CDACNS Flashcards

1
Q

What are the closures of the cranial and caudal neuropores?

A

→closure 1,2,3,4 and 5

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2
Q

What are the two modes of neural tube closure?

A

→primary neurulation

→secondary neurulation

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3
Q

What is primary neurulation?

A

→rolling-up of tube

→closure is by fold apposition then “zipping-up”

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4
Q

Where does secondary neurulation occur?

A

→occurs at most caudal region of neural tube

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5
Q

Where do the primary and secondary neural tube become continuous?

A

→Somites 30-31 in human (2nd sacral)

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6
Q

What happens during primary neurulation?

A

→Shaping of the neural plate occurs by convergence/extension

→Tubing requires bending at hinge points

→Cell wedging at hinge points: microtubules & actin filaments

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7
Q

What is primary neurulation controlled by?

A

→Planar Cell Polarity pathway

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8
Q

What does the lengthening process require?

A

→cells to become polarised

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9
Q

What axis does tissue elongation occur?

A

→octagonal axis

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10
Q

What are Vangl and Celsr?

A

→co-receptors necessary for signal transduction

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11
Q

What is Dvl-1-3?

A

→cytoplasmic proteins, activated upon interaction between Wnts and Fzds
→first to be activated

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12
Q

Which pathways can be mutated to show neural tube defects?

A
→celsr1-/- (crash)
→vangl-/- (loop-tail)
→scribble-/- (circletail)
→dvl1/2
→fzd3/6
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13
Q

What associations are to do with PCP genes?

A

→craniorachischisis

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14
Q

What is chraniorachischis?

A

→non-bending region between neural folds

→ Defective convergence/extension and cell wedging

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15
Q

What is cell wedging?

A

→individual epithelial cells by contraction of their apical ends driven by myosin motor proteins acting on actin filaments

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16
Q

Which mutations show associations with craniochischisis and other NTDs?

A

→ PCP genes

17
Q

What causes cell polarity?

A

→ apical and non-apical sides

18
Q

What localises actomyosin to the apical surface?

A

→ Wnt-PCP inn a mediolateral polarised way

19
Q

Give two examples of neural tube defects in humans

A

→ ancephaly

→ spina bifida

20
Q

What is ancephaly?

A

→ cranial neuropore failure

→ perinatal lethal

21
Q

What type of failure is spina bifida?

A

→ caudal neuropore failure

22
Q

What are the 4 types of spina bifida?

A

→ Occulta (unfused vertebral arches)
→ Meningocoele
→ Meningomyelocoele
→ Myeloschisis aperta

23
Q

What are environmental factors associated with NTDs?

A
→Maternal obesity
→ Diabetes
→ Hypertermia
→ Teratogenic agents
→ maternal diet
24
Q

What is a teratogenic agent that can lead to NTD?

A

→ Valproic acid (VPA)

25
Q

How is folic acid deficiency being addressed?

A

→Supplementation dose: 0.4mg/day or 5.0 for pregnant women

→ mandatory cereal grain fortification in USA

26
Q

What are the suggested problems of folic acid supplements?

A

→ B12 deficiency (reduce detection by masking anaemia, allowing neurotoxic complications)

→ promotion of colon polyps to cancer

27
Q

Which NTDS cannot be treated with folic acids?

A

→ folate resistant NTD

28
Q

What is cell polarity controlled by?

A

→ Wnt pathway