Abstract
Human placental implantation involves invasion of the uterus by placental trophoblast cells. The extent of this invasion is tightly controlled. Insufficient invasion will lead to inadequate blood supply to the fetoplacental unit, and overextensive invasion will result in placenta percreta (1). The mechanisms that control this trophoblast invasion are not known. The decidua is likely to provide an important element of this control because implantation over areas deficient in decidua, such as over a previous cesarean section scar or in the fallopian tubes, generally shows a significantly greater degree of trophoblast invasion. It is unclear, however, which component of the decidua is important in this regard.
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References
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Loke, Y.W., King, A., Burrows, T., Jokhi, P., Gardner, L. (1995). Role of Decidual Large Granular Lymphocytes/Natural Killer Cells in Human Implantation. In: Dey, S.K. (eds) Molecular and Cellular Aspects of Periimplantation Processes. Serono Symposia USA. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2548-5_17
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DOI: https://doi.org/10.1007/978-1-4612-2548-5_17
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