The Placental Role in Developmental Programming

The principal role of the placenta is to protect the fetus from harmful substances while actively ensuring appropriate transfer of the nutrients essential for optimal fetal growth and development. Failure of the placenta to protect or nourish the fetus can have significant consequences for the offspring, both before birth and throughout its postnatal life. Poor fetal growth is associated with increased risk of many common noncommunicable disorders in adult life, including coronary heart disease, diabetes, and some forms of cancer. These long-term consequences have been referred to as “developmental programming.” The placenta is the interface between the mother and the fetus, influencing both the intrauterine environment and fetal growth, and placental function is therefore likely to be a major determinant of programming effects. Understanding the role of the placenta in developmental programming may provide new avenues for prevention and treatment of at-risk individuals.