An ultrastructural study of the placenta in materno-fetal rhesus incompatibility

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    Abstract

    An electronoptical study has been made of eleven placentae from cases of materno-fetal rhesus incompatibility. The characteristic findings are focal, but sometimes quite extensive, syncytial necrosis, retention of normal pinocytotic and secretory activity in the non-necrotic syncytiotrophoblast, cytotrophoblastic hyperplasia, thickening of the trophoblastic basement membrane, immature-type endothelial cells in the fetal villous vessels and thickening or lamination of the capillary basement membranes. The pathogenesis of many of these changes is not clear but there is no evidence that they are immunologically mediated. It is suggested that the syncytial necrosis may be due to narrowing of the intervillous space as a result of increased villous size, that the cytotrophoblastic hyperplasia is a response to the syncytial damage and is responsible for the changes in the trophoblastic basement membrane and that the fetal capillary changes are indicative of endothelial cell damage due, possibly, to fetal anaemia. Despite the damage suffered by the placenta in materno-fetal rhesus incompatibility there is little evidence of impaired functional efficiency. © 1978 Springer-Verlag.
    Original languageUndefined
    Pages (from-to)229-241
    Number of pages13
    JournalVirchows Archiv. Section A: Pathological Anatomy and Histology
    Volume379
    Issue number3
    DOIs
    Publication statusPublished - 1978

    Keywords

    • electron microscopy
    • female genital system
    • major clinical study
    • necrosis
    • placenta
    • pregnancy
    • rhesus incompatibility, Basement Membrane
    • Blood Group Incompatibility
    • Endothelium
    • Female
    • Human
    • Microscopy, Electron
    • Necrosis
    • Pinocytosis
    • Placenta
    • Pregnancy
    • Rh-Hr Blood-Group System

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