Extraembryonic Membranes

The embryos of reptiles, birds, and mammals produce 4 extraembryonic membranes, the In birds and most reptiles, the embryo with its extraembryonic membranes develops within a shelled egg.

With these four membranes, the developing embryo is able to carry on essential metabolism while sealed within the egg. Surrounded by amniotic fluid, the embryo is kept as moist as a fish embryo in a pond.

Although (most) mammals do not make a shelled egg, they do also enclose their embryo in an amnion. For this reason, the reptiles, birds, and mammals are collectively referred to as the amniota.

Mammals fall into three groups that differ in the way they use the amniotic egg.

Pregnancy in Humans

Embryonic development begins while the fertilized egg is still within the fallopian tube. The developing embryo travels down the tube, reaching the uterus in three or four days. As a result of repeated mitotic divisions and some migration of cells, a hollow ball of cells is formed called the blastocyst. Approximately one week after fertilization, the blastocyst embeds itself in the thickened wall of the uterus, a process called implantation, and pregnancy is established.

The blastocyst produces two major divisions of cells:
The extraembryonic membranes form the amnion, placenta and umbilical cord. The placenta grows tightly fused to the wall of the uterus. Its blood vessels, supplied by the fetal heart, are literally bathed in the mother's blood. Although there is normally no mixing of the two blood supplies, the placenta does facilitate the transfer of a variety of materials between the fetus and the mother. But the placenta is not simply a transfer device. Using raw materials from the mother's blood, it synthesizes large quantities of proteins and also some hormones.
Link to discussion of the placenta
as an endocrine gland.
The metabolic activity of the placenta is almost as great as that of the fetus itself.

The umbilical cord connects the fetus to the placenta. It receives deoxygenated blood from the iliac arteries of the fetus and returns oxygenated blood to the liver and on to the inferior vena cava. Because its lungs are not functioning, circulation in the fetus differs dramatically from that of the baby after birth. While within the uterus, blood pumped by the right ventricle bypasses the lungs by flowing through the foramen ovale and the ductus arteriosus.

Although the blood in the placenta is in close contact with the mother's blood in the uterus, intermingling of their blood does not normally occur. However, some of the blood cells of the fetus usually do get into the mother's circulation - where they have been know to survive for decades. This raises the possibility of doing prenatal diagnosis of genetic disorders by sampling the mother's blood rather than having to rely on the more invasive procedures of amniocentesis and chorionic villus sampling (CVS).

Far rarer is the leakage of mother's blood cells into the fetus. However, it does occur. A few pregnant women with leukemia or lymphoma have transferred the malignancy to their fetus. Some babies have also acquired melanoma from the transplacental passage of these highly-malignant cells from their mother.

The placenta is an allograft

One of the greatest unsolved mysteries in immunology is how the placenta survives for 9 months without being rejected by the mother's immune system. Every cell of the placenta carries the father's genome (a haploid set of his chromosomes); including one of his #6 chromosomes where the genes for the major histocompatibility antigens are located.

One partial exception: none of the genes on the father's X chromosome are expressed. While X-chromosome inactivation is random in the cells of the fetus, it is NOT random in the cells of the trophoblast. In every cell of the trophoblast - and its descendants - it is the paternal X chromosome that is inactivated. [Discussion of X-chromosome inactivation.] But this does not solve our problem because the genes for all the major histocompatibility antigens are located on chromosome 6, which is not inactivated.
Discussion of the human major histocompatibility complex (MHC)

Thus the placenta is immunologically as foreign to the mother as a kidney transplant would be.

Yet it thrives.

Despite a half-century of research, the mechanism for this immunologically privileged status remains uncertain. But one thing is clear:

The mother is not intrinsically tolerant of the father's antigens.

Some evidence:

So what accounts for the phenomenon? Some possibilities:
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17 August 1999