3: Embryology Flashcards

1
Q

What are the cellular processes that happen in embryology?

A

They overall function the exact same as other cells

Everything also happens via

  • proliferation
  • differentiation
  • reorganisation and
  • apoptosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happes during the first two month of human development?

A

Mainly lay down of all important organs

After 8 Weeks: mainly growth and elaboration of the structures that develop during the first two months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens to the fertilised egg in the Preimplantation state?

A

Preimplantation about 6 days

  1. Serious of cleavage –> Every time doubeling the cell number
  2. Egg develops into a Morula (=ball of undifferentiated cells)
  3. Differentiates so outer cells differ from inner cells
  4. Develops into a Balastocyte
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Explain the structure of a Blastocyst

A

structure that has an

outer layer of trophectoderm (surrounded by zona pellucida)

, an inner cell mass,

and a fluid-filled cavity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When does implantation take place?

How does is happen?

A

The blastocyst seperates from outer zona pellucida and merges with the uterine lining (finished at day 10)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How does a Blastocyst differentate further (during implantation)?

A

The inner cell mass ot blastocyte becoms a bilayer disk, composed of

  • hypoblast and
  • epiblast cells

–> This bilayer disk gives rise to all the tissues of the human fetus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is gastulation?

When does it occur?

A

14-18 days postfertilisation

which converts the bilayer of hypoblast and epiblast cells into a trilaminar embryo,

containing the three layers of Germ Cells

  • (Ectoderm,
  • Mesoderm and
  • Endoderm),
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Explain the process of gastrolation

A
  1. Epiblast cells proliferate and differentiate to form mesoderm cells
  2. These cells move to space between hypoblast and epiblast
  3. Mesoderm Cells differentiate and replace the hyoblast cells with endoderm cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What kind of tissues to mesoderm cells differntiate?

A

muscles, blood, skeleton, heart and kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What kind of tissues to ectoderm cells differntiate to?

A

Skin and CNS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which tissues to endoderm differentiate to?

A

Into

  • Gut
  • Lung
  • Liver

But: Muscular and vascular tissue are generally of mesodermal origin, so tissues are normally a mixture of germ layer types (e.g. muscle in the skin and gut).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is Neurolation

What is it controlled by?

A

It is formation of the Neural tube (Brain + Spinal Chord) controlled by the Notocord (in the mesoderm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the earyl process of neurolation

A
  1. Development of the neural plate
  2. It develops two folds
  3. They grow and meet over the neural groove
  4. to form the neural tube
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When does the neural tube close?

A

Closing continues in Week four

  • Cranial End about 22 days
  • Rostral End about 23/24 days
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Explain the process of embryological folding

When does this happen?

A

3-4 Weeks

  • Tissues fold laterally and fuse in the ventral midline
  • In anteroposterior direction
  • Folds the primordial germ cells (PGCs) from caudal end into hindgut and heart progenitor cells under head of embryo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the state of the embryo at the End of Week 4?

A

Precursor of all internal organs have been laid down

External structures start to develop

16
Q

As overview: what happens during Month 2 of embryological develompent?

A

Mostly elaborate the tissues formed in first weeks

  • urogenital
  • cardiac
  • facial
  • lung development

+

  1. Limbs
17
Q

Summarist the embryological development of the limbs

A

Occurs over a number of weeks

  • Forelimb bud appears at d27/8
  • Hindlimb bud at d29
    • Grow out from lateral plate mesoderm rapidly under control of special signalling regions (+rotation etc)
    • Fully formed and patterned by d56.
  • develop further (finger differentiation)
18
Q

What controlls the pattern of digit development?

A

By the sonic Hedgehodge SHH protein in the:

The ZPA = Zone of Polarising activity

19
Q

Explain the use of thalidomide (historically and present) and its complications

A

Historically: was used as treatment against morning sickenss in first trimester of pregnancy –> caused many deformations (not just limbs but also more organ systems)

  • Now: As cancer treatment+ against leprosy
  • it damages developing blood vessels, thus depriving the adjacent cells of nutrients and preventing their proper growth and development –> most seen in upper limb development
20
Q

Summarist the development of the kidneys?

A

Closly interconected with genital formation

  1. Will develop from urogenital ridge in Mesoderm at around Week 4
    1. Pronephrons
      1. Week 4
      2. in cervical region of embryo
      3. get degraded around Week 6
    2. Mesonephrons
      1. develops caudally to pronephrons
      2. Month 2
    3. Metanephrons
      1. adult type of Kidney
      2. Apperars in 5th week of kidney, fully functional at 12th week
      3. Ascent from pelvic region to abdomen

–> Sequential development and degradation of pronephrons, mesonephrons and metanephrons

21
Q

Summarise the development of the gonads

A

Develop from: The gonads arise from intermediate mesoderm within the urogenital ridges of the embryo

  • The genital ducts arise from paired mesonephric and paramesonephric ducts (up to 7 Weeks: no differentiation)
  • Differential development of the male reproductive system is dependent on the activity of sex-determining region Y (SRY) protein, coded for by the SRY gene on the Y chromosome.
  • The mesonephric ducts give rise to MALE genital ducts
  • The paramesonephric ducts give rise to FEMALE genital ducts
22
Q

Explain the formation of the male reproducitve system

A
  1. Primordial germ cells migrate to the genital ridge on the nephrogenic chord (intermediated mesoderm)
  2. Form gondads, attached to mesonephric duct (Wolffian)
  3. surrounded by paramesonephric duct

​Up to this point: sex is indistinguishable

Then

  1. SRY+ (on y chromosome)
  2. Maternal hCG binds to leydig cells –> induction of production of testosterone and Anti-mullerian Hormone
    1. AMH= regression of mullerian (paramesonephric) + formation of wolffian (mesonephric) system
  3. External Genitalia: Tostesterone
23
Q

Explain the formation of the Female reproductive system

A
  1. Primordial germ cells migrate to the genital ridge on the nephrogenic chord (intermediated mesoderm)
  2. Form gondads, attached to mesonephric duct (Wolffian)
  3. surrounded by paramesonephric duct (Müllerian system)

Up to this point: indistinguishable

  • Absence of SRY- and Testosterone
  • formation of female tract of the pararmesonephric ducts and female external genitalia
24
Q

What are the main causes that might lead to abnormal development of the male reproductive system?

A
  1. inability to produce Testosterone/ AMH (anti-mullerian hormone)
  2. inability of tissues to respond to the stimmuli
25
Q

Name examples of disorders of the reproductive system

A
  1. Androgen Insensitivity Syndrome Variable phenotypes
    • genetic mutation in androgen receptor
    • external genitalia: female
    • Internal genitalia
      • mesonephric (Woolffian) ducts are rudimentary/ lacking
      • no descending of testicles
      • But: AMH normal: no female structures possible
  2. Congenital Adrenal Hyperplasia
    • enzyme deficiency (endo) of cortisol production
      • high ACTH
      • overstimmulation of adrenals
      • androgen production
    • Partial virilisation of the external genitalia
    • Internal genitalia: female
26
Q

Summarise the embryological development of the heart

A
  1. two heart tubes form which fuse to give rise to
  2. single heart tube (21 days post fertilisation)
  3. Complex Looping/Folding of Heart
    4.
27
Q

Explain the fetal circulation

A

Blood recieved from umbilical chord

goes through ductus venosus into IVC

to Right atrium

can go to left atrium via foramen ovale

Ductus arteriosum connects “pulmonary artery” directly to aorta

28
Q

What are the most common cardiac abnormalities in developmen

A

Relativly common but can be severe

  • often structual –> can be cured by surgery
  • Most important: Septal defects
  • But rare but might also occur: transposition of blood vessels
    • e.g. aorta attached to right ventricle, pulmonary artery attahced to left ventricle
29
Q

Explain the time and formation and risk factors of spina bifida

A

Defect in closing of neural tube (around day 21/22)

Occurs early in development

–> Many cases can be prevented with supply with folate acid

30
Q

What is anencephaly?

When does this developmental defect originate?

A

No closure of the anterior neuropore

–> open skull and lack of part of the brain

Also at around 22 after fertilisation

31
Q

Summarist the process and timing of embryological facial development

A

Most structures are formes in first 5 Weeks (bilaterally!

Migrate and meet in centre (over a period of about 5 Weeks)

  • Movement thought to happen via
    1. Cleft formation and loss of tissue
    2. Filling of cleft with migrating tissue
32
Q

Explain the formation of a cleft lip

A
  1. Usually unilateral upper lip and palate
  2. Might be bilaterally (cleft lip)
  3. Or symmetrical (palatine cleft)
    1. because of the way they come together (picture)
  4. Developmental Error about Week 10
33
Q

Identify the five stages of lung development and Identify the changes in structure that occur in these stages.

A
  1. Embryonic
    1. Bronchi form
  2. Pseudoglandular
    1. Bronchioles and terminal bronchioles form
  3. Cannicular
    1. Respiratory bronchioles form
  4. Saccular
    1. alveolar ducts form
  5. Alveolar stage
    • alveolar sacs form
34
Q

When does surfactant production start?

What is its role in delivery and delivery of premature babies?

A

Production begins in early 3rd trimester of pregnancy and increases

  • production needed for normal lung function at birth
  • Can be accelerated by glucocorticoid injection
  • ofte therefore: preterm babies suffer from lung complications (low surfactant production)
    • might lead to Respiratory Destress syndrome
      *