Evidence map›Paper›PMID 32311818›Full record

ArticleActa physiologica (Oxford, England)2020

Serotonin homeostasis in the materno-foetal interface at term: Role of transporters (SERT/SLC6A4 and OCT3/SLC22A3) and monoamine oxidase A (MAO-A) in uptake and degradation of serotonin by human and rat term placenta.

Rona Karahoda, Hana Horackova, Petr Kastner, Andreas Matthios, Lukas Cerveny, Radim Kucera, Marian Kacerovsky, Jurjen Duintjer Tebbens, Alexandre Bonnin, Cilia Abad and 1 more

Open access · greenAbstract read
In one paragraph

Article in Acta physiologica (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 74 citations in OpenAlex.

  1. Review
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  8. Tryptophan's Journey Through Pregnancy: The Role of Serotonin.International journal of tryptophan research : IJTR · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Rona KarahodaFaculty of Pharmacy in Hradec Kralove, Department of Pharmacology and Toxicology, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0003-1962-0288
Hana HorackovaFaculty of Pharmacy in Hradec Kralove, Department of Pharmacology and Toxicology, Charles University, Hradec Kralove, Czech Republic.
Petr KastnerFaculty of Pharmacy in Hradec Kralove, Department of Pharmaceutical Chemistry and Pharmaceutical Analysis, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0003-1316-9203
Andreas MatthiosFaculty of Pharmacy in Hradec Kralove, Department of Biophysics and Physical Chemistry, Charles University, Hradec Kralove, Czech Republic.
Lukas CervenyFaculty of Pharmacy in Hradec Kralove, Department of Pharmacology and Toxicology, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0002-1313-306X
Radim KuceraFaculty of Pharmacy in Hradec Kralove, Department of Pharmaceutical Chemistry and Pharmaceutical Analysis, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0003-3052-7965
Marian KacerovskyDepartment of Gynecology and Obstetrics, University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.ORCID 0000-0001-9858-7900
Jurjen Duintjer TebbensFaculty of Pharmacy in Hradec Kralove, Department of Biophysics and Physical Chemistry, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0003-0553-854X
Alexandre BonninDepartment of Physiology and Neuroscience, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0001-7549-6598
Cilia AbadFaculty of Pharmacy in Hradec Kralove, Department of Pharmacology and Toxicology, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0001-9951-7242
Frantisek StaudFaculty of Pharmacy in Hradec Kralove, Department of Pharmacology and Toxicology, Charles University, Hradec Kralove, Czech Republic.ORCID 0000-0001-6712-097X
Charles University · CZUniversity Hospital Hradec Králové · CZUniversity of Southern California · US

Funding

Prenatal stress and antidepressants effects on offspring brain developmentR01MH106806 · NIMH · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BONNIN, ALEXANDRE · 2016 to 2020
$2.1M
NIMH NIH HHS R01 MH106806NIMH NIH HHS R01MH106806
6 · The paper itself

Abstract

aimSerotonin is crucial for proper foetal development, and the placenta has been described as a 'donor' of serotonin for the embryo/foetus. However, in later stages of gestation the foetus produces its own serotonin from maternally-derived tryptophan and placental supply is no longer needed. We propose a novel model of serotonin homeostasis in the term placenta with special focus on the protective role of organic cation transporter 3 (OCT3/SLC22A3).

methodsDually perfused rat term placenta was employed to quantify serotonin/tryptophan transport and metabolism. Placental membrane vesicles isolated from human term placenta were used to characterize serotonin transporters on both sides of the syncytiotrophoblast.

resultsWe obtained the first evidence that serotonin is massively taken up from the foetal circulation by OCT3. This uptake is concentration-dependent and inhibitable by OCT3 blockers of endogenous (glucocorticoids) or exogenous (pharmaceuticals) origin. Population analyses in rat placenta revealed that foetal sex influences placental extraction of serotonin from foetal circulation. Negligible foetal serotonin levels were detected in maternal-to-foetal serotonin/tryptophan transport and metabolic studies.

conclusionWe demonstrate that OCT3, localized on the foetus-facing membrane of syncytiotrophoblast, is an essential component of foeto-placental homeostasis of serotonin. Together with serotonin degrading enzyme, monoamine oxidase-A, this offers a protective mechanism against local vasoconstriction effects of serotonin in the placenta. However, this system may be compromised by OCT3 inhibitory molecules, such as glucocorticoids or antidepressants. Our findings open new avenues to explore previously unsuspected/unexplained complications during pregnancy including prenatal glucocorticoid excess and pharmacotherapeutic risks of treating pregnant women with OCT3 inhibitors.

Indexed as

PlacentaSerotoninAnimalsFemaleFetusHomeostasisHumansMaleMonoamine OxidaseOrganic Cation Transporter 3Organic Cation Transport ProteinsPregnancyRatsSerotonin Plasma Membrane Transport ProteinsSex FactorsMonoamine OxidaseOrganic Cation Transporter 3Organic Cation Transport ProteinsSerotoninSerotonin Plasma Membrane Transport ProteinsSLC6A4 protein, humanfoetal developmentpharmacotherapyplacentapregnancyserotonintransport

Identifiers

PMID32311818
PMCPMC8345021
OpenAlexW3017234825

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.