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The Role of the Human Placenta in Embryonic Nutrition. Impact of Environmental and Social Factors a
Author(s) -
MILLER RICHARD K.,
FABER WILLEM,
ASAI MITSUOKI,
D'GREGORIO ROGELIO PEREZ,
NG WENDY W.,
SHAH YOGESH,
NETHJESSEE LYNN
Publication year - 1993
Publication title -
annals of the new york academy of sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.712
H-Index - 248
eISSN - 1749-6632
pISSN - 0077-8923
DOI - 10.1111/j.1749-6632.1993.tb26112.x
Subject(s) - placenta , fetus , micronutrient , vitamin , vitamin b12 , fetal circulation , biology , pregnancy , metabolism , chemistry , physiology , endocrinology , biochemistry , genetics , organic chemistry
The human placenta has been implicated in the poor growth and development of the embryo/fetus due to alterations in blood flow and reductions in the transfer of nutrients such as amino acids and carbohydrates. Deficiencies of such nutrients have been the principal of many research investigations. The role of micronutrients, however, may also be major factors in appropriate growth and development, and there may be a general reduction in the availability of such nutrients, for example, the role of folate supplementation during early pregnancy and the reduction in the incidence of neural tube defects. Vitamins are not all transported via a common mechanism. Therefore, the modulation of human placental transport can be different for different vitamins, for example, A and B12. It is apparent that the human placenta can oxidatively metabolize retinoids (isotretinoin and tretinoin) to more toxic or less toxic metabolites. These metabolites can then be transferred to the fetal circulation. Such metabolism/transfer is in contrast to how vitamin B12 is bound to transcobalamin proteins, which are produced by the placenta and directionally released into the maternal and fetal circulations.