Embryology Test 2 Flashcards
What are the four extra embryonic layers?
Amnion
Yolk
Chorion
Allantois
What germ layer is the Chorion from?
Part of fetal maternal interface
What germ layer is the yolk from?
Inner cell mass; hypoblast derivative
Two trophoblastic derivatives of the fetal-maternal interface?
Placenta Chorion
What germ layer is the amnion from?
Inner cell mass: epiblast derivative
Four function of the amnion
- Buffer against mechanical injury
- Accommodate growth
- Allow normal movement
- Protects fetus from adhesions
What germ layer is the allantois from?
Inner cell mass; interfaces with placenta via umbilical cord
What is an excessive amount of amniotic fluid? Liquid amount? What is it associated with?
Hydramnios >2000 mL
Associated esophageal atresia or anencephally
Hydratiform mole is related to what
Paternal imprinting
What is the condition with too little amniotic fluid? Liquid amount? What is it associated with?
Oligohydramnios
Renal agenesis
What does testing A-fetoprotein tell you? What is A-fetoprotein?
High concentration in amniotic fluid is a strong indicator of a neural tube defect -A protein in CNS
Possible Yolk sac functions May concentrate (2)? Relationships (2)? Traces persist as?
May concentrate
- Folic acid
- Vitamin A, B12, E
Relationships
- Site of origin of primordial germ cells
- Location of blood islands
(Origin of initial blood cells)
Traces of yolk duct persists as Meckel’s diverticulum
-Outgrowth of ileum
Blood islands?
Origin of initial blood cells (extra embryonic hematopolesis)
Meckel’s diverticulum?
Traces of yolk duct persist as a fibrous cord or an out pouching of the small intestine
Development of allantoic vessels and relation of allantois to the urinary bladder and median umbilical ligament?
1)Allantoic vessels develop into mesoderm of the allantois 2)Proximal part of allantois= urachus -Associated with the formation of the urinary bladder -Becomes median umbilical lig
Four stages of chorionic villi development?
Previllous embryo Primary villous Secondary villous Tertiary villous
What happens in secondary villous stage?
Mesodermal cores appear within the primary villi
What tissue in the mature placenta interfaces directly with maternal uterine connective tissue?
Cytotrophoblast
What happens in the primary villous stage?
Solid, cytotrophoblastic ectodermal primary villi appear
Anchoring villi?
Villi that are anchored to the cytotrophoblastic shell (as opposed to floating villi)
What happens in the tertiary stage?
Characterized by the appearance of blood vessels within the mesenchymal core of the secondary villi
Chorionic plate (2)
- Mesoderm
Faces away from the chorionic villi and toward chorionic cavity
What happens in the previllous embryo?
No villi have been formed on the trophoblast
Cytrotrophoblastic shells
- Formed by expansion of the cytotrophoblastic columns over the maternal decidual cells
Layers of Embryo (6)
- Chorionic cavity 2. Amnion 3. Chorionic plate 4. Syncytiotrophoblast, Intervillous space, villi 5. Outer cytotrophoblastic shell 6. Decidua capsularis
What maternal tissue is lost at childbirth?
Decidua capsularis
Chorion laevae
Amnion
Fate of decidua capsularis?
Undergoes atrophy Fuses with decidua parietalis
Decidua= shed
Early placenta (4)
Thick
perm low
Small surface area
Total diffusion conductance is miniscule
Late placenta (4)
Thin
Perm high
Large surface area
Large increase in placental diffusion
Bohr effect
Hemoglobin can carry more O2 at low PCO2
- Fetal blood carries more CO2
- Excess CO2 diffuses into maternal [Maternal more acidic, fetal more alkaline]
Increase capacity of fetal blood to combine with O2, decrease for maternal
Shift of oxygen hemoglobin curve to right and downward forces oxygen away from hemoglobin and into tissues
Double Bohr effect
Double shift in the maternal blood and in fetal blood
Human chorionic gonadotropin Timing? Secretion? Targets (2) ? Effects (4) ?
Timing -Measureable 8-9 days -Max: 10-12th week -Lower levels: 16-20th week Secretion -Secreted by the syncytial trophoblast cells into maternal fluids Targets -Corpus luteum & testes Effects 1) Prevents involution of CL 2) Causes CL to increase secretion of progesterone and estrogen 3) Caues increased growth in CL 4) Exert interstitial cell-stimulating effect on testes of male fetus (results in production of testosterone until birth)
Estrogen Timing? Secretion? Targets? Effects (6)
Timing -Towards end of preg. secretion levels are 30x mother’s normal level Secretion - secreted by syncytotrophoblast cells of placenta -placenta estrogen formed from adrogenic steroid compounds: (formed from mother and fetal adrenal glands, converted by trophoblast cells into estradiol, estrone, estriol) Target -external genitla Effects 1) uterine enlargement 2) Breast enlargement 3) Growth of breast ductal structure 4) Enlargement of maternal ext. genitalia 5) relaxation of pelvic log 6) May affect aspects of fetal development
Progesterone Timing? Secretion? Target? Effect (4)
Timing -early by CL -Late in placenta Secretion -Secreted in small quantities by CL (early) -Secreted in large quantities by placenta (late) Targets -Decidual cells, uterus, fallopian tubes, breasts Effects 1) Causes decimal cells to develop in the endometrium 2) Decrease contractility of pregnant uterus 3) Increase secretion of fallopian tubes and uterus 4) May work with estrogen to prepare breasts for lactation
Human chorinic somatomammotropin Timing? Secretion? Target? Effect (3)?
Timing -Beginning 5th week of prey Secretion -Secreted by placenta Target -Mother Effects 1) Decrease insulin sensitivity in mother 2) Decrease utilization of glucose in mother 3) General metabolic hormone
Oxygen pressure gradient
- Mother: ?
- Fetus: ?
Reasons why adequate oxygenation can occur with such a lower pressure gradient (3)
Mother= 50
Fetus= 30
- Fetal hemoglobin has a higher affinity for oxygen
- Fetal blood hemoglobin concentration is aobut 50% greater than maternal
- Bohr effect
What causes limb defects, ear defects, and cardiovascular anomalies a) alcohol b) thalidomide c) retinoic acid
Thalidomide
Respriatory distress syndrome
What?
Incidence?
Fundamental deficiency in?
Condition related to immature lungs where lungs are under inflated, alveoli partially filled with proteinaceous fluid that forms membrane over respiratory surfaces
Incidence inversely proportional to gestational age
Funamental deficiency is in the lack of pulmonary surfactant
Why Hyaline membrane disease
Membrane composed of proteins and dead cell lines that covers the alveoli making gas exchange difficult or impossible
Rh disease consequences
Jaundice (bilirubin) Low muscle tone (hypotonia) Lethargy
Kernicturus
Brain damage from excess jaundice
What causes defects involving a variety of facial structures, outflow of heart and thymus
a) alcohol b) thalidomide c) retinoic acid
retinoic acid
Why no developmental insults during first 3 weeks?
Insults will either kill embryo or be compensated for by powerful regulatory properties
No major structural anomalies after week 8?
By this point, most organs have become well established
Malformation
are primary errors of morphogensis. Usually multifactoral
What causes growth and mental retardation, microcephaly, various malformation of face and trunk a) alcohol b) thalidomide c) retinoic acid
alcohol
Deformation
disturbances in otherwise morphogenetic processes. These are typically caused by abnormal biomechanics forces such as uterine constraints Clubfoot
Disruption
are disturbances in otherwise normal morphogenetic processes. Amniotic bands
Syndrome
are constellations of congenital anomalies that are thought to be pathologically related but cannot be explained on the basis of a single local initiation event -often caused by single event like infection
Critical period
time period during pregnancy where embryos are more susceptible to agents or factors causing abnormal development than at other times
Sequence
is a series (cascade) of events triggered by one initiating factor Oligohydraminos
Fetal alcohol syndrome characteristics
poor postnatal growth
micrcephaly
mental retardation
heart defects
long thin upper lip
epicanthic folds
palpebral fissures
Deficiency in folic acid in pregnagncy lead to what?
Neural tube defects
Fetal Hydrops
what?
common cause
causes x2
Refers to accumulation of edema fluid in teh fetus during intrauterine growth
Hemolytic anemia, incompatibliiyt between mother and fetus
Immune and nonimmune
Immune Hydrop
antigen?
Fetus is?
Blood group incompatibility
D antigen of Rh group
Rh+ fetus
Nonimmune Hydrops
cardiovacular defects such as congenital cardiac defects
anomalies turners, trisomies 21 and 18
Kernictureus
Melanoblasts From? Function (3)
From neural crest Migrate to dermis and then into epidermis Stain with HMB-45 Produce pigment by mid preg
Preeclampsia –> Eclampsia
Definition
Preclampsia (5)
Eclampsia (3)
Pregnancy induced hypertension
Preclampsia
- more serious condition
- blood pressure is higher
- proteinuria
- weight gain
- edema
Edema
- extremely serious
- extreme high blood pressure
- grand mal seizures or coma
Langerhans’ cells From? Function?
Derived from bone marrow Antigen presenting cells
Merkel cells From? Function?
Neural crest Slow adapting mechano-receptors
Induction of ectodermal placode (thickening)
Induction from?
A and B from what causes ectoderm to express C?
D from what causes ectoderm to express E
E and C in ectoderm block F
In interfollicular zones
What blocks wnt
What inhibits follicle development?
Dermal induction
Wnt-11 and FGF from mesoderm cause ectoderm to express NOggin
Eda from mesoderm causes ectoderm to express Edar
Edar adn NOggin in ectoderm block BMP
Dickkopf block Wnt
BMP inhibits follicle development
Wnt-1
Induced Wnt 11
Wnt 11
With FGF cause ectoderm to express Noggin
BMP
inhibits folicle development
Eda/Edar
Eda causes ectoderm to express Edar Edar with Noggin block BMP Edar stimulates expression of Shh
Noggin
With Edar block BMP
Dickkopf
Blocks Wnt
Shh
Formation of dermal papilla below epidermal placode -With Cyclin D1 stimulate further down growth of proliferation of epidermal placodes
Induction dermal papilla
Induction?
Expression of A via the signaling pathway involves B recpetor stimualtes formation of waht below what
- Epidermal induction
- Expression of Shh by Edar stimulates formation of dermal papilla below epidermal placode
Induction of hair germ (3)
Induction?
Various inducers from dermal papilla along with A and B in epidermal placode stimlate further downgrowth of proliferation of epidermal placode
Final differentiaton of hair primordial involves what?
- Dermal induction
- Various inducers from dermal papilla along w/ Shh and Cyclin D1 in epidermal placode stimulate further down growth of proliferation of epidermal placodes
- Final differentiation of hair primordial involves Hox genes
Estrogen
Stimulate growth of duct system
Progesterone
Stimulates formation of secretory alveoli
Prolactin
Stimulates synthesis of milk protein and fat
Oxytocin
Cuases milk letdown
Common pathway
what is induced to enter pathway?
Produces what, which promote?
A stimualtes synthesis of B and C
What is stabilized
- Mesenchyme is induced to enter common pathway 2. Production of N-cadherins which promotes mesenchymal condensation 3. TGF-beta stimulates synthesis of fibronectin and N-CAM 4. Aggregated state of mesenchymal cells is stabilized
Membranous bone pathway
Requires what?
What happens?
- Required transcription factors Runx-2 and Osm 2. Mesenchymal cells differentiate into osteoblasts