Human umbilical cord vessels are essential components of fetal-placental circulation. To understand the relationship between blood vessel architecture and vascular contraction, arteries and veins from normally delivered human new-born baby umbilical cords were clarified morphologically.
For light microscopy, paraffin sections were stained with hematoxylin eosin or aldehyde-fuchsin/light green. Scanning electron microscopy using NaOH macerated tissue blocks was performed to determine vessel architecture, and transmission electron microscopy established elastic fiber distribution. Compared with umbilical veins, umbilical arteries had a thicker inner media with stronger elastic fiber staining. The luminal space of umbilical arteries was closed, while that of umbilical veins remained open. In the arterial inner media, an extensive elastic fiber network surrounded longitudinally oriented smooth muscle cells. By contrast, umbilical veins had an internal elastic lamina and a thin inner media. In both arteries and veins, the outer media consisted of smooth muscle cells primarily with a circular orientation. However, a significant number of cells in this location were oblique and cross orientated.
It is suggested that the unique ultrastructural architecture of smooth muscle cells and elastic fibers in umbilical cord vessels may play a crucial role in flexibility of contraction and extension of vascular walls during gestation, especially in umbilical arteries, by arresting bleeding from new-born babies immediately following labor.
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