Department of Woman & Child, University Hospital Leuven, Katholieke Universiteit Leuven, Leuven, Belgium.
Placenta. 2011 Aug;32(8):586-91. doi: 10.1016/j.placenta.2011.05.007. Epub 2011 Jun 25.
In contrast to baboon or rhesus macaque, trophoblast invasion in the human placental bed occurs by the interstitial as well as the endovascular route and reaches as deep as the inner myometrium. We here describe two rare specimens of gorilla placenta. In the light of recent findings in the chimpanzee, we postulated the occurrence of deep invasion in gorilla pregnancy. Tissues were processed for histology (PAS, orcein), lectin staining (Ulex europaeus agglutinin 1) and immunohistochemistry (cytokeratin 7/17, α-actin). A specimen of young but undetermined gestational age included deep placental bed tissue, showing interstitial and spiral artery invasion of the inner myometrium as well as the decidua. The cell density and depth of trophoblast invasion was equivalent to a human placental bed of 10-14 weeks. Intraluminal trophoblasts were not seen in any of the invaded vessels, allowing no definite conclusions about the origin of the intramural trophoblast and the time-course of spiral artery invasion. A different late second trimester placenta specimen showed scattered extravillous trophoblast in the basal plate and underlying decidua, as well as a remodelled spiral artery containing intramural trophoblast. Absence of inner myometrial tissue precluded assessment of invasion depth in this later specimen. Despite the limited material we can conclude that key aspects of trophoblast invasion are shared by the three hominid species: gorilla, chimpanzee and human.
与狒狒或恒河猴不同,人类胎盘床中的滋养层侵入通过间质和血管内途径发生,并可深入到内子宫肌层。我们在这里描述了两种罕见的大猩猩胎盘标本。根据最近在黑猩猩中的发现,我们推测大猩猩妊娠中存在深部侵入。组织经过组织学处理(PAS、地衣红)、凝集素染色(欧洲菘蓝凝集素 1)和免疫组织化学(细胞角蛋白 7/17、α-肌动蛋白)。一个年轻但未确定妊娠年龄的标本包括深部胎盘床组织,显示内子宫肌层和蜕膜的间质和螺旋动脉侵入。滋养层侵入的细胞密度和深度与 10-14 周的人类胎盘床相当。在任何侵入的血管中都没有看到腔内滋养层,因此无法对壁内滋养层的起源和螺旋动脉侵入的时间进程做出明确的结论。一个不同的晚期妊娠中期胎盘标本显示在基底层和下方蜕膜中有散在的绒毛外滋养层,以及含有壁内滋养层的重塑螺旋动脉。由于缺乏内子宫肌组织,无法评估这个后期标本的侵入深度。尽管材料有限,但我们可以得出结论,滋养层侵入的关键方面在三种人类物种中是共同的:大猩猩、黑猩猩和人类。