Cytotrophoblast staining for VEGF-A was up-regulated as the cells
differentiated and invaded the uterus in situ. Serial
paraffin sections of the maternal-fetal interface were stained with
anti-cytokeratin (CK) to
identify all of the trophoblast populations
(A, C, and
E), and with anti-VEGF-A
(B,
D, and F).
Essentially the same staining pattern was observed during the first and
second trimesters (ie, 6 and 16 weeks of
gestation). A few cytotrophoblast
(CTB) stem cells and
cells in the proximal column
(PCOL) region stained
with anti-VEGF-A
(B), but much
more intense staining was observed in association with a majority of
cytotrophoblasts in the distal regions of columns
(DCOL) and with those
that invaded the uterine wall
(D).
Cytotrophoblasts within the lumina of uterine blood vessels
(BV) also exhibited
intense staining
(arrowheads),
as did the maternal endothelial cells (EC;
F). In contrast, some
cytotrophoblasts in the vessel wall failed to react with anti-VEGF-A
(arrows). The
cells continued to stain for VEGF-A at term (see
Figure 12B▶
). AV, anchoring villus; STB,
syncytiotrophoblast; VS, villous stroma; COL, cytotrophoblast column.