The trophoblast cell-specific proteome

The main cellular components of the highly vascularized placenta are trophoblasts, decidual cells, endothelial cells, and primitive mesenchymal cells. Together they mediate fetal nutrient uptake, waste elimination, and gas exchange via the maternal blood supply. Trophoblasts are the cells that surround the fertilized egg, also known as the blastocyst. There are three types of trophoblasts: cytotrophoblasts, syncytiotrophoblasts and extravillous trophoblasts, each responsible for different parts of the placental development during pregnancy.

  • 887 elevated genes
  • 97 enriched genes
  • 90 group enriched genes
  • Main function: Placental development

Transcriptome analysis shows that 67% (n=13603) of all human proteins (n=20162) are detected in trophoblast cells and 887 of these genes show an elevated expression in any trophoblast cells compared to other cell type groups. In-depth analysis of the elevated genes in trophoblast cells using scRNA-seq and antibody-based protein profiling allowed us to visualize the expression patterns of these proteins in the following types of trophoblast cells: cytotrophoblasts, syncytotrophoblasts, and extravillous trophoblasts.


The trophoblast cell transcriptome

The scRNA-seq-based trophoblast cell transcriptome can be analyzed with regard to specificity, illustrating the number of genes with elevated expression in each specific trophoblast cell type compared to other cell types (Table 1). Genes with an elevated expression are divided into three subcategories:

  • Cell type enriched: At least four-fold higher mRNA level in a certain cell type compared to any other cell type.
  • Group enriched: At least four-fold higher average mRNA level in a group of 2-5 cell type groups (out of 53) or 2-15 cell types (out of 154) compared to any other.
  • Cell type enhanced: At least four-fold higher mRNA level in a certain cell type compared to the average level in all other cell types.


Table 1. Number of genes in the subdivided specificity categories of elevated expression in the analyzed trophoblast cell types compared to other grouped cell types.

Cell type Tissue origin Cell type enrichedGroup enrichedCell type enhancedTotal elevated
Trophoblast cells placenta 97 90 700 887
Expression profiles are compared across the 154 cell types, in addition to the comparison across the 53 grouped cell types. This results in cell specificity categories based on two datasets, one more detailed across all cell types and one more suitable for the general overview based on the grouped cell types with similar expression profile and functions. Cell types are grouped based on function and biology, to facilitate a better overview and to complement the detailed information based on all cell types.

Table 2. Number of genes in the subdivided specificity category of elevated epxression in different types of trophoblast cells.

Cell type Tissue origin Cell type enrichedGroup enrichedCell type enhancedTotal elevated
Cytotrophoblasts placenta 0 24 541 565
Migrating cytotrophoblasts placenta 0 25 501 526
Syncytiotrophoblasts placenta 39 49 797 885
Extravillous trophoblasts placenta 15 37 867 919
Any Trophoblast cells 54 69 1641 1764


Cytotrophoblasts

Cytotrophoblasts are considered to be trophoblastic stem cells since the layer surrounding the blastocyst remains the same while the daughter cells differentiate and proliferate to function in several different roles. When the placenta begins to develop the blastocyst (fertilized egg) is implanted in the endometrium. This process is enabled by cytotrophoblast cells that secrete enzymes enabling the embryo to get fully covered by the endometrial epithelium. Cytotrophoblasts make up the external layer of the blastocyst as well as the internal layer of the placental trophoblast cell layer. As shown in Table 2, 565 genes show elevated expression in cytotrophoblasts compared to other cell types. Examples of proteins with elevated expression in cytotrophoblasts include the highly conserved paternally expressed 10 (PEG10), which is involved in cell proliferation, differentiation and apoptosis, and PAGE family member 4 (PAGE4), with function in transcription regulation.



PEG10 - placenta

PEG10 - placenta

PEG10 - placenta



PAGE4 - placenta

PAGE4 - placenta

PAGE4 - placenta


Migrating cytotrophoblasts

Motile trophoblasts that move away from villi during placental development. They contribute to invasive lineages and remodeling of maternal tissues. As shown in Table 2, 526 genes show elevated expression in migrating cytotrophoblasts compared to other cell types.


Syncytiotrophoblasts

Syncytiotrophoblasts form when undifferentiated and highly proliferative cytotrophoblasts fuse. Syncytiotrophoblasts are specialized epithelial cells that cover the floating placental villi and are involved in maintaining pregnancy through the production of growth factors and hormones. Since the syncytiotrophoblasts are in direct contact with the maternal blood, these cells are closely involved in the exchange of gas, nutrients, and waste between the mother and the fetus. As shown in Table 2, 885 genes show elevated expression in syncytiotrophoblasts compared to other cell types. Examples of proteins elevated in syncytiotrophoblasts include chorionic somatomammotropin hormone 2 (CSH2), a hormone only produced during pregnancy, involved in stimulating lactation, fetal growth, and metabolism, and the protein called glycoprotein hormones, alpha polypeptide (CGA), a subunit in various hormones affecting receptor binding on target cells as well as activation of downstream signaling pathways.



CSH2 - placenta

CSH2 - placenta

CSH2 - placenta



CGA - placenta

CGA - placenta

CGA - placenta

Extravillous trophoblasts

Extravillous trophoblasts are formed when cytotrophoblasts proliferate to form anchoring villi that attach to the uterine wall. From the anchoring villi, extravillous trophoblasts form by detaching from the placental villi and migrating before penetrating the decidualized uterus. This is essential for both altering vascularization, allowing steady, adequate blood supply to the growing fetus, as well as physically attaching the placenta to the mother's uterine wall. As shown in Table 2, 919 genes show elevated expression in extravillous trophoblasts compared to other cell types. Examples of proteins with elevated expression in extravillous trophoblasts include major histocompatibility complex, class I, G (HLA-G), which plays a central role in the establishment of immune tolerance during pregnancy and pappalysin 2 (PAPPA2), a metalloproteinase thought to be a local regulator of insulin-like growth factor.



HLA-G - placenta

HLA-G - placenta

HLA-G - placenta



PAPPA2 - placenta

PAPPA2 - placenta

PAPPA2 - placenta


Trophoblast cell function

The placenta is made up of various kinds of cells, mainly stemming from trophoblasts. Upon proliferation and differentiation around the embedded blastocyst, trophoblasts start developing into what ultimately forms the different parts of the placenta. There are three types of trophoblasts: cytotrophoblasts, syncytiotrophoblasts, and extravillous trophoblasts, each responsible for different parts of the placental development during pregnancy.

Cytotrophoblasts are considered to be trophoblastic stem cells since the layer surrounding the blastocyst remains the same while the daughter cells differentiate and proliferate to function in several different roles. When the placenta begins to develop the blastocyst (fertilized egg) is implanted in the endometrial wall, whereafter the trophoblasts start developing rapidly, eventually forming two distinct layers of cells known as cytotrophoblasts and syncytiotrophoblasts. Cytotrophoblasts secrete enzymes enabling the embryo to get fully covered by the endometrial epithelium. If the cytotrophoblast function is inadequate, implantation of the blastocyst will most likely fail.

The syncytiotrophoblast layer extends over the placental surfaces of all villous trees, completely lining the intervillous space. It is easy to identify during the first half of pregnancy, whereafter the nuclei start grouping up and the layer becomes thinner to reduce the diffusion distance between fetal and maternal blood. The syncytiotrophoblast layer is in direct contact with the maternal blood and constitutes the site with the highest metabolic and endocrine activity. The main functions of the syncytiotrophoblast layer are the transfer and control of nutrients and gases, resynthesis of proteins and lipids, and transport of electrolytes and amino acids between mother and child.

When the cytotrophoblasts start proliferating they eventually form so-called anchoring villi that attach to the uterine wall. From the anchoring villi, extravillous trophoblasts form by migrating trophoblasts detaching from the placental villi before penetrating the decidualized uterus. This is essential for both altering vascularisation, allowing steady, adequate blood supply to the growing fetus, as well as physically attaching the placenta to the mother's uterine wall during pregnancy.

The histology of organs that contain trophoblast cells, including interactive images, is described in the Protein Atlas Histology Dictionary.


Background

Here, the protein-coding genes expressed in trophoblast cells are described and characterized, together with examples of immunohistochemically stained tissue sections that visualize corresponding protein expression patterns of genes with elevated expression in different trophoblast cell types.

The transcript profiling was based on publicly available genome-wide expression data from scRNA-seq and snRNA-seq experiments (36 datasets) covering 34 tissues. All datasets (unfiltered read counts of cells) were clustered independenty using leiden clustering, resulting in a total of 1175 different cell type clusters. The clusters were then manually annotated based on a survey of known tissue and cell type-specific markers. The RNA-seq data from each cluster of cells was aggregated to mean normalized protein-coding counts per million (nCPM) for all protein-coding genes. A specificity and distribution classification was performed for both single cell types individually, as well as grouped into 53 main cell type groups. The specificity classification determined the number of elevated genes, while the distribution determined whether genes are detected in one, several or all cell types or cell type groups.

It should be noted that since the analysis was limited to datasets representing 34 tissue types, not all human cell types are represented. Furthermore, some cell types are present only in low amounts, or identified only in mixed cell clusters, which may affect the results and bias the cell type specificity.


Relevant links and publications

Uhlén M et al., Tissue-based map of the human proteome. Science (2015)
PubMed: 25613900 DOI: 10.1126/science.1260419

Fagerberg L et al., Analysis of the human tissue-specific expression by genome-wide integration of transcriptomics and antibody-based proteomics. Mol Cell Proteomics. (2014)
PubMed: 24309898 DOI: 10.1074/mcp.M113.035600

Man L et al., Comparison of Human Antral Follicles of Xenograft versus Ovarian Origin Reveals Disparate Molecular Signatures. Cell Rep. (2020)
PubMed: 32783948 DOI: 10.1016/j.celrep.2020.108027

Vento-Tormo R et al., Single-cell reconstruction of the early maternal-fetal interface in humans. Nature. (2018)
PubMed: 30429548 DOI: 10.1038/s41586-018-0698-6