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Trophoblast

Trophoblast

Blastocyst with an inner cell mass and trophoblast.

Section through ovum imbedded in the uterine decidua. Semidiagrammatic. am. Amniotic cavity. b.c. Blood-clot. b.s. Body-stalk. ect. Embryonic ectoderm. ent. Entoderm. mes. Mesoderm. m.v. Maternal vessels. tr. Trophoblast. u.e. Uterine epithelium. u.g. Uterine glands. y.s. Yolk-sac.
Gray's	subject #6 46
Days	6
Gives rise to	caul
MeSH	Trophoblasts

Trophoblasts (from Greek trephein: to feed, and blastos: germinator) are cells forming the outer layer of a blastocyst, which provide nutrients to the embryo and develop into a large part of the placenta. They are formed during the first stage of pregnancy and are the first cells to differentiate from the fertilized egg.

Function

Trophoblasts are invasive, eroding, and metastasizing cells of the placenta.

Trophoblasts mediate the implantation of the embryo into the endometrium, but they are never incorporated into the mother's body or the fetus. They are not "fetal" cells.

Trophoblasts become inert during pregnancy and are completely rejected by the fetus and mother at delivery. They can be seen as the thin membrane covering the fetus at birth, the amniotic sac or caul.

Differentiation

The trophoblast proliferates and differentiates into 2 cell layers:

Layer	Location	Description
cytotrophoblast	inner layer	Single celled layer adjacent to trophoblast.
syncytiotrophoblast	outer layer	Thick layer that lacks cell boundaries and grows into the endometrial stroma. It secretes hCG in order to maintain progesterone secretion and sustain a pregnancy.

Pathology

The invasion of a specific type of trophoblast (extravillous trophoblast) into the maternal uterus is a vital stage in the establishment of pregnancy:

Failure of the trophoblast to invade sufficiently is important in the development of some cases of pre-eclampsia.
Too firm an attachment may lead to placenta accreta.