Embryology Flashcards

1
Q

First steps of cellular division after fertilisation

A
  • D1 - fertilisation (acrosomal reaction, sperm pronucleus fuses with female pronucleus)
  • D2 - zygote (2 cell stage)
  • D3 - morula (16 cells stage)
  • D4 - Blastocyst (blastocele cavity forms, surrounded by embryo blast and trophoblast)
  • D6-7 - implantation begins (synciotrophoblast invades the decidua basalis of uterus)
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2
Q

Composition of a blastocyst

A
  • Outer layer: trophoblast – contacts with the endometrium of the uterus to facilitate implantation and the formation of the placenta
  • Inner layer: embryoblast – responsible for the formation of the embryo itself
  • Blastocele - fluid filled cavity providing nutrients to developing blastocyt by diffusion
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3
Q

What does the trophoblast divide to form?

A

Syncitiotrophoblast and cytotrophoblast

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4
Q

What does the embryoblast divide to form?

A

Epiblast and hypoblast, forming a two-layered structure; the bilaminar disk.

The amniotic cavity forms within the epiblast

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5
Q

What happens in implantation?

A

Syncitiotrophoblast invades decidua basalis

This drives the DECIDUAL REACTION

  • hypertrophy of decidual cells and become polyhedral
  • Increased glycogen and lipid deposition by endometrial cells
  • congestion and dilation maternal vessels
  • increased endometrial oedema

Syncitiotrophoblast forms PRIMARY VILLI.
The empty spaces between primary villi are called LACUNAE. Maternal arteries and veins (sinusoids) fuse with the lacunae to form the JUNCTIONAL ZONE. This is the start of the uteroplacental circulation.

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6
Q

How do the 3 germ cell lines develop?

A

GASTRULATION

  • Happens during week 3, from day 15
  • Primitive streak develops in the epiblast in a caudal to cranial direction, and primitive node forms
  • Primitive streak becomes the primitive groove
  • Cells migrate through the primitive groove from the epiblast to the hypoblast, forming 3 layers: endoderm, mesoderm and ectoderm
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7
Q

What structures are derived from the endoderm?

A

Epithelial lining of digestive and respiratory tracts,

Lining of urethra, bladder and reproductive system

Liver and pancreas

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8
Q

What structures are derived from the mesoderm?

A
Notochord (becomes nucleus pulpous of vertebral disks, secretes SHH protein)
Musculoskeletal system
Connective tissues
Muscular layer of stomach, intestine etc
Circulatory system
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9
Q

What structures are derived from the ectoderm?

A

Epidermis of skin
Cornea and lens of eye
Nervous system

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10
Q

Development of the neural tube

A

NEURULATION occurs around day 18.

The notochord stimulates (controlled by SHH protein) formation of neural plate, groove and folds, which then fold in a caudal to cranial manner to create the neural tube (spinal cord).

Neural crest cells migrate from neural plate to to the mesodermal layer to form:
- melanocytes, sympathetic nervous system, sensory ganglia, schwann cells, glial cells, craniofacial skeleton

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11
Q

Anterior neural tube defect results in which condition?

A

Anencephaly, incompatable with life

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12
Q

Posterior neural tube defect results in which condition?

A

Spina bifida, varying severity. Due to failure to close at day 27

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13
Q

Folic acid reduces likelihood of NTD by how much?

A

50-70%

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14
Q

Initial development of the gonads- until indifferent gonad

A

During week 6

  • Urogenital ridge (2 swellings of mesoderm) differentiates to nephrogenic cord (urinary system) and gonadal ridge
  • Migration of primordial germ cells (endodermal origin) from the yolk sac along vitelline duct to the gonadal ridge

Forms the ‘indifferent gonad’ - from germcells (endoderm) and primitive sex cords (mesoderm)

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15
Q

Development of testis

A
  • Y # contains SRY gene
  • codes testis determining factor
  • Stimulates primitive sex cords (mesoderm) to differentiate into straight tubules, seminiferous tubules and rete testis
  • Primordial germ cells migrate from yolk sac along vitelline duct till they join the gonadal ridges
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16
Q

When is fetal placental circulation established?

A

11 weeks

17
Q

How does implantation occur?

A
  • Endometrium in the secretory phase therefore glands present that can secrete glycogen — due to presence of progesterone
  • D12: syncytiotrophoblast secretes enzymes that erode endometrium and HCG to help sustain pregnancy
  • Maternal vessels (spiral arteries and endometrial veins) form maternal sinusoids
  • Syncitiotrophoblasts erode into sinusoids- therefore maternal blood bathes lacunar network to allow exchange of gases/nutrients

= Decidual reaction

18
Q

Role of cytotrophoblasts?

A

proliferates and forms protusions into the syncitiotrophoblast

Primary villi-> secondary villi ->Tertiary villi D21

Reduction in size of villi seen in IUGR/abnormal placentation

19
Q

How does abnormal placentation occur? What is the consequence?

A
  • Failure of trophoblast invasion into endometrium results in inadequate placental lacunae
  • Reduced size of pools of oxygenated blood in sinuses
  • Manifests as FGR and uteroplacental insufficiency. Infarction of placenta may also have similar consequence
20
Q

Causes of abnormal placentation

A
  • Failure of trophoblast invasion
  • Infarction
  • Villitis
  • Vasculopathies