# Regulation of endovascular trophoblast cell development and uterine spiral artery remodeling

> **NIH NIH F32** · UNIVERSITY OF KANSAS MEDICAL CENTER · 2020 · $65,310

## Abstract

Project Summary / Abstract
The oxygen and nutrient demands of a developing fetus increase as gestation progresses. Thus, the vessels,
or spiral arteries, that facilitate the transfer of maternal blood to the conceptus must undergo extensive
remodeling to ensure sufficient nutrient delivery and successful pregnancy. If vascular remodeling is
insufficient and proper blood transfer cannot occur, pregnancy disorders such as preeclampsia, preterm birth,
and intrauterine growth restriction can develop and threaten the health of both mother and fetus. Arterial
remodeling is complex, as several maternal and extraembryonic cells interact at the maternal interface to
regulate the extracellular matrix remodeling, cell loss, and cell invasion necessary for successful placentation.
Despite this complexity, one critical mechanism for spiral artery remodeling is invasion of trophoblast cells into
the maternal compartment. Previous studies from our lab indicate a critical function of matrix metalloproteinase
12 (MMP12) in regulating trophoblast invasion. However, little is known about the molecular mechanisms of
MMP12-mediated trophoblast function. This lack of understanding can be attributed to several factors
including difficulties in studying human physiology and interrogating cell populations of interest from tissues ex
vivo. Therefore, the studies outlined in this proposal integrate animal models, human tissue samples, and
novel approaches to identify critical mechanisms regulating trophoblast invasion and thus, spiral artery
remodeling in placentation. Similar to humans, the rat possesses hemochorial placentation with deep
trophoblast cell invasion and trophoblast-mediated spiral artery remodeling. Therefore, rat models will be used
to determine how MMP12 regulates trophoblast cell function, and trophoblast cells will be isolated from rat
placenta as well as first trimester human tissues to identify conserved mechanisms of endovascular
trophoblast function. Lentiviral manipulation of blastocysts and embryo transfer will provide a unique
opportunity to dissect the molecular mechanisms driving trophoblast invasion. Laser capture microdissection
will enable derivation of discrete cell populations from both rat and human placental tissue. Overall, trophoblast
invasion is critical to spiral artery remodeling and placentation. Further investigation into mechanisms
regulating placental vascular remodeling during pregnancy will aid preventative efforts to detect pregnancy
disorders at earlier onset and to develop safe and effective interventions.

## Key facts

- **NIH application ID:** 9769510
- **Project number:** 5F32HD096809-02
- **Recipient organization:** UNIVERSITY OF KANSAS MEDICAL CENTER
- **Principal Investigator:** Kaela Margaret Varberg
- **Activity code:** F32 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $65,310
- **Award type:** 5
- **Project period:** 2018-12-01 → 2021-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9769510

## Citation

> US National Institutes of Health, RePORTER application 9769510, Regulation of endovascular trophoblast cell development and uterine spiral artery remodeling (5F32HD096809-02). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9769510. Licensed CC0.

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