Alexander G Beristain

PhD

Investigator, BC Children's Hospital

The human placenta is unique among eutherian mammals. One of the most striking distinctions in humans is the ability of specialized epithelial cells of the placenta (called trophoblasts) to acquire highly-invasive characteristics similar to invasive tumor cells. Invasive trophoblast populations play critical roles in remodeling the uterine microenvironment and facilitating nutrient and oxygen transfer between mother and developing baby. The success of placental formation (and pregnancy) is ultimately dictated by tight regulatory mechanisms that both promote and restrain differentiation of trophoblast subsets into highly-invasive populations. Conditions that suppress trophoblast differentiation impair vascular remodeling and lead to inadequate inter-villous blood perfusion, maternal hypertension and fetal stress.

A major focus of my lab investigates both the cellular and molecular processes that direct trophoblast cell biology in early placental development. Utilizing state of the art cell isolating techniques and three-dimensional culture systems, we investigate:

Trophoblast-intrinsic factors that regulate cell motility and early organ development

Maternal derived factors (predominantly immune cells) that play underlying roles in dictating trophoblast fitness and function

Global gene expression and gene regulatory mechanisms specific to highly-specialized invasive subsets of trophoblasts

Academic Affiliations

  • Associate Professor, Experimental Medicine Program, Department of Obstetrics and Gynaecology, Faculty of Medicine, University of British Columbia
  • Research Theme: Healthy Starts
  • Research Group(s): Origins of Child Health and Disease; Pathways to Healthy Birth

Contact Information

Location

950 West 28th Avenue, Vancouver, British Columbia, Canada, V5Z 4H4

Maternal Diet-Induced Excess Adiposity in Mice Disrupts Mid-Gestation Decidual Immune and Vascular Homeostasis Without Impairing Spiral Artery Remodeling

Acta Physiologica

Christian J. Bellissimo and Erica Yeo and Tatiane A. Ribeiro and Patrycja A. Jazwiec and Chethana Ellewela and Jaskiran Bains and Ariana E. Lewis and Katherine M. Kennedy and Ali A. Ashkar and Alexander G. Beristain and Dawn M. E. Bowdish and Deborah M. Sloboda

DOI: 10.1111/apha.70130

12 / 2025

Organoids in modeling human trophoblast development

Fertility and Sterility

Alexander G. Beristain and Gina L. McNeill

DOI: 10.1016/j.fertnstert.2025.10.004

12 / 2025

Impacts of maternal excess adiposity on the uterine immune environment: contributions to placental dysfunction and adverse pregnancy outcomes

Reproduction

Bellissimo, C.J. and Beristain, A.G. and Sloboda, D.M.

DOI: 10.1530/REP-24-0464

Profiling the cell-specific small non-coding RNA transcriptome of the human placenta

Scientific Reports

Telkar, N. and Hui, D. and Pe{\~n}aherrera, M.S. and Yuan, V. and Martinez, V.D. and Stewart, G.L. and Beristain, A.G. and Lam, W.L. and Robinson, W.P.

DOI: 10.1038/s41598-025-98939-4

RNA sequencing reveals the developmental onset of autosomal gene expression differences in male and female extravillous trophoblasts

Biorxiv

Shannon, M.J. and Beristain, A.G.

DOI: 10.1101/2024.12.16.628789

Maternal obesogenic diet disrupts mid-gestation decidual immune and vascular homeostasis without impairing spiral artery remodelling

Biorxiv

Bellissimo, C.J. and Yeo, E. and Ribeiro, T.A. and Jazwiec, P.A. and Ellewela, C. and Bains, J. and Ashkar, A.A. and Beristain, A.G. and Bowdish, D.M.E. and Sloboda, D.M.

DOI: 10.1101/2024.09.10.612284

Single-cell assessment of primary and stem cell-derived human trophoblast organoids as placenta-modeling platforms

Developmental Cell

Shannon, M.J. and McNeill, G.L. and Koksal, B. and Baltayeva, J. and Wchter, J. and Castellana, B. and Peaherrera, M.S. and Robinson, W.P. and Leung, P.C.K. and Beristain, A.G.

DOI: 10.1016/j.devcel.2024.01.023

Human organoid systems in modeling reproductive tissue development, function, and disease

Human Reproduction

Haider, S. and Beristain, A.G.

DOI: 10.1093/humrep/dead085

Assessment of the human placental microbiome in early pregnancy

Frontiers in Medicine

Sharlandjieva, V. and Beristain, A.G. and Terry, J.

DOI: 10.3389/fmed.2023.1096262

The application of epiphenotyping approaches to DNA methylation array studies of the human placenta

Epigenetics and Chromatin

Khan, A. and Inkster, A.M. and Peaherrera, M.S. and King, S. and Kildea, S. and Oberlander, T.F. and Olson, D.M. and Vaillancourt, C. and Brain, U. and Beraldo, E.O. and Beristain, A.G. and Clifton, V.L. and Del Gobbo, G.F. and Lam, W.L. and Metz, G.A.S. and Ng, J.W.Y. and Price, E.M. and Schuetz, J.M. and Yuan, V. and Portales-Casamar, ?. and Robinson, W.P.

DOI: 10.1186/s13072-023-00507-5

Cell trajectory modeling identifies a primitive trophoblast state defined by BCAM enrichment

Development (Cambridge)

Shannon, M.J. and Baltayeva, J. and Castellana, B. and Wchter, J. and McNeill, G.L. and Yoon, J.S. and Treissman, J. and Le, H.T. and Lavoie, P.M. and Beristain, A.G.

DOI: 10.1242/dev.199840

Transcriptomic mapping of the metzincin landscape in human trophoblasts

Gene Expression Patterns

W{\"a}chter, J. and Shannon, M.J. and Beristain, A.G.

DOI: 10.1016/j.gep.2022.119283

Single-Cell Assessment of Trophoblast Stem Cell-Based Organoids as Human Placenta-Modeling Platforms

SSRN

Shannon, M.J. and McNeill, G.L. and Koksal, B. and Baltayeva, J. and Wchter, J. and Castellana, B. and Peaherrera, M.S. and Robinson, W.P. and Leung, P.C.K. and Beristain, A.G.

DOI: 10.2139/ssrn.4277949

Decidual innate immune cell kinetics following lipopolysaccharide challenge

bioRxiv

St-Germain, L.E. and Castellana, B. and Baltayeva, J. and Beristain, A.G.

DOI: 10.1101/2022.01.27.478092

Cell-specific characterization of the placental methylome.

BMC genomics

Yuan V and Hui D and Yin Y and Peaherrera MS and Beristain AG and Robinson WP

DOI: 10.1186/s12864-020-07186-6 PubMed: 33407091

01 / 2021

Single cell trajectory modeling identifies a primitive trophoblast state defined by BCAM enrichment

bioRxiv

Shannon, M. and Baltayeva, J. and Castellana, B. and Wchter, J. and Yoon, S. and Treissman, J. and Le, H. and Beristain, A.G.

DOI: 10.1101/2021.03.27.437349

Matrix metalloproteinase 15 plays a pivotal role in human first trimester cytotrophoblast invasion and is not altered by maternal obesity.

FASEB journal : official publication of the Federation of American Societies for Experimental Biology

DOI: 10.1096/fj.202000773r PubMed: 32614494

07 / 2020

Obesogenic diet exposure alters uterine natural killer cell biology and impairs vasculature remodeling in mice

Biology of Reproduction

Baltayeva, J. and Konwar, C. and Castellana, B. and Mara, D.L. and Christians, J.K. and Beristain, A.G.

DOI: 10.1093/biolre/ioz163

Low oxygen enhances trophoblast column growth by potentiating differentiation of the extravillous lineage and promoting LOX activity

Development (Cambridge)

Treissman, J. and Yuan, V. and Baltayeva, J. and Le, H.T. and Castellana, B. and Robinson, W.P. and Beristain, A.G.

DOI: 10.1242/dev.181263

Maternal obesity and the uterine immune cell landscape: The shaping role of inflammation

International Journal of Molecular Sciences

St-Germain, L.E. and Castellana, B. and Baltayeva, J. and Beristain, A.G.

DOI: 10.3390/ijms21113776

Low oxygen enhances trophoblast column growth by potentiating the extravillous lineage and promoting LOX activity

Jenna Treissman and Victor Yuan and Jennet Baltayeva and Hoa T. Le and Barbara Castellana and Wendy P. Robinson and Alexander G. Beristain

DOI: 10.1101/669796

06 / 2019

ADAM8 localizes to extravillous trophoblasts within the maternal-fetal interface and potentiates trophoblast cell line migration through a 1 integrin-mediated mechanism

Molecular Human Reproduction

Le, H.T. and Atif, J. and Mara, D.L. and Castellana, B. and Treissman, J. and Baltayeva, J. and Beristain, A.G.

DOI: 10.1093/molehr/gay034

Regulation of placental extravillous trophoblasts by the maternal uterine environment

Frontiers in Immunology

Pollheimer, J. and Vondra, S. and Baltayeva, J. and Beristain, A.G. and Knfler, M.

DOI: 10.3389/fimmu.2018.02597

Maternal obesity alters uterine NK activity through a functional KIR2DL1/S1 imbalance

Immunology and Cell Biology

Castellana, B. and Perdu, S. and Kim, Y. and Chan, K. and Atif, J. and Marziali, M. and Beristain, A.G.

DOI: 10.1111/imcb.12041

Effects of diet-induced obesity on uterine natural killer cell function and placental development in early-mid pregnancy

Placenta

Jennet Baltayeva and Barbara Castellana and Eunice Chin and Julian Christians and Alexander Beristain

DOI: 10.1016/j.placenta.2017.07.210

09 / 2017

Maternal obesity alters uterine NK cell activity through a functional KIR2DL1/S1 imbalance

Castellana B and Perdu S and Kim Y and Chan K and Atif J and Marziali M and Beristain AG

DOI: 10.1101/167213

07 / 2017

ADAM28 localizes to HLA-G+ trophoblasts and promotes column cell outgrowth

Placenta

De Luca, L.C. and Le, H.T. and Mara, D.L. and Beristain, A.G.

DOI: 10.1016/j.placenta.2017.05.009

IFPA meeting 2016 workshop report III: Decidua-trophoblast interactions; trophoblast implantation and invasion; immunology at the maternal-fetal interface; placental inflammation

Placenta

Aplin, J.D. and Beristain, A. and DaSilva-Arnold, S. and Dunk, C. and Duzyj, C. and Golos, T.G. and Kemmerling, U. and Knfler, M. and Mitchell, M.D. and Olson, D.M. and Petroff, M. and Pollheimer, J. and Reyes, L. and Schedin, P. and Soares, M.J. and Stencel-Baerenwald, J. and Thornburg, K.L. and Lash, G.E.

DOI: 10.1016/j.placenta.2017.04.019

Maternal obesity drives functional alterations in uterine NK cells.

JCI insight

PubMed: 27699222

07 / 2016

Maternal obesity drives functional alterations in uterine NK cells

JCI Insight

Perdu, S. and Castellana, B. and Kim, Y. and Chan, K. and DeLuca, L. and Beristain, A.G.

DOI: 10.1172/jci.insight.85560

Editorial: Uteroplacental mingling: Whos kissing uNK?

Journal of Leukocyte Biology

Morgan, T.K. and Beristain, A.G.

DOI: 10.1189/jlb.1CE0316-162R

ADAM12 and PAPP-A: Candidate regulators of trophoblast invasion and first trimester markers of healthy trophoblasts

Cell Adhesion and Migration

Christians, J.K. and Beristain, A.G.

DOI: 10.1080/19336918.2015.1083668

A progesterone-CXCR4 axis controls mammary progenitor cell fate in the adult gland

Stem Cell Reports

Shiah, Y.-J. and Tharmapalan, P. and Casey, A.E. and Joshi, P.A. and McKee, T.D. and Jackson, H.W. and Beristain, A.G. and Chan-Seng-Yue, M.A. and Bader, G.D. and Lydon, J.P. and Waterhouse, P.D. and Boutros, P.C. and Khokha, R.

DOI: 10.1016/j.stemcr.2015.01.011

ADAM12-directed ectodomain shedding of E-cadherin potentiates trophoblast fusion

Cell Death and Differentiation

Aghababaei, M. and Hogg, K. and Perdu, S. and Robinson, W.P. and Beristain, A.G.

DOI: 10.1038/cdd.2015.44

Erratum: A progesterone-CXCR4 axis controls mammary progenitor cell fate in the adult gland (Stem Cell Reports (2015) 4 (313-322))

Stem Cell Reports

Shiah, Y.-J. and Tharmapalan, P. and Casey, A.E. and Joshi, P.A. and McKee, T.D. and Jackson, H.W. and Beristain, A.G. and Chan-Seng-Yue, M.A. and Bader, G.D. and Lydon, J.P. and Waterhouse, P.D. and Boutros, P.C. and Khokha, R.

DOI: 10.1016/j.stemcr.2015.02.020

PKA signaling drives mammary tumorigenesis through Src

Oncogene

Beristain, A.G. and Molyneux, S.D. and Joshi, P.A. and Pomroy, N.C. and Di Grappa, M.A. and Chang, M.C. and Kirschner, L.S. and Priv, G.G. and Pujana, M.A. and Khokha, R.

DOI: 10.1038/onc.2014.41

The Elsevier trophoblast research award lecture: Importance of metzincin proteases in trophoblast biology and placental development: A focus on ADAM12

Placenta

Aghababaei, M. and Beristain, A.G.

DOI: 10.1016/j.placenta.2014.12.016

A disintegrin and metalloproteinase 12 (ADAM12) localizes to invasive trophoblast, promotes cell invasion and directs column outgrowth in early placental development

Molecular Human Reproduction

Aghababaei, M. and Perdu, S. and Irvine, K. and Beristain, A.G.

DOI: 10.1093/molehr/gat084

IGFBP-4 and -5 are expressed in first-trimester villi and differentially regulate the migration of HTR-8/SVneo cells

Reproductive Biology and Endocrinology

Crosley, E.J. and Dunk, C.E. and Beristain, A.G. and Christians, J.K.

DOI: 10.1186/1477-7827-12-123

Activation of endocrine-related gene expression in placental choriocarcinoma cell lines following DNA methylation knock-down

Molecular Human Reproduction

Hogg, K. and Robinson, W.P. and Beristain, A.G.

DOI: 10.1093/molehr/gau020

Homotypic RANK signaling differentially regulates proliferation, motility and cell survival in osteosarcoma and mammary epithelial cells

Journal of Cell Science

Beristain, A.G. and Narala, S.R. and Di Grappa, M.A. and Khokha, R.

DOI: 10.1242/jcs.094029

Regulated expression of ADAMTS-12 in human trophoblastic cells: A role for ADAMTS-12 in epithelial cell invasion?

PLoS ONE

Beristain, A.G. and Zhu, H. and Leung, P.C.K.

DOI: 10.1371/journal.pone.0018473

Prkar1a is an osteosarcoma tumor suppressor that defines a molecular subclass in mice

Journal of Clinical Investigation

Molyneux, S.D. and Di Grappa, M.A. and Beristain, A.G. and McKee, T.D. and Wai, D.H. and Paderova, J. and Kashyap, M. and Hu, P. and Maiuri, T. and Narala, S.R. and Stambolic, V. and Squire, J. and Penninger, J. and Sanchez, O. and Triche, T.J. and Wood, G.A. and Kirschner, L.S. and Khokha, R.

DOI: 10.1172/JCI42391

Progesterone induces adult mammary stem cell expansion

Nature

Joshi, P.A. and Jackson, H.W. and Beristain, A.G. and Di Grappa, M.A. and Mote, P.A. and Clarke, C.L. and Stingl, J. and Waterhouse, P.D. and Khokha, R.

DOI: 10.1038/nature09091

Cellular localization of gonadotropin-releasing hormone (GnRH) I and GnRH II in first-trimester human placenta and decidua

Journal of Clinical Endocrinology and Metabolism

Chou, C.-S. and Beristain, A.G. and MacCalman, C.D. and Leung, P.C.K.

DOI: 10.1210/jc.2003-031636

Expression of Messenger RNA for ADAMTS Subtypes Changes in the Periovulatory Follicle after the Gonadotropin Surge and During Luteal Development and Regression in Cattle

Biology of Reproduction

Madan, P. and Bridges, P.J. and Komar, C.M. and Beristain, A.G. and Rajamahendran, R. and Fortune, J.E. and MacCalman, C.D.

DOI: 10.1095/biolreprod.102.013714

Identifying gene expression differences in subpopulations of trophoblasts in normal and pathological pregnancies

State of the art cell-sorting techniques and an understanding of unique cell surface expression markers on trophoblast subpopulations establishes an attractive method in identifying intrinsic trophoblast-specific genes in causative mechanisms in the development of pregnancy-related disorders. To this end, my lab is characterizing specialized trophoblast subpopulations within the placenta and maternal uterine tissue using state-of-the-art FACS-purification strategies. These studies are designed to answer questions directly related to:

Critical gene pathways essential in placental development, trophoblast differentiation, and trophoblast progenitor cell homeostasis.
Determining pathways dysregulated in pregnancy disorders (IUGR pregnancies and preeclampsia) and pregnancies associated with heightened risk of placental dysfunction (obesity).

Examining the effects of obesity-associated inflammation on the maternal-fetal interface

Within the uterine microenvironment, maternal immune cells play a prominent role in regulating trophoblast function and survival. Abnormal changes in the balance of immune cell populations in utero can alter early placental development and have a direct effect on maternal health, fetal outcome and newborn health. Early stages of uterine arterial remodeling, trophoblast invasion and survival, as well as maternal tolerance of the fetal semi-allograft (half mom, half dad) are controlled by uterine immune cells, which are mainly comprised of decidual natural killer cells (dNKs; 70% of total immune cells), but also have significant numbers of myeloid-derived dendritic cells and macrophages (15%) and subsets of regulatory and effector T cell lymphocytes (10%). Alterations in immune cell composition and/or function at the fetal-maternal interface have major implications in trophoblast fitness and pregnancy outcome.

In healthy pregnancy, dNKs, macrophages and regulatory T lymphocytes (Tregs) adopt an immuno­protective role, limiting pro-inflammatory cytokine production and cytolytic/cytotoxic cellular immunity. However, a shift in balance towards pro-inflammatory cytokine producing immune cells within the uterine microenvironment is associated with impaired trophoblast function and survival, poor pregnancy outcome and compromised fertility. These correlations have been substantiated by experiments in mice showing that depletion of key protective/immunosuppressive immune cells leads to under-remodeled uterine arteries, under-perfused vessels, smaller litter sizes and increased fetal demise. Together, these findings indicate that changes in the uterine immune cell microenvironment may significantly alter early placentation.

In obesity, adipocyte expansion leads to heightened secretion pro-inflammatory factors like TNFa and IL-6 by fat cells (adipocytes), which together drive macrophage activation and contribute to the development of metabolic and immune syndromes. Obesity-associated inflammation is characterized by a subtle shift in the balance between different types of T lymphocytes (effector vs. regulatory), resulting in chronic low-level pro-inflammatory cytokine production, tissue cytotoxicity and apoptosis.

Work in my lab is currently profiling the uterine immune cell make-up in obese pregnant women in early pregnancy using a sophisticated multicolor flow cytometry approach. My lab is especially interested in understanding the importance of CD4+ T helper and immunosuppressive regulatory cells within the uterine environment with a particular focus on their roles in directing trophoblast survival and function.

Examining the A Disintegrin And Metalloproteinase (ADAM) family in trophoblast biology

A specific focus of my research over the past year has examined the importance of the A Disintegrin And Metalloproteinase (ADAM) protease family member, ADAM12, in directing two cellular processes essential in placentation: cell invasion and cell fusion. Despite exceptionally high levels of ADAM12 expression in placental tissues, prior to my lab’s work, the biological significance of ADAM12 in trophoblast biology was unknown. Building upon my recent findings, my short-term objectives aim to characterize the molecular processes directed by ADAM12 in regulating trophoblast differentiation into invasive and multinuclear cell types.

As the biology of ADAM12-related genes in trophoblast function is unknown, I also aim to examine the importance of multiple ADAM family members in trophoblast biology using a global gene expression approach (see Aim 3 below). These extensive studies will inform us of the key ADAM proteases expressed in specific trophoblast subsets and the key signaling pathways and gene interactions linked to biological processes critical in early placental development (i.e. cell survival, proliferation, motility, cell fusion).

Grants

NSERC Individual Discovery Grant

"Examining the importance of ADAM metalloproteinases in trophoblast biology" (2014-2019)

CIHR Operating Grant - Project

"Effects of obesity-associated inflammation on the maternal-fetal interface in early pregnancy" (2014-2019)

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