s / Placenta 35 (2014) A1eA112 A52 alterations in maternal behaviour. Three cohorts of wild type dams carrying fetuses that possessed either a 50% reduction in the spongiotrophoblast (Phlda2 TG) or a 200% increase (Phlda2 KO) were generated using recipient embryo transfer (RET) and their behaviour was studied. Result: Distinct changes in pup retrieval and nest building behaviour were observed, alongside differences in anxiety, assessed using the elevated plus maze (EPM) assay. Specific brain regions and placental samples were subject to microarray analysis to examine gene expression. A number of genes, and one gene family, were significantly altered in relation to WT mothers with a particular genotype litter. Conclusions: This work provides the first experimental evidence that the fetal Phlda2 gene acts on the mother to stimulate maternal behaviours ensuring improved survival of the fetus when it is born. Translated into the human condition this work has relevance to postnatal depression, a disorder that affects 10-15\% of pregnancies. Future directions of this work could offer a new approach to understanding such debilitating maternal mood disorders, whichmay originate in placental abnormalities, providing the potential for generating new therapeutics. P1.134. CHARACTERISATION OF THE TUMOR-SUPPRESSOR GENE GASTROKINE 2 IN THE HUMAN PLACENTA Fabian Fahlbusch , Hannah Bartunik , Gudrun Volkert , Andrea Hartner , Hanna Huebner , Matthias Ruebner , Sven Kehl , Regine Schneider-Stock , Wolfgang Rascher a Department of Pediatrics and Adolescent Medicine, Friedrich-Alexander University Erlangen-Nurnberg, Erlangen, Germany; Department of Obstetrics and Gynaecology, FriedrichAlexander University Erlangen-Nurnberg, Erlangen, Germany; c Experimental Tumorpathology, Friedrich-Alexander University ErlangenNurnberg, Erlangen, Erlangen, Germany Objectives: Gastrokine-1 and -2 (GKNs) act as stomach-specific tumor suppressor genes. Beyond its role in the gastric mucosa, we have recently identified GKN1 in human placenta. Its expression was specific for extravillous trophoblasts (EVT) and treatment of the extravillous cell line JEG3withGKN1 inhibited cellmigration. Similarly, GKN2 is known to inhibit the proliferation, migration and invasion of gastric cancer cells. This study was designed to analyse expression and localisation of GKN2 in the human placenta. Methods: Placental localisation of GKN2 was determined by immunohistochemistry in first and third trimester placentas. We analysed the expression levels of GKN2 via sqPCR in healthy placental tissue, in placental pathologies (IUGR, PE and HELLP) and in various trophoblast-like cell lines (JEG-3, Jar, BeWo, Swan-71). Results: In the first trimester, GKN2 was located in all trophoblast compartments. In the third trimester, EVTs stained strongly for GKN2. While in healthy placental tissue the syncytiotrophoblast only showed minor positive staining for GKN2, we found a more pronounced GKN2 positivity in the syncytiotrophoblast of IUGR. Additionally, GKN2 was detected in the stroma of fibrotic villi of IUGR and in smooth muscle cells of the villous vessels. SqPCR indicated a significant induction of GKN2 expression in all placental pathologies investigated. No expression of GKN2 was found in trophoblast-like cell lines. Conclusion: Our study is the first to characterise GKN2 in placenta. Its expression was absent in invasive trophoblast-like cell lines, supporting its role as a tumor suppressor. The fact that GKN2 is expressed in all first trimester trophoblast compartments,whilemoredistinctly distributed in the third trimester, points to a role of GKN2 in placental development. Whether the increase of GKN2 in placental pathologies is of trophoblast origin or secondary to the accompanying villous fibrosis remains to be elucidated. P1.135. PLACENTAL HORMONE CONTRIBUTION TO FETAL BRAIN DAMAGE Anna Penn , Wendy Koss , Megha Agrawal , Suresh Volate , Danielle Leuenberger , Marianna Kiraly , Anca Pasca , Karen Chisholm Children's National Medical Center, Washington DC, USA; b Stanford University, Stanford CA, USA Objectives: The placenta produces a wide array of neuroactive hormones; this endocrine function can be disrupted inmanywaysdby abnormal gene expression, infection, prematuritydresulting in long-term damage. Compromised placental function has been linked to diverse developmental disorders including cerebral palsy, autism, and schizophrenia. We investigate changes in placental hormones that shape fetal brain development or modify susceptibility to neurological damage. Preterm birth, affecting one tenth of all deliveries, provides the most extreme case of hormone loss, but we hypothesize that it is just one of many cases inwhich placental dysfunction leads to developmental brain damage. We have developed novel animal models in which individual hormones are specifically removed from the placenta to test this hypothesis directly. Methods: We have targeted placental production of allopregnanolone (ALLO or 3a, 5a tetrohydroprogestrone) to investigate its contribution to embryonic cortical neurogenesis. To achieve placenta-specific suppression, mouse blastocysts were infected with lentivirus coding for shRNA targeting 3a hydroxysteroid dehydrogenase (3aHSD), the enzyme responsible for the second step of conversion from progesterone to ALLO, allowing ALLO production to be suppressed specifically in extra-embryonic tissues following blastocyst transfer into pseudopregnant dams. Comparison was made to scrambled shRNA control virus infection. Specificity of infection was monitored by qRT-PCR of 3aHSD and a fluorophore expressed by the virus for each placenta/embryo pair produced. Results: Suppression of placental 3aHSD resulted in abnormal cortical development when assessed in near-term (embryonic day 17) mice. Significantly fewer proliferating cortical neuron precursors were seen, with more cells quitting the cell cycle compared to control. However, the proliferative zone itself (the cortical subventricular zone) enlarged, suggesting a shift in the kinetics of neurogensis produced by loss of placental ALLO. Concurrently, we assessed neural circuit formation in the neonatal cortex and hippocampus following fetal ALLOmanipulation and found that ALLO suppression may delay circuit maturation. In human placental samples, measurements of steroid-converting enzymes show changes in expression across gestation, as well as differential changes with specific pathologies, suggesting relevance to human placental and neuropathology. Preclinical investigation of neurosteroid replacement as a therapeutic treatment for preterm brain injury is underway. Conclusion: Taken together, our experiments provide a direct demonstration that hormone production by the placenta (not from the maternal or fetal circulation) is needed for normal anatomical and functional development of the fetal brain. These findings open the door for new therapeutic approaches to developmental brain disorders through replacement of one or more hormones to which the fetus or neonate is normally exposed to prevent or ameliorate developmental brain injury. P1.136-N. ANTIRETROVIRAL-THERAPY (ART) INDUCED ADVERSE PREGNANCY OUTCOMES: THE POTENTIAL ROLE OF PROGESTERONE Eszter Papp, Hakimeh Mohammadi, Lena Serghides University Health Network, Toronto, ON, Canada Objectives: Each year, millions of HIV-positive pregnant women receive antiretroviral therapy (ART), which effectively prevents mother-to-child transmission of the virus. On the other hand, an increasing body of evidence suggests an association between ART exposure and adverse birth outcomes, including an increased rate of miscarriage, preterm birth, and small birth weight. Studies have also reported significant interaction between contraceptive steroid hormones and HIV drugs. We investigated if alterations in steroid hormone balance could play a role in ART-related adverse pregnancy outcomes. Methods: 1.Human choriocarcinoma cells (BeWo) were exposed to various antiretroviral drugs singly or in clinically relevant combinations. After 48 hours progesterone production was quantified. 2. Pregnant C57Bl/6 mice were exposed to human-equivalent doses of combination ART (cART) or waterdaily fromgestational day0.5.Damswere sacrificedongestationalday 14.5. Another set of micewere exposed to cARTor water as described above and supplemented with 0.5 mg progesterone in 4 day intervals throughout