Cytotrophoblasts, specialized placental cells, proliferate early in pr
egnancy and then differentiate into tumor-like cells that establish bl
ood flow to the placenta by invading the uterus and its vasculature. I
n this study, cytotrophoblasts cultured under hypoxic conditions (2 pe
rcent oxygen), mimicking the environment near the uterine surface befo
re 10 weeks of gestation, continued proliferating and differentiated p
oorly. When cultured in 20 percent oxygen, mimicking the environment n
ear uterine arterioles, the cells stopped proliferating and differenti
ated normally. Thus, oxygen tension determines whether cytotrophoblast
s proliferate or invade, thereby regulating placental growth and cellu
lar architecture.