Early fetal development Flashcards
What is ‘Fertilisation age’?
Also known as conceptual age
Measured from the time of fertilisation
However it is difficult to know time of fertilisation exactly unless its IVF
How is time of fertilisation estimated?
+1 from last ovulation
What is gestational age?
Calculated from time of the beginning of the last menstrual period - LMP
Determined by fertilisation date (+14) if known, or early obstetric ultrasound and comparison to embryo size charts
What is Carnegie staging system?
23 stages of embryo development based on embryo FEATURES rather than time
Covers 0-60 days post fertilization
Why is the Carnegie system good
Allows comparison of developmental rates between specifie
How do we measure time in embryo-fetal development?
Embrogenic stage
Embryonic stage
Fetal stage
What is the embryogenic stage?
14-16 days post fertilisation
establish early embryo from the fertilized oocyte
determine two populations of cells as pluripotent
extraembryonic cells
What is the embryonic stage?
16-50 days
Establishment of germ layers and differentiation of tissue types
Establishement of the body plan
What is the fetal stage?
50-270 days post fertilization or 8-38 weeks
major organ systems now present
Migration of some organs to final location
Extensive growth andacquistion of fetal viability
What stages make up the first trimester?
Embryogenic and embryonic stage
What stages make up the second and third trimester?
Fetal stage
What changes occur in the first few days of life e.g. from oocyte to blastocyte
Ovulated oocyte 1 cells
Fertilisation
Zygote 1 cell
Cleavage stage embryos - 2-8 cells
Morula 16+ cells
Blastocyst 200-300
- during this is migrates from fallopian tube to uterus
What is the maternal to zygotic transition?
The embryo is dependent on material mRNA and proteins to get through first divisions
These are synthesised and stored during oocyte development which is pre-ovulation
Failure to synthesise, store or interpret these mRNAs and proteins during oogenesis can impair embryonic development
So maternal to zygotic transition including:
- transcription of embryonic genes known as ZYGOTIC GENOME ACTIVATION
- Increased protein synthesis
- organelle maturation
What does compaction start?
The formation of the first two cell types around the 8 cell stage or later
WHat does Compaction do?
Outer cells become pressed against zona
Change from spherical to wedge shapes
Outer cells connect to each other through tight gap junctions and desmosomes
Forms barrier to diffuson between inner and outer embryo
Outer cell becomes polarised.
Forms copacted morula and then blastocyst
How does a blastocyst make two cell types?
Inner cell mass : pluripotent embryonic cells
Trophoectoderm : extra embryonic cells that contribute to extraembryonic structures that support development
What does the Zona pellucida do?
Hard protein shell inhibiting polyspermy and protects early embryo
What is the blastocoel?
Fluid filled cavity formed osmotically by trophoblast pumping Na+ ions into cavity
Why is hatching necessary?
Escape of blastocyst from the zona pellucida to allow further growth and implantation
How does hatching occur?
Enzymatic digestion
Cellular contraction from blastocyte
Creates a weak spot and comes out the zone pellucida leaving it empty
How do trophoectoderm lineage separate further?
Trophoblast cells fuse to form syncitiotrophoblast and cytotrophoblast
What do syncitiotrophoblast?
These cells invade and destroy local maternal cells in the endometrium
this creates interface between embro and maternal blood supply
What do the cytotrophoblasts do?
Remain sources to make syncitiotrophoblasts
What does the inner cell mass divide into?
Epiblast : from which fetal tissues will be derived
Hypoblast : which will form the yolk sac
What is the formation of the bi-laminar embryonic disk?
Some epiblast cells get seperated from the epiblast due to the amniotic cavity forming and then become the amnion membrane
The epiblast left below the cavity gives rise to the fetal structures. and the layer below is renamed the hypoblast which becomes the yolk sac
Hence why it is called a bi-laminar disk
What secretes HCG for pregnancy testing?
Syncitiotrophoblasts