus occupied an antimesometrial position in the implantation chamber on days 7 through 9, and it was not in direct contact with uterine tissues in the vicinity of the mesometrial chamber. These observations suggest that angiogenesis, not trophoblast invasion or decidual cell death, plays a major role in the opening of maternal vessels into the mesometrial chamber lumen before the formation of the chorioallantoic placenta.
在妊娠第7至9天,通过光学显微镜、透射电子显微镜和扫描电子显微镜检查大鼠妊娠部位,以确定植入腔(子宫系膜腔)子宫系膜部分附近血管改变的程度。在稍后阶段,子宫系膜腔与子宫腔一起,是绒毛膜尿囊胎盘形成的部位。在第7天,在子宫系膜腔附近,源自上皮下毛细血管丛的血管和引流该丛的小静脉正在扩张。到第8天早期,这个薄壁扩张血管网络(血窦)进一步扩大,主要由基底膜不清晰的肥大内皮细胞组成。血窦经常靠近子宫系膜腔的腔面,该腔面没有上皮细胞,但由蜕膜细胞突起和细胞外基质衬里。到第8天晚期,内皮细胞的细胞质突起延伸到看似健康的蜕膜细胞之间,并延伸到子宫系膜腔的腔面上,有时在腔面上发现内皮细胞,表明内皮细胞正在迁移。子宫系膜腔腔中母体血细胞的存在表明该腔与血管腔之间存在连续性。在第9天,子宫系膜腔完全被肥大的内皮细胞衬里,血窦腔与子宫系膜腔的腔明显连续。子宫系膜血窦以及可能的子宫系膜腔腔与子宫腔附近由子宫系膜动脉血管供血的血管连续。通过母体脉管系统进行灌注固定时子宫系膜腔腔的清理表明该腔隙通畅,并且与子宫系膜动脉血管和血窦汇合。在第7至9天,孕体在植入腔中占据反子宫系膜位置,并且它与子宫系膜腔附近的子宫组织没有直接接触。这些观察结果表明,在绒毛膜尿囊胎盘形成之前,血管生成而非滋养层侵入或蜕膜细胞死亡在母体血管向子宫系膜腔腔开放中起主要作用。