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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Endocrinol.</journal-id>
<journal-title>Frontiers in Endocrinology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Endocrinol.</abbrev-journal-title>
<issn pub-type="epub">1664-2392</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fendo.2022.891927</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Endocrinology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Evolution of Placental Hormones: Implications for Animal Models</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Carter</surname><given-names>Anthony M.</given-names>
</name>
<xref ref-type="author-notes" rid="fn001"><sup>*</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/623692"/>
</contrib>
</contrib-group>
<aff id="aff1"><institution>Cardiovascular and Renal Research, Institute of Molecular Medicine, University of Southern Denmark</institution>, <addr-line>Odense</addr-line>, <country>Denmark</country></aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Lawrence Merle Nelson, Mary Elizabeth Conover Foundation, Inc., United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Robert Kammerer, Friedrich-Loeffler-Institut, Germany; Michael Wallis, University of Sussex, United Kingdom</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Anthony M. Carter, <email xlink:href="mailto:acarter@health.sdu.dk">acarter@health.sdu.dk</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Developmental Endocrinology, a section of the journal Frontiers in Endocrinology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>891927</elocation-id>
<history>
<date date-type="received">
<day>08</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>11</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Carter</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Carter</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Human placenta secretes a variety of hormones, some of them in large amounts. Their effects on maternal physiology, including the immune system, are poorly understood. Not one of the protein hormones specific to human placenta occurs outside primates. Instead, laboratory and domesticated species have their own sets of placental hormones. There are nonetheless several examples of convergent evolution. Thus, horse and human have chorionic gonadotrophins with similar functions whilst pregnancy-specific glycoproteins have evolved in primates, rodents, horses, and some bats, perhaps to support invasive placentation. Placental lactogens occur in rodents and ruminants as well as primates though evolved through duplication of different genes and with functions that only partially overlap. There are also placental hormones, such as the pregnancy-associated glycoproteins of ruminants, that have no equivalent in human gestation. This review focusses on the evolution of placental hormones involved in recognition and maintenance of pregnancy, in maternal adaptations to pregnancy and lactation, and in facilitating immune tolerance of the fetal semiallograft. The contention is that knowledge gained from laboratory and domesticated mammals can translate to a better understanding of human placental endocrinology, but only if viewed in an evolutionary context.</p>
</abstract>
<kwd-group>
<kwd>gene duplication</kwd>
<kwd>immunology of pregnancy</kwd>
<kwd>mammals</kwd>
<kwd>physiology of pregnancy</kwd>
<kwd>placentation</kwd>
</kwd-group>
<counts>
<fig-count count="1"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="156"/>
<page-count count="14"/>
<word-count count="7310"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>The primary function of the placenta is to aid exchange of respiratory gases and nutrients between parent and embryo. In addition, because embryonic and fetal tissues express paternal genes, the placenta fashions molecules that modify maternal immune responses, which otherwise might cause rejection of the semiallograft (<xref ref-type="bibr" rid="B1">1</xref>). Finally, the placenta secretes hormones to maintain uterine quiescence, alter maternal metabolism, and influence other aspects of maternal physiology. There is an extensive literature on gas and nutrient exchange and on placental and uterine immunology (<xref ref-type="bibr" rid="B2">2</xref>). Less is known, however, about the endocrine functions of the placenta (<xref ref-type="bibr" rid="B3">3</xref>). One impediment to research is that many protein hormones specific to placenta are restricted to discrete lineages rather than being widely distributed among mammals.</p>
<p>In this review, the focus is on protein hormones that arose through gene duplications, such as those derived from growth hormone, prolactin and luteinizing hormone. Intriguingly, none of these hormones is widely distributed across mammals although hormones with similar properties have evolved in different lineages. As an example, equine chorionic gonadotrophin is known only from equids, whereas human chorionic gonadotrophin evolved in the lineage of anthropoid primates. Steroid hormones secreted by the placenta have far-reaching effects in mammals but are not a focus of this review. However, placental protein hormones interact with steroids and prostaglandins, sometimes in sequence, as described in later sections.</p>
<sec id="s1_1">
<title>1.1 Placentation</title>
<p>Fetal access to the maternal circulation is dependent on the type of placentation, particularly the interhaemal barrier separating maternal and fetal circulations. In human placenta, this comprises only fetal tissues as the villous trophoblast faces an intervillous space filled with maternal blood. This is one kind of haemochorial placenta. In a more common type, found in many rodents, the maternal blood flows in trophoblast-lined blood channels. In endotheliochorial placentas, trophoblast reaches the maternal capillaries, and placental hormones need to cross the capillary endothelium. Epitheliochorial placentas appear to offer a greater challenge since several layers of fetal and maternal tissue separate the two blood streams. However, as described below, access to maternal tissues can be gained by trophoblast invasion, as in equids, or through fusion of trophoblasts with uterine epithelium, as in ruminants.</p>
<p>The trophoblast and other placental tissues are fetal in origin (<xref ref-type="bibr" rid="B4">4</xref>) and express paternal genes. Therefore, trophoblast invasion of the uterine wall challenges the maternal immune system. Since several placental hormones are thought to modulate immune responses, some authors tie their evolution to the degree of invasiveness (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>). It should be remembered, however, that the Grosser classification defines the tissue layers of the interhaemal barrier and is not an index of invasiveness (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B8">8</xref>).</p>
<p>The hormones under discussion are products of the definitive, chorioallantoic placenta. There are other fetal membranes and they vary across mammals (<xref ref-type="bibr" rid="B9">9</xref>). In rodents and some other orders, there is a yolk sac placenta that persists to term. It has an epithelium, endodermal in origin, that faces the uterine cavity. This serves mainly for uptake of maternal secretions and antibodies. Whilst the yolk sac does synthesize hormones and hormone-binding proteins, such as transthyretin, these are secreted across the basolateral surface towards the fetal circulation (<xref ref-type="bibr" rid="B10">10</xref>).</p>
</sec>
<sec id="s1_2">
<title>1.2 Mammalian Taxonomy</title>
<p>Nineteen orders of eutherian mammals are currently recognized (<xref ref-type="bibr" rid="B11">11</xref>). Based on genomics, they can be assigned to four lineages or superorders (<xref ref-type="bibr" rid="B11">11</xref>). Best characterized from the perspective of placental endocrinology is Euarchontoglires, which includes rodents and primates. For Laurasiatheria, a fair amount is known about placental hormones in domesticated species within the orders of even-toed and odd-toed ungulates (Artiodactyla and Perissodactyla). In contrast little is known about placental hormones in bats although Chiroptera is the second most speciose order of mammal (<xref ref-type="bibr" rid="B12">12</xref>). The two other superorders are Afrotheria, which includes elephants and tenrecs, and Xenartha, which comprises sloths, anteaters and armadillos. There are few observations on placental hormones in these mammals although some studies have been made on elephants (<xref ref-type="bibr" rid="B13">13</xref>). A guide to taxonomic terms used in this review is given in <xref ref-type="table" rid="T1"><bold>Table&#xa0;1</bold></xref>.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>Terminology of eutherian mammals encountered in this review.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Term</th>
<th valign="top" align="center">Taxonomic level </th>
<th valign="top" align="left">Remarks and examples</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Afrotheria</td>
<td valign="top" align="left">Superorder</td>
<td valign="top" align="left">6 orders</td>
</tr>
<tr>
<td valign="top" align="left">Proboscidea</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">Elephants</td>
</tr>
<tr>
<td valign="top" align="left">Hyracoidea</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">Hyraxes</td>
</tr>
<tr>
<td valign="top" align="left">Xenarthra</td>
<td valign="top" align="left">Superorder</td>
<td valign="top" align="left">2 orders</td>
</tr>
<tr>
<td valign="top" align="left">Euarchontoglires</td>
<td valign="top" align="left">Superorder</td>
<td valign="top" align="left">5 orders</td>
</tr>
<tr>
<td valign="top" align="left">Primates</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">14 families</td>
</tr>
<tr>
<td valign="top" align="left">Strepsirrhini</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">Strepsirrhines: lemurs, lorises, galagos</td>
</tr>
<tr>
<td valign="top" align="left">Haplorhini</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">Haplorhines: tarsiers and anthropoid primates</td>
</tr>
<tr>
<td valign="top" align="left">Simiiformes</td>
<td valign="top" align="left">Infraorder</td>
<td valign="top" align="left">Anthropoid primates: New and Old World monkeys, apes</td>
</tr>
<tr>
<td valign="top" align="left">Platyrrhini</td>
<td valign="top" align="left">Parvorder</td>
<td valign="top" align="left">New World monkeys</td>
</tr>
<tr>
<td valign="top" align="left">Catarrhini</td>
<td valign="top" align="left">Parvorder</td>
<td valign="top" align="left">Old World monkeys, gibbons and great apes (including human)</td>
</tr>
<tr>
<td valign="top" align="left">Rodentia</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">36 families in 5 suborders</td>
</tr>
<tr>
<td valign="top" align="left">Myomorpha</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">2 superfamilies</td>
</tr>
<tr>
<td valign="top" align="left">Muroidea</td>
<td valign="top" align="left">Superfamily</td>
<td valign="top" align="left">6 families including cricetid and murid rodents</td>
</tr>
<tr>
<td valign="top" align="left">Cricetidae</td>
<td valign="top" align="left">Family</td>
<td valign="top" align="left">Golden hamster, deer mouse</td>
</tr>
<tr>
<td valign="top" align="left">Muridae</td>
<td valign="top" align="left">Family</td>
<td valign="top" align="left">Mouse, rat</td>
</tr>
<tr>
<td valign="top" align="left">Hystricomorpha</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">18 families including guinea pigs</td>
</tr>
<tr>
<td valign="top" align="left">Lagomorpha</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">3 families including rabbits</td>
</tr>
<tr>
<td valign="top" align="left">Laurasiatheria</td>
<td valign="top" align="left">Superorder</td>
<td valign="top" align="left">6 orders</td>
</tr>
<tr>
<td valign="top" align="left">Chiroptera</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">21 families</td>
</tr>
<tr>
<td valign="top" align="left">Yinchiroptera</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">Megabats and 6 other families</td>
</tr>
<tr>
<td valign="top" align="left">Yangchiroptera</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">15 families including vesper bats</td>
</tr>
<tr>
<td valign="top" align="left">Perissodactyla</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">3 families of odd-toed ungulates including tapir, rhinoceros and equids</td>
</tr>
<tr>
<td valign="top" align="left">Equidae</td>
<td valign="top" align="left">Family</td>
<td valign="top" align="left">Horse, zebra</td>
</tr>
<tr>
<td valign="top" align="left">Artiodactyla</td>
<td valign="top" align="left">Order</td>
<td valign="top" align="left">24 families of even-toed ungulates (includes whales) including pig, hippopotamus, llama and ruminants</td>
</tr>
<tr>
<td valign="top" align="left">Ruminantia</td>
<td valign="top" align="left">Suborder</td>
<td valign="top" align="left">Mouse deer and pecoran ruminants</td>
</tr>
<tr>
<td valign="top" align="left">Pecora</td>
<td valign="top" align="left">Infraorder</td>
<td valign="top" align="left">Cattle, water buffalo, sheep, goat, deer, giraffe, pronghorn, wildebeest</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>For context the number of orders in each superorder is given as well as the number of families in selected orders (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B12">12</xref>).</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s2">
<title>2 Recognition and Maintenance of Pregnancy</title>
<p>At least initially, pregnancy maintenance is contingent upon continued secretion of progesterone from the corpus luteum, and this requires maternal recognition of pregnancy. As long realized, there is no mechanism common to all species (<xref ref-type="bibr" rid="B14">14</xref>). In most mammals studied, pregnancy recognition depends on inhibition of a luteolytic factor, prostaglandin F<sub>2&#x3b1;</sub> (PGF<sub>2&#x3b1;</sub>), secreted by the uterus. Thus, maternal recognition of pregnancy usually depends on inhibition of PGF<sub>2&#x3b1;</sub> secretion; this is achieved by cytokines or hormones secreted by the blastocyst or placenta. Experiments in guinea pigs (<italic>Cavia porcellus</italic>) showed that luteolysis was inhibited in the ovary ipsilateral to a pregnant horn, but not on the same side as a sterile horn [e.g. (<xref ref-type="bibr" rid="B15">15</xref>)]. A close apposition of ovarian arteries to the utero-ovarian vein was then shown for several species, including guinea pig and sheep (<italic>Ovis aries</italic>) (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). Further work, summarized in a recent review (<xref ref-type="bibr" rid="B18">18</xref>), showed how transfer of PGF<sub>2&#x3b1;</sub> from vein to artery is aided by the counter current arrangement of these blood vessels. This route is not available to all mammals. In the mare, for example, PGF<sub>2&#x3b1;</sub> reaches the ovaries by the systemic route. In human and some other primates, the source of PGF<sub>2&#x3b1;</sub> is intra-ovarian rather than uterine and its synthesis is decreased in the presence of chorionic gonadotrophin (<xref ref-type="bibr" rid="B19">19</xref>). Several of the luteotrophic factors discussed below are shown schematically in <xref ref-type="fig" rid="f1"><bold>Figure&#xa0;1</bold></xref>.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Some luteotrophic factors. Those derived through gene duplication are shown in red. In murid and cricetid rodents (e.g., mouse, golden hamster) pituitary prolactin (PRL) is released in response to coitus and inhibits 20&#x3b1;-hydroxysteroid dehydrogenase (20&#x3b1;-HSD); subsequently this function is assumed by placental lactogens (PL-1, PL-2). In elephants, placental expression of <italic>PRL</italic> is responsible for pregnancy maintenance by accessory corpora lutea. In anthropoid primates and horses, chorionic gonadotropins (CG), derived through duplication of the luteinizing hormone &#x3b2;-subunit, are expressed by trophoblast and maintain luteal function in the early months of gestation. In ruminants, interferon-tau (IFNT) derived by duplication of the <italic>INFW</italic> gene is secreted by the blastocyst and acts on the endometrium to inhibit the luteolytic signal prostaglandin F<sub>2&#x3b1;</sub> (PGF2&#x3b1;). Reproduced from Physiological Reviews (<xref ref-type="bibr" rid="B2">2</xref>) Copyright <sup>&#xa9;</sup> 2012, The American Physiological Society.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fendo-13-891927-g001.tif"/>
</fig>
<sec id="s2_1">
<title>2.1 Pecoran Ruminants</title>
<p>In ruminants, the signal for pregnancy recognition is interferon tau, which is secreted by the trophectoderm of the elongated blastocyst during its long sojourn in the uterine lumen. The <italic>IFNT</italic> gene arose in the lineage of pecoran ruminants through duplication of the <italic>IFNW</italic> gene (<xref ref-type="bibr" rid="B20">20</xref>). In the process, <italic>IFNT</italic> lost the viral control elements of the promotor region and acquired sequences responsible for trophectoderm-specific expression (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B22">22</xref>). Interferon tau binds to receptors in the endometrium and acts to suppress secretion of PGF<sub>2&#x3b1;</sub> thus preventing luteolysis (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B24">24</xref>). It is also detectable in uterine venous blood and may act on extrauterine tissues (<xref ref-type="bibr" rid="B25">25</xref>). Recent work has focussed on the direct effects of interferon tau on the transcriptome of the corpus luteum. Both the luteinized large cells and the luteal endothelial cells respond to interferon tau and the net effect is downregulation of luteolytic factors, promotion of cell survival and vascular stability (<xref ref-type="bibr" rid="B26">26</xref>). <italic>IFNT</italic> is absent in non-ruminant species of Artiodactyla, such as pig (<italic>Sus scrofa</italic>), hippopotamus (<italic>Hippopotamus amphibius</italic>) and llama (<italic>Lama glama</italic>) (<xref ref-type="bibr" rid="B27">27</xref>). The pregnancy recognition signal in pigs is estrogen, primarily estradiol-17&#x3b2;, secreted by the trophectoderm of the filamentous blastocyst (<xref ref-type="bibr" rid="B28">28</xref>).</p>
</sec>
<sec id="s2_2">
<title>2.2 Equids</title>
<p>In the horse (<italic>Equus caballus</italic>), the developing blastocyst is enclosed in a glycoprotein capsule that moves about the uterus. Blastocyst motility is essential to maintenance of pregnancy. A hitherto unidentified factor inhibits release of PGF<sub>2&#x3b1;</sub> from the uterus (<xref ref-type="bibr" rid="B29">29</xref>). A recent overview concluded that maternal recognition of pregnancy in the horse involves a combination of chemical and mechanical signalling through multiple pathways (<xref ref-type="bibr" rid="B30">30</xref>). After implantation, between days 36 and 38 of gestation, trophoblast migrates from the chorionic girdle of the developing placenta into the endometrium and there forms the endometrial cups, which secrete equine chorionic gonadotrophin (eCG) (<xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Unlike in primates, a single gene codes for the &#x3b2;-subunit of pituitary LH and placental CG. It evolved in the equid lineage through acquisition of an extended carboxy-terminal peptide that is key to placental expression (<xref ref-type="bibr" rid="B33">33</xref>, <xref ref-type="bibr" rid="B34">34</xref>). Placental expression occurs in the donkey (<italic>Equus asinus</italic>) and Plains zebra (<italic>Equus quagga</italic>) (<xref ref-type="bibr" rid="B34">34</xref>, <xref ref-type="bibr" rid="B35">35</xref>), but not in other perissodactyls such as the Central American tapir (<italic>Tapirus bairdii</italic>) and various species of rhinoceros (<xref ref-type="bibr" rid="B36">36</xref>). Together with pituitary FSH, eCG stimulates development of accessory corpora lutea, which support pregnancy until about day 70, after which pregnancy is maintained through placental secretion of progestins such as dihydroprogesterone (DHP). For a fuller consideration of the endocrinology of pregnancy in the mare, including estrogen production by the fetoplacental unit, the reader is referred to an excellent review by Conley (<xref ref-type="bibr" rid="B37">37</xref>).</p>
</sec>
<sec id="s2_3">
<title>2.3 Anthropoid Primates</title>
<p>There is a superficial resemblance between horse and human in that pregnancy maintenance depends initially on hCG, which is secreted by the syncytiotrophoblast, and then on placental secretion of progesterone. Although hCG rescues steroid synthesis by the corpus luteum (<xref ref-type="bibr" rid="B38">38</xref>), its role may be short-lived (<xref ref-type="bibr" rid="B39">39</xref>). There is no chorionic gonadotrophin in lemurs, lorises or tarsiers. Duplication of the pituitary LH &#x3b2;-subunit gene, which presaged evolution of chorionic gonadotrophin, occurred in the lineage of anthropoid primates (<xref ref-type="bibr" rid="B40">40</xref>). Several copies of the CG &#x3b2;-subunit gene are found in anthropoid primates, but many lack placental expression (<xref ref-type="bibr" rid="B41">41</xref>). In human gestation, the plasma concentration of hCG rises rapidly 4 weeks after implantation and peaks at 8 to 10 weeks (<xref ref-type="bibr" rid="B42">42</xref>). Subsequently, pregnancy is maintained through placental secretion of progesterone. An enduring hypothesis is that human parturition is triggered by progesterone withdrawal (<xref ref-type="bibr" rid="B43">43</xref>). The current view favours a functional progesterone withdrawal resulting from an increase in the ratio between the two progesterone receptors (PR-A/PR-B ratio) and mediated by prostaglandins, although the full picture is considerably more complex (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B45">45</xref>).</p>
<p>It should be remarked that hCG has actions other than maintenance of the corpus luteum (<xref ref-type="bibr" rid="B3">3</xref>). For example, hCG induces proliferation of the uterine natural killer cells that play a key role in maternal-fetal interactions within the placental bed (<xref ref-type="bibr" rid="B46">46</xref>).</p>
</sec>
<sec id="s2_4">
<title>2.4 Murid and Cricetid Rodents</title>
<p>In mouse (<italic>Mus musculus</italic>), rat (<italic>Rattus norvegicus</italic>), and golden hamster (<italic>Mesocricetus auratus</italic>), rescue of the corpus luteum is through pituitary secretion of prolactin (PRL), which requires stimulation of the uterine cervix during coitus. As pregnancy proceeds, PRL is supplemented by placental lactogens (PLs). PRL, PL-I and PL-II act by silencing expression of 20&#x3b1;-hydroxysteroid dehydrogenase, which otherwise would catabolize progesterone (<xref ref-type="bibr" rid="B47">47</xref>). The trophoblast giant cells secrete PL-I in mid-gestation and PL-II during the last half of gestation (<xref ref-type="bibr" rid="B48">48</xref>). In rodents, placental lactogens arose through duplication of the <italic>Prl</italic> gene and in mouse they are encoded by <italic>Prl3d1</italic> (PL-I) and <italic>Prl3b1</italic> (PL-II). A variant form of PL-I in the rat is encoded by <italic>Prl3d4</italic>. Further functions of PLs and prolactin-like proteins in rat and mouse are discussed in a later section.</p>
<p>Evolution of placental lactogens in rodents has yet to be explored in depth. <italic>Pl1</italic>, <italic>Pl2</italic>, and variants thereof, have been documented in cricetid rodents: the golden hamster (<xref ref-type="bibr" rid="B49">49</xref>) and two species of deer mouse (<italic>Peromyscus maniculatus</italic> and <italic>P. polionotus</italic>) (<xref ref-type="bibr" rid="B50">50</xref>). Thus, based on current phylogeny, <italic>Pl1</italic> and <italic>Pl2</italic> must have been present in the common ancestor of Muridae and Cricetidae, which together account for 94% of muroid diversity (<xref ref-type="bibr" rid="B51">51</xref>). Without further data, it is not possible to pinpoint when and where placental lactogens emerged in this lineage of rodents.</p>
</sec>
<sec id="s2_5">
<title>2.5 Guinea Pig</title>
<p>The guinea pig and other hystricomorph rodents have a long gestation and give birth to well-developed young. They differ in this respect from mouse and rat. Maintenance of the corpora lutea in the first weeks of guinea pig pregnancy has been ascribed to a chorionic gonadotrophin [evidence summarized in (<xref ref-type="bibr" rid="B52">52</xref>)]. In addition, spongiotrophoblast from the interlobular areas of the placenta secretes prolactin-like proteins (<xref ref-type="bibr" rid="B53">53</xref>). The ovaries are not required after day 21 of gestation when pregnancy maintenance depends on placental secretion of progesterone (<xref ref-type="bibr" rid="B54">54</xref>). As in women, there is no decline in plasma progesterone prior to birth suggesting guinea pig as a promising model for research on parturition (<xref ref-type="bibr" rid="B44">44</xref>).</p>
</sec>
<sec id="s2_6">
<title>2.6 Elephant</title>
<p>The prolactin gene went through a period of rapid evolution in the African savannah elephant (<italic>Loxodonta africana</italic>) and rock hyrax (<italic>Procavia capensis</italic>), but without gene duplication (<xref ref-type="bibr" rid="B55">55</xref>). Nonetheless, placental expression of <italic>PRL</italic> has been suggested for both African and Asian elephants (<italic>Elephas maximus</italic>) based on immunostaining with an antibody raised against human prolactin (<xref ref-type="bibr" rid="B56">56</xref>, <xref ref-type="bibr" rid="B57">57</xref>). Gestation in elephants is maintained by large accessory corpora lutea and the luteotrophic factor may well be PRL derived from the placenta (<xref ref-type="bibr" rid="B58">58</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>3 Maternal Adaptations for Pregnancy and Lactation</title>
<p>Placental hormones have diverse yet poorly understood effects on maternal physiology (<xref ref-type="bibr" rid="B3">3</xref>). They stimulate growth of the uterine glands and secretion of histotroph (uterine milk), which is an important source of fetal nutrition, especially in species with epitheliochorial placentation (<xref ref-type="bibr" rid="B59">59</xref>). They also have far-reaching effects on maternal metabolism that ensure an adequate supply of nutrients to the fetus. Placental lactogens are among a plethora of hormones that support differentiation of the mammary glands preparatory to lactation (<xref ref-type="bibr" rid="B60">60</xref>). There are also behavioural effects such as nest-building in rabbits (<xref ref-type="bibr" rid="B61">61</xref>).</p>
<p>The hormones responsible for these actions include placental lactogens. They occur in primates, rodents and ruminants but are the result of separate evolutionary trajectories and are derived from different genes. Therefore, they cannot be assumed to have identical functions. Known effects of PRL-related hormones on placental development are considered here though those actions may be paracrine rather than endocrine Also considered in this section are placensin, recently described as a human placental hormone, and the pregnancy-associated glycoproteins of artiodactyls.</p>
<sec id="s3_1">
<title>3.1 Primates</title>
<p>Duplication and placental expression of the growth hormone gene is a distinctive feature of anthropoid primates. A cluster of five genes is found on human chromosome 17. One codes for pituitary growth hormone (<italic>hGH-N</italic>), another for placental growth hormone variant (<italic>hGH-V</italic>) and two for placental lactogens, also known as chorionic somatomammotropic hormones (<italic>CSH1</italic>/<italic>hCS-A</italic>, <italic>CSH2</italic>/<italic>hCS-B</italic>) (<xref ref-type="bibr" rid="B62">62</xref>). The appellation placental lactogen is supported by their much greater affinity for the PRL receptor than the GH receptor (<xref ref-type="bibr" rid="B63">63</xref>).</p>
<sec id="s3_1_1">
<title>3.1.1 Placental Growth Hormone</title>
<p>Placental GH is secreted from 24-25 weeks of gestation, reaches a plateau at 34-35 weeks, and is maintained to term. It suppresses secretion of pituitary GH from 24-25 weeks (<xref ref-type="bibr" rid="B64">64</xref>). Secretion of placental GH is continuous (<xref ref-type="bibr" rid="B65">65</xref>) whereas pituitary GH is secreted in pulses. Since GH promotes gluconeogenesis, lipolysis and anabolism, it is though that the placental variant increases nutrient availability to the placenta and fetus (<xref ref-type="bibr" rid="B66">66</xref>, <xref ref-type="bibr" rid="B67">67</xref>). Thus, maternal insulin resistance develops during mid- to late human pregnancy in response to placental GH, thereby ensuring availability of maternal glucose for placental transfer [reviewed in (<xref ref-type="bibr" rid="B67">67</xref>)]. Placental growth hormone is not secreted to the fetal circulation (<xref ref-type="bibr" rid="B68">68</xref>).</p>
<p>Many actions of GH are mediated through <italic>STAT5B</italic>, which upregulates transcription of insulin-like growth factor 1 (<italic>IGF1</italic>) (<xref ref-type="bibr" rid="B69">69</xref>). In addition, the syncytiotrophoblast of human placenta expresses <italic>IGF2</italic> (<xref ref-type="bibr" rid="B70">70</xref>) and the maternal plasma concentration of IGF-2 rises throughout pregnancy. The actions of IGFs are mediated through their receptors <italic>IGF1R</italic> and <italic>M6P/IGF2R</italic> as well as through the insulin receptor. Several IGF binding proteins regulate their availability. For closer consideration the reader is referred to appropriate reviews (<xref ref-type="bibr" rid="B67">67</xref>, <xref ref-type="bibr" rid="B70">70</xref>&#x2013;<xref ref-type="bibr" rid="B72">72</xref>).</p>
</sec>
<sec id="s3_1_2">
<title>3.1.2 Placental Lactogens</title>
<p>Human PL is found in maternal plasma at around 6 weeks and reaches a plateau by 32-35 weeks of gestation (<xref ref-type="bibr" rid="B68">68</xref>). Towards term, the secretion rate of hPL is about 1 g/day, exceeding that of any other peptide hormone (<xref ref-type="bibr" rid="B73">73</xref>). It binds preferentially to the PRL receptor (<xref ref-type="bibr" rid="B63">63</xref>). However, although levels of hPL greatly exceed those of PRL, a role in the secretory differentiation of the human mammary gland has yet to be determined (<xref ref-type="bibr" rid="B60">60</xref>). Thus, the increase in urinary lactose, reflecting the capacity of the breast to make lactose, correlates with PRL levels but not hPL levels (<xref ref-type="bibr" rid="B74">74</xref>). Pregnancy proceeds to term even in the absence of circulating hPL, although fetal outcomes vary (<xref ref-type="bibr" rid="B68">68</xref>). In humans most placental hormones are secreted by the maternal-facing syncytiotrophoblast: secretion is unidirectional. Human PL is an exception and is found in the fetal circulation (<xref ref-type="bibr" rid="B75">75</xref>).</p>
<p>It may be noted that <italic>Prl</italic> itself is expressed in the uterine decidua of anthropoid primates including brown-headed spider monkey (<italic>Ateles fusciceps</italic>), rhesus macaque, and human (<xref ref-type="bibr" rid="B76">76</xref>).</p>
</sec>
<sec id="s3_1_3">
<title>3.1.3 Growth Hormone Locus in Nonhuman Primates</title>
<p>Most mammals have a single growth hormone gene expressed in the pituitary. This is also true of strepsirrhine primates such as the slow loris (<italic>Nycticebus pygmaeus</italic>) (<xref ref-type="bibr" rid="B77">77</xref>) and tarsiers (<italic>Carlito syrichta</italic> and <italic>Cephalopacus bancanus</italic>) (<xref ref-type="bibr" rid="B78">78</xref>). Phylogenetic analysis infers there was a single gene in the common ancestor of New World and Old World monkeys, although it may already have attained placental expression (<xref ref-type="bibr" rid="B79">79</xref>). Gene duplication occurred separately in the two lineages (<xref ref-type="bibr" rid="B79">79</xref>). Multiple <italic>GH</italic> genes are found in New World monkeys, for example 8 genes and pseudogenes in the common marmoset (<italic>Callithrix jacchus</italic>) (<xref ref-type="bibr" rid="B80">80</xref>), which is an important animal model (<xref ref-type="bibr" rid="B81">81</xref>). At least three genes are expressed in the placenta of the brown-headed spider monkey (<italic>Ateles fusciceps</italic>) (<xref ref-type="bibr" rid="B79">79</xref>). Among Old World monkeys, baboon placenta expresses placental growth hormone (<italic>GH-2</italic>) and two PLs (<italic>CSH</italic>s) (<xref ref-type="bibr" rid="B82">82</xref>) and rhesus macaque (<italic>Macaca mulatta</italic>) has a cluster of six <italic>GH</italic>-like genes, four of which are expressed in the placenta (<xref ref-type="bibr" rid="B83">83</xref>). Like human, chimpanzee (<italic>Pan troglodytes</italic>) and lowland gorilla (<italic>Gorilla gorilla</italic>) have two <italic>GH</italic> genes and 3-4 <italic>CSH</italic>-like genes (<xref ref-type="bibr" rid="B84">84</xref>, <xref ref-type="bibr" rid="B85">85</xref>).</p>
</sec>
<sec id="s3_1_4">
<title>3.1.4 Placensin</title>
<p>The <italic>FBN1</italic> gene encodes a structural protein, fibrillin-1, and a secreted protein, asprosin. Its paralogue <italic>FBN2</italic> was recently shown to be highly expressed by cyto- and syncytiotrophoblast of human placenta and given the name placensin (<xref ref-type="bibr" rid="B86">86</xref>). Based on its ability to stimulate glucose secretion and gluconeogenesis in primary hepatocytes, it was suggested that placensin plays a role in metabolic homeostasis during pregnancy. It should, however, be noted that the gene is expressed at very low levels in mouse placenta and <italic>FBN2</italic> is highly conserved across vertebrates (<xref ref-type="bibr" rid="B86">86</xref>).</p>
</sec>
</sec>
<sec id="s3_2">
<title>3.2 Rodents</title>
<p>As already noted, PRL, PL-1 and PL-2 maintain corpus luteum function, which is a prerequisite for mammary development. In addition, they act through the PRL receptor (coded by <italic>Prlr</italic>) to promote lobuloalveolar growth, differentiation, and milk protein gene expression (<xref ref-type="bibr" rid="B87">87</xref>, <xref ref-type="bibr" rid="B88">88</xref>). Until quite recently, the metabolic effects of rodent PLs were unclear. However, a comparison of mouse mutants lacking either <italic>Prl</italic> or <italic>Prlr</italic> indicated that PLs rather than prolactin were essential for maintenance of adequate glucose levels during gestation (<xref ref-type="bibr" rid="B89">89</xref>).</p>
<p>A large cluster of <italic>PRL</italic>-like genes occurs in rat and mouse (<xref ref-type="bibr" rid="B90">90</xref>, <xref ref-type="bibr" rid="B91">91</xref>). Many of these are orphan ligands or act through non-classical pathways rather than through the PRL receptor (<xref ref-type="bibr" rid="B92">92</xref>). They include genes coding for proliferin (<italic>Prl2c2</italic>) and proliferin-related protein (<italic>Prl7d1</italic>). Proliferin promotes angiogenesis and is expressed by the trophoblast giant cells during development of the placental labyrinth (<xref ref-type="bibr" rid="B93">93</xref>). In contrast, proliferin-related protein, which is expressed by cytotrophoblasts of the junctional zone, is anti-angiogenic. At midgestation there is decrease in proliferin and increase in proliferin-related protein that may restrict further vascularization (<xref ref-type="bibr" rid="B93">93</xref>). Whilst these actions are paracrine, both proteins are secreted to the maternal circulation.</p>
<p>Several of the PRL-like proteins (PRL-A, -B, and -C) are expressed by the trophoblasts that invade the mesometrial triangle in the last week of gestation. This coincides with the disappearance of uterine natural killer (uNK) cells and PLP-A has been shown to bind to uNK cells and suppress their synthesis of interferon-gamma (<xref ref-type="bibr" rid="B94">94</xref>).</p>
<p>Rodents do not have a placental growth hormone. However, in the mouse, pituitary secretion of GH rises at mid-gestation coincident with development of the chorioallantoic placenta (<xref ref-type="bibr" rid="B95">95</xref>). The increase has been attributed to a placental factor. Subsequent work ruled out placentally derived acyl-ghrelin (<xref ref-type="bibr" rid="B96">96</xref>), but placental secretion of GH- releasing hormone (GHRH) remains a possibility (<xref ref-type="bibr" rid="B95">95</xref>). Finally, it is noteworthy that <italic>Prl</italic> is expressed by uterine decidua in murid rodents (<xref ref-type="bibr" rid="B76">76</xref>), as in anthropoid primates, although this is another incidence of convergent evolution (<xref ref-type="bibr" rid="B76">76</xref>).</p>
</sec>
<sec id="s3_3">
<title>3.3 Artiodactyls</title>
<p>Most research on placental hormones of artiodactyls has focussed on domesticated species such as cattle (<italic>Bos taurus</italic>), sheep, and goat (<italic>Capra hircus</italic>). These and other ruminants, including the basal tragulids or mouse deer (<italic>Tragulus javanicus</italic> and <italic>T. napu</italic>) (<xref ref-type="bibr" rid="B97">97</xref>), feature binucleate trophoblast cells (BNCs) that synthesize prolactins and pregnancy-associated glycoproteins (PAGs). As first shown in cattle (<xref ref-type="bibr" rid="B98">98</xref>), BNCs can fuse with uterine epithelial cells to form a short-lived trinucleate cell that delivers the hormones to maternal tissues. Trinucleate cells have been demonstrated in species from three further families, including in white-tailed deer (<italic>Odocoileus virginianus</italic>), Northern giraffe (<italic>Giraffa camelopardalis</italic>) and pronghorn (<italic>Antilocapra americana</italic>) (<xref ref-type="bibr" rid="B99">99</xref>, <xref ref-type="bibr" rid="B100">100</xref>). In sheep, goat, and blue wildebeest (<italic>Connochaetes taurinus</italic>), there is a syncytium that Wooding considers to be a hybrid tissue maintained by continual fusion with BNCs (<xref ref-type="bibr" rid="B100">100</xref>, <xref ref-type="bibr" rid="B101">101</xref>). This view has been challenged recently, and it is suggested that uterine epithelial cells undergo apoptosis so that the syncytial layer is entirely trophoblastic in origin (<xref ref-type="bibr" rid="B102">102</xref>). If that is the case, the placenta is syndesmochorial according to the Grosser classification (<xref ref-type="bibr" rid="B7">7</xref>).</p>
<sec id="s3_3_1">
<title>3.3.1 Placental Lactogens</title>
<p>Ovine placental lactogen (oPL) stimulates hyperplasia of the uterine glands and secretion of histotroph (<xref ref-type="bibr" rid="B103">103</xref>). There is also evidence that it promotes mammary growth in ewes (<xref ref-type="bibr" rid="B104">104</xref>), as does bovine placental lactogen (bPL) in heifers (<xref ref-type="bibr" rid="B105">105</xref>). However, oPL affected neither growth nor milk production when given to lactating ewes (<xref ref-type="bibr" rid="B106">106</xref>). Additionally, these hormones may be important for fetal growth as oPL is secreted to the fetal circulation in sheep. Indeed, RNA interference studies in sheep support the view that oPL stimulates fetal growth by enhancing transcription of <italic>IGF1</italic> and <italic>IGF2</italic> as well as some IGF-binding proteins (<xref ref-type="bibr" rid="B107">107</xref>).</p>
<p>The placental lactogens of ruminants arose through duplication of the <italic>PRL</italic> gene with subsequent expansion of the gene locus. Thus, in cattle there are 8 <italic>PRL</italic>-like genes. One codes for bPL; the remainder for prolactin-related proteins (PRPs) (<xref ref-type="bibr" rid="B108">108</xref>, <xref ref-type="bibr" rid="B109">109</xref>). There is considerable sequence divergence between bPL and oPL, and bPL is glycosylated whereas oPL is not (<xref ref-type="bibr" rid="B110">110</xref>). Apart from goat and water buffalo (<italic>Bubalus bubalis</italic>), other species have not been investigated at the molecular level. Therefore, it is not possible to determine when ruminant PLs evolved. However, prolactin-like activity has been found in placentas of other ruminants including Northern giraffe and six species of deer (Cervidae) as well as in llama, though not domestic pig (<xref ref-type="bibr" rid="B111">111</xref>). In addition, placental lactogens have been demonstrated in BNCs from several species including mouse deer (<xref ref-type="bibr" rid="B97">97</xref>), deer (<xref ref-type="bibr" rid="B112">112</xref>) and giraffe (<xref ref-type="bibr" rid="B113">113</xref>) by immunostaining with antibodies raised against oPL and bPL. Giraffe BNCs stain for PRL itself (<xref ref-type="bibr" rid="B113">113</xref>).</p>
</sec>
<sec id="s3_3_2">
<title>3.3.2 Placental Growth Hormone</title>
<p>Placental expression of growth hormone is found in sheep and goat, but is restricted to the caprine lineage (<xref ref-type="bibr" rid="B114">114</xref>). Sheep are polymorphic for the gene duplication (<xref ref-type="bibr" rid="B115">115</xref>). One allele carries a single gene (<italic>GH1</italic>) and the other has two copies of the duplicated gene (<italic>GH2-N</italic> and <italic>GH2-Z</italic>). Only the latter are expressed in the placenta (<xref ref-type="bibr" rid="B116">116</xref>), so individuals that are homozygous for <italic>GH1</italic> lack placental expression. The product of <italic>GH2-Z</italic> has a higher affinity for the GH receptor (<xref ref-type="bibr" rid="B115">115</xref>) and oGH has been shown to promote endometrial gland proliferation (<xref ref-type="bibr" rid="B117">117</xref>). This suggests that the duplicate gene may confer an advantage on fetuses that carry it. The GH gene locus has a similar structure in the domestic goat (<xref ref-type="bibr" rid="B114">114</xref>), but little work has been done on this species.</p>
</sec>
<sec id="s3_3_3">
<title>3.3.3 Pregnancy-Associated Glycoproteins</title>
<p>Most mammals have a single PAG-like gene belonging to the aspartic peptidase family. There have been two rounds of duplication in artiodactyls (<xref ref-type="bibr" rid="B118">118</xref>, <xref ref-type="bibr" rid="B119">119</xref>). Products of the first round, referred to as &#x201c;ancient PAGs,&#x201d; retain the active site. In cattle, they are expressed mainly by trophoblasts of the intercotyledonary chorion (<xref ref-type="bibr" rid="B120">120</xref>). In both pig and cow, the proteins occur at the microvillous junction between uterine epithelium and trophoblast suggesting they may function as linking molecules and be important for fetal-maternal anchorage (<xref ref-type="bibr" rid="B121">121</xref>). The second round of gene duplication occurred in ruminants (including mouse deer). In cattle, these &#x201c;modern PAGs,&#x201d; are expressed predominantly by BNCs in the placental cotyledons (<xref ref-type="bibr" rid="B120">120</xref>). There has been expansion within both clusters with cattle having 21 PAG genes and 20 PAG-like pseudogenes (<xref ref-type="bibr" rid="B120">120</xref>). There are comprehensive studies of gene expression in cattle comprising both modern and ancient <italic>PAG</italic>s (<xref ref-type="bibr" rid="B120">120</xref>, <xref ref-type="bibr" rid="B122">122</xref>). Comparative studies have been restricted to protein expression using antibodies raised against ovine PAG-1 and bovine PAG-2 (<xref ref-type="bibr" rid="B100">100</xref>). PAGs have been included here as several are released from BNCs. It has been speculated that they are involved in immune tolerance (<xref ref-type="bibr" rid="B123">123</xref>). Another possible role is pregnancy maintenance (<xref ref-type="bibr" rid="B122">122</xref>).</p>
</sec>
</sec>
</sec>
<sec id="s4">
<title>4 Immunosuppression</title>
<p>The immunological paradox of pregnancy, to which Medawar drew attention (<xref ref-type="bibr" rid="B1">1</xref>), has baffled scientists for nearly seventy years (<xref ref-type="bibr" rid="B124">124</xref>, <xref ref-type="bibr" rid="B125">125</xref>). Many placental cytokines and hormones are suggested to contribute to immune tolerance. Here I have chosen to highlight the pregnancy-specific glycoproteins (PSGs) and galectins.</p>
<p>PSGs belong to the carcinoembryonic gene family, which in turn is part of the immunoglobulin gene superfamily. There are two major branches coding, respectively, for cell adhesion molecules (<italic>CEACAM</italic>s) and PSGs (<italic>CEAPSG</italic>s). The function of this large group of proteins is not entirely clear, but PSGs are secreted by trophoblast and are putative immunomodulatory agents. Developments in the last few years have widened the spectrum of PSGs from primates and rodents to horses and bats (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Galectins are an ancient group of proteins with a wide variety of functions that in mammals include regulation of immune tolerance at the maternal-fetal interface (<xref ref-type="bibr" rid="B126">126</xref>&#x2013;<xref ref-type="bibr" rid="B128">128</xref>). Galectins are predominantly localized to the cytoplasm but are included here because there are placenta-specific galectins in primates, one of which is secreted to the maternal circulation. For a broader consideration of the role of galectins in the female reproductive tract the reader is referred to recent comprehensive reviews (<xref ref-type="bibr" rid="B127">127</xref>, <xref ref-type="bibr" rid="B128">128</xref>).</p>
<sec id="s4_1">
<title>4.1 Anthropoid Primates</title>
<sec id="s4_1_1">
<title>4.1.1 Pregnancy-Specific Glycoproteins</title>
<p>Human placenta secretes large amounts of PSG (previously named &#x3b2;<sub>1</sub>-glycoprotein). There is a cluster of 10 <italic>PSG</italic> genes in human and similar numbers in great apes and Old World monkeys though only 1-7 in New World monkeys (<xref ref-type="bibr" rid="B5">5</xref>). <italic>PSG</italic> genes are absent in lemurs, lorises and tarsiers, so the origin and expansion of <italic>CEAPSG</italic> genes occurred in the lineage of anthropoid primates (<xref ref-type="bibr" rid="B5">5</xref>). The biological role of PSGs has not been fully resolved. However, all human PSGs activate transforming growth factor &#x3b2;1 (TGF-&#x3b2;1) in immune cells and may thereby contribute to immune tolerance and vascular remodelling [reviewed in (<xref ref-type="bibr" rid="B129">129</xref>)]. PSGs also stimulate proliferation of CD4<sup>+</sup>, Fox3<sup>+</sup> regulatory T-cells, which is TGF&#x3b2;1-dependent, further supporting a role in maternal tolerance of pregnancy (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B130">130</xref>). Human PSGs have a highly conserved RGD peptide motif and bind to integrin &#x3b1;5&#x3b2;1. Since both PSGs and integrin &#x3b1;5&#x3b2;1 are expressed by extravillous trophoblasts, it has been suggested that PSGs can promote trophoblast invasion of the uterine decidua (<xref ref-type="bibr" rid="B131">131</xref>).</p>
</sec>
<sec id="s4_1_2">
<title>4.1.2 Galectins</title>
<p>Seven galectins are expressed by the trophoblast of human placenta (<xref ref-type="bibr" rid="B132">132</xref>). Of particular interest is a cluster of genes on chromosome 19 unique to anthropoid primates and absent in tarsier, greater galago (<italic>Otolemur garnetti</italic>) and grey mouse lemur (<italic>Microcebus murinus</italic>) (<xref ref-type="bibr" rid="B133">133</xref>). There is variation between species. However, particular interest attaches to <italic>LGALS13</italic> found in catarrhines (Old World monkeys and apes), because the gene product (galectin-13 or PP13) is secreted from the villus syncytiotrophoblast to the intervillous space and reaches the uterine decidua. In first trimester human pregnancies, aggregates of galectin-13 are found in necrotic zones close to the decidual veins. These appear to attract, activate, and induce apoptosis of maternal immune cells that might otherwise attack invading trophoblast (<xref ref-type="bibr" rid="B134">134</xref>). Intriguingly, PSG-1 is a ligand for galectin-1 (<xref ref-type="bibr" rid="B135">135</xref>).</p>
</sec>
</sec>
<sec id="s4_2">
<title>4.2 Murid Rodents</title>
<p>Although rodent and primate PSGs are thought to have evolved from a <italic>CEACAM-1</italic>-like gene, the two gene families arose independently through convergent evolution. Orthologous genes are found only within rodents (mouse and rat) or primates (human and baboon) (<xref ref-type="bibr" rid="B136">136</xref>). The <italic>Psg</italic> locus of the mouse comprises 17 genes and has been explored in detail (<xref ref-type="bibr" rid="B137">137</xref>). The rat <italic>Psg</italic> locus has evolved less rapidly and includes eight genes (<xref ref-type="bibr" rid="B136">136</xref>). Trophoblast giant cells express <italic>Psg22</italic> in the first half of mouse pregnancy, whereas the spongiotrophoblast expresses <italic>Psg16</italic>, <italic>Psg21</italic> and <italic>Psg23</italic> in the second half (<xref ref-type="bibr" rid="B138">138</xref>). Mouse Psg23 can activate latent TGF&#x3b2;1 (<xref ref-type="bibr" rid="B139">139</xref>) and likely increases the availability of regulatory T-cells, as shown by administering recombinant human PSG1 to mice (<xref ref-type="bibr" rid="B140">140</xref>).</p>
<p>PSGs do not occur in the guinea pig (<xref ref-type="bibr" rid="B6">6</xref>), but have not been sought in other rodents so it is not known if they evolved in the murid lineage or a deeper branch.</p>
</sec>
<sec id="s4_3">
<title>4.3 Equids</title>
<p>In the horse, PSGs evolved through expansion from a <italic>CEACAM1</italic>-like ancestral gene to a cluster of some 17 genes coding for secreted proteins (<xref ref-type="bibr" rid="B141">141</xref>, <xref ref-type="bibr" rid="B142">142</xref>). Five are known to be expressed in the trophoblast of the endometrial cups (<xref ref-type="bibr" rid="B142">142</xref>). As mentioned above, the cups are formed by invasive trophoblast and are responsible for secretion of eCG. The endometrial stroma surrounding the cups is heavily infiltrated by CD4+ and CD8+ T-cells as well as by macrophages and natural killer cells (<xref ref-type="bibr" rid="B143">143</xref>, <xref ref-type="bibr" rid="B144">144</xref>), yet the cups survive until at least 100 days of gestation. Immunosuppression by secreted PSGs is a plausible hypothesis (<xref ref-type="bibr" rid="B142">142</xref>). It is thought that regulatory T-cells play a role in tolerance of the invasive trophoblast (<xref ref-type="bibr" rid="B145">145</xref>). Since at least one of the equine PSGs can activate TGF&#x3b2;1, they may contribute to differentiation of regulatory T-cells (<xref ref-type="bibr" rid="B146">146</xref>) as shown for human and mouse (<xref ref-type="bibr" rid="B130">130</xref>). PSG expression has not been examined beyond 36 days (<xref ref-type="bibr" rid="B142">142</xref>) and it would be interesting to know if the putative protection is withdrawn at a later stage when the cups become necrotic and eventually are sloughed off. It is not known if PSGs occur in other perissodactyls, such as tapirs and rhinoceroses.</p>
</sec>
<sec id="s4_4">
<title>4.4 Bats</title>
<p>Chiroptera is the most speciose order after rodents. Based on molecular and morphological evidence it can be divided into two clades: Yinpterochiroptera includes megabats and six families of echo-locating bats; the remaining orders constitute Yangochiroptera (<xref ref-type="bibr" rid="B147">147</xref>, <xref ref-type="bibr" rid="B148">148</xref>). Expansion of <italic>CEACAM</italic> genes has occurred in Yinpterochiroptera, but <italic>CEAPSG</italic>-like genes have been found only in three families of Yangochiroptera (<xref ref-type="bibr" rid="B149">149</xref>). One cluster of putative <italic>PSG</italic> genes occurs in the Natal long-fingered bat (<italic>Miniopterus natalensis</italic>), the common moustached bat (<italic>Pteronotus parnellii</italic>) and four species of vesper bat. A second cluster is restricted to the vesper bats. It must be stressed that bat PSGs were identified from genomic data. Further evaluation will require demonstration of placental expression of these genes.</p>
</sec>
</sec>
<sec id="s5">
<title>5 Discussion</title>
<p>The most remarkable thing about placental peptide and protein hormones is that each is restricted to a rather narrow group of mammals. Only ancient PAGs occur throughout an entire order (<xref ref-type="table" rid="T2"><bold>Table&#xa0;2</bold></xref>). Apparent similarities, as between humans and rodents, are the result of convergent evolution. Thus, placental lactogens were derived either from growth hormone or prolactin. They have some properties in common but significant differences that may be related to pregnancy duration. Before considering the implications for animal models, we shall consider gene duplications and the subsequent expansion to multigene families.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Protein hormones secreted by the placenta that evolved through gene duplication.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" align="left">Hormone</th>
<th valign="top" align="left">Derivation</th>
<th valign="top" align="left">Distribution</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Interferon-&#x3c4; (<italic>IFNT</italic>)</td>
<td valign="top" align="left">Interferon-&#x3c9; (<italic>IFNW</italic>)</td>
<td valign="top" align="left">Pecoran ruminants (Infraorder)</td>
</tr>
<tr>
<td valign="top" align="left">Placental lactogens (<italic>hCS-A</italic> and <italic>hCS-B</italic> in human)</td>
<td valign="top" align="left">Growth hormone (<italic>GH</italic>)</td>
<td valign="top" align="left">Anthropoid primates (Infraorder) with separate trajectories in New World monkeys (Parvorder) and Old World monkeys plus apes (Parvorder)</td>
</tr>
<tr>
<td valign="top" align="left">Placental growth hormone (<italic>GH2-Z</italic>)</td>
<td valign="top" align="left">Growth hormone (<italic>GH2-N</italic>)</td>
<td valign="top" align="left">Sheep and goat (Family)</td>
</tr>
<tr>
<td valign="top" align="left">Placental lactogens (e.g., PL-I (<italic>Prl3d1</italic>) and PL-2 (<italic>Prl3b1</italic>) in mouse and rat)</td>
<td valign="top" align="left">Prolactin (<italic>PRL</italic>)</td>
<td valign="top" align="left">Murid and cricetid rodents (Families with common root)</td>
</tr>
<tr>
<td valign="top" align="left">Placental lactogens (e.g. <italic>CSH2</italic> in cattle) and prolactin-like proteins</td>
<td valign="top" align="left">Prolactin (<italic>PRL</italic>)</td>
<td valign="top" align="left">Ruminants (Suborder)</td>
</tr>
<tr>
<td valign="top" align="left">Chorionic gonadotropin &#x3b2;-subunit (e.g., <italic>CGB1</italic> in human)</td>
<td valign="top" align="left">LH &#x3b2;-subunit (<italic>LHB</italic>)</td>
<td valign="top" align="left">Anthropoid primates (Infraorder)</td>
</tr>
<tr>
<td valign="top" align="left">Chorionic gonadotropin &#x3b2;-subunit (<italic>eCG&#x3b2;</italic> in horse)</td>
<td valign="top" align="left">LH &#x3b2;-subunit (<italic>LHB</italic>)</td>
<td valign="top" align="left">Equids (Family); evolution without gene duplication</td>
</tr>
<tr>
<td valign="top" align="left">Pregnancy-specific glycoproteins (<italic>CEAPSG</italic>s)</td>
<td valign="top" align="left"><italic>CEACAM-1</italic>-like gene</td>
<td valign="top" align="left">Anthropoid primates (Infraorder)</td>
</tr>
<tr>
<td valign="top" align="left">Pregnancy-specific glycoproteins (<italic>CEAPSG</italic>s)</td>
<td valign="top" align="left"><italic>CEACAM-1</italic>-like gene</td>
<td valign="top" align="left">Murid rodents (Family)</td>
</tr>
<tr>
<td valign="top" align="left">Pregnancy-specific glycoproteins (<italic>CEAPSG</italic>s)</td>
<td valign="top" align="left"><italic>CEACAM-1</italic>-like gene</td>
<td valign="top" align="left">Equids (Family)</td>
</tr>
<tr>
<td valign="top" align="left">Pregnancy-specific glycoproteins (<italic>CEAPSG</italic>s)</td>
<td valign="top" align="left"><italic>CEACAM-1</italic>-like gene</td>
<td valign="top" align="left">Bats (Some families of Suborder Yangochiroptera)</td>
</tr>
<tr>
<td valign="top" align="left">Pregnancy-associated glycoproteins (<italic>PAG</italic>s)</td>
<td valign="top" align="left">An aspartic proteinase</td>
<td valign="top" align="left">Artiodactyls (Order) but &#x201c;new PAGS&#x201d; confined to ruminants (Suborder)</td>
</tr>
</tbody>
</table>
</table-wrap>
<sec id="s5_1">
<title>5.1 Gene Duplication</title>
<p>Placental protein hormones evolved through duplication of existing genes including those coding for pituitary hormones (<xref ref-type="table" rid="T2"><bold>Table&#xa0;2</bold></xref>). Gene duplication often is preceded by a burst of rapid change in nucleotide sequence (<xref ref-type="bibr" rid="B87">87</xref>, <xref ref-type="bibr" rid="B150">150</xref>). These bursts can be interpreted as reflecting adaptation of the gene product for a new function, alternating with reversal towards the original function. Repeated cycles of change would lead to accumulation of substantial changes. The process would end once gene duplication allowed a second protein to adopt the new function (<xref ref-type="bibr" rid="B87">87</xref>).</p>
</sec>
<sec id="s5_2">
<title>5.2 Multigene Families</title>
<p>After initial duplication, the genes of many placental hormones have undergone further expansion to create multigene families. This is a contrast to adult hormones, which usually are encoded by a single gene (<xref ref-type="bibr" rid="B6">6</xref>). One explanation has been formulated in terms of parent-offspring conflict; a hypothesis based on conflicting priorities for allocation of maternal resources to the offspring. Paternal genes evolve to promote nutrient supply and improve survival of the neonates, while maternal genes evolve to conserve maternal resources for subsequent pregnancies. These ideas were developed to explain the evolution of placental lactogens and their receptors (<xref ref-type="bibr" rid="B151">151</xref>). Parent-offspring conflict has also been suggested as a plausible explanation for the expansion of PSG genes in human (eleven genes), mouse (seventeen), and horse (seven genes) (<xref ref-type="bibr" rid="B6">6</xref>). It has also been alluded to with respect to the multigene family of PAGs (<xref ref-type="bibr" rid="B119">119</xref>).</p>
<p>An alternative hypothesis suggests that bursts of rapid evolution in genes and their repeated duplication reflect the arms race between pathogens and their mammalian hosts. After decades of research on the evolution of growth hormone, prolactin and their receptors, Wallis concluded this to be a plausible explanation for his findings (<xref ref-type="bibr" rid="B150">150</xref>). He hypothesized that viruses could gain access to cells by binding to these hormones and then be internalized with the hormone-receptor complex. Thus, the hormones would evolve rapidly to hinder binding of the virus. Gene expansion, as seen with placental lactogens and their kin, would result in multiple species that could act as viral decoys. Human PL reaches very high levels in the second half of gestation, 100 times greater than GH in nonpregnant humans, yet its physiological significance remains unclear. However, a high concentration of hPL would decrease the odds of a virus fastening to a molecule that was to be internalized after receptor binding. The downside to this hypothesis is that viruses capable of binding to growth hormone or prolactin have yet to be identified (<xref ref-type="bibr" rid="B150">150</xref>, <xref ref-type="bibr" rid="B152">152</xref>).</p>
<p>Here it is worth noting that CEACAMs are thought to act as decoy receptors and PSGs may act in a similar fashion, so this is an alternative explanation for expansion of PSG gene loci (<xref ref-type="bibr" rid="B149">149</xref>). However, as with the PL locus, there is no clear evidence that PSGs bind to microorganisms (<xref ref-type="bibr" rid="B6">6</xref>).</p>
</sec>
<sec id="s5_3">
<title>5.3 Genomic Imprinting</title>
<p>Fetal growth is regulated by the insulin-like growth factor system with IGF2 as a key factor (<xref ref-type="bibr" rid="B67">67</xref>). <italic>IGF2</italic> is expressed in the adults of most amniotes (reptiles, birds and mammals), including human (<xref ref-type="bibr" rid="B153">153</xref>), whereas in mouse and rat <italic>Igf2</italic> is expressed in placenta but is largely absent in adults. Both <italic>IGF2</italic> and the <italic>M6P/IGF2R</italic> receptor are imprinted genes in most mammals including marsupials (<xref ref-type="bibr" rid="B154">154</xref>). In mice the phenotype of the conceptus, including the trophoblast, is determined by the paternal allele of <italic>Igf2</italic> and the maternal allele of <italic>Igf2r</italic>. This reciprocal imprinting has been interpreted in terms of parent-offspring conflict: the kinship theory of genomic imprinting (<xref ref-type="bibr" rid="B155">155</xref>). It has limited application to human pregnancy as imprinting of <italic>M6P/IGF2R</italic> was lost in the lineage of primates, colugos and tree shrews (<xref ref-type="bibr" rid="B156">156</xref>).</p>
</sec>
<sec id="s5_4">
<title>5.4 Implications for Animal Models</title>
<p>No gene for human placental protein hormones has orthologous genes in mammals other than anthropoid primates. That does not mean that findings in animal models are without merit for understanding the role of placental hormones in human pregnancy. However, hypotheses generated from models need to be verified in clinical studies or further explored in nonhuman primates (<xref ref-type="bibr" rid="B81">81</xref>).</p>
<sec id="s5_4_1">
<title>5.4.1 Placental Growth Hormones and Lactogens</title>
<p>Placental lactogens and growth hormones arose through duplication of the genes for pituitary prolactin and growth hormone. They act through similar receptors, i.e., prolactin receptor (PRLR) and growth hormone receptor (GHR). The receptor genes have not undergone duplication, although they did evolve rapidly in parallel with <italic>GH</italic> and <italic>PRL</italic> (<xref ref-type="bibr" rid="B87">87</xref>, <xref ref-type="bibr" rid="B151">151</xref>). Therefore, it may be supposed that the placental lactogens of ruminants, rodents, and primates act through similar pathways to effect changes in nutrient availability and maturation of the mammary glands. On the other hand, the most pronounced effects on metabolism and mammary development during human pregnancy are exerted by the placental variant of GH rather than by hPL. Other than anthropoid primates, only sheep and goat have been shown to have a placental growth hormone; it  acts locally to promote growth of the uterine glands (<xref ref-type="bibr" rid="B117">117</xref>).</p>
<p>The primary function of rodent PLs is to maintain CL function and, acting through the PRL receptor, to promote differentiation of the mammary glands. Although rodent PLs and related proteins have a range of actions, none have such fundamental effects on maternal metabolism as the GH secreted by human placenta. Other products of the gene locus seem not to bind to the PRL receptor but act through non-classical pathways (<xref ref-type="bibr" rid="B92">92</xref>). PLs of ruminants stimulate secretion of histotroph from the uterine glands (<xref ref-type="bibr" rid="B103">103</xref>). This is important since some substances do not readily cross the epitheliochorial placenta. Uterine gland secretions are rich in uteroferrin, which is taken up by the trophoblast and is an essential source of iron. In addition, ruminant PLs may play a role in mammary gland development. Since it is by no means clear that PLs have evolved to serve the same functions in primates, rodents, and ruminants, extreme care is needed in extrapolating across species.</p>
<p>A further qualifier applies to mouse and rat models. Murid rodents have brief gestations and large litters of poorly developed (altricial) pups. Primates and ruminants have much longer gestations usually with singletons that are well-developed (precocial) at birth (<xref ref-type="bibr" rid="B81">81</xref>). Therefore, there is a stretch of several months where placental hormones might regulate maternal physiology in primates and ruminants with no equivalent period in rodents.</p>
</sec>
<sec id="s5_4_2">
<title>5.4.2 Pregnancy-Specific Glycoproteins</title>
<p>PSGs are derived from the carcinoembryonic gene family rather than from pituitary hormones. It is nonetheless remarkable that PSGs have evolved separately in four orders of mammal. Cross-species comparisons should be valuable in determining whether their primary role is to promote trophoblast invasion or to act as viral decoys. Although CEACAMs do act as viral decoys, there is no evidence that PSGS bind to microorganisms (<xref ref-type="bibr" rid="B6">6</xref>). The case is stronger for a role in immune tolerance of the invading trophoblast, especially in humans where PSGs, acting through TGF&#x3b2;1, induce proliferation of regulatory T-cells in the uterus (<xref ref-type="bibr" rid="B46">46</xref>, <xref ref-type="bibr" rid="B130">130</xref>). There is growing evidence for a similar mechanism in rodents (<xref ref-type="bibr" rid="B140">140</xref>) and there could be a link between PSG expression by the endometrial cups of the horse and the presence of regulatory T-cells in their vicinity (<xref ref-type="bibr" rid="B145">145</xref>).</p>
</sec>
</sec>
</sec>
<sec id="s6">
<title>6 Conclusions</title>
<p>The placenta expresses a variety of hormones that can affect maternal physiology and fetal development (<xref ref-type="bibr" rid="B3">3</xref>). This review has focussed on placental hormones that originated through duplication of existing genes such as those coding for pituitary hormones (<xref ref-type="table" rid="T2"><bold>Table&#xa0;2</bold></xref>). There are several instances of convergent evolution and expansion of gene loci after the initial duplication. Many of the gene products are found at high concentration in maternal blood.</p>
<p>Least contentious in a physiological context are placental hormones responsible for pregnancy recognition and maintenance of the corpus luteum. These include INFT in ruminants, hCG in anthropoid primates, eCG in equids and PLs in murid and cricetid rodents.</p>
<p>There could be a common purpose to the convergent evolution of PSGs in 4 orders of mammal. It is notable that human PSGs and murine Psg23 can activate TGF&#x3b2;1 and thereby promote proliferation of regulatory T-cells. It has yet to be demonstrated conclusively that the primary function of PSGs is immunosuppression and promotion of trophoblast invasion. However, this is an active area of research (<xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>The role of the placental variant of GH in human pregnancy is clear. It reprogrammes maternal metabolism and ensures an adequate supply of glucose to the fetus. A placental GH has been convergently evolved in one family of ruminants where it may play a role in development of the uterine glands.</p>
<p>More perplexing is the significance of placental lactogens. Human PL is secreted at high levels and, though derived from a <italic>GH</italic> gene, shows greater affinity for the PRL than the GH receptor. Yet it seems less important for mammary gland development than pituitary PRL (<xref ref-type="bibr" rid="B74">74</xref>). In ruminants, there is some evidence that oPL and bPL affect mammary development, but they play a more important role in uterine gland development and secretion of histotroph. In rodents PLs are mainly important for pregnancy maintenance. An additional complication is the expansion of the PRL gene loci in rodents and ruminants. Many of the gene products seem to act through non-classical pathways (<xref ref-type="bibr" rid="B92">92</xref>). Thus, care must be taken in extrapolating work on ruminant and rodent prolactins to human pregnancy.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author Contributions</title>
<p>The&#xa0;author&#xa0;confirms being the sole contributor of this work and has approved it for publication.</p>
</sec>
<sec id="s8" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s9" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>I owe a great debt to the mentorship of the late Professor Allen C. Enders (1928-2022). He gave me the tools to develop my ideas about comparative placentation and was ever willing to answer the most na&#xef;ve questions with patience and good humour.</p>
</ack>
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