The Journal of Clinical Endocrinology & Metabolism Vol. 82, No. 12 4105-4110
Copyright © 1997 by The Endocrine Society
Functional Differentiation of Placental Syncytiotrophoblasts during Baboon Pregnancy: Developmental Expression of Chorionic Somatomammotropin Messenger Ribonucleic Acid and Protein Levels1
Biljana Musicki,
Gerald J. Pepe and
Eugene D. Albrecht
Departments of Obstetrics/Gynecology/Reproductive Sciences and
Physiology, Center for Studies in Reproduction (B.M., E.D.A.),
University of Maryland School of Medicine, Baltimore, Maryland 21201;
and the Department of Physiology (G.J.P.), Eastern Virginia Medical
School, Norfolk, Virginia 23501
Address all correspondence and requests for reprints to: Eugene D. Albrecht, Ph.D., Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Maryland School of Medicine, Bressler Research Laboratories 11019, 655 West Baltimore Street, Baltimore, Maryland 21201. E-mail:
ealbrech{at}ummc001.ummc.ab.umd.edu
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Abstract
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The objective of the present study was to determine whether, in
addition to the onset of chorionic somatomammotropin (CS) production
previously shown to result from the morphological differentiation of
cytotrophoblasts into syncytiotrophoblasts, there is a further
developmental increase in the capacity of syncytiotrophoblasts to
produce CS with advancing stages of baboon pregnancy. Placentas were
obtained from baboons in early (days 4862), mid (days 97110), and
late (days 161175) gestation (term = 184 days), and CS messenger
ribonucleic acid (mRNA) and protein levels were determined in a
syncytiotrophoblast-rich cell fraction isolated by Percoll gradient
centrifugation. CS mRNA levels in syncytiotrophoblasts, expressed as a
ratio of ß-actin, exhibited a progressive increase from early
(0.04 ± 0.04 relative arbitrary units) to mid (2.37 ± 0.33;
P < 0.001) to late (3.66 ± 0.39;
P < 0.05) gestation. Levels of the 22-kDa CS
protein were very low on days 4855 (0.83 ± 0.09 arbitrary
units), increased 10-fold (P < 0.001) on days
5760 (8.11 ± 0.68), and increased (P <
0.001) to a maximum of 14.58 ± 0.58 near term. CS mRNA levels in
whole placental villous tissue increased (P <
0.05) between early (0.89 ± 0.48) and mid (2.97 ± 0.47)
gestation, then remained constant. CS protein exhibited a similar
increase (P < 0.001) in villous tissue between
early (2.32 ± 0.40) and mid (6.07 ± 0.24) gestation, then
remained constant. The increase in mRNA and protein levels of CS in the
placenta was accompanied by a progressive (P <
0.001) rise in serum CS. We conclude that in addition to the
morphological differentiation of cytotrophoblasts into
syncytiotrophoblasts that has been well established to result in the
onset of CS biosynthesis, villous syncytiotrophoblasts undergo
functional/biochemical differentiation thereafter, manifested as an
increase in the capacity for the synthesis of CS.
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Introduction
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THE FIRST half of human and nonhuman
primate pregnancy is characterized by the proliferation and
morphological differentiation of villous cytotrophoblasts into
syncytiotrophoblasts (1, 2, 3). As a consequence of morphological
differentiation, syncytiotrophoblasts synthesize peptide hormones,
e.g. chorionic somatomammotropin (CS) (3, 4, 5, 6), as well as
components of the steroid biosynthetic pathway, e.g. the
P-450 cholesterol side-chain cleavage (scc) system (2, 6). CS is a
single chain polypeptide hormone of 22 kDa molecular mass that is
produced in progressively larger quantities within the placenta with
advancing gestation (7, 8, 9, 10). The CS locus is comprised of at least
three genes in the human (hCS-A, -B, and -L) (11, 12) and rhesus monkey
(mCS-1, -2, and -3) (10). The hCS-A and -B (12, 13) and mCS-1 and -2
genes (10) encode identical proteins and exhibit 94% nucleotide and
amino acid sequence homology with hCS-L and mCS-3, respectively.
Although cAMP and other factors have the capacity to stimulate the
expression of CS in trophoblasts in culture (14, 15, 16), the morphological
differentiation of cytotrophoblasts into syncytiotrophoblasts has been
considered the principal mechanism by which the production of CS is
initiated (4, 7, 17, 18). Consequently, it has generally been concluded
that the progressive increases in CS in maternal serum (19), CS
messenger ribonucleic acid (mRNA) and protein levels per g whole
placental tissue (7, 10, 18), and CS mRNA in cultures of trophoblasts
(20) simply reflected an increase in the number of
syncytiotrophoblasts, and thus placental mass, and that maximal CS
expression occurs with syncytial formation (7, 13, 18). In support of
this concept, the content of CS mRNA per U syncytial mass determined by
in situ hybridization was reported to be similar in the
first and third trimesters of human pregnancy (4, 17).
In addition to the critical role that morphological differentiation has
in the capacity of trophoblasts to produce hormones, we have recently
shown an estrogen-dependent developmental increase in the expression of
P-450scc (21, 22), low density lipoprotein (LDL) receptor (23), and LDL
uptake (24, 25, 26), within a syncytiotrophoblast-rich cell fraction
isolated from placentas in the latter two thirds of baboon pregnancy.
We have proposed, therefore, that with advancing gestation
syncytiotrophoblasts undergo a functional/biochemical
differentiation process that is regulated by estrogen and that results
in enhanced expression of key components of steroidogenesis.
The present study was conducted, therefore, to determine whether in
addition to the onset of CS production clearly shown to result from the
transformation of cytotrophoblasts into syncytiotrophoblasts, there is
a further developmental increase in the capacity of
syncytiotrophoblasts to produce CS as well as steroidogenic components
with advancing baboon pregnancy. To examine this possibility, we
determined CS mRNA and protein levels in a syncytiotrophoblast-rich
cell fraction as well as in whole placental villous tissue obtained at
early, mid, and late baboon gestation.
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Materials and Methods
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Animals
Female baboons (Papio anubis), weighing 1315 kg,
were obtained from the Southwest Foundation for Biomedical Research
(San Antonio, TX) and housed, maintained, and mated as previously
described (27). Saphenous vein (4 mL) blood samples were obtained after
brief sedation with an im injection of ketamine HCl at 1- to 2-day
intervals between days 30175 of gestation (length of gestation =
184 days), and serum was stored at -20 C. Animals were cared for and
used strictly in accordance with USDA regulations and the NIH Guide for
the Care and Use of Laboratory Animals. The experimental protocol
employed in the present study was approved by the institutional animal
care and use committee of the University of Maryland School of
Medicine.
Placental cell isolation
Whole placentas were obtained from baboons not in labor at the
time of pregnancy termination in early (days 4862), mid (days
97110), and late (days 161175) gestation by elective cesarean
section under halothane (1.01.5%)-nitrous oxide (0.5 L/min)-oxygen
(2.0 L/min) anesthesia. Randomly selected sections of villous tissue
were frozen in liquid nitrogen for subsequent RNA isolation and Western
blot analysis or placed in Hanks Balanced Salt Solution (Life
Technologies, Gaithersburg, MD) for trophoblast cell dispersion. A
syncytiotrophoblast-enriched cell fraction was isolated by
dispersion of villous tissue with 0.1% collagenase and 50% (24, 28)
or 570% (2, 29) Percoll (Pharmacia Fine Chemicals, Piscataway, NJ)
gradient centrifugation. Human placental villous tissue was obtained
after normal term spontaneous delivery.
Northern blot analysis
Total RNA was isolated by acid-guanidinium
isothiocyanate-phenol-chloroform extraction (30). Five micrograms of
polyadenylated [poly(A)+]-enriched RNA, purified by
oligo(deoxythymidine)-cellulose chromatography (Pharmacia Biotech,
Piscataway, NJ), was size-fractionated in 1% formaldehyde-agarose
gel and transferred to nylon membrane (GeneScreen, DuPont-New England
Nuclear, Boston, MA). Hybridization was performed for 23 h at 42
C, as previously described (23), using rhesus mCS-3 complementary DNA
(cDNA), provided by Dr. Thaddeus Golos, Wisconsin Regional Primate
Research Center, University of Wisconsin (Madison, WI), and human
ß-actin cDNA (no. 65128, American Type Culture Collection, Rockville,
MD). The mCS-3 cDNA was chosen because it hybridizes with mRNA that
exhibits a progressive increase in expression in placental villi with
advancing rhesus monkey gestation (10, 31). After hybridization with
cDNAs labeled with [32P]deoxy-CTP (3000 Ci/mmol;
Amersham, Arlington Heights, IL), membranes were washed using stringent
conditions and exposed to Kodak X-AR film (Eastman Kodak, Rochester,
NY).
Western blot analysis
Syncytiotrophoblast cell fractions were solubilized in 0.5%
Triton X-100, 25 mmol/L Tris, 250 mmol/L NaCl, and 5 mmol/L
ethylenediamine tetraacetate, pH 7.5, containing 1 mmol/L
phenylmethylsulfonylfluoride and 10 µg/mL leupeptin for 20 min on
ice. Villous tissue was homogenized on ice in 6 vol 25 mmol/L Tris,
0.25 mol/L sucrose, 1 mmol/L ethylenediamine tetraacetate, and 1 mmol/L
phenylmethylsulfonylfluoride, pH 7.4. Proteins (12 µg cells and 50
µg tissue) and serum samples (3 µL) were boiled for 2 min in SDS
loading buffer, separated on 16% Tris-glycine gels (Novex, San Diego,
CA) under nonreducing conditions at 140 V for 2 h (32), and
transferred to nitrocellulose or polyvinylidene difluoride membranes at
4 C for 2 h under a constant current of 40 V using a Novex Blot
Module. After washing and blocking the membrane for 2 h at room
temperature in 3% BSA in TBST (50 mmol/L Tris, 0.9% NaCl, and 0.1%
Tween-20), immobilized proteins were incubated with
peroxidase-conjugated rabbit anti-hCS antibody (Dako Corp.,
Carpenteria, CA) for 1 h at room temperature in 0.78 µg/mL TBST.
Chemiluminescence (ECL kit, Amersham) was visualized by exposure to
x-ray film (Eastman Kodak).
Quantification of mRNA and protein
Scanning densitometry (Video Densitometer model 620, Bio-Rad,
Richmond, CA) was performed to quantify the levels of mRNA and protein.
The intensities of the bands were expressed as arbitrary units, and the
levels of mRNA expression were standardized against ß-actin for each
sample.
RIA of estradiol
Serum estradiol levels were determined by RIA using a solid
phase 125I RIA (Coat-A-Count, Diagnostic Products Corp.,
Los Angeles, CA). Intra- and interassay coefficients of variation were
6.2% and 7.3%, respectively.
Statistical analysis of data
Data were expressed as the mean ± SE.
Statistical differences between groups were determined by ANOVA, with
post-hoc comparisons of the means by Newman-Keuls multiple
comparison test.
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Results
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Syncytiotrophoblast CS mRNA and protein
We have shown previously by the extensive immunocytochemical
localization of syncytiotrophoblast-specific pregnancy-specific
ß1-glycoprotein and CS, that the placental cell fraction
obtained by 50% Percoll is highly enriched for syncytiotrophoblasts
(22, 28). Moreover, the relative purity of the cell fraction for
syncytiotrophoblasts was similar at early, mid, and late baboon
gestation (28).
Both human and baboon RNA from term placental trophoblast tissue
hybridized with the mCS-3 cDNA to yield a single 0.9-kilobase mRNA
transcript (Fig. 1
). A representative
Northern blot of CS mRNA expression in baboon syncytiotrophoblasts
isolated by 50% Percoll centrifugation in early, mid, and late
gestation is shown in Fig. 2A
. Cumulative
results for all animals are shown in Fig. 2B
. CS mRNA levels (mean
± SE) in syncytiotrophoblasts were negligible early in
gestation (0.04 ± 0.04 relative arbitrary units), then increased
approximately 50-fold (P < 0.001) by midgestation
(2.37 ± 0.33), and further increased (P < 0.05)
in late gestation (3.66 ± 0.39).

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Figure 1. Northern blot of CS mRNA in baboon (B) and
human (H) placental villous tissue. Poly(A)+-enriched RNA
(5 µg) was hybridized with approximately 106 cpm/mL
[32P]deoxy-CTP-labeled mCS-3 cDNA. The molecular size of
transcript was determined from the migration pattern of a 0.24- to
9.5-kilobase RNA ladder. Autoradiogram exposure was for 20 min.
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Figure 2. A, Representative Northern blot of CS mRNA
in baboon placental syncytiotrophoblasts. Poly(A+)-enriched
RNA (5 µg) was obtained from syncytiotrophoblasts isolated by 50%
Percoll gradient centrifugation at early (days 5862; RNA from 5
animals pooled to yield 1 sample; lane 1), mid (days 97110; RNA from
3 baboons pooled for sample in lane 2; samples in lanes 3 and 4 from
individual baboons), and late (days 161175; 3 individual baboons;
lanes 57) gestation. Autoradiogram exposure was for 90 min. B,
Cumulative results of the ratio of intensities of CS and ß-actin mRNA
determined by autoradiographic densitometry in syncytiotrophoblasts.
Placentas were obtained in early (3 samples pooled from 10 baboons),
mid (7 samples pooled from 9 baboons), and late (8 samples pooled from
11 baboons) gestation. Each bar represents the mean
± SE and is expressed as relative arbitrary units. Values
with different letter superscripts differ from P <
0.05 to P < 0.01 (by ANOVA and Newman-Keuls
multiple comparison test).
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The anti-hCS antibody recognized a 22-kDa CS protein in human and
baboon placental trophoblast (Fig. 3
). A
representative Western blot of CS protein expression in
syncytiotrophoblasts isolated by 570% Percoll gradient
centrifugation is shown in Fig. 3A
. Consistent with the results
obtained for CS mRNA expression, levels of CS protein in
syncytiotrophoblasts were very low on days 4855 (0.83 ± 0.09),
increased approximately 10-fold (P < 0.001) on days
5760 (8.11 ± 0.68), and increased (P < 0.001)
to a maximum of 14.58 ± 0.58 near term (Fig. 3B
).

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Figure 3. A, Representative Western immunoblot of CS
in baboon placental syncytiotrophoblasts. Proteins (12 µg) obtained
from syncytiotrophoblasts isolated by 570% Percoll gradient
centrifugation on days 48 (lane 1), 49 (lane 2), 54 (lane 3), 57 (lane
4), 59 (lane 5), 100 (lanes 6 and 7), and 170 (lane 8) of gestation
were incubated with peroxidase-conjugated anti-hCS antibody, and
chemiluminescence was visualized on x-ray film. The molecular mass of
CS was determined relative to molecular mass standards (4250 kDa) and
was verified with placental hCS standard (lane 9). B, Cumulative
results of CS protein levels determined by autoradiographic
densitometry in placental syncytiotrophoblasts obtained from baboons in
very early (days 4855; seven samples from seven baboons), early (days
5760; six samples from six baboons), mid (day 100; six samples from
six baboons), and late (days 161175; nine samples from nine baboons)
gestation. Each bar represents the mean ±
SE and is expressed as relative arbitrary units.
Data points with different letter superscripts differ at
P < 0.001.
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Placental villous CS mRNA and protein
CS mRNA levels in whole placental villous tissue increased
approximately 3-fold (P < 0.05) between early
(0.89 ± 0.48) and mid (2.97 ± 0.47) gestation (Fig. 4
), then plateaued and were maintained
elevated through late gestation (3.83 ± 0.41). Consistent with CS
mRNA expression, CS protein levels in villous tissue (Fig. 5
) increased approximately 3-fold
(P < 0.001) between early (2.32 ± 0.40) and mid
(6.07 ± 0.24) gestation, then plateaued and remained constant
through late gestation (5.78 ± 0.29).

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Figure 4. A, Representative Northern blot of CS mRNA
in placental villous tissue during baboon pregnancy. Five micrograms of
poly(A+)-enriched RNA were obtained from baboons in early
(days 5862; RNA from 5 animals pooled to yield 2 samples; lanes 1 and
2), mid (days 97110; 4 individual baboons; lanes 36), and late
(days 161175; 5 individual baboons; lanes 711) gestation.
Autoradiogram exposure was for 15 min. B, Cumulative results of the
ratio of CS and ß-actin mRNA levels (mean ± SE) in
placental villous tissue obtained from baboons in early (3 samples
pooled from 10 baboons), mid (6 samples pooled from 8 baboons), and
late (8 samples pooled from 11 baboons) gestation. Data
points with different letter superscripts differ at
P < 0.05.
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Figure 5. A, Representative Western immunoblot of CS
in baboon placental villous tissue. Proteins (50 µg) from placental
extracts were obtained from baboons in early (lanes 14), mid (lanes
58), and late (lanes 912) gestation (four animals for each
gestational period). Placental hCS is shown in lanes 13 and 14. B,
Cumulative results of CS protein levels (mean ± SE)
in placental villous tissue obtained from baboons in early (n =
12), mid (n = 12), and late (n = 4) gestation. Data
points with different letter superscripts differ at
P < 0.001.
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Serum CS
CS was not detectable by Western immunoblot in maternal serum
obtained on days 4050 of gestation (Fig. 6A
). CS was first detectable at a very
low level on day 60 of gestation (0.18 ± 0.07), then
progressively increased (P < 0.001) during mid
(3.14 ± 0.34) and late (5.57 ± 0.89) gestation.

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Figure 6. A, Representative Western immunoblot of
serum CS during baboon pregnancy. Serum (3 µL) was obtained from
baboons on days 45 (lanes 13), 60 (lanes 46), 100 (lanes 79), and
170 (lanes 1012) of gestation (three baboons for each gestational
period). The hCS standard is shown in lane 13. B, Cumulative results of
CS protein levels (mean ± SE) in serum samples
obtained from baboons in early (day 60; n = 17), mid (day 100;
n = 12), and late (day 170; n = 6) gestation. Values with
different letter superscripts are different at P <
0.001.
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Placental weight progressively increased (P < 0.001)
from early to mid to late gestation (Table 1
). When expressed relative to placental
weight, CS levels were approximately 7-fold (P < 0.01)
greater at mid and late gestation than in early pregnancy, but were
similar at mid and late gestation.
Serum estradiol
Maternal serum estradiol concentrations increased from a low of
0.13 ± 0.01 ng/mL on days 3050 to 0.34 ± 0.06 ng/mL on
days 5159, then surged to 1.57 ± 0.12 ng/mL between days 6080
of gestation. Estradiol then decreased before exhibiting a gradual and
sustained increase throughout the second half of pregnancy, reaching
peak values of 46 ng/mL near term.
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Discussion
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The results of the present study show for the first time in
primate pregnancy that syncytiotrophoblasts isolated from the placenta
in early, mid, and late baboon gestation exhibited a progressive
developmental increase in the capacity to express CS mRNA and protein.
It appears, therefore, that in addition to the initiation of CS
expression resulting from the morphological differentiation of
cytotrophoblasts into syncytiotrophoblasts, clearly shown previously in
humans and rhesus monkeys (4, 7, 10, 17, 18, 33, 34), after their
formation, syncytiotrophoblasts display a further progressive increase
in the capacity to synthesize CS with advancing primate pregnancy. The
increase in CS expression by syncytiotrophoblasts was similar to that
we recently reported for P-450scc (22) and LDL receptor (23) mRNA
expression and LDL uptake (28) in baboon syncytiotrophoblasts. We
propose, therefore, that in addition to the developmental increase in
specific components of the progesterone biosynthetic pathway, the
increase in CS mRNA and protein levels in syncytiotrophoblasts reflects
a functional/biochemical differentiation of syncytiotrophoblasts after
they have been formed from cytotrophoblasts. It is suggested that after
their appearance, syncytiotrophoblasts undergo a functional change that
engenders them with an enhanced capacity to produce protein and steroid
hormones.
The marked rise in CS expression in whole placental villous tissue
observed in this study with advancing gestation presumably reflected
not only the extensive transformation of cytotrophoblasts into
syncytiotrophoblasts, which occurs in the first half of pregnancy and
has generally been considered the basis of the rise in CS in villous
tissue, but also the functional differentiation of
syncytiotrophoblasts. This is a very different concept from that held
in the past, when it was concluded that the increase in CS expression
per U whole villous tissue simply reflected the increase in the
relative proportion of syncytiotrophoblasts (4, 17, 18).
Concomitantly with the developmental increase in CS mRNA and translated
protein in the placenta, maternal serum CS concentrations rose to
levels in late gestation about 30-fold higher than those in early
baboon pregnancy. This is in agreement with previous findings in human
(35, 36, 37) and monkey (38, 39, 40) pregnancy. As the relative increase in CS
in placental villi was much less than that in the peripheral
circulation, the progressive rise of this hormone in maternal serum has
been generally concluded to reflect transformation of trophoblasts and
increased placental mass (4, 37). However, based on the results of the
present study, we propose that the progressive increase in serum CS
levels reflects not only the latter aspects of development, but
functional differentiation of placental trophoblasts as well, resulting
in increased capacity of the syncytiotrophoblasts to produce CS.
The observation of a progressive increase in CS mRNA and protein levels
in syncytiotrophoblasts with advancing baboon pregnancy contrasts with
that obtained by in situ hybridization of CS in the human
placenta (4). In the latter study it was concluded that the content of
CS mRNA per U syncytial mass, estimated by the number of grains counted
per syncytial nucleus, was constant in placentas obtained in the first
and third trimesters. The reason(s) for these apparently conflicting
results is unknown, although very different methodological procedures
were employed in the two studies. The progressive increase in CS,
determined by both Northern and Western blot in the present study, does
not seem to reflect a difference in the qualitative nature of the
syncytiotrophoblast cell preparation obtained in early, mid, and late
gestation, because we have previously shown that the relative purity of
this cell preparation appeared the same at each of these times in
gestation (22, 28).
Considering the progressive increase in CS mRNA and protein levels in
syncytiotrophoblasts in early, mid, and late baboon gestation, a
comparable progressive rise in CS might have been anticipated in whole
villous tissue throughout pregnancy. However, we have recently shown
that although LDL receptor (23) and P-450scc (22) expression also
progressively increased within syncytiotrophoblasts, the mRNA levels
for these steroidogenic components in villous tissue remained constant
or actually decreased with advancing gestation (23). We have suggested
that the disproportionately large increase in the development of
nonendocrine components of placental villous tissue, e.g.
vascular tissue (41), that occurs in the second half of pregnancy may
confound the measurement of syncytiotrophoblast endocrine function when
assessing villous tissue. The increase in CS, expressed as a ratio of
placental weight (Table 1
) between early and midgestation, and the
constant level thereafter are consistent with this possibility.
On the basis of several in vivo experimental approaches, we
have previously demonstrated that estrogen regulates the functional
differentiation of syncytiotrophoblasts and consequently the
ontogenetic increase in expression of the LDL/P-450scc pathway in the
second half of baboon pregnancy (24, 25, 26, 28, 42). Because the abrupt
increase in syncytiotrophoblast CS expression on days 5760 of baboon
gestation (Fig. 3
) was preceded by a rise in estrogen levels (Fig. 7
), and there was a parallel rise in
estrogen and CS thereafter, it is possible that CS formation within
syncytiotrophoblasts is also dependent upon estrogen. Although further
study is needed to determine this possibility, we propose that in the
first half of gestation the morphological differentiation of
cytotrophoblasts into syncytiotrophoblasts enables the latter cells to
produce CS, and that estrogen then acts upon syncytiotrophoblasts to
regulate their biosynthetic capacity to form hormones.

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Figure 7. Maternal serum estradiol levels in baboons.
Each data point represents the mean of three to eight
baboons.
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In conclusion, the present study shows a progressive developmental
increase in CS mRNA and protein levels in syncytiotrophoblasts from
early to mid to late baboon gestation. We suggest that in addition to
the morphological differentiation of cytotrophoblasts into
syncytiotrophoblasts that has been well established to result in the
onset of CS biosynthesis, villous syncytiotrophoblasts undergo
functional/biochemical differentiation thereafter, manifested as an
increase in the capacity for CS synthesis.
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Acknowledgments
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The authors are grateful to Dr. Thaddeus Golos for his helpful
advice and for generously providing the rhesus monkey CS-3 cDNA. The
authors also appreciate the assistance of Mr. Jeffery S. Babischkin and
Dr. William G. Zollers with the Northern blot analysis, and the
secretarial assistance of Mrs. Wanda H. James.
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Footnotes
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1 This work was supported by NIH Research Grant R01-HD-13294 and NIH
National Research Scientist Award F32-HD-08075. 
Received April 28, 1997.
Revised August 13, 1997.
Accepted August 22, 1997.
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