Early Foetal Development Flashcards

1
Q

what are the different methods of measuring time in embryo-foetal development?

A

fertilisation age

gestational age

Carnegie stage

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2
Q

what is the fertilisation age?

A

(also known as conceptual age)

  1. Measured from time of fertilisation (assumed to be +1 day from last ovulation)
  2. Difficult to know time of fertilisation exactly (unless IVF)
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3
Q

what is the gestational age?

A
  1. Calculated from the time of the beginning of last menstrual period (LMP)
  2. Determined by fertilisation date (+14days) if known, or early obstetric ultrasound and comparison to embryo size charts
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4
Q

what is the Carnegie stage?

A
  1. 23 stages of embryo development based on embryo features not time
  2. Allows comparison of developmental rates between species

Covers the window of 0-60 days fertilisation age in humans

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5
Q

what are the phases of ovarian cycle?

A
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6
Q

stages based on embroylogical development?

A
  1. germinal stage
  2. embryonic stage
  3. foetal stage
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7
Q

what happens during the germinal stage?

A

(14-16 days post-fertilization):

  1. establishing the early embryo from the fertilized oocyte
  2. Determining two populations of cells:
    1. pluripotent embryonic cells (contribute to fetus)
    2. Extraembryonic cells (contribute to the support structures eg placenta)
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8
Q

what happens during the embryonic stage?

A

(16-~50 days post fertilization):

  1. Establishment of the germ layers and differentiation of tissue types
  2. Establishment of the body plan
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9
Q

what happens in the foetal stage?

A

(~50 to 270 days post-fertilization or ~8 to ~38 weeks):

  1. Major organ systems now present
  2. Migration of some organ systems to final location
  3. Extensive growth and acquisition of fetal viability (survival outside the womb)
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10
Q

what are the stages in the first few days from fertilisation to blastocyst?

A
  • Zygote undergoes a series of mitotic divisions (cleavage divisions) to form a 2 cell embryo, 4 cell embryo and 8 cell embryo
  • 8 cell embryo proceeds with further mitotic divisions à morula à blastocyst
  • The zona pellucida (protein shell) that surrounds the embryo is present for all stages
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11
Q

when does the maternal to zygote transition occur?

A
  • Until 4-8 cell stage, the genes of the embryo are not transcribed
  • Embryo is dependent on maternal mRNAs and proteins to get through the first divisions
  • These mRNA and proteins are synthesized and stored during oocyte development (i.e. pre-ovulation)
  • Failure to synthesise, store or interpret these mRNAs and proteins during oogenesis can impair embryonic development.
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12
Q

what occurs during embryo compaction?

A
  • Starts formation of first 2 cell types
  • Around the 8-cell stage or later:
  • Outer cells become pressed against zona
  • Change from spherical to wedge-shaped.
  • Outer cells connect to each other through tight gap junctions and desmosomes
  • Forms barrier to diffusion between inner and outer embryo
  • Outer cells become polarised
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13
Q

what is the composition of the blastocyst?

A
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14
Q

what is required for the blastocyst to implant?

A

must escape the zona pellucida via hatching (day 5-6)

this is done via:

enzymatic digestion

cellular contraction

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15
Q

what occurs during peri-implantation events?

A

(day 7-9)

trophectoderm lineage separates further

inner cell mass separates

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16
Q

what does the trophectoderm lineage separate into?

A
  • trophoblast cells fuse to form syncitiotrophoblast
  • Syncitiotrophoblast invasion destroys local maternal cells in the endometrium
    • Creates interface between embryo and maternal blood supply (breaks down capillaries)
  • cytotrophoblast cells remain individual and divide to provide source of syncitiotrophoblast cells
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17
Q

what do inner cell mass seperate into?

A
  • epiblast: from which the fetal tissues will be derived.
  • hypoblast: which will form the yolk sac (extraembryonic structure)
    • important in gut development and early haematopoiesis
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18
Q

what is the final stage before gastrulation?

A

bilaminar embryonic disc formation

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19
Q

what happens during bi-laminar embryonic disc formation?

A

day 12+

  • Some epiblast cells become separated from the epiblast by the formation of a new cavity – the amniotic cavity.
  • The epiblast cells on the top create a structure called the Amnion
  • These amnion cells will contribute to the extra-embryonic membranes.
  • This leaves a two-layer disc of epiblast and hypoblast, sandwiched between cavities. (bilaminar embryonic disc)
    • This epiblast will give rise to the fetal structures and organs
  • Embryo is now ready for gastrulation
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20
Q

how does a pregnancy test work?

A

detects beta hCG subunit (Human chorionic gonadotropin)

in blood or urine

hCG is secreted by syncytiotrophoblasts

21
Q

what are the cell lineages from the initial morula?

A
22
Q

what is gastrulation?

A

Bilaminar disk differentiates to establish 3 primary germ layers= gastrulation

23
Q

what occurs during gastrulation?

A
  • 13+ days after fertilisation:
  • Thickened structure form along midline in the epiblast= primitive streak
    • Near caudal end of bilaminar embryonic disc
  • The primitive streak divides the major body axis of the embryo including
  • the primitive streak it expands to form the primitive node which contains a circular depression= primitive pit
  • The depression continues along the midline of the epiblast towards the caudal end of the streak= primitive groove
  • Cells of the epiblast migrate inwards towards the streak
    • Detach from the epiblast and slip beneath into the interior of the embryo = invagination
  • The first cells to invade through the primitive groove invade the hypoblast and displace its cells
  • The hypoblast cells are replaced by the new proximal cell layer known as definitive endoderm
  • The remaining cells of the epiblast are known as the ectoderm
    • Forms the most exterior distal layer
  • Some of the invaginated epiblast cells remain in the space between ectoderm and definitive endoderm
    • These cells form a germ layer= mesoderm
  • When the formation of definitive endoderm and mesoderm is complete, the epiblast cells no longer migrate towards primitive streak
  • Through gastrulation the ectoderm continues to form from the cranial to caudal end of embryo establishing 3 distinct primary germ layers
24
Q

what organs form in the different germ layers?

A
25
Q

what is the notochord?

A

organising centre for neurulation and mesoderm development

26
Q

when does the notochord form?

A
  • day 14
  • Notochord is a rod-like tube structure formed of cartilage-like cells
  • Forms along the embryo midline, under the ectoderm
27
Q

what is neurulation?

A

forming the neural tube and CNS

28
Q

what are the steps in neurulation?

A

neural groove formation

neural tube formation

closure of neural tube

29
Q

how does the neural groove form?

A
  • Notochord signals direct the neural plate ectoderm to invaginate forming neural groove
  • Creates two ridges (neural folds) running along the cranio-caudal axis
  • Neural crest cells specified in neural folds
30
Q

what happens once the neural groove is formed?

A
  • Neural folds move together over neural groove
  • Ultimately neural folds fuse, forming a hollow tube (neural tube)
  • Neural tube overlaid with epidermis (ectoderm)
  • Migration of the neural crest cells from folds
  • Neural tube initially open at each end
    • Closure at head end: ~ day23
    • Closure at tail end: ~ day27
    • Closure at head end precedes formation of brain structures
31
Q

what happens on failure of neural tube closure?

A

common developmental defect

  • Anencephaly (absence of most of the skull and brain) arises from failure to close at the head end
  • Spina bifida- open neural tube at birth, usually lower spine due to failure to close tail end– varying severity
32
Q

what are the derivatives of neural crest cells?

A

exoderm derived, plastic and migrate extensively during development

  1. cranial NC
  2. cardiac NC
  3. trunk NC
  4. vagal and sacral NC
33
Q

what do cranial NC differentiate into?

A

cranial neurones, glia, lower jaw, middle ear bones (ossicles), facial cartilage

34
Q

what do cardiac NC diffrentiate into?

A
  • aortic arch/pulmonary artery septum, large arteries wall musculoconnective tissue
35
Q

what do trunk NC differentiate into?

A

dorsal root ganglia, sympathetic ganglia, adrenal medulla, aortic nerve clusters, melanocytes

36
Q

what do vagal and sacral MC differentiate into?

A
  • parasympathetic ganglia and enteric nervous system ganglia
37
Q

what happens in defects of neural crest migration/ specification?

A

diverse birth disorders

pigmentation disorders, deafness, cardiac and facial defects and failure to innervate the gut.

38
Q

what is somitogenesis?

A

segmentation of body axis

formation of somites

39
Q

what do somites arise from?

A

paired blocks of paraxial mesoderm flanking the neural tube and notochord

40
Q

how do somites form?

A
  • blocks of paraxial mesoderm condense and bud off in somite pairs
  • one of each pair on either side of the neural tube
  • Somitogenesis commences at the head end and progresses down the long axis of the embryo
  • Rate of ‘budding’ or appearance of somite pairs is species-specific, as is the number of pairs.
    • Humans 1 pair/90 min, 44 pairs in embryo total
41
Q

what tissues is derived from somites?

A

sclerotome: vertebrae and rib cartilage

dermomyotome which subdivides to form:

  • dermatome: gives rise to dermis of skin, some fat and connective tissue of neck and trunk
  • myotome: forms the muscles of the embryo
42
Q

what does the gut arise from?

A

yolk sac (embryonic structure involved in early haematopoiesis)

43
Q

what is the yolk sac derived from?

A

hypoblast

44
Q

how is the primitive gut formed?

A
  • The primitive gut arises from two types of folding in the embryo:
    • Ventral folding: where the head and tail ends curl together
    • Lateral folding: where the two sides of the embryo roll
  • This pinches off part of the yolk sac to form the primitive gut

Primitive gut is then patterned into foregut, midgut and hindgut

45
Q

what are the derivatives of the primative gut?

A

(endoderm derived structures)

  • Foregut
    • esophagus, stomach, upper duodenum, liver, gallbladder, pancreas
  • midgut
    • lower duodenum and remainder of small intestine, ascending colon and first two-thirds of transverse colon
  • hindgut
    • last third of the transverse colon, descending colon, rectum and upper anal canal
46
Q

how is the heart formed?

A
  • ​Begins as tube of mesoderm around day 19, beating and pumping blood commences around day 22
  • Fetal heartbeat detectable from ~6 weeks gestational age
47
Q

how are the lungs formed?

A
  • Arise from the lung bud, and endodermal structure adjacent to the foregut, in the 4th week of development
  • Lung bud splits into two at the end of the 4th week, and progressively branches through development
48
Q

how are the gonads formed?

A
  • Forms from mesoderm as bipotential (i.e. not committed to testis or ovary) structures known as gonadal/genital ridges
  • 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
  • XX embryos: absence of SRY leads to gonadal cells adopting a granulosa cell fate and ovary development, requires reinforcement by FOXL2