Fertilization and Implantation Flashcards

1
Q

What is fertilization?

A

Occurs day 15-16 of menstrual cycle

Allows for recombination of genetic material

Initiation of events that begin embryonic development

sperm will break through the zona pellucida to enter the oocyte

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2
Q

Transportation of the gametes

A

Both sperm and oocyte must travel to the ampulla of oviduct for fertillization to occur

LH surge leads to follicular rupture

Ocum and surrounding corona radiata are ejected into the peritoneum

Oocyte is swept into the oviduct by fimbriae

300 million sperm enter the vagina near the uterus but only about 200 reach ampulla of oviduct

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3
Q

what is the sperm count that makes a male considered infertile, and what helps sperm reach the oocyte?

A

less than 20 million sperm in ejaculate means the male is infertile

Myometrium contractions as a result of increased estrogen near ovulation period helps to move the sperm through the cervix and the uterus

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4
Q

What is sperm capacitation?

A

when sperm enter the female tract, seminal plasma coatings along with some of the surface molecules are removed from the sperm head to expose molecules that will help penetrate the zona pellucida

capacitation leads to hyperactivation of the sperm
that involves a change in flagella movement
-form wave to whip like movements
-allows for detachment from epithelium of the oviduct
-increases mobility
-helps propel sperm through outer layers of egg

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5
Q

what do incapacitated sperm do in the female tract?

A

incapacitated sperm bind actively to epithelial cells of the oviductal isthmus

  • become unbound when they are capacitated
  • binding slows capacitation process
  • binding extends sperm lifespan
  • binding increases the probability the sperm will be in the oviduct when the egg is ovulated
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6
Q

what are the three barriers that must be breached by the sperm for fertilization

A
  • The expanded cumulus (corona radiata)
  • The zona pellucida
  • The plasma membrane of the oocyte
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7
Q

how do the sperm break through the corona radiata and the zona pellucida

A

Radiata cell matrix is predominantly hyaluronic acid and the sperm will digest it with its membrane bound hyaluronidase

Zona pellucida is comprised of glycoproteins ZP1, ZP2, ZP3, ZP4

Sperm contain ZP3 receptors after capacitation and binding of ZP3 receptors will trigger the acrosome reaction

  • inner sperm plasma membrane fuses with outer acrosomal membrane to release contents of acrosomal vesicle
  • the enzymes in the acrosomal vesicle digest the zona pellucida
  • sperm can enter the holes created in zona pellucida
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8
Q

how doe the sperm get pass the plasma membrane of the oocyte?

A

Sperm posses a protein called Izumo
-binds to izumo receptor on the oocyte

Entire sperm enters the egg during fusion, sperm DNA will instantly de-condenses and a membrane called pronucleus forms arowund the DNA

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9
Q

what is the cortical reaction? what is it preventing?

A

Fusion of the sperm and the egg triggers the cortical reaction

  • release of Ca+
  • alteration of ZP proteins to block binding of additional sperm
  • Hyaluronic acid and other proteoglycans, proteinases, released and hydrated
  • zona pellucida forms a physical barrier

all this to prevent polyspermy

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10
Q

Egg activation and the zygote process?

A

Ca+ release stimulates the completion of meiosis II in the egg

  • breakdown of MAPK proteins
  • 2nd polar body released

Egg activation occurs as sperm DNA condenses

Pronucleus forms around female chromosomes

Male and female chromosomes replicate as pronuclei move together

Fusion of the pronuclei initiates the first embryonic cleavage
- signifies beginning of embryonic development

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11
Q

what are the steps of the week 1 embryonic development and at what day are they at each stage?

A

all steps are undergoing cleavage and not so much actual growth of the zygote and therefore the embryo will stay about 100um

embryo reaches 16 cell stage morula at day 3

early blastocyst at day 4

and will implant around days 6-8

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12
Q

what is embryoonic cleavage?

A

individual cells are the blastomeres

Mitotic divisions maintatin the 2N (diploid) complement

Cells will become smaller

the blastomeres are totipotent (can give rise to any cell type even a full embryo)

Embryo will reach 16 cell morula by day 3

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13
Q

What is compactation and blastocele development of the embryo?

A

Outer cells of morula increase cell cell adhesions via desmosomes and tight junctions

  • form trophoectoderm
  • increase Na+ transport and osmosis to form a blastocele

Inner cells become inner cell mass (ICM)

  • will form embryo proper
  • puripotent (can giver rise to most all cell types not full embryo though)
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14
Q

what is the process of blastocyst hatching

A

Hatching of embryo from zona pellucida prior to implantation

Trophoblasts secrete proteases that digest the zona pellucida

Inabillity to hatch can result in infertillity

premature hatching can result in abnormal implantation

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15
Q

what does the blastocyst secrete?

A

blastocyst will begin synthesizing and secreting molecules that promote maintenance of pregancy, promote implantation and placental development

Secretion of immunosuppressive and immunoregulatory factors:
-platelet activating factor, hCG, early pregnancy factor, immunosuppressive factor, pGE2, IL-1a, IL-6, INF-a, lukemia inhibitory factor and colony stimulating factor

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16
Q

what secretes hCG and what is its function?

A

human chorionic gonadotropin is secreted by trophoblasts and syncytiotrophoblasts

measurable in blood 8 days post ovulation and is structure is similar to LH

function:
-prevents the involution of the corpus luteum which will prevent menstruation, and lead to increased secretion of progesterone and estrogen

-autocrine growth factor to stimulate trophoblast growth and development and stimulates placental growth

17
Q

what are the three stages of implantation

A

Apposition
Attachment
Invasion

18
Q

Implanttion: apposition

A

Contact between the endometrium and trophoblasts

typically in a crypt in endometrium

inner cell mass rotation near endometrial eptithelium

19
Q

Implantation: Attachment

A

Trophoblast cells adhere to the luminal endometrial epithelium

interactions between the surface proteins on trophoblasts and epithelial cells

initiates changes in endometrial stroma (decidualization)

  • increased vascular permeabillity
  • intracellular matrix composition
  • stromal cell morphology
20
Q

Implantation: invasion

A

Degradation of endometrial epithelial cells

trophoblasts fusion and formation of syncytiotrophoblasts

  • mulinuclear, multicellular syncytium
  • release metalloproteinases
  • angiogenic factors

Syncytiotrophoblasts protrudes through the basement membrane and reaches endometrial stroma

  • fingerlike projections reach maternal blood supply
  • surface epithelium becomes restored as conceptus invades
21
Q

what are syncytiotrophoblasts and what are their functions?

A

Adhesive, invasive, and endocrine functions:

Express adhesive surface proteins

  • initally bind uterine surface epithelium
  • as the embryo implants, bind to components of the uterine extracellular matrix

Breakdown of extracellular matrix
-secretion of matrix metalloproteases and other hydrolytic enzymes

hCG secretion

  • maintains viabillity of corpus luteum (progesterone secretion)
  • highly steroidogenic at 10 weeks
  • make progesterone at levels to maintain pregnancy independently of the corpus luteum

As implantation and placentation progress, these cells function in phagocytosis and bidirectional placental transfer of gases, nutrients, and wastes

22
Q

Decidualization process

A

Response of the maternal stromal cells to the invasion and progesterone levels

Endometrial stroma is transformed into enlarged and glycogen filled decidual cells

endometrium is now called decidua

  • forms an epithelial like sheet with adhesive junctions that inhibits migration of the implanting embryo
  • produces signals that prevent the embryo from invading the myometrium
  • lead to postpartum hemorrhage
23
Q

Ectopic implantation

A

Implantation other than the uterine fundus
-most common site is the oviduct (tubule pregnancy)

No deciduation

invasion is not controlled and can rupture the tissues and cause hemorrhage

24
Q

Process of Placentation and the villi

A

Spaces appear within the syncytiotrophoblasts called lucunae on day 9

  • break maternal capillaries
  • filled with endometrial secretions, maternal blood, digested matrix for nutrient transfer

Proliferation of syncytiotrophoblasts and cytotrophoblasts to lacunae
-primary villi

Mesenchyme cells from the extraembryonic mesoderm invade the villi (now called chorionic membrane)
-secondary villi

Eventually mesenchymal cells form fetal blood vessels de novo
-tertiary villi