Congenital diseases associated with central nervous system Flashcards

1
Q

What does the neural tube differentiate into?

A

brain

spinal cord

cranial and spinal nerves

eyes and other sensory organs

neural crest

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2
Q

When does neurulation occur?

A

Between weeks 3 and 4

Neural plate initially flat sheet of cells along dorsal portion of developing embryo.

Sheet becomes tube, process driven by secreted signalling molecules.

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3
Q

What is the first step in morphogenesis and closure of the neural tube?

A

Elevation of edges of neural plate to form neural folds. Formation along midline to form the neural groove.

Subsequent stages of development neural folds move towards midline, will oppose and fuse.

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4
Q

Where is the first point where folding occurs? In what directions does closure progress?

A

First point at edge between hind brain and spinal cord.

Closure progresses anteriorly and posteriorly, resembles zip.

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5
Q

What neural tube defects can arise when closure of the neural tube doesn’t occur properly?

A

Craniorachischisis: if very first stage of closing doesn’t occur properly and middle remains open

Anencephaly: opening remains only in anterior portion

Spina bifida: Opening remains in most caudal region of neural tube

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6
Q

What are the five closure points in humans?

First 3 same as in mice.

A

Closure 1 is at edge between hind brain and spinal cord

Closure 2 is at edge between forebrain and midbrain, closure starts a bit later than closure 1.

Closure 3 is in most rostral portion of forebrain, starts a bit later than closure 2. only progresses posteriorly as it is in the rostral tip

Closure 4 more rostrally within hind brain

Closure 5 at posterior portion of neural plate, progresses anteriorly

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7
Q

What is primary neurulation?

A

Gives rise to neural tubes

  • Rolling up of tube
  • Closure is by fold apposition then zipping up
  • Finally at cranial and caudal neuropores
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8
Q

What is secondary neurulation?

A

Tunnelling/hollowing of tail bud, very tip of tube at most caudal region

Primary and secondary neural tubes become continuous, fuse with each other (at sometimes 30-31)

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9
Q

Describe primary neurlation

A

Neural plate, mediolateral axis broad, rostral caudal axis short

shaping: plate narrows along mediolateral axis, extends along rostral caudal
folding: hinge points estabilished along midline of plate, lateral wings fold, edges of plate closure to midline
convergence: edges of plates further opposed to each other via convergence - hinge points in dorsal regions

Folds fuse, complete closure

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10
Q

What are the two main processes for efficient folding of the neural plate in primary neurulation?

A

Shaping of the neural plate occurs by convergence/extension

Tubing requires bending at hinge points

Cell wedging at hinge points: remodelling of microtubules and actin filaments

both processes controlled by planar cell polarity pathway

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11
Q

How does convergence-extension lengthen the neural plate?

A

Occurs during shaping. Lengthening by narrowing. Requires cells to become polarised in the plane of the cell layer.

Cells at edge of tissue intercalate with ones more medially, leads to narrowing of tissue. Tissue elongaes in anterior posterior axis.

From short, broad tissue to long, narrow tissue.

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12
Q

Describe the Wnt-PCP pathway

A

Wnts bind to Frizzled receptors in membrane of cell

Frizzled receptor undergoes confirmational change, triggers response in cell

Celsr and Vangl transmembrane proteins help frizzled to transduce a signal upon interaction with Wnt

Within cell, Dvl 1-3 activated, partcipate in signalling pathway

Downstream, Dvl 1-3 with other proteins leads to regulation of transcription and dynamics of cell cytoskeleton.

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13
Q

What are the different components of the Wnt-PCP pathway?

A

Wnts: secreted signalling molecules - the ligand

Frizzleds: Wnt receptor, transmembrane proteins

Vangl and Celsr: co receptors necessary for signal transduction

Dvl1-3: cytoplasmic proteins, activated upon interaction between Wnts and Fzds

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14
Q

What mouse mutants in components of the Wnt-PCP pathway show neural tube defects?

A

Celsr1-/- (crash)

Vangl-/- (loop tail)

Scribble -/- (circletail)

Dvl1/2

Fzd 3/6

in these cases neural plate is abnormally broad with a non-bending region between neural folds - leading to chraniorachischisis.

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15
Q

What is cell wedging and apical constriction?

A

The mechanism by which hinge points are being formed. Involves change in shape of cells in neural plate so apical side is narrow.

Change in shape lets them work as hinge.

Apical constriction driven by remodelling of cell cytoskeleton at apical cortex of cell.

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16
Q

What environmental factors are associated to NTDs?

A

Maternal diet

  • Vitamin deficiency/malnutrition
    • folate
    • inositol
  • high levels of sugar

Maternal obesity

Diabetes

Hypertermia - mother has gone through high fever during pregnancy

Tetratogenic agents

  • Valproic acid (VPA)
17
Q

What supplement can prevent NTDs?

A

Folic acid supplementation prior to and during pregnancy

4mg folate >5x reduced recurrence risk

Fortification better than supplementation e.g in cereal grain

Up to 70% of NTD can be prevented by folate but there are folate resistant NTDs

Inositol - prevents NTDs in experimental models, currently clinical trials

18
Q
A