Evidence map›Paper›PMID 41618671›Full record

ReviewBiological reviews of the Cambridge Philosophical Society2026

Placental crises: disruptive selection and maternal under-investment as the foundations of mammalian placental evolution and dysfunction.

Davis Laundon, Neil J Gostling, Ian G Reddin, Bram G Sengers, Pascale Chavatte-Palmer, Rohan M Lewis

Abstract readReview
In one paragraph

Review in Biological reviews of the Cambridge Philosophical Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Davis LaundonSchool of Human Development and Health, Faculty of Medicine, IDS Building, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.ORCID 0000-0002-1508-664X
Neil J GostlingInstitute for Life Sciences, University of Southampton, University Rd, Highfield, Southampton, SO17 1BJ, UK.ORCID 0000-0002-5960-7769
Ian G ReddinSchool of Cancer Sciences, Faculty of Medicine, IDS Building, University of Southampton, Southampton, SO16 6YD, UK.
Bram G SengersInstitute for Life Sciences, University of Southampton, University Rd, Highfield, Southampton, SO17 1BJ, UK.
Pascale Chavatte-PalmerUniversité Paris-Saclay, UVSQ, INRAE, BREED, Jouy-en-Josas, 78350, France.ORCID 0000-0002-4581-6092
Rohan M LewisSchool of Human Development and Health, Faculty of Medicine, IDS Building, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK.

Funding

Biotechnology and Biological Sciences Research Council BB/Y005953/1MRC UKRMP MR/L012626/1
6 · The paper itself

Abstract

Among the vertebrates, mammals are notable for the dominance of live birth and placental nutrition. The structural diversity of the mammalian placenta is remarkable, despite sharing a single common ancestor and conserved physiological functions. Historically, investigations into the evolution of the mammalian placenta have been grounded in 'the efficiency paradigm', i.e. the assumption that certain placental configurations permit easier nutrient exchange, but this paradigm has struggled to explain the diversity of mammalian placentation strategies. Here, we propose a new paradigm to understand mammalian placental evolution. Using multidimensional plotting of recorded placental structures, quantitative metrics for mammalian maternal investment, and illustrative computational modelling of physiological processes, we argue that the ancestral mammalian placenta is not a streamlined 'highly efficient' design, but rather a product of low maternal investment, with fitness costs that manifest as gestational demand increases. Expansion of small mammals into larger-bodied, longer-lived niches induces a 'placental crisis' characterised by maternal under-investment and chronic gestational dysfunction, triggering an arms race through the interaction of disruptive selection and materno-fetal conflict. We propose the acute severity of the placental crisis is the foundation of placental evolution. We go on to argue that some primates are currently in a state of placental crisis and that maternal under-investment and inappropriate placentation are the evolutionary foundations of human gestational dysfunctions such as pre-eclampsia. We conclude that the ancestral mammalian placenta was not an efficiently optimised design that allowed placentation to dominate the clade, but rather an idiosyncrasy of mammal-specific biology, which likely hindered mammalian expansion into larger-bodied niches.

Indexed as

Biological EvolutionMammalsPlacentaSelection, GeneticAnimalsFemaleHumansPlacentationPregnancydisruptive selectionmammalmaternal investmentplacentareproductive dysfunction

Identifiers

PMID41618671
PMCPMC13326773

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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.