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. 2016 Apr 26;7:152. doi: 10.3389/fphys.2016.00152

Figure 1.

Figure 1

Placental angiogenesis during early pregnancy. The reaction of decidualization of stromal endometrial cells promotes the migration of extravillous cytotrophoblasts (EVT) across the decidua to reach the endothelial cells of the terminal segments of the uterine arteries occluding their lumen, which restricts the blood flow into the intervillous space and leads to reduced oxygen concentrations. Moreover, EVT remodel uterine spiral arterioles to increase maternal blood flow. On the other hand, trophoblastic cells, Hofbaur cells (Hc), and maternal decidual cells secrete VEGF, thus promoting angiogenesis. In addition, trophoblasts increase NOS activity, thus stimulating nitric oxide (NO) production and vasodilatation.