<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJAS</journal-id><journal-title-group><journal-title>Open Journal of Animal Sciences</journal-title></journal-title-group><issn pub-type="epub">2161-7597</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojas.2014.45039</article-id><article-id pub-id-type="publisher-id">OJAS-50831</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Accessory Placental Structures—A Review
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>ennan</surname><given-names>Lopes Olio</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Luis</surname><given-names>Miguel Lobo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Márcio</surname><given-names>Aparecido Pereira</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Amilton</surname><given-names>Cesar Santos</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Diego</surname><given-names>Carvalho Viana</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Phelipe</surname><given-names>Oliveira Favaron</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Maria</surname><given-names>Angelica Miglino</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Department of Surgery, School of Veterinary Medicine and Animal Science, University of Sao Paulo, 
Sao Paulo, Brazil</addr-line></aff><author-notes><corresp id="cor1">* E-mail:<email>rennanolio@usp.br(ELO)</email>;</corresp></author-notes><pub-date pub-type="epub"><day>11</day><month>09</month><year>2014</year></pub-date><volume>04</volume><issue>05</issue><fpage>305</fpage><lpage>312</lpage><history><date date-type="received"><day>20</day>	<month>August</month>	<year>2014</year></date><date date-type="rev-recd"><day>27</day>	<month>September</month>	<year>2014</year>	</date><date date-type="accepted"><day>17</day>	<month>October</month>	<year>2014</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Many studies have reported on the different types of placenta in different species, but accessory or paraplacental structures are mentioned only in species that have such a nutrient-exchanging mechanism. Hystricomorph rodents possess a subplacenta, swine and equines have the placental areola, equines have the chorionic girdle, and carnivores have hemophagous organs that are equivalent to the placental hematoma in ruminants. These accessory structures are specialized tissues for specific nutrient exchanges in different species, and they are adaptive modifications exhibited by domestic and wild species to remedy the nutritional deficiencies that are related to permeability of the main placenta to important nutrients for the growth and development of the fetus during the gestation.
 
</p></abstract><kwd-group><kwd>Placental Areola</kwd><kwd> Chorionic Girdle</kwd><kwd> Placental Hematoma</kwd><kwd> Hemophagous Organs</kwd><kwd> Subplacenta</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The functions of the extra-embryonic membranes are related to embryo growth and development during gesta- tion [<xref ref-type="bibr" rid="scirp.50831-ref1">1</xref>] . The fetal membranes undergo changes to provide embryonic needs during development. These mem- branes may provide a favorable environment for embryonic growth, such as the amniotic membrane, or serve as an organ of maternal-fetal physiological exchange, such as the placenta that is formed during gestation.</p><p>The placenta promotes nutrient exchange between the mother and the fetus. These embryotrophic nutrients can be divided in two groups, histotrophic and hemotrophic [<xref ref-type="bibr" rid="scirp.50831-ref2">2</xref>] . The histotrophic nutrients are secretions of the uterine glands that result from the decomposition of maternal tissue and leakage of maternal blood. The hemo- trophic nutrients arise from the maternal bloodstream through the placenta [<xref ref-type="bibr" rid="scirp.50831-ref1">1</xref>] .</p><p>Several accessory structures of the main placenta transfer nutrients and assist the physiological exchange from the mother’s blood through the chorioallantoic placenta. Structures such as the vitelline sac function before the emergence of the chorioallantoic placenta, but all of these structures eventually act together. The placental he- matoma and hemophagous organ occur in some species, and leakage of maternal blood and adjacent trophob- lasts digests maternal erythrocytes. The areola is also an accessory structure of the placenta that is found in many ungulates. The areola has the shape of a dome lined by trophoblastic cells with absorptive function that are located on the opposite side of the openings of the uterine glands [<xref ref-type="bibr" rid="scirp.50831-ref1">1</xref>] .</p><p>The subplacenta in rodents of the suborder Hystricomorpha has been studied from the moment it appears until its involution during the final stages of gestation [<xref ref-type="bibr" rid="scirp.50831-ref3">3</xref>] . Theoretical evidence of subplacental function suggests that it is a center of gonadotrophic activity or a site where decidual proteins are absorbed [<xref ref-type="bibr" rid="scirp.50831-ref4">4</xref>] . Another accessory structure with a noticeable characteristic occurs during equine embryogenesis, in which the chorionic girdle develops on the outer surface of the chorion 25 to 35 days after ovulation, and its subsequent invasion of the maternal endo- metrium between days 36 and 38 [<xref ref-type="bibr" rid="scirp.50831-ref5">5</xref>] . This chorionic girdle is originated from a series of shallow undulations on the chorion [<xref ref-type="bibr" rid="scirp.50831-ref6">6</xref>] .</p><p>Given all of this placental variability, especially regarding accessory placental organs, we performed a litera- ture review for describing the morpho-functional characteristics of said accessory organs, providing detailed data for future research in this field.</p></sec><sec id="s2"><title>2. Review</title><sec id="s2_1"><title>2.1. Fertilization, Implantation and Placenta Formation</title><p>The fusion of the male and female gametes results in the zygote. The zygote becomes the blastocyst and embryo after several repeated cell divisions, and organ differentiation results in the fetus. The embryoin viviparous and oviparous vertebrates develop extra-embryonic membranes that perform important functions during embryonic and fetal life. One of these functions is related to nutrient transport. The physiological exchange processes dur- ing this period, such as respiration and nutrition, demand a specific arrangement of maternal and fetal tissues [<xref ref-type="bibr" rid="scirp.50831-ref1">1</xref>] . The intimate connection between the fetal membrane and the endometrium provide these functions, followed by the implantation process. This process forms the placenta, which is comprised of a fetal component and a modi- fied uterine barrier [<xref ref-type="bibr" rid="scirp.50831-ref7">7</xref>] . The fetus and the placenta form the conceptus. The development and attachment of the fetal membrane to the uterine epithelium results in the development of the placenta, i.e., the placentation process [<xref ref-type="bibr" rid="scirp.50831-ref8">8</xref>] . The embryo requires nutrients during its growth and development, and the maternal-fetal exchange may oc- cur in structures other than the chorioallantoic placenta because some species have specialized accessory struc- tures. The subplacenta is an accessory structure in hystricognath rodents [<xref ref-type="bibr" rid="scirp.50831-ref9">9</xref>] . Other accessory structures to the placenta include the placental areola in swine and equines [<xref ref-type="bibr" rid="scirp.50831-ref10">10</xref>] , the hemophagous organ in carnivores [<xref ref-type="bibr" rid="scirp.50831-ref11">11</xref>] , and placental hematomas in ruminants [<xref ref-type="bibr" rid="scirp.50831-ref12">12</xref>] .</p></sec><sec id="s2_2"><title>2.2. Subplacenta</title><p>The subplacenta as a structure of considerable size, located on the roof of the central excavation of the placental disc. It is composed of giant cells as a result of a peculiar transformation of the peripheral syncytial layer. The term subplacenta was used subsequently to indicate a different structure of the placenta in guinea pigs [<xref ref-type="bibr" rid="scirp.50831-ref2">2</xref>] . The subplacenta is found in rodents of the suborder hystricomorphous, and it has been described in the Brazilian porcupine, Coendou prehensilis [<xref ref-type="bibr" rid="scirp.50831-ref13">13</xref>] ; the guinea pig, Caviaporcellus [<xref ref-type="bibr" rid="scirp.50831-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref14">14</xref>] -[<xref ref-type="bibr" rid="scirp.50831-ref16">16</xref>] , the Coypu, Myocastor coy- pus [<xref ref-type="bibr" rid="scirp.50831-ref17">17</xref>] ; the Mongolian gerbil, Meriones unguiculatus [<xref ref-type="bibr" rid="scirp.50831-ref18">18</xref>] ; the capybara, Hydrochaerus hydrochaeris [<xref ref-type="bibr" rid="scirp.50831-ref19">19</xref>] -[<xref ref-type="bibr" rid="scirp.50831-ref21">21</xref>] ; the rock cavy, Kerodon rupestris [<xref ref-type="bibr" rid="scirp.50831-ref22">22</xref>] ; Spix’s yellow-toothed cavy, Galea spixii [<xref ref-type="bibr" rid="scirp.50831-ref3">3</xref>] ; the common agouti, Dasyprocta aguti; the lowland paca, Agouti paca [<xref ref-type="bibr" rid="scirp.50831-ref23">23</xref>] ; and the Brazilian punar&#233;, Thrichomys laurentinus [<xref ref-type="bibr" rid="scirp.50831-ref24">24</xref>] .</p><p>The location of the subplacenta differs between species. It is located in the central and mesometrial portions of the placental disc in the Mongolian Gerbil, M. unguiculatus [<xref ref-type="bibr" rid="scirp.50831-ref25">25</xref>] . However, it is located on the roof of the central excavation in the guinea pig, C. porcellus [<xref ref-type="bibr" rid="scirp.50831-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref15">15</xref>] ; the capybara [<xref ref-type="bibr" rid="scirp.50831-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref23">23</xref>] ; and the rock cavy [<xref ref-type="bibr" rid="scirp.50831-ref22">22</xref>] .</p><p>That the subplacenta of the rock cavy corresponds to a large circular lobe encrusted between the main placenta and the decidua basalis, but septa composed of connective tissue separates these structures. The subplacenta is divided internally into small irregular lobes separated by connective tissue containing fetal blood vessels. It is composed of trophoblastic cells of syncytial and cellular natures, which correspond to the syncytiotrophoblast and the cytotrophoblast, respectively [<xref ref-type="bibr" rid="scirp.50831-ref22">22</xref>] .</p><p>The subplacenta as having a circulation promoted by maternal vessels until approximately the 20<sup>th</sup> day, but this circulation ceases in all regions of the subplacenta around the 28<sup>th</sup> day. Few fetal vessels are found in the central excavation at the time of subplacental formation, but these vessels are do not contact the trophoblast. The first fetal vessels penetrate deeper between the trophoblast lobes when the maternal circulation recedes between the 23<sup>rd</sup> and 27<sup>th</sup> days. Fetal vascularization of the subplacenta is completed on the 32<sup>nd</sup> day, but these vessels are obliterated after the 55<sup>th</sup> day during the degenerative processes of the subplacenta. Only a few fetal vessels are observed in this region after the 58<sup>th</sup> day [<xref ref-type="bibr" rid="scirp.50831-ref14">14</xref>] .</p><p>Initially that the subplacenta and main placenta were together and touched the maternal blood channels in its outer border prior to becoming a distinctive organ. The subplacenta has two fetal vessels and maternal blood channels in the beginning of the pregnancy and during the middle of the gestation, but debris obstructs some of the spaces with maternal blood. All other studies of the middle stage of the gestation observed that only fetal vessels supply the subplacenta. The subplacenta is reduced near birth, and only vestiges of its tissue can be found. The subplacenta develops as layers of cellular and syncytial proliferative trophoblasts in the fetal mesen- chyme, similar to the main placenta [<xref ref-type="bibr" rid="scirp.50831-ref3">3</xref>] .</p><p>The subplacenta as a specialized zone of the chorion between the placental disc and the decidua basalis [<xref ref-type="bibr" rid="scirp.50831-ref26">26</xref>] . The placental syncytium of the fetal ectoderm and the inversion of the vitelline sac defines the origin of the sub- placenta from the chorionic ectoderm [<xref ref-type="bibr" rid="scirp.50831-ref4">4</xref>] . Minot (1889) [<xref ref-type="bibr" rid="scirp.50831-ref27">27</xref>] used the term “subplacenta” for the first time re- garding the rabbit placenta, and it was later used in guinea pigs [<xref ref-type="bibr" rid="scirp.50831-ref4">4</xref>] .</p><p>The subplacenta, or accessory organ to the placenta, in two animals, the C. porcellus (guinea pig) and the Brazilian porcupine (C. prehensilis), both hystrichomorphous rodents [<xref ref-type="bibr" rid="scirp.50831-ref28">28</xref>] . The chorioallantoic placentation of the G. spixii and the subplacenta as a component of the placenta that served as a point of origin of invasive tro- phoblasts [<xref ref-type="bibr" rid="scirp.50831-ref3">3</xref>] . The placenta of the red-rumped agouti Dasyprocta leporina and that the subplacenta is related to the production of hormones secreted in the fetal blood but not on maternal tissues [<xref ref-type="bibr" rid="scirp.50831-ref29">29</xref>] . Evolutionary transfor- mations of the chorioallantoic placenta in hystricognath rodents and found macroscopic changes in these ani- mals, primarily the formation of a ring-shaped arrangement of placental regions with maternal arteries situated centrally with a subplacenta [<xref ref-type="bibr" rid="scirp.50831-ref30">30</xref>] .</p><p>Characteristics identified the placenta of rodents as experimental models for humans, such as a prominent vi- telline placenta and fewer placental hormones. The superficial invasion of trophoblasts in the rat and the trans- formation of arteries depend on maternal hormones. These characteristics are ideal for pathogenesis research [<xref ref-type="bibr" rid="scirp.50831-ref31">31</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref32">32</xref>] .</p></sec><sec id="s2_3"><title>2.3. Placental Areolas</title><p>The placental areolae of swine are dome-shaped structures located at the openings of the uterine glands. Their epithelium forms tall columns with long microvilli, tubular systems and vesicles, which indicate a high absorp- tive capacity of the epithelium [<xref ref-type="bibr" rid="scirp.50831-ref33">33</xref>] .</p><p>That the placental areolae is formed from a portion of the fetal tissue and maternal tissue surrounding the areolar cavity. These areolae accumulate histotrophic secretions from one uterine gland (regular areola) or sev- eral uterine glands (irregular areola). Regular areolae appear as opaque, circular spots measuring a few millime- ters that are variably translucent and form larger structures when observed through the fetal membranes (cho- rioallantoic/chorioamniotic) [<xref ref-type="bibr" rid="scirp.50831-ref34">34</xref>] .</p><p>Miglino et al. (2001) [<xref ref-type="bibr" rid="scirp.50831-ref35">35</xref>] mention that regular areolae can total 7000 per conceptus, but irregular areolae ex- hibit a higher or lower frequency of approximately 1500 per placenta. Other structures are present in the fetal placenta, such as the cysts, hippomanes, and petrifactions.</p><p>The fetal surface of swine placenta displays a capillary network that forms papillae with protrusions and areolar cavities or converge into a circle in the direction of the areola’s periphery. Irregular areolae have indis- tinct boundaries and are characterized by the opening of one or more uterine glands. The arrangement of the blood vessels of irregular and regular areolae results in the inflow of blood to the areola at the level of capillaries and arterioles. The capillary flow of the areolae includes the convergence of venules to one or two areolar veins, which leads the venous blood from that areolar area in a distinctive manner and suggests that this architecture favors the control mechanisms for the uterus, placenta, and fetus [<xref ref-type="bibr" rid="scirp.50831-ref35">35</xref>] .</p><p>The inter-microvillous attachment in the areolar regions is interrupted in the pig and camel, and the exchange of substances between the mother and the fetus occurs through the areolar cavity. The trophoblast absorbs the histotrophic secretions of the endometrium in swine areola to develop the embryo during the pregnancy [<xref ref-type="bibr" rid="scirp.50831-ref36">36</xref>] .</p><p>The calcium and iron pass through the same areolar cell and trophoblast using different paths. Calcium crosses through the cytoplasm, but iron and its carrying protein (uteroferrin) bind to the membrane during ab- sorption through a vesicle or lysosome [<xref ref-type="bibr" rid="scirp.50831-ref37">37</xref>] . Uteroferrin is an important substance in iron transport through the areolar cavity from the mother to the fetus in horses [<xref ref-type="bibr" rid="scirp.50831-ref37">37</xref>] and other species, such as the pig [<xref ref-type="bibr" rid="scirp.50831-ref33">33</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref38">38</xref>] . However, only maternal and fetal microcotyledonary epithelial cells transport glucose [<xref ref-type="bibr" rid="scirp.50831-ref37">37</xref>] .</p><p>The areolar glands are subunits specialized in the transfer of maternal-fetal substances [<xref ref-type="bibr" rid="scirp.50831-ref33">33</xref>] . Bazer (1975) [<xref ref-type="bibr" rid="scirp.50831-ref39">39</xref>] , Chen et al. (1975) [<xref ref-type="bibr" rid="scirp.50831-ref40">40</xref>] and Raub et al. (1985) [<xref ref-type="bibr" rid="scirp.50831-ref41">41</xref>] reported that the columnar to cuboidal epithelium of the ute- rine glands is involved in the synthesis of iron-binding proteins, including uteroferrin. Uterine secretions in the areolar cavity contain substances with metabolic enzymatic activity [<xref ref-type="bibr" rid="scirp.50831-ref33">33</xref>] .</p><p>Abd-Elnaeim et al. (2003) [<xref ref-type="bibr" rid="scirp.50831-ref36">36</xref>] demonstrated that regular areolae of dromedaries are similar to regular areolae in swine [<xref ref-type="bibr" rid="scirp.50831-ref35">35</xref>] , in which only one uterine gland opens to the inner area of the areolar cavity. However, these are- olae differ from mares, which have more than one uterine gland opening at this location.</p></sec><sec id="s2_4"><title>2.4. Chorionic Girdle</title><p>The chorionic girdle is observed in mares between days 15 - 47 and 53 - 57 of pregnancy. This structure disap- pears as gestation progresses, which suggests that its function of synthesis and proliferation occurs only at the beginning of pregnancy [<xref ref-type="bibr" rid="scirp.50831-ref42">42</xref>] .</p><p>That many aspects of embryogenesis in the mare are unique to the genus Equus, especially the development of the chorionic girdle and its posterior invasion of the endometrium [<xref ref-type="bibr" rid="scirp.50831-ref10">10</xref>] .</p><p>Trophoblastic cells form an avascular tissue called the chorionic girdle that surrounds the conceptus between days 25 and 35 of gestation in the mare. These cells invade the uterine endometrium on the 35<sup>th</sup> day of gestation and form 0.5- to 1.0-cm structures called endometrial cups in 48 hours. The equine chorionic gonadotrophin (eCG) hormone stimulates the accessory luteal glands that aid in the maintenance of gestation [<xref ref-type="bibr" rid="scirp.50831-ref43">43</xref>] .</p><p>The high eCG concentrations appear in the maternal serum at the beginning of gestation. Placental structures, called endometrial cups, secrete the eCG. These structures originate from the trophoblastic cells of the chorionic girdle and are destroyed by the immune system after a certain period of activity [<xref ref-type="bibr" rid="scirp.50831-ref44">44</xref>] .</p><p>That eCG binds to follicle-stimulating hormone (FSH) and luteinizing hormone (LH) receptors, and it is the only gonadotropin capable of binding both receptors in mammals, except equines. The eCG is secreted between the 33<sup>rd</sup> and 120<sup>th</sup> day of gestation, and its concentration remains high until the 90<sup>th</sup> day [<xref ref-type="bibr" rid="scirp.50831-ref43">43</xref>] . The concentration of eCG declines after this period, and it is absent at the 150<sup>th</sup> day. The eCG secretion peaks at approximately 55 and 70 days of gestation, which corresponds to the maximum size of the endometrial cups [<xref ref-type="bibr" rid="scirp.50831-ref10">10</xref>] . TheeCG also binds to the LH receptors in the corpus luteum [<xref ref-type="bibr" rid="scirp.50831-ref45">45</xref>] . This binding increases progesterone (P4pregn-4-eno-3,20- diona) production, which plays a fundamental role during early gestation and acts on the endometrial epithelium to induce the secretion of factors that are indispensable to embryonic development [<xref ref-type="bibr" rid="scirp.50831-ref46">46</xref>] .</p><p>eCG has been largely used in superovulation donor programs and in studies with embryo donors due to its ac- tion on FSH [<xref ref-type="bibr" rid="scirp.50831-ref47">47</xref>] . Therefore, the use of eCG in protocols of ovulation synchronization for fixed-time artificial insemination (FTAI) and fixed-time embryo transfer (FTET) has been growing to increase the efficacy of these programs [<xref ref-type="bibr" rid="scirp.50831-ref48">48</xref>] .</p></sec><sec id="s2_5"><title>2.5. Hemophagous Organ</title><p>In the first half the hemophagous organ is a tubular structure, followed by an expanded and bulbous characteris- tic in the distal half. This accessory organ to the placenta grows, regresses and almost disappears as gestation approaches [<xref ref-type="bibr" rid="scirp.50831-ref49">49</xref>] . The hemophagous organ as a multi-lobular structure is consisting of two relatively large lobes and several smaller lobes. All of the lobes are round, and the larger lobes bind and extend from the allantoic cavity to the back of the embryo at the end of gestation. The proximal extremities of the lobes gather to form a region attached to the maternal surface of the placenta [<xref ref-type="bibr" rid="scirp.50831-ref11">11</xref>] .</p><p>The term hemophagous organ was proposed for a particular structure found on the placenta of the raccoons (Procyonlotorlotor) [<xref ref-type="bibr" rid="scirp.50831-ref49">49</xref>] . This sac-shaped, highly vascularized, macroscopic structure hangs in the interior of the allantoic cavity and emerges from an anti-mesometrial central area of the placental ring in procyonid carni- vores. This structure increases in size and complexity until approximately two-thirds to three-fourths of the ges- tational period, and then it regresses [<xref ref-type="bibr" rid="scirp.50831-ref49">49</xref>] -[<xref ref-type="bibr" rid="scirp.50831-ref51">51</xref>] .</p><p>Different placental types in different species address 3 types of iron transfer [<xref ref-type="bibr" rid="scirp.50831-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref52">52</xref>] :</p><p>1) Absorption of iron bound to transferrin through the outer surface of the trophoblast in direct contact with the maternal bloodstream (i.e., hemochorial placenta);</p><p>2) Absorption of erythrocytes by the chorionic epithelium in direct contact with the accumulation of blood leaked from hematophagous areas (i.e., endotheliochorial and synepitheliochorial placenta); and</p><p>3) Absorption of iron by the chorionic epithelium in direct contact with the enriched iron originating from endometrial gland secretions (i.e., diffuse placenta).</p><p>Another iron absorption mechanism was described as the leakage of blood in the maternal-fetal relationship followed by the phagocytosis of erythrocytes by trophoblastic cells in ovines, bovines, caprines, carnivores, and chiroptera. This absorption occurs in different areas of the placenta, known as placental hematoma or hemo- phagous areas [<xref ref-type="bibr" rid="scirp.50831-ref53">53</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref54">54</xref>] .</p><p>That studies were performed as to elucidate iron transfer to the fetus, and iron deficiency leads to some dis- eases in the newborn, such as high blood pressure, anomalies in the immune system, and compromises in brain function [<xref ref-type="bibr" rid="scirp.50831-ref55">55</xref>] [<xref ref-type="bibr" rid="scirp.50831-ref56">56</xref>] .</p></sec><sec id="s2_6"><title>2.6. Placental Hematoma</title><p>One of the main characteristics of carnivore placentas is the presence of placental hematomas. A placental he- matoma is a large, compact mass of red blood cells that is well-adhered to the chorioallantoic membrane, and it is found in the medial surface of the placental girdle. Cuboidal epithelium surrounds placental hematomas on the majority of its margin. The largest area is found between the layer adhered to the junctional zone between the maternal and fetal surfaces and the labyrinth zone. The hematoma invades the space previously occupied by the uterine epithelium and its stroma in some areas of the epithelium [<xref ref-type="bibr" rid="scirp.50831-ref2">2</xref>] .</p><p>The hemophagous organ is equivalent to the placental hematoma of certain carnivores and indicates that the term “hematoma”, which has pathological implications, can be replaced with the functional and descriptive term “hemophagous” in hemophagocytic areas of the placenta [<xref ref-type="bibr" rid="scirp.50831-ref50">50</xref>] .</p><p>The hematomas are an iron source for embryonic development because trophoblasts phagocytose and digest the maternal red blood cells. Observations in buffalos suggest that these areas also correspond to the iron trans- fer for the fetus during the final stages of pregnancy [<xref ref-type="bibr" rid="scirp.50831-ref57">57</xref>] .</p><p>The placental hematomas in buffalos (7 to 10 months of pregnancy) are located exclusively in the base of the chorionic villi. The placental hematomas in these animals are numerous and irregularly distributed along the maternal-fetal interface and contain a variable amount of leaked maternal blood. The authors suggest that an erythrophagocytosis occurs due to the trophoblastic cells from areas adjacent to the hematomas presenting eryt- hrophagosomes [<xref ref-type="bibr" rid="scirp.50831-ref12">12</xref>] .<sup> </sup></p></sec></sec><sec id="s3"><title>3. Conclusion</title><p>The literature suggests that the placenta is vitally important for the exchange of nutrients, but this exchange does not occur solely in the chorioallantoic placenta. Nutrient exchange may also occur in accessory structures that exchange specific nutrients. Therefore, accessory structures are of vital, specialized and specific importance for the transfer of macro- and micro-molecules to the developing embryo/fetus. These modifications of the placenta may have appeared as adaptations in domestic and wild species to satisfy the nutrient requirements during con- ceptus development.</p></sec><sec id="s4"><title>Acknowledgements</title><p>We would like to thank the Brazilian Federal Agency for the Support and Evaluation of Graduate Education (Coordena&#231;&#227;o de Aperfei&#231;oamento de Pessoal de N&#237;vel Superior—CAPES) and the National Council for Scien- tific and Technological development (Conselho Nacional de Desenvolvimento Cient&#237;fico e Tecnol&#243;gico-CNPq) for the financial support for this study.</p></sec><sec id="s5"><title>NOTES</title></sec></body><back><ref-list><title>References</title><ref id="scirp.50831-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Mossman, H.W. (1987) Vertebrate Fetal Membranes: Comparative Ontogeny and Morphology, Evolution, Phylogenetic Significance, Basic Functions, Research Opportunities. Rutgers University Press, New Brunswick.</mixed-citation></ref><ref id="scirp.50831-ref2"><label>2</label><mixed-citation publication-type="book" xlink:type="simple">Amoroso, E.C. (1952) Placentation. In: Parkes, A.S., Ed., Marshall’s Physiology of Reproduction, Longmans Green, London.</mixed-citation></ref><ref id="scirp.50831-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Oliveira, M.F., Mess, A., Ambrósio, C.E., Dantas, C.A.G., Favaron, P.O. and Miglino, M.A. (2008) Chorioallantoic Placentation in Galeaspixii (Rodentia, Caviomorpha, Caviidae). Reproductive Biology and Endocrinology, 6, 39. 
http://dx.doi.org/10.1186/1477-7827-6-39</mixed-citation></ref><ref id="scirp.50831-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Davies, J., Dempsey, E.W. and Amoroso, E.C. (1961) The Subplacenta of the Guinea-Pig: Development, Histology and Histochemistry. Journal of Anatomy, 95, 457-473.</mixed-citation></ref><ref id="scirp.50831-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Allen, W.R., Hamilton, D.W. and Moor, R.M. (1973) The Origin of Equine Endometrial Cups. II. Invasion of the Endometrium by Trophoblast. The Anatomical Record, 117, 475-501. http://dx.doi.org/10.1002/ar.1091770403</mixed-citation></ref><ref id="scirp.50831-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Allen, W.R. and Stewart, F. (2001) Equine Placentation. Reproduction, Fertility and Development, 13, 623-634. 
http://dx.doi.org/10.1071/RD01063</mixed-citation></ref><ref id="scirp.50831-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Enders, A.C. and Welsh, A.O. (1993) Structural Interactions of Trophoblast and Uterus during Hemochorial Placenta Formation. Journal Experimental Zoology, 266, 578-587. http://dx.doi.org/10.1002/jez.1402660608</mixed-citation></ref><ref id="scirp.50831-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Leiser, R. and Kaufman, P. (1994) Placental Structure: In a Comparative Aspect. Experimental and Clinical Endocrinology, 102, 122-134. http://dx.doi.org/10.1055/s-0029-1211275</mixed-citation></ref><ref id="scirp.50831-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Mess, A. (2011) Character Transformations and Their Functional Significance as a Key to the Evolution of hystricognathrodentia. Pesquisa Veterinária Brasileira, 31, 1108-1115. http://dx.doi.org/10.1590/S0100-736X2011001200012</mixed-citation></ref><ref id="scirp.50831-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Caixeta, E.S., Fagundes, N.S., Caixeta, M.S. and Pyles, E.S.S. (2008) Desenvolvimento Embrionário Inicial Eqüino-Revis&amp;#227o. Revista Portuguesa de Ciências Veterinárias, 103, 25-34.</mixed-citation></ref><ref id="scirp.50831-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Creed, R.F.S. and Biggers, J.D. (1964) Placental Haemophagous Organs in the Procyonidae and Mustelidae. Journal of the Society for Reproduction and Fertility, 8, 133-137. http://dx.doi.org/10.1530/jrf.0.0080133</mixed-citation></ref><ref id="scirp.50831-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Pereira, F.T.V., Miglino, M.A., Bevilacqua, E. and Carvalho, A.F. (2001) Aspectos morfológicos dos hematomas placentários da placenta do búfalo (Bubalus bubalis bubalis-Linnaeus, 1758). Brazilian Journal of Veterinary Research and Animal Science, 38, 151-154.</mixed-citation></ref><ref id="scirp.50831-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Perrota, C.A. (1959) Fetal Membranes of the Canadian Porcupine, Erithizon dorsatum. The American Journal of Anatomy, 104, 35-59. http://dx.doi.org/10.1002/aja.1001040103</mixed-citation></ref><ref id="scirp.50831-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Kaufmann, P. and Davidoff, M. (1977) The Guinea Pig Placenta. Advances in Anatomy Embriology and Cell Biology, 53, 5-90.</mixed-citation></ref><ref id="scirp.50831-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Roberts, C.M. and Perry, J.S. (1974) Hystricomorph Embriology. Symposia of the Zoological Society of London, 34, 333-360.</mixed-citation></ref><ref id="scirp.50831-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Uhlendorf, B. and Kaufmann, P. (1979) Die entwicklung des plazentastieles beim meerschweinchen. Anatomia, Histologia, Embryologia, 8, 233-247. http://dx.doi.org/10.1111/j.1439-0264.1979.tb00810.x</mixed-citation></ref><ref id="scirp.50831-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Hillemann, H.H. and Gaynor, A.I. (1961) The Definitive Architecture of the Placenta of Nutria, Myocastor coypus (Molina). The American Journal of Anatomy, 109, 299-317. http://dx.doi.org/10.1002/aja.1001090306</mixed-citation></ref><ref id="scirp.50831-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Fischer, T.V. (1985) The Subplacenta of the Beaver (Castor canadensis). Placenta, 6, 311-321.  
http://dx.doi.org/10.1016/S0143-4004(85)80040-0</mixed-citation></ref><ref id="scirp.50831-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Soiron, M.L. (1993) Das Siidamerikanische wasserschwein (Hydrochoerus hydrochaeris L. 1766). Ph.D. Dissertation, Fachbereich Veterin&amp;#227rmedizin, Justus-Liebig-Universit&amp;#227t Giessen, Giessen.</mixed-citation></ref><ref id="scirp.50831-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Kaufmann, P. (2004) Capybara Hydrochaeris Hydrochaeris. Comparative Placentation. 
http://placentation.ucsd.edu/capy.htm</mixed-citation></ref><ref id="scirp.50831-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Kanashiro, C., Santos, T.C., Miglino, M.A., Mess, A.M. and Carter, A.M. (2009) Growth and Development of the Placenta in the Capybara (Hydrochaeris hydrochaeris). Reproductive Biology and Endocrinology, 7, 57.  
http://dx.doi.org/10.1186/1477-7827-7-57</mixed-citation></ref><ref id="scirp.50831-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Oliveira, M.F., Carter, A.M., Bonatelli, M., Ambrosio, C.E. and Miglino, M.A. (2005) Placentation in the Rock Cavy, Kerodon rupestris (Wied). Placenta, 27, 87-97. http://dx.doi.org/10.1016/j.placenta.2004.11.012</mixed-citation></ref><ref id="scirp.50831-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Miglino, M.A., Carter, A.M., Ferraz, R.H.S. and Machado, M.R.F. (2002) Placentation in the Capybara (Hydrochaerus hydrochaeris), Agouti (Dasyprocta aguti) and Paca (Agouti paca). Placenta, 23, 416-428.  
http://dx.doi.org/10.1053/plac.2002.0806</mixed-citation></ref><ref id="scirp.50831-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Oliveira, M.F., Favaron, P.O., Ambrósio, C.E., Miglino, M.A. amd Mess, A.M. (2012) Chorioallantoic and Yolk Sac Placentation in Thrichomys laurentinus (Echimyidae) and the Evolution of Hystricognath Rodents. Journal of Experimental Zoology. Part B: Molecular and Developmental Evolution, 318, 13-25. http://dx.doi.org/10.1002/jez.b.21428</mixed-citation></ref><ref id="scirp.50831-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Fischer, T.V. and Floyd, A.D. (1972) Placental Development in the Mongolian Gerbil (Meriones unguiculatus). II. From the Establishment of the Labyrinth to Term. American Journal of Anatomy, 134, 321-335.  
http://dx.doi.org/10.1002/aja.1001340305</mixed-citation></ref><ref id="scirp.50831-ref26"><label>26</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Duval</surname><given-names> M. </given-names></name>,<etal>et al</etal>. (<year>1892</year>)<article-title>Le Placenta des Rongeurs. Le placenta ducochon d’Inde</article-title><source> Journal of Anatomy (Paris)</source><volume> 28</volume>,<fpage> 58</fpage>-<lpage>408</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.50831-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Minot, C. (1889) Uterus and Embryo: I. Rabbit; II. Man. Harvard Medical School, Boston, Mass. Reprinted The Journal of Morphology, 2.</mixed-citation></ref><ref id="scirp.50831-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Mossman, H.W. (1991) Classics Revisited: The Comparative Morphogenesis of the Foetal Membranes and Accessory Uterine Structures. Placenta, 12, 1-5. http://dx.doi.org/10.1016/0143-4004(91)90504-9</mixed-citation></ref><ref id="scirp.50831-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Rodrigues, R.F., Carter, A.M., Ambrósio, C.E., Santos, T.C. and Miglino, M.A. (2006) The Subplacenta of the Red-Rumped Agouti (Dasyprocta leporina L). Reproductive Biology and Endocrinology, 4, 31.  
http://dx.doi.org/10.1186/1477-7827-4-31</mixed-citation></ref><ref id="scirp.50831-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Mess, A. (2003) Evolutionary Transformations of Chorioallantoic Placental Characters in Rodentia with Special Reference to Hystricognath Species. Journal of Experimental Zoology, 299A, 78-98. http://dx.doi.org/10.1002/jez.a.10292</mixed-citation></ref><ref id="scirp.50831-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">Carter, A.M. (2001) Evolution of the Placenta and Fetal Membranes Seen in the Light of Molecular Phylogenetics. Placenta, 22, 800-807. http://dx.doi.org/10.1053/plac.2001.0739</mixed-citation></ref><ref id="scirp.50831-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Carter, A.M. (2007) Animal Models of Human Placentation—A Review. Placenta, 28, S41-S47.  
http://dx.doi.org/10.1016/j.placenta.2006.11.002</mixed-citation></ref><ref id="scirp.50831-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">Friess, A.E., Sinowatz, F., Skolek-Winnisch, R. and Traütner, W. (1981) The Placenta of the Pig. II. The Ultrastructure of the Areola. Anatomy and Embryology, 163, 43-53. http://dx.doi.org/10.1007/BF00315769</mixed-citation></ref><ref id="scirp.50831-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Dantzer, V. and Leiser, R. (1993) Microvasculature of Regular and Irregular Areolae of the Areola-Gland Subunit of the Porcine Placenta: Structural and Functional Aspects. Anatomy and Embryology, 188, 257-267.</mixed-citation></ref><ref id="scirp.50831-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Miglino, M.A., Pereira, F.T.V., Santos, T.C. and Carvalho, A.F. (2001) A morfologia placentária dos suínos domés-ticos. Arquivos de Ciências Veterinárias e Zoologia da UNIPAR, 4, 71-76.</mixed-citation></ref><ref id="scirp.50831-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Abd-Elnaeim, M., Leiser, R. and Allen, W.R. (2003) Structural and Haematological Aspects of the Equine Placenta in Mid-Pregnancy. Havemeyer Foundation Monograph Series, 10, 39-42.</mixed-citation></ref><ref id="scirp.50831-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Wooding, F.B.P., Morgan, G., Fowden, A.L. and Allen, W.R. (2000) Separate Sites and Mechanisms for Placental Transport of Calcium, Iron and Glucose in the Equine Placenta. Placenta, 21, 635-645.  
http://dx.doi.org/10.1053/plac.2000.0550</mixed-citation></ref><ref id="scirp.50831-ref38"><label>38</label><mixed-citation publication-type="other" xlink:type="simple">Bazer, F.W., Vallet, J.L., Roberts, R.M., Sharp, D.C. and Thatcher, W.W. (1986) Role of Conceptus Secretory Products in Establishment of Pregnancy. Journal of the Society for Reproduction and Fertility, 76, 841-850.  
http://dx.doi.org/10.1530/jrf.0.0760841</mixed-citation></ref><ref id="scirp.50831-ref39"><label>39</label><mixed-citation publication-type="other" xlink:type="simple">Bazer, F.W. (1975) Uterine Protein Secretions: Relationship to Development of the Conceptus. Journal of Animal Science, 41, 1376-1382. http://www.journalofanimalscience.org/content/41/5/1376</mixed-citation></ref><ref id="scirp.50831-ref40"><label>40</label><mixed-citation publication-type="other" xlink:type="simple">Chen, T.T., Bazer, F.W., Gebhardt, B.M. and Roberts, R.M. (1975) Uterine Secretion in Mammals: Synthesis and Placental Transport of a Purple Acid Phosphatase in Pigs. Biology of Reproduction, 13, 304-313.  
http://dx.doi.org/10.1095/biolreprod13.3.304</mixed-citation></ref><ref id="scirp.50831-ref41"><label>41</label><mixed-citation publication-type="other" xlink:type="simple">Raub, T.J., Bazer, F.W. and Roberts, R.M. (1985) Localization of the Iron Transport Glycoprotein, Uteroferrin, in the Porcine Endometrium and Placenta by Using Immunocolloidal Gold. Anatomy and Embryology, 171, 253-258.  
http://dx.doi.org/10.1007/BF00341420</mixed-citation></ref><ref id="scirp.50831-ref42"><label>42</label><mixed-citation publication-type="other" xlink:type="simple">Man&amp;#231anares, A.C.F., Man&amp;#231anares, C.A.F., Franciolli, A.L.R., Marques, L.O., Ambrósio, C.E., Miglino, M.A. and Carvalho, A.F. (2012) Rela&amp;#231&amp;#227o entre a quantidade de AgNORS, atividade proliferativa e o estágio de desenvolvimento placentário em equinos. Pesquisa Veterinária Brasileira, 32, 08-112.  
http://dx.doi.org/10.1590/S0100-736X2012001300018</mixed-citation></ref><ref id="scirp.50831-ref43"><label>43</label><mixed-citation publication-type="other" xlink:type="simple">Lunn, P., Vagnani, K.E. and Ginther, O.J. (1996) The Equine Immune Response to Endometrial Cups. Journal of Reproductive Immunology, 34, 203-216.</mixed-citation></ref><ref id="scirp.50831-ref44"><label>44</label><mixed-citation publication-type="other" xlink:type="simple">Silva, E.S.M., Filho, J.N.P.P. and Meira, C. (2012) Aspectos relacionados à forma&amp;#231&amp;#227o, fun&amp;#231&amp;#227o e regress&amp;#227o dos corpos lúteos suplementares em éguas. Veterinária e Zootecnia, 19, 283-293.</mixed-citation></ref><ref id="scirp.50831-ref45"><label>45</label><mixed-citation publication-type="other" xlink:type="simple">Stewart, F. and Allen, W.R. (1981) Biological Functions and Receptor Binding Activities of Equine Chorionic Gonadotrophins. Journal of the Society for Reproductive and Fertility, 62, 527-536. http://dx.doi.org/10.1530/jrf.0.0620527</mixed-citation></ref><ref id="scirp.50831-ref46"><label>46</label><mixed-citation publication-type="other" xlink:type="simple">Barnes, F.W. (2000) The Effects of the Early Uterine Environment on the Subsequent Development of Embryo and Fetus. Theriogenology, 53, 649-658. http://dx.doi.org/10.1016/S0093-691X(99)00264-2</mixed-citation></ref><ref id="scirp.50831-ref47"><label>47</label><mixed-citation publication-type="other" xlink:type="simple">Costa, L.L., Silva, J.C. and Silva, J.R. (2001) Superovulatory Response, Embryo Quality and Fertility after Treatment with Different Gonadotrophins in Native Cattle. Theriogenology, 56, 65-77.  
http://dx.doi.org/10.1016/S0093-691X(01)00543-X</mixed-citation></ref><ref id="scirp.50831-ref48"><label>48</label><mixed-citation publication-type="other" xlink:type="simple">Baruselli, P.S., Jacomini, J.O., Sales, J.N.S. and Crepaldi, G.A. (2008) Importancia do emprego da eCG em protocolos de sincroniza&amp;#231&amp;#227o para IA, TE e SOV em tempo fixo. Biotechnology of Reproduction in Bovines 3rd International Symposium of Applied Animal Reproduction, 146-167.</mixed-citation></ref><ref id="scirp.50831-ref49"><label>49</label><mixed-citation publication-type="other" xlink:type="simple">Biggers, J.D. and Creed, R.F.S. (1962) Two Morphological Types of Placentae in the Raccoon. Nature, 194, 103-105.  
http://dx.doi.org/10.1038/194103a0</mixed-citation></ref><ref id="scirp.50831-ref50"><label>50</label><mixed-citation publication-type="other" xlink:type="simple">Creed, R.F.S. and Biggers, J.D. (1963) Some Aspects of Placental Structure in the Raccoon (Procyon lotor L.). Journal of Anatomy, 97, 475.</mixed-citation></ref><ref id="scirp.50831-ref51"><label>51</label><mixed-citation publication-type="other" xlink:type="simple">Creed, R.F.S. and Biggers, J.D. (1963) Development of the Raccoon Placenta. American Journal of Anatomy, 113, 417-445. http://dx.doi.org/10.1002/aja.1001130306</mixed-citation></ref><ref id="scirp.50831-ref52"><label>52</label><mixed-citation publication-type="other" xlink:type="simple">Perry, J.P. (1981) The Mammalian Fetal Membranes. Journal of the Society for Reproduction and Fertility, 62, 321-335. http://dx.doi.org/10.1530/jrf.0.0620321</mixed-citation></ref><ref id="scirp.50831-ref53"><label>53</label><mixed-citation publication-type="other" xlink:type="simple">Myagkaya, G.L., Schonargel, K., Van veen, H. and Everts, V. (1984) Electron Microscopic Study of the Localization of Ferric Iron in Chorionic Epithelium of the Sheep Placenta. Placenta, 5, 551-558.  
http://dx.doi.org/10.1016/S0143-4004(84)80009-0</mixed-citation></ref><ref id="scirp.50831-ref54"><label>54</label><mixed-citation publication-type="other" xlink:type="simple">King, B.F. (1993) Comparative Anatomy of Placental Barrier. Bibliotheca Anatomica (Karger, Brasil), 22, 13-28.</mixed-citation></ref><ref id="scirp.50831-ref55"><label>55</label><mixed-citation publication-type="other" xlink:type="simple">McArdle, H.J., Danzeisen, R., Forret, C. and Gambling, L. (2003) The Role of the Placenta in Iron Transfer from Mother to Fetus and the Relationship between Iron Status and Fetal Outcone. Biometals, 16, 161-167.  
http://dx.doi.org/10.1023/A:1020714915767</mixed-citation></ref><ref id="scirp.50831-ref56"><label>56</label><mixed-citation publication-type="other" xlink:type="simple">Godfrey, K.M. and Barker, D.J.P. (2000) Fetal Nutrition and Adult Disease. Journal Experimental Zoology, 299A, 78-98.</mixed-citation></ref><ref id="scirp.50831-ref57"><label>57</label><mixed-citation publication-type="other" xlink:type="simple">Pereira, F.T.V., Braga, F.C., Burioli, K.C., Kfoury Junior, J.R., Oliveira, L.J., Papa, P.C., Carvalho, A.F., Ambrósio, C.E., Bazer, F.W. and Miglino, M.A. (2010) Transplacental Transfer of Iron in the Water Buffalo (Bubalus bubalis): Uteroferrin and Erythrophagocytosis. Reproduction in Domestic Animals, 45, 907-914.  
http://dx.doi.org/10.1111/j.1439-0531.2009.01462.x</mixed-citation></ref></ref-list></back></article>