1. Placental perfusion and mathematical modelling
- Author
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Jane K. Cleal, Bram G. Sengers, and Rohan M. Lewis
- Subjects
0301 basic medicine ,Placental cotyledon ,Placenta ,Computational biology ,Models, Biological ,03 medical and health sciences ,Organ Culture Techniques ,0302 clinical medicine ,Pregnancy ,Placental dysfunction ,medicine ,Humans ,Amino Acids ,Maternal-Fetal Exchange ,030219 obstetrics & reproductive medicine ,Chemistry ,Fatty Acids ,Obstetrics and Gynecology ,Placental metabolism ,Biological Transport ,Blood flow ,Models, Theoretical ,Perfusion ,030104 developmental biology ,medicine.anatomical_structure ,Reproductive Medicine ,Female ,Developmental Biology - Abstract
The isolated perfused placental cotyledon technique has led to numerous advances in placental biology. Combining placental perfusion with mathematical modelling provides an additional level of insight into placental function. Mathematical modelling of perfusion data provides a quantitative framework to test the understanding of the underlying biology and to explore how different processes work together within the placenta as part of an integrated system. The perfusion technique provides a high degree of control over the experimental conditions as well as regular measurements of functional parameters such as pressure, solute concentrations and pH over time. This level of control is ideal for modelling as it allows placental function to be studied across a wide range of different conditions which permits robust testing of mathematical models. By placing quantitative values on different processes (e.g. transport, metabolism, blood flow), their relative contribution to the system can be estimated and those most likely to become rate-limiting identified. Using a combined placental perfusion and modelling approach, placental metabolism was shown to be a more important determinant of amino acid and fatty acid transfer. In contrast, metabolism was a less important determinant of placental cortisol transfer than initially thought. Identifying the rate-limiting factors in the system allows future work to be focused on the factors that are most likely to underlie placental dysfunction. A combined experimental and modelling approach using placental perfusions promotes an integrated view of placental physiology that can more effectively identify the processes leading to placental pathologies.
- Published
- 2020