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In this model, cytotrophoblast cells are envisioned to regulate the secretory activity of the syncytiotrophoblast through paracrine interactions that mimic the hypothalamic-hypophyseal system.10 For example, GnRH is proposed to stimulate hCG secretion, GH-RH to stimulate hCS and hGH-V secretion, and SRIF to inhibit the release of hCS and hGH-V

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