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Research Publications - College of Medicine and Health Science

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Department <strong>of</strong> Obstetrics & Gynaecology<br />

52<br />

Figure 1<br />

Figure 2<br />

Figure 3<br />

large number <strong>of</strong> mitochondria <strong>and</strong> different<br />

shapes. However, the number <strong>of</strong> mitochondria<br />

decreased significantly in diabetic placentas.<br />

The plasma membrane <strong>of</strong> syncytiotrophoblasts<br />

<strong>of</strong> the chorionic villi in the control subjects is<br />

highly invaginated. These membranous invaginations<br />

disappear in the syncytiotrophoblasts <strong>of</strong><br />

diabetic patients.<br />

The chorionic villi in diabetic patients contain<br />

fewer blood vessels when compared to that <strong>of</strong><br />

control. In addition the wall <strong>of</strong> fetal capillaries is<br />

thicker in the placenta <strong>of</strong> diabetic patients compared<br />

to control (Figure 3: a; control, b; diabetic).<br />

Placentas <strong>of</strong> type 2 diabetes are associated with<br />

significant ultrastructural changes. This involves<br />

the villi, syncytiotrophoblast <strong>and</strong> fetal capillary<br />

vessels. These changes might explain the poor<br />

perinatal outcome associated with pregnancy<br />

complicated with type 2 diabetes.<br />

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in-vitro human placenta model<br />

The ex vivo model <strong>of</strong> human placental cotyledon<br />

model is performed to compare viability<br />

parameters (metabolic, permeability, <strong>and</strong><br />

ultra-structure) between uncomplicated normal<br />

pregnancies, <strong>and</strong> pregnant women on insulin.<br />

Future Placenta Projects<br />

1. The objective <strong>of</strong> the study is to determine the<br />

placental transfer <strong>of</strong> 2-naphthol (Naphthalene)<br />

using an ex-vivo human placenta perfusion<br />

model.<br />

Naphthalene is a member <strong>of</strong> the polycyclic<br />

aromatic hydrocarbons (PAHs) group. They are<br />

one <strong>of</strong> the most widespread organic pollutants.<br />

(PAHs) are potent atmospheric pollutants that<br />

consist <strong>of</strong> fused aromatic rings <strong>and</strong> do not contain<br />

heteroatoms or carry substituent.<br />

Naphthalene is the simplest example <strong>of</strong> a PAH.<br />

Naphthalene is used mainly as a precursor to<br />

other chemicals. The single largest use <strong>of</strong> naphthalene<br />

is the industrial production <strong>of</strong> phthalic<br />

anhydride (plasticizers for plastics). Hemolytic<br />

anemia has been reported in infants born to<br />

mothers who were exposed to high levels <strong>of</strong><br />

naphthalene vapors during pregnancy.<br />

Naphthalene was detected in human breast<br />

milk. The umbilical cord blood <strong>of</strong> pregnant<br />

women exposed to naphthalene contains el-

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