Differentiation of the human placental trophoblast cell involves a mul
tistep process, with the generation of several distinct types of inter
mediate cytotrophoblast cells. Using a short term in vitro cell cultur
e system and centrifugal elutriation, we studied the isolation and mor
phological and biochemical differentiation of these separated intermed
iate cell populations. Freshly isolated cell fractions, incubated for
24 h, are heterogeneous in their differentiation stages as determined
by the secretion of the proteins chorionic gonadotropin alpha and beta
, human placental lactogen, and pregnancy specific beta1-glycoprotein.
Maintenance in cell culture allows for the further differentiation of
these intermediate cells and for syncytium formation. With the use of
sequential trypsinizations, our data also suggest the parallel differ
entiation of cytotrophoblast cells into two distinct subsets: one whic
h, through differentiation, gets committed to syncytium formation, and
the other, which remains mononuclear despite high degrees of biochemi
cal differentiation. These latter cells retain the capacity for syncyt
ium formation when reintroduced into appropriate culture conditions. T
hese findings refine the use of the term 'intermediate cell'' by previ
ous investigators. We suggest that our in vitro system defines normal
intermediate stages of trophoblast differentiation, and also serves as
a model to simulate adverse conditions of syncytial degeneration or i
njury.