Early fetal development Flashcards

1
Q

What is fertilisation age/conceptual age?

A
  • measured from time of fertilisation (assumed to be 1 day after last ovulation, as generally fertilisation has to occur w/in 24h of ovulation)
  • weeks or days post-fertilisation
  • difficult to know time of fertilisation exactly unless IVF
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2
Q

What is gestational age?

A
  • calculated from the time of the beginning of the last menstrual period
  • determined by early obstetric ultrasound comparing to embryo size charts
  • always 14 days longer than fertilisation age bc it goes from start of menstrual period rather than point of ovulation or fertilisation
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3
Q

What is the Carnegie staging system?

A
  • 23 stages of embryo development based on embryo FEATURES, not time
  • allows comparison of developmental rates between species
  • covers window of 0-60 days post-fertilisation in humans
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4
Q

What is the embryogenic stage?

A
  • runs from point of fertilisation to about 14/16 days post fertilisation
  • early embryo established from fertilised oocyte
  • characterised by formation of 2 cell types: pluripotent embryonic cells- contribute to foetus, and extra embryonic cells- contribute to support structures e.g. placenta
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5
Q

What is the embryonic stage?

A
  • runs from about 16 days post-fertilisation to about 50 days post fertilisation
  • establishment of germ layers and differentiation of tissue types
  • establishment of body plan
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6
Q

What is the foetal stage?

A
  • runs from about 50 days to 270 days post fertilisation (~8-~38 weeks)
  • major organ systems now present, although some may be in different place
  • migration of some organ systems to final location
  • extensive growth and acquisition of fetal viability (ability to survive outside womb)
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7
Q

What stages correspond to the first trimester?

A

embryogenic and embryonic stages

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8
Q

What stage corresponds to the second and third trimesters?

A

foetal stage

so transition from embryo–> foetus occurs roughly at end of 1st trimester

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9
Q

What happens in the first few days of life?

A
  • ovulated oocyte, single cell
  • undergoes fertilisation–> becomes zygote
  • undergoes mitotic divisions–> cleavage stage embryos 2-4-8 cell embryo
  • further divisions–> morula (16+ cells)
  • progresses to form blastocyst (200-300 cells)
  • all happens as it migrates along Fallopian tube into uterus
    N.B. zona pellucida present for all these stages^
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10
Q

What is the maternal-to-zygotic transition?

A
  • occurs at 4-8 cell stage
  • before this, none of the genes in the embryo are transcribed and the development/division is dependent on maternal mRNAs and proteins
  • these mRNAs and proteins are synthesised and stored during oocyte development (before ovulation)
  • at transition, embryonic genes get transcribed, increased protein synthesis, and maturation of organelles e.g. mitochondria and Golgi
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11
Q

What is compaction?

A
  • occurs around 8-cell stage or later
  • gives first 2 cell types (inner and outer)
  • outer cells become pressed against zone pellucida–> change from spherical to wedge-shaped
  • tight junctions and desmosomes form between these outer cells, connecting them and forming a barrier to diffusion between inner and outer embryo
  • outer cells also become polarised (apical and basal)
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12
Q

What is the role of the zona pellucida?

A
  • protect early embryo

- prevent polyspermy

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13
Q

What is the structure of the blastocyst?

A
  • contained w/in zona pellucida
  • inner cell mass (from inner cells): gives rise to pluripotent embryonic cells that will contribute to final organism
  • trophectoderm (from outer cells): gives rise to extra-embryonic cells that contribute to extra embryonic structures that support development e.g. placenta
  • blastocoel: fluid-filled cavity formed osmotically by trophoblasts pumping Na+ ions into centre of embryo (water then follows)
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14
Q

What is hatching?

A
  • around day 5-6
  • blastocyst secretes enzymes and cellular contractions weaken a point in the shell
  • -> blastocyst escapes from the zona pellucida shell
  • blastocyst can now implant in endometrium
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15
Q

What differentiation events occur when the embryo has undergone its initial connection with the endometrium (peri-implantation events ~day 7-9)?

A
  1. trophectoderm lineage separates into syncitiotrophoblasts and cytotrophoblasts
    - sycitiotrophoblast is invasive–> invades endometrium and degrades local maternal cells, breaking down capillaries–> so syncitiotrophoblasts are bathed in maternal blood
    - cytrotrophoblast cells continue to divide to provide more syncitiotrophoblast cells
  2. inner cell mass separates into epiblasts and hypoblasts
    - epiblasts will form foetal tissues
    - hypoblasts will form yolk sac (extraembryonic structure)
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16
Q

When does bi-laminar embryonic disc formation occur?

A

around day 12 post fertilisation

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17
Q

What occurs during bi-laminar embryonic disc formation?

A
  • some epiblast cells separate from main block, forming the amniotic cavity–> epiblast cells along the top give rise to the amnion (an extra-embryonic membrane)–> whereas the epiblasts below the amniotic cavity give rise to foetal structures/organs
  • hypoblast remains sitting under the epiblast (the one below amniotic cavity)–> 2-layer disc of epiblast+hypoblast, in the middle between cavities - BI-LAMINAR EMBRYONIC DISC
  • now ready for gastrulation
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18
Q

What cells secrete hCG?

A

syncitiotrophoblasts secrete hCG (detection of beta hCG subunit in blood/urine = pregnancy test)

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19
Q

When does gastrulation occur?

A

during the 3rd week post-fertilisation

20
Q

What is the process of gastrulation?

A
  • generation of 3 primary germ layers
  • around 15 days post-fertilisation, a thickened structure forms along midline in epiblast near caudal end of bilaminar embryonic disc–> primitive streak
  • at cranial end, primitive streak expands to create primitive node, containing primitive pit (circular depression)–> then forms primitive groove
  • epiblast cells migrate inwards towards primitive groove and slip beneath it (invagination), invading hypoblast and displacing its cells–> becomes definitive ENDODERM
  • by day 16, majority of hypoblast= replaced and remaining epiblast cells = ECTODERM, forming most exterior/distal layer
  • some invaginated epiblast cells remain in space between ectoderm + definitive endoderm–> form germ layer MESODERM
  • ectoderm continues to form from cranial to caudal end of embryo until 3 distinct primary germ layers exist throughout whole embryonic disc–> TRILAMINAR DISC
21
Q

What organs/systems does the endoderm give rise to?

A
  • GI tract
  • liver
  • pancreas
  • lung
  • thyroid
22
Q

What organs/systems does the ectoderm give rise to?

A
  • CNS and neural crest
  • skin epithelia
  • tooth enamel
23
Q

What organs/systems does the mesoderm give rise to?

A
  • blood (endothelial cells, red and white blood cells)
  • muscle (smooth, skeletal and cardiac)
  • gonads, kidneys and adrenal cortex
  • bone and cartilage
24
Q

What is the notochord and its role?

A
  • rod-like tube structure formed by cartilage-like cells and substances
  • forms from primitive streak, underneath ectoderm, growing towards cranial end along the embryo midline
  • acts as key ORGANISING centre for embryonic development: releases GF signals important for neurulation (CNS formation) and mesoderm development esp. muscles
25
Q

What is the neural plate and its role?

A
  • area of thickened ectoderm sits on top of embryo
  • signals from notochord (beneath ectoderm) move up through embryo and direct neural plate to form neural groove (neurulation)
26
Q

What is neurulation?

A
  • formation of neural tube and CNS
  • notochord signals neural plate to invaginate–> forming neural groove
  • creates 2 ridges (neural folds), running along cranio-caudal axis
  • neural crest cells are in neural folds
  • then neural folds move together over neural groove–> meet and fuse, forming a hollow tube (neural tube)
  • meanwhile neural crest cells migrate away from neural folds and populate various tissues, differentiating as they go
27
Q

What needs to happen to the neural tube for CNS development to precede?

A

neural tube needs to be closed at both the head and tail end

head end closes first

28
Q

What is spina bifida?

A
  • developmental defect
  • open neural tube at birth
  • usually lower spine due to failure to close tail end
  • varying severity
29
Q

What is anencephaly?

A
  • developmental defect
  • absence of most of skull and brain
  • failure to close neural tube at the head end
30
Q

What structures do cranial neural crest cells give rise to?

A
  • middle ear bones (ossicles)
  • cranial neurones and glia
  • lower jaw
  • facial cartilage
31
Q

What structures do cardiac neural crest cells give rise to?

A
  • aortic arch
  • pulmonary artery septum
  • large arteries wall musculoconnective tissue
32
Q

What structures do trunk neural crest cells give rise to?

A
  • dorsal root ganglia
  • sympathetic ganglia
  • adrenal medulla
  • aortic nerve clusters
  • melanocytes
33
Q

What structures do vagal and sacral neural crest cells give rise to?

A
  • parasympathetic ganglia

- enteric nervous system ganglia

34
Q

What happens when neural crest cells can’t form or migrate normally during embryonic development?

A

leads to diverse birth defects including pigmentation disorders, deafness, cardiac and facial defects, and failure to innervate the gut

35
Q

What is somitogenesis?

A
  • formation of somites
  • blocks of paraxial mesoderm condense and bud off in somite pairs
  • formation of somites starts at head end of embryo and works down towards tail end
  • rate of budding and number of paired blocks are species specific
  • 44 pairs of somites in human embryo and 1 pair formed per 90min
36
Q

What 2 different tissue types do somites initially divide into?

A
  • sclerotome

- dermomyotome

37
Q

What does the sclerotome give rise to?

A

vertebrae and rib cartilage

38
Q

What does the dermomyotome give rise to?

A
  • dermatome: contributes to dermis of skin, some fat and connective tissue of neck and trunk of embryo
  • myotome: forms muscles of embryo
39
Q

What 2 types of folding give rise to the primitive gut and what occurs during these processes?

A
  • ventral folding: head and tail of embryo fold inwards
  • lateral folding: the 2 sides of embryo fold in

–> these processes pinch off part of the yolk sac to form the primitive gut, which is then organised into foregut, midgut and hindgut

40
Q

What does the foregut give rise to?

A
  • oesophagus
  • stomach
  • upper duodenum
  • liver
  • gallbladder
  • pancreas

^endoderm derived

41
Q

What does the midgut give rise to?

A
  • lower duodenum and remainder of small intestine

- ascending colon and first 2/3 or transverse colon

42
Q

What does the hindgut give rise to?

A
  • last 1/3 of transverse colon
  • descending colon
  • rectum
  • upper anal canal
43
Q

When and how does the heart form?

A
  • forms as a tube of mesoderm around day 19
  • beating and pumping blood starts around day 22
  • foetal heartbeat detectable from ~6 weeks gestational age
44
Q

When and how do the lungs form?

A
  • endodermal structure
  • arise from lung bud, which is adjacent to foregut
  • lung bud starts to arise around 4th week of development then splits into 2 at end of 4th week then progressively branches–> bronchi and bronchioles
45
Q

When and how do the gonads form?

A
  • form from mesoderm as originally bipotential structures (not committed to testis or ovary) called gonadal/genital ridges
  • in XY embryos, presence of SRY gene on Y chromosome directs gonadal cells to become Sertoli cells, triggering testis development, Leydig cell formation and testosterone production
  • in XX embryos, absence of SRY gene leads to gonadal cells adopting granulosa/ovarian cell fate–> reinforced by transcription factor FOXL2- essential for ovary development