[Regulation of fetal placental circulation]. 2001

F Ferré
Inserm U. 361, université René-Descartes, pavillon Baudelocque, 123, boulevard de Port-Royal, 75014 Paris, France.

The development and the reactivity of fetoplacental circulation appear to be extremely well coordinated phenomena which follow a precise chronology and are regulated by numerous angiogenic and vasoactive factors. The endothelium of the villous vessels, due to its capacity to release vasodilatating substances, would appear to play a crucial role in the gradual decrease in the vascular resistance of the placenta, thereby enabling it to meet the growing needs of the fetus right up until the end of pregnancy. In the endothelium, as in the smooth muscle of the placental vessels, control of production and mechanisms of action of the signal modulators of placental tone--endothelin 1, nitric oxide, prostanoids, etc.--as well as their dependence on oxygen, are far from being entirely elucidated. The study of their interactions could contribute to better evaluating the relative importance of each of them in the particular balances which are established at different stages of normal pregnancy, as well as during pathological situations (pre-eclampsia, intrauterine growth retardation, etc.) when placental blood flow and fetal development are at risk of being compromised.

UI MeSH Term Description Entries
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D004730 Endothelium, Vascular Single pavement layer of cells which line the luminal surface of the entire vascular system and regulate the transport of macromolecules and blood components. Capillary Endothelium,Vascular Endothelium,Capillary Endotheliums,Endothelium, Capillary,Endotheliums, Capillary,Endotheliums, Vascular,Vascular Endotheliums
D005260 Female Females
D006706 Homeostasis The processes whereby the internal environment of an organism tends to remain balanced and stable. Autoregulation
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014655 Vascular Resistance The force that opposes the flow of BLOOD through a vascular bed. It is equal to the difference in BLOOD PRESSURE across the vascular bed divided by the CARDIAC OUTPUT. Peripheral Resistance,Total Peripheral Resistance,Pulmonary Vascular Resistance,Systemic Vascular Resistance,Peripheral Resistance, Total,Resistance, Peripheral,Resistance, Pulmonary Vascular,Resistance, Systemic Vascular,Resistance, Total Peripheral,Resistance, Vascular,Vascular Resistance, Pulmonary,Vascular Resistance, Systemic
D015398 Signal Transduction The intracellular transfer of information (biological activation/inhibition) through a signal pathway. In each signal transduction system, an activation/inhibition signal from a biologically active molecule (hormone, neurotransmitter) is mediated via the coupling of a receptor/enzyme to a second messenger system or to an ion channel. Signal transduction plays an important role in activating cellular functions, cell differentiation, and cell proliferation. Examples of signal transduction systems are the GAMMA-AMINOBUTYRIC ACID-postsynaptic receptor-calcium ion channel system, the receptor-mediated T-cell activation pathway, and the receptor-mediated activation of phospholipases. Those coupled to membrane depolarization or intracellular release of calcium include the receptor-mediated activation of cytotoxic functions in granulocytes and the synaptic potentiation of protein kinase activation. Some signal transduction pathways may be part of larger signal transduction pathways; for example, protein kinase activation is part of the platelet activation signal pathway. Cell Signaling,Receptor-Mediated Signal Transduction,Signal Pathways,Receptor Mediated Signal Transduction,Signal Transduction Pathways,Signal Transduction Systems,Pathway, Signal,Pathway, Signal Transduction,Pathways, Signal,Pathways, Signal Transduction,Receptor-Mediated Signal Transductions,Signal Pathway,Signal Transduction Pathway,Signal Transduction System,Signal Transduction, Receptor-Mediated,Signal Transductions,Signal Transductions, Receptor-Mediated,System, Signal Transduction,Systems, Signal Transduction,Transduction, Signal,Transductions, Signal
D017466 Receptors, Endothelin Cell surface proteins that bind ENDOTHELINS with high affinity and trigger intracellular changes which influence the behavior of cells. Endothelin Receptors,Receptors, Endothelium-Derived Vasoconstrictor Factor,Endothelin Receptor,Endothelium Derived Vasoconstrictor Factor Receptors,Receptors, Endothelins,Receptor, Endothelin,Receptors, Endothelium Derived Vasoconstrictor Factor
D019332 Endothelin-1 A 21-amino acid peptide produced in a variety of tissues including endothelial and vascular smooth-muscle cells, neurons and astrocytes in the central nervous system, and endometrial cells. It acts as a modulator of vasomotor tone, cell proliferation, and hormone production. (N Eng J Med 1995;333(6):356-63) Big Endothelin,Big Endothelin-1,Endothelin Type 1,Endothelin, Big,Preproendothelin,Preproendothelin-1,Proendothelin (1-38),Proendothelin-1 Precursor,Big Endothelin 1,Endothelin 1,Endothelin-1, Big,Precursor, Proendothelin-1,Preproendothelin 1,Proendothelin 1 Precursor
D021041 Placental Circulation The circulation of BLOOD, of both the mother and the FETUS, through the PLACENTA. Circulation, Fetoplacental,Circulation, Placental,Circulation, Uteroplacental,Fetoplacental Blood Flow,Fetoplacental Circulation,Placental Blood Flow,Uterine Blood Flow,Uterine Circulation,Uteroplacental Blood Flow,Uteroplacental Circulation,Fetal-Placental Circulation,Blood Flow, Fetoplacental,Blood Flow, Placental,Blood Flow, Uterine,Blood Flow, Uteroplacental,Circulation, Fetal-Placental,Circulation, Uterine,Fetal Placental Circulation,Fetoplacental Blood Flows,Fetoplacental Circulations,Flow, Fetoplacental Blood,Flow, Placental Blood,Flow, Uterine Blood,Flow, Uteroplacental Blood,Placental Blood Flows,Uterine Blood Flows,Uterine Circulations,Uteroplacental Blood Flows

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