The hepatobiliary-like excretory function of the placenta. A review

Placenta. 2003 May;24(5):431-8. doi: 10.1053/plac.2002.0951.

Abstract

In the adult, several endogenous compounds, such as bile acids and biliary pigments, as well as many xenobiotics are mainly biotransformed and eliminated by the hepatobiliary system. However, because this function is immature in the foetus, this role is carried out by the placenta during the intrauterine life. This review describes current knowledge of the trophoblastic machinery responsible for this function, which includes transport and metabolic processes, similar in part to those existing in the mature liver. Because many of the studies reviewed here were conducted on human or rat near-term placentae, two aspects should be borne in mind: (i) although both types of placenta are haemochorial, profound species-specific differences at the structural, molecular and functional levels do exist, and (ii) the placenta is an organ undergoing continuous developmental changes, including its hepatobiliary-like excretory function.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adult
  • Animals
  • Bile Acids and Salts / metabolism
  • Bile Pigments / metabolism
  • Biliary Tract / metabolism*
  • Biological Transport
  • Female
  • Humans
  • Liver / metabolism*
  • Pregnancy
  • Rats
  • Trophoblasts / metabolism*

Substances

  • Bile Acids and Salts
  • Bile Pigments