ABSTRACT. Trophoblastic cells were separated and cul-culture, perfusion, and serial samples of newly delivered, unpertured from human first trimester and term placentae for fused placental tissue. During hypoxia placental anaerobic glystudies on energy metabolism. Changes in the catabolism colysis is activated, as evidenced by increased uptake and conof prelabeled adenine nucleotides and the adenylate energy sumption of glucose and production of lactate (2,4,(7)(8)(9)(10)(11)(12). Stores charge (EC) were followed during energy deprivation. EC of glycogen, which are present in placental tissue throughout was 0.70 f 0.04 (mean f SD) in the first trimester and pregnancy, are well preserved, when exogenous glucose can be 0.65 + 0.08 in the term cells before experiments. Both used in accelerated glycolysis (2, 7). However, substantial glycoduring hypoxia (N2-atmosphere) and in the absence of genolysis takes place during hypoxia, when availability of free glucose, ATP and EC were preserved for up to 8 h. 2-glucose is limited (5,11,13). Despite the increase in ATP Deoxyglucose caused a fall in ATP to 12.1 + 5.0 and 14.8 production through anaerobic glycolysis, tissue ATP and total + 7.4% of initial levels, and in EC to 0.46 f 0.04 and 0.42 adenine nucleotides decrease under these circumstances. The EC + 0.05 in the first trimester and term cells, respectively. also declines from the normal range of 0.70-0.81 to 0.55-0.71In first trimester cells, inhibition of oxidative phosphoryl- (2,(7)(8)(9)(12)(13)(14). ation by rotenone in the absence of glucose resulted in aThe human placenta seems able to maintain major energysignificantly slower reduction of ATP and EC than after requiring processes (lipid and steroid synthesis, amino acid acdeoxyglucose, whereas in term cells, the initial responses cumulation, etc.) and a stable carbohydrate metabolism for were similar. Of total adenine nucleotides degraded, 7.1-several hours by anaerobic glycolysis alone (2, 4, 5, 11). When 10.5% were released extracellularly as adenosine, when its activity of glycolysis is decreased, these processes are rapidly deamination was inhibited. Human trophoblast appears to impaired (5, 7). tolerate transient hypoxia or deprivation of exogenousThe effects of energy substrate deprivation on the metabolically glucose. Susceptibility to energy deprivation increases with most active part of the placenta, the trophoblast, cannot be gestational age. The main pathway for AMP-catabolism is reliably judged on the basis of the studies referred to, because deamination, but the trophoblast is able to produce aden-the trophoblast constitutes only about 13-15 % of term placental osine during accelerated adenine nucleotide catabolism. weight (15). (Pediatr Res 24: 373-379,1988) It has also been shown that acute hypoxia enhances production of vasodilatatory prostaglandins in human placenta (16), and Abbreviations that adenosine is released from perfused tissue during ischemia (17). However, blood flow autoregulation reactive to hypoxia or EC, adenylate energy char...