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Single-cell insights into trophoblast heterogeneity and adaptive dysfunction in selective fetal growth restriction - PubMed

3 hours ago
  • #single-cell RNA sequencing
  • #trophoblast heterogeneity
  • #selective fetal growth restriction
  • Single-cell RNA sequencing reveals trophoblast heterogeneity in selective fetal growth restriction (sFGR).
  • Growth-restricted placentas show a transition from VCT_TP63 to a metabolically reprogrammed VCT_LDHA phenotype.
  • Trajectory analysis indicates diminished syncytial precursors, suggesting impaired fusion capacity.
  • Immune profiling identifies depleted TREM2+ Hofbauer macrophages and expanded interferon-responsive NK cells.
  • Enhanced IFNG-IFNGR1-STAT1 signaling between VCT_LDHA and immune cells is observed.
  • Weakened VCT_TP63-stromal crosstalk is noted in sFGR placentas.
  • The study highlights a maladaptive triad of metabolic stress, inflammation, and structural disintegration in sFGR.