[Problems of distinction of normal, arteficial and pathological structures in mature human placental villi. III. Morphometric studies in rhesus incompatibility (author's transl)]

Placental Hofbauer cells and complications of pregnancy

Hofbauer cells (HBCs) are placental macrophages that are present in the villus across gestation. Despite their identification more than 100 years ago, their specific role in placental function remains largely unelucidated. We initially review aspects of their history and biology as well as evidence for putative sites of origin. To gain insight into their potential function, we then describe complications of pregnancy including villitis of unknown etiology (VUE) and histological chorioamnionitis (HCA), in which alterations in numbers, gene expression, or other characteristics of HBCs have been documented to occur. We further review methods for isolation of HBCs and in vitro studies that explore their role in relation to other major cell types in the placenta and examine their actions in cytokine-mediated inflammation. We conclude that HBCs play a key role in placental pathophysiology, and future advances in their isolation and culture would enable mechanistic insight into their villus function.

Cross-sectional features and three-dimensional structure of human placental villi

Human placental villi from both normal and complicated pregnancies were examined by both light and scanning electron microscopy. The findings provide evidence that histological features such as syncytial sprouts, bridges, and a net-like arrangement of villi represent tangential sections of irregularly shaped villi rather than proliferative activity of the villous surface. Hence the two-dimensional appearance of paraffin and semithin sections has to be interpreted three-dimensionally in comparison with the respective scanning electron micrographs. In the light of these findings the various types of villous maldevelopment are summarized in a diagram which may be used as an aid for pathological diagnosis.

A three-dimensional study of the normal human placental villous core: II. Stromal architecture

The three-dimensional architecture of the villous core of the chorionic villi has been studied in the human placenta throughout pregnancy by scanning electron microscopy, and compared with light microscopic and transmission electron microscopic, findings. Five different types of villi are recognizable: the mesenchymal villi are characterized by a network of tiny bundles of collagen fibrils, enmeshing mesenchymal cells, Hofbauer cells and vessels. The immature intermediate villi display a system of intercommunicating channels, parallel to the major axis of the villi. Within the channels, Hofbauer cells are present. The mature intermediate villi show narrow and short stromal channels, surrounded by a rather tight network of collagen fibrils. Large vessels and a highly compact network of collagen are typical of the stem villi. The terminal villi contain sinusoidally dilated capillaries and a small amount of connective tissue. These findings have numerous functional implications. They are particularly related both to the presence of the stromal channels which could facilitate the macrophagic and immunological task of the Hofbauer cells, and to the different types of villi, playing different roles in placental and fetal life, under normal and pathological conditions.