applied embryology Flashcards
What are the pre-requisits for a pregnancy to occur
functioning gametes - viable sperm and mature egg
patent reproductive pathway - vagina, cervix, uterus and fallopian tubes
release of the egg for fertilisation
ovulation - can survive for 1 day once released
picked up by the fimbrial end of the fallopian tube where it waits to meet the sperm
sperm reaching the egg for fertilisation
sperm released into the vagina
has to travel up through the cervix, uterine canal and fallopian tube to reach the egg in order to fertilise it
what happens during fertilisation
sperm enters the egg and unites with its nucleus
what follows fertilisation
organised series of cell division
cell numbers increase and form an early blastocysts ~day 5
embryo then implants into the womb
what is the outer layer surrounding the egg called
zona pellucida
what helps the sperm get into the egg
cap on the sperm head (acrosome) releases hydrolytic enzymes
helps it dissolve the zona pellucida and fet into the perivitelline space
what is the perivitelline space
the space between the egg and the zona pelludica
what occurs in the perivitelline space during fertilisation
sperm binds to the protein receptos an the plasma membrane of the egg and sperm fuse
sperm then releases its nucleus whih enters the egg
what happens once a sperm has released its nucleus into the egg
cortical reaction - egg plasma membrane becomes a tough wall and doesn’t let any more sperm in
what happens if multiple sperm enter the egg
abnormal fertilisation
these eggs aren’t capable of further cell division or pregnancy
what is the first stage in the egg following fertilisation called
pronuclei stage
2 nuclei in the fertilised egg (1 from egg and 1 from sperm)
what stages occur during day 1-5 following fertilisation
day 1 - pronuclei forms 2 - 1st cell division 3 - cell division continues 4 - formation of Morula 5 - blastocyst forms
what is a morula
cells continue to divide and numbers increase rapidly until you cannot count them but they form into a ball of cells - morula
this then organises into a blastocyst embryo
organisation of cells in the blastocyst
2 cell groups:
outer layer - trophoblast, placenta forms from this
inner layer - inner cell mass, this is where the embryo develops
what layer of the blastocyst invades the maternal endometrium
trophoblast
what are the 4 steps for implantation to occur
hatching
apposition
adhesion
invation
what is hatching
blastocyst has to come out of the zona
trophoectoderm cells produce protease to dissolve the zona in preparation for implantation
what is apposition
first connection between blastocyst and endometrium
apposes to microvilli like structure (pinopodes) expressed on receptive endometrium
how does the maternal endometrium become receptive
under hormonal preparation which happens in every monthly cycle
what is adhesion
earliest implantation sign
trophoblast of the blastocyst adheres to the epithelial layer of the maternal endometrium
embyronic tissue starts to actively secrete hCG
what is invasion
trophoblast proliferation and differentiation
crossing of the epithelial BM and invasion of endometrial stroma to form the placenta
uterine spiral arteries remodelled by the invasive trophoblast - placentation starts
what happens with inability to hatch
infertility
premature hatching can result in abnormal implantation in the uterine tube - ectopic
what regulates apposition and adherence
a number of growth factors and cytokines
this all has to happen in sync as well as with hormones for the implantation to happen