Embryology Flashcards
How does one cell become a multicellular body?
Growth
Morphogenesis - development in form and structure
Differentiation - specialisation for function
What occurs in the pre embryonic period?
First 2 weeks of pregnancy
Cleavage - forms morula
Compaction - forms blastocyst with subprocess of cavitation
Implantation begins - once blastocyst forms implantation occurs
What is cleavage and when does it occur?
Cleavage which means splitting and it is the first mitotic division
Cleavage begins 30hrs after fertilisation and results in two blastsomeres of equal size
The mitotic division continues, the cells are smaller than the first mitotic division, every single cell is identical to the original zygote.
What is Totipotent and which cell is totipotent ?
The cell had capacity to become any cell type, the morula in the first week
What occurs in assisted reproductive techniques ?
Oocytes is fertilised in vitro and allowed to divide to the 4- or 8 cell stage
The morula is transferred to the uterus
What is PGD?
Pre-implantation genetic diagnosis, this is when a cell can be safely removed from the morula and tested for serious heritable disease before being transferred into the mother
What is compaction and when does it occur ?
Compaction is the first week and along side cavitation it forms the blastocyst and a cavity within the blastocyst.
What is the blastocyst
Blasto means primitive and undifferentiated
Cyst means fluid filled
The blastocyst contains the trophoblast (outer cell mass), embryoblast (inner cell mass).
What is embryoblast, trophoblast and blastocyst cavity?
Embryoblast is the inner cell mass - it is the group of cells that become the embryo and it is pluripotent
Trophoblast is the outer cell mass- it becomes the supporting cell, tissue and goes on to become the placenta and membranes that support normal human development.
Blastocyst cavity - cavity/space filled with small amount of tissue fluid
What type of cell is produced before compaction and after compaction?
Before compaction - totipotent :capacity to become any type of cell.
After compaction - pluripotent: capacity to become one of many cell types.
What is hatching and when does it occur?
Hatching occurs at week one is the point where the blastocyst hatches from the zona pellucida (thick glycoproteins shell which prevents further expansion and growth)
The blastocyst is now free to expand and interact with the uterine surface, as the cells of the blastocyst can now communicate with the cells of the uterine lining
How many cells does the conceptus have?
The blastocyst has approximately 100 cells and 8 makes the embryo and the rest develop into the fetal membrane.
What happens in fertilisation?
The ovary releases the oocyte and the oocyte travels through the Fallopian tube.
The sperm fertilises the oocyte at the ampulla and now the fertilised oocyte is known as a zygote.
Oocyte is viable for 12-24 hrs
Sperm 3-5 days
What occurs in week 2 and why is it known as the week of twos ?
Differentiation as Two distinct cellular layers occur from the inner and outer cell mass
The outer cell mass forms the
syncytiotrophoblast
Cytotrophoblast
The inner mass forms the bilaminar disk
Epiblast - produces the embryo
Hypoblast - produces the
By the end of the 2 week how does the structure look
Two cavities the yolk sac and the amniotic cavity
Suspended - connecting stalk
Supporting sac - chorionic cavity
Check pg 20 of lecture 1
When is implantation complete
Implantation is when the blastocyst breaches the uterine epithelium and the conceptus implants within the uterine stroma
Mechanical implantation is complete around day 9-10
Implantation isn’t absolutely complete until the 1st trimester
- implantation establishes maternal blood flow within the placenta
- established the basic structural unit of the materno-fetal exchange - the chorionic villus
What condition is linked to implantation defects ?
IUGR
Pre-eclampsia
Ectopic pregnancy
Placenta praevia
Last two are more important as the first two are complex
What is an ectopic pregnancy
Implantation at the site other than the uterine body (most commonly the Fallopian tube)
Can be peritoneal or ovarian
Can very quickly become life threatening emergency
What is Placenta Praevia?
Implantation in the lower uterine segment
Can cause haemorrhage in pregnancy
Requires C-section
What is the embryonic Pole and the Abembryonic pole?
Embryonic pole - rapid development of the syncytiotrophoblast
Abembryonic pole
The primitive yolk sac formed and the hyper blast is lining it
The yolk sac membrane is also in contact with the cytotrophoblast
These all occur at week 2 day 9
Check pg 29
What occurs at week 2 day 11?
The primitive yolk sac membrane is pushed away from cytotrophoblast layer by an acellular embryonic reticulum to create more space
The reticulum later converted to extrembryonic mesoderm by cell migration.
What occurs Week 2 day 12?
The synctiotrophoblast invades the maternal sinusoids (blood vessels) - this allows the conceptual to be bathed in the maternal blood.
Leading to the beginning of uteroplacental circulation
Lacuna becomes continuous with sinusoids
Uterine stoma prepares for support of the embryo
What occurs at week 2, Day 13
The formation of the secondary yolk sac (definitive yolk sac
Pinches off from primitive yolk sac
Check pg 32
How is the chorionic cavity formed and when ?
Spaces within the extraembryonic mesoderm merge to form the chorionic cavity
Week 2 day 14