Embryo Implantation Flashcards

1
Q

Pregnancy

A

Upon fertilisation, pregnancy is initiated when the conceptus has successfully signalled its presence to the mother and continues with the development of one or more offspring, known as the embryo or fetus, in a mother’s uterus

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2
Q

Where does fertilisation occur?

A

In the ampulla region of the fallopian tube

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3
Q

What is a gastrula?

A

Hollow cup-shaped structure having 3 layers of cells in which the germ layers of the embryo form

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4
Q

What are the 3 stages of embryo implantation?

A
  1. Blastocyst apposition
  2. Blastocyst attachment
  3. Blastocyst invasion
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5
Q

What and when is the window of implantation?

A

When the endometrium becomes receptive
Mid-secretory phase
Days 19-23

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6
Q

What is the role of the zona pellucida?

A
  • Supports the communication between oocytes and follicles during oogenesis
  • Protects oocytes, eggs, and embryos during development
  • Regulates interactions between ovulated eggs and free-swimming sperm during and after fertilisation
  • Prevents the pre-embryo adhering to the fallopian tube
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7
Q

What happens to the endometrium during the window of implantation?

A
  • Apical microvilli shortens
  • Loss of surface negative charge
  • Thinning of the thick mucin coat
  • Formation of pinopodes
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8
Q

What is glycocalyx?

A

anti-adhesive gel-like layer formed by MUC1 (heavily glycosylated mucin) which defers blastocyst implantation

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9
Q

What are pinopodes?

A

Cytoplasmic projections arising from the apical surface of the endometrial epithelial cells

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10
Q

What is decidualisation

A

differentiation of elongated, fibroblast-like mesenchymal cells in the uterine stroma to rounded, epithelioid-like cells during the mid-luteal phase of the menstrual cycle

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11
Q

What molecules are involved in blastocyst attachment?

A

LIF, integrins, selectins, E-cadherins

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12
Q

How long is the embryogenic phase?

A

14 days

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13
Q

How long is the embryonic phase?

A

6 weeks

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14
Q

How long is the fetal phase?

A

220 days

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15
Q

What is the role of the decidualised endometrium?

A
  • Protects the embryo from maternal immune rejection

* Regulates trophoblast invasion and placental formation

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16
Q

What is hCG produced by?

A

Trophoblast cells