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Endocrine Function of the Placenta

Placenta

For medical students2 min readUpdated 2026-10-10

During pregnancy, the placenta acts as a critical temporary endocrine organ. It actively synthesizes hormones that mimic the functions of the pituitary gland and ovaries, ensuring fetal preservation, active development, and complex preparation of the maternal body for upcoming labor.

Temporary GlandReplaces the endocrine functions of the pituitary gland and inactive ovaries during pregnancy.
ImmunosuppressionPlacental hormones locally suppress maternal immunity, protecting the fetus from rejection.
Steroid SynthesisEnsures the production of estrogens and progesterone after the regression of the corpus luteum.
Preparation for LaborRelaxin softens the cervix and relaxes pelvic ligaments prior to delivery.

Pituitary Hormone Analogs and Their Effects

During gestation, placental tissue secretes a number of substances that are physiologically similar to maternal pituitary hormones. This broad functional group includes human chorionic gonadotropin (hCG), placental lactogen (PL), adrenocorticotropic hormone (ACTH), and chorionic somatomammotropin, which is a direct functional analog of growth hormone.

In the maternal body, these biologically active substances effectively complement pituitary function. The critical role of hCG and placental lactogen is to support the corpus luteum: they continuously stimulate its growth and secretory activity in early pregnancy until the placenta is fully formed and capable of independently producing steroid hormones. Additionally, on the surface of chorionic villi, these hormones provide vital immunosuppression, suppressing the maternal immune response and preventing the immunological rejection of the embryo.

In the developing fetus, human chorionic gonadotropin acts as a potent stimulator: it triggers the production of its own ACTH and corticosteroids directly within the cells of the fetal adrenal cortex.

Female Sex Hormones (Steroids)

Normally, in a non-pregnant woman, sex steroid synthesis occurs in the ovaries. However, during pregnancy, the ovaries become functionally inactive because new follicles do not develop (preventing estrogen formation), and the corpus luteum eventually undergoes natural regression, completely ceasing progesterone production.

The placenta assumes this massive compensatory function. It begins to secrete required amounts of estrogens and progesterone, maintaining an optimal hormonal background. For the fetus, the presence of estrogens is absolutely critical, as they possess a pronounced mitogenic effect—strongly stimulating cell division and ensuring continuous growth of all embryonic tissues.

Relaxin and Preparation for Labor

In the later stages of pregnancy, the synthesis of a specific hormone—relaxin—acquires special functional significance. The main physiological goal of this substance is the comprehensive preparation of the female body for safe and natural childbirth.

Under the systemic influence of relaxin, large-scale structural changes occur in the tissues of the birth canal: the cervix significantly softens and dilates. The hormone also induces relaxation of the pubic symphysis and the pelvic ligamentous apparatus, which critically facilitates fetal passage. Simultaneously, relaxin effectively inhibits premature contractions of the smooth musculature of the uterus (myometrium), reliably preventing the early onset of labor.

Mnemonic

HEP-R (hCG, Estrogens, Progesterone, Relaxin) — the four main placental hormones that ensure a happy and safe delivery (happy end).

Frequently asked questions

At what week of pregnancy does the placenta completely take over progesterone synthesis from the corpus luteum?

The placenta takes over progesterone synthesis from the corpus luteum after the first trimester (after the first 3 months of pregnancy). The exact week is not specified in standard sources.

In early pregnancy, the hormone is produced mainly by the corpus luteum. Following the first trimester, it undergoes involution, and subsequent synthesis is entirely assumed by the placenta. The resulting placental progesterone enters primarily the maternal bloodstream.

Which specific placental cells synthesize human chorionic gonadotropin and placental lactogen?

Human chorionic gonadotropin is synthesized by trophoblast cells, specifically its inner layer—cytotrophoblast. The precise cell type producing placental lactogen is not specified; it is only known to be produced exclusively within the placenta.

  • Human chorionic gonadotropin (hCG) — produced by cytotrophoblast (initiates hormone production during implantation).
  • Placental lactogen (PL) — synthesized exclusively in the placenta, found in low concentrations in amniotic fluid.
From what precursor substances does the placenta synthesize estrogens?

The placenta synthesizes estrogens from fetal adrenal androgens. Since the ovaries are functionally inactive during pregnancy and do not form estrogens, the placenta takes over this compensatory function.

  • Estrogens — steroid hormones synthesized by the syncytiotrophoblast of the chorionic villi using androgenic precursors from the fetus.

Their active synthesis begins around mid-pregnancy, and estrogen levels serve as an indicator of placental function.

Why is the placenta called a temporary analog of the pituitary gland and ovaries?

Because during pregnancy it takes over their functions by synthesizing pituitary hormone analogs (hCG, PL, ACTH, somatomammotropin) and female sex steroids (estrogens, progesterone), thereby fully compensating for ovarian inactivity.

What role does human chorionic gonadotropin (hCG) play in early pregnancy?

hCG, together with placental lactogen, actively supports the secretory function and growth of the corpus luteum until the placenta reaches maturity and independently produces steroid hormones in adequate amounts.

Why does the placenta need an immunosuppressive function?

The immunosuppressive action of placental hormones in the area of the chorionic villi is critically necessary to suppress the maternal immune response, preventing immunological rejection of the genetically semi-allogeneic fetus.

How do placental estrogens affect the developing fetus?

Estrogens, intensively produced by the placenta, exert a strong mitogenic effect on the fetus, directly stimulating cell division and ensuring the growth of embryonic tissues.

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