[Human placenta barrier remodelling under different type of hypoxia]

The stereological investigation was performed on intermediate and terminal villi of placenta obtained from each of the following conditions: high altitude (up to 2800 m), maternal anemia and EPH-gestosis. These conditions were taken to represent hypoxic, anemic and ischemic hypoxia, respectively. In each situation there was a trend for both the volume of trophoblast and stroma to be lower than in controls with accompanying increase in the volume fraction of fetal capillaries, although the differences were statistically significant only for cases of hypoxic and anemic hypoxia. The capillary diameter was higher in EPH-gestosis group. There was no evidence of "hypercapillarization" of the villi because the relative capillary length was constant in all the groups. The harmonic mean thickness in anemia and altitude groups was reduced. As a result a specific and morphometric (per 1 kg of fetal weight) diffusing capacity was maintained at the control level, but at the altitude group it was even higher. These results suggest that placenta barrier remodelling is the principal mechanism of adaptation to different forms of hypoxia.