Abstract
The human placenta secretes a range of protein and small peptide hormones. The latter, which include corticotrophin (ACTH) and releasing factors, are only of academic interest and will not be discussed here. The larger protein hormones [human placental lactogen (hPL) ; human chorionic gonadotropin (hCG)] are the subjects of this chapter. Both are widely used in routine clinical practice, but for very different applications. Thus, hPL is a classic ‘placental function test’ in the sense of ascertaining fetal wellbeing in late pregnancy, whereas hCG is primarily employed as a ‘pregnancy test’ or for the monitoring of trophoblastic tumours. However, the applications overlap to the extent that both have been used for the monitoring of abnormalities of early pregnancy, in particular threatened abortion.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Aschheim S, Zondek B (1927) Hypophysen vorderlappenhormon und ovarialhormon im Harn von Schwangeren. Link Wschr 6: 1322
Bagshawe KD, Searle F, Wass M (1979) Human chorionic gonadotrophin. In: Gray CH, James VHT (eds) Hormones in blood. Academic Press, London, pp 364–411
Chard T (1979) Human placental lactogen. In: Gray CH, James VHT (eds) Hormones in blood. Academic Press, London, pp 333–363
Chard T (1981) Synthesis of placental lactogen by human placentae. In: Fotherby K, Pal SB (eds) Hormones in normal and abnormal human tissues, vol I. Walter de Gruyter, Berlin, pp 409–428
Daikoku NH, Tyson JE, Graf C, Scott R, Smith B, Johnston JWC, King TM (1979) The relative significance of human placental lactogen in the diagnosis of retarded fetal growth. J Obst Gynecol 135: 516
Dhont M, Thiery M, Vandekerckhove D, van Cauwenberghe A (1975) Klinische waarde van de radioimmunoassav van placentaire eiwithormonen in der verloskunde. Tijdschr voor Geneesk 22: 1097
Ehrhardt K (1936) Über das Laktations Hormon des Hypophysen-Vorderlappens. Münch Med Wschr 83: 1163
Garoff L, Seppälä M (1973) Alphafetoprotein and human placental lactogen levels in maternal serum in multiple pregnancies. Br J Obstet Gynaecol 86: 695–700
Gaspard U (1980) Les hormones protéiques placentaires. Masson, Paris
Grudzinskas JG, Gordon YB, Wadsworth J, Menabawey M, Chard T (1981) Is placental function testing worthwhile? An update on placental lactogen. Aust NZ J Obstet Gynaecol 21: 103
Ito Y, Higashi K (1961) Studies on the prolactin-like substance in human placenta. Endocrinol Jpn 8: 279
Josimovich JB, MacLaren JA, (1962) Presence in the human placenta and term serum of a highly lactogenic substance immunologically related to pituitary growth hormone. Endocrinology 71: 209
Jouppila P, Tapanainen J, Huhtanieni I (1979) Plasma hCG levels in patients with bleeding in the first and second trimesters of pregnancy. Br J Obstet Gynaecol 86; 343
Keller PJ, Bader P, Schmid J, Baertschi U, Gerber C, Soltermann R, Kopper E (1971) Biochemical detection of fetoplacental distress in risk pregnancies. Lancet ii: 729
Kelly AM, England P, Lorimer JD, Fergusson JC, Govan ADT (1975) An evaluation of human placental lactogen levels in hypertension of pregnancy. Br J Obstet Gynaecol 82: 272
Lee JN, Grudzinskas JG, Chard T (1980) Circulating placental lactogen (hPL) levels in relation to smoking during pregnancy. J Obstet Gynaecol 1: 87
Letchworth AT (1976) Human placental lactogen assay as a guide to fetal well-being. In: Klopper A (ed) Plasma hormone assays in evaluation of fetal wellbeing. Churchill Livingstone, Edinburgh, pp 147–173
Letchworth AT, Chard T (1972) Placental lactogen levels as a screening test for fetal distress and neonatal asphyxia. Lancet i: 704
Letchworth AT, Bardman RJ, Bristow C, Landon J, Chard T (1971) A rapid semi-automated method for the measurement of human chorionic somatomammotrophin. The normal range in the third trimester and its relation to fetal weight. J Obstet Gynaecol Br Commonwealth 78: 542
Lolis, D, Konstantinidis K, Paperangelou G, Kaskarelis D (1977) Comparative study of amniotic fluid and maternal blood serum hormone placental lactogen in normal and prolonged pregnancies. J Obstet Gynecol 128: 724
Morrison I, Green P, Oomen B (1980) The role of human placental lactogen assays in ante- partum fetal assessment. Am J Obstet Gynecol 136: 1055
Nielsen PV, Pedersen H, Kampmann E-M (1979) Absence of human placental lactogen in an otherwise uneventful pregnancy. Am J Obstet Gynecol 135: 322
Niven PAR, Landon J, Chard T (1972) Placental lactogen levels as a guide to outcome of threatened abortion. Br Med J ii: 799
Pavlou C, Chard T, Letchworth AT (1972) Circulating levels of human chorionic somatomam- motrophin in late pregnancy: disappearance from the circulation after delivery, variation during labour, and circadian variation. J Obstet Gynaecol Br Commonwealth 79: 629
Samaan N, Gallagher H, McRoberts W, Farris A (1971) Serial estimations of human placental lactogen (hPL), estriol and pregnanediol in pregnancy correlated with whole organ section of placenta. Am J Obstet Gynecol 109: 53–73
Saxena BB, Hasan SH, Haour F, Gollwitzer MS (1974) Radioreceptor assay of human chorionic gonadotrophin: Early detection of pregnancy. Science 184: 793
Seppälä M, Ruoslahti E (1970) Serum concentrations of human placental lactogenic hormone (hPL) in pregnancy complications. Acta Obstet Gynecol Scand 49: 143–147
Seppälä M, Tontti K, Ranta T, Stenman UH, Chard T (1980) Use of a rapid hCG-beta-subunit radioimmunoassay in acute gynaecological emergencies. Lancet i: 165
Spellacy WN, Teoh ES, Buhi WC, Birk SA, McCreary SA (1971) Value of human chorionic somatomammotropin in managing high-risk pregnancies. Am J Obstet Gynecol 109: 588
Spellacy WN, Buhi WC, Birk SA (1975) The effectiveness of human placental lactogen as an adjunct in decreasing perinatal deaths. Am J Obstet Gynecol 121: 835
Ursell W, Brudenell M, Chard T (1973) Placental lactogen levels in diabetic pregnancy. Br Med J ii: 80
Van Leusden HA (1976) Chorionic gonadotrophin in pathological pregnancy. In: Klopper A (ed) hormone assays in evaluation of fetal wellbeing. Churchill Livingstone, Edinburgh, pp 48–71
Vorster CZ, Pannali PR, Slabber CF (1977) The prognostic value of serum human placental lactogen determinations in early pregnancy. Am J Obstet Gynecol 128: 879
Ward RHT, Letchworth AT, Niven PAR, Chard T (1974) Placental lactogen levels in Rhesus iso-immunisation. Br Med J i: 347
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1982 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Chard, T., Klopper, A. (1982). Placental Protein Hormones (hCG and hPL). In: Placental Function Tests. Springer, London. https://doi.org/10.1007/978-1-4471-3508-1_6
Download citation
DOI: https://doi.org/10.1007/978-1-4471-3508-1_6
Publisher Name: Springer, London
Print ISBN: 978-3-540-11529-8
Online ISBN: 978-1-4471-3508-1
eBook Packages: Springer Book Archive