TrophoblasT cells invade to the decidual tissue, and remodel uterine spiral arteries in human early placenta [1]. Appropriate trophoblasts migration is critical for fetal and placental development, and shallow invasion of trophoblast cells has been involved in intrauterine growth restriction (IUGR) and pregnancyinduced hypertension (PIH) [2,3]. Many endocrine factors and cytokines have been involved in placental development, including tumor necrosis factor-α (TNF-α) and insulin-like growth factors (IGFs).Tumor necrosis factor-α (TNF-α) is a cytotoxic molecule produced predominantly by macrophages abstract. Tumor necrosis factor-α (TNF-α) in placenta is believed to be involved in pathogenesis of intrauterine growth restriction. In contrast, insulin-like growth factors (IGFs) are believed to be important for stimulation of fetal and placental growth. IGF-I stimulates metabolic and growth-promoting actions directly through its receptors: IGF-I receptor (IGF-IR), insulin receptor (IR) and IGF-I/insulin hybrid receptor (HR). However, it has not been elucidated which receptor mediates the growth promoting effects in fetal and placental growth. The current studies were undertaken to test whether TNF-α affects IGF-I action on placenta using human trophoblast cell cultures, and to test which receptor mediates growth promoting effects of IGF-I in placenta. Primary culture of trophoblast cells, which express IGF-IR, IR, and HR, were exposed to TNF-α, and the effects of IGF-I in stimulating trophoblast cell proliferation and migration were determined. exposure to TNF-α attenuated the effects of IGF-I on cell proliferation and migration. To determine which receptors are involved in this inhibitory effect, the ability of IGF-I to stimulate phosphorylation of its receptors was analyzed in the presence of TNF-α. TNF-α exposure neither attenuated the phosphorylation of IGF-IR homodimer by IGF-I nor changed receptor abundance. In contrast, TNF-α reduced the ability of IGF-I to stimulate phosphorylation of HR with reducing amounts of HR. exposure to TNF-α also attenuated phosphorylation of insulin receptor substrate-1 (IRs-1) and the association of IRS-1 with phosphatydilinositol-3 kinase (PI-3 kinase). Taken together, these findings indicate that TNF-α induces a loss of sensitivity to stimulation by IGF-I, through reducing amounts of HR and the stimulation of HR tyrosine kinase activity by IGF-I.