Human trophoblast cell line HTR8/SVneo was maintained as described25 (link). Additional human trophoblast cell line Sw.71 was kindly provided by Dr. Gil Mor (Yale University), and maintained as described previously29 (link). In siRNA experiments, cells were transfected with the siRNAs (ThermoFisher) shown in Online Supplemental Materials and Methods using siPORT Amine transfection reagent as previously described24 (link). Control siRNA was purchased from GE Dharmacon (ON-TARGETplus Non-targeting Control siRNA). For reconstitution experiments, cells were first transfected with siRNA targeting endogenous ApoER2, and subsequently the cells were transfected with adenoviral particles (1010 particles/ml) encoding ApoER2 constructs24 (link). Twenty-four hours after adenoviral transfection, experiments were performed. Pharmacological inhibition studies were performed using HIF1α inhibitor (1μM, GN44028, TOCRIS), MMP14 inhibitor (10nM, NSC405020, Sigma-Aldrich), or p38 inhibitor SB 202190 (10 μM, Selleckchem) in the presence of NHIgG or aPL (100 μg/ml).