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Fig. 3. Coincident with exit from the placental compartment, cytotrophoblasts switch from a venous to an arterial phenotype, as shown by their modulation of EPH and ephrin family members. (A-F) In situ hybridization; adjacent sections were stained with cytokeratin 7 (CK7), which identified trophoblasts. Venular and arterial endothelial cells (ECs) that lined uterine vessels expressed EPHB4 (A) and ephrin B2 (B). (C) Cytotrophoblast progenitors (CTB prog.) and syncytiotrophoblasts (STB) within the placenta expressed EPHB4. Commitment to the differentiation pathway that gives rise to invasive cytotrophoblasts (iCTBs) is associated with an abrupt downregulation of EPHB4 and a concomitant upregulation of ephrin B1 (D) and EPHB2 (E) mRNAs. Subsequently, within the uterine stroma, ephrin B2 expression is induced (F). The endovascular subpopulation of invasive cytotrophoblasts that line maternal arteries also expressed high levels of these molecules (D-F). (G) Schematic diagram of the human maternal-fetal interface highlighting important aspects of cytotrophoblast interactions with uterine vessels. The pattern of cytotrophoblast EPH and ephrin expression is shown in the colors indicated. (H) Cytotrophoblasts modulated EPH and ephrin expression during differentiation along the invasive pathway in vitro. Immediately after isolation from placental chorionic villi, the progenitors expressed EPHB4, but upregulated ephrin B1, B2 and EPHB2 after 12 hours in culture. IVS, intervillous space; T, trimester. Scale bars: 50 µm in A,B,F; 100 µm in C-E.





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