Foundations Flashcards
Fetal placental structure that secretes hCG
syncitiotrophoblast
Maternal component of the placenta
Decidua basalis
Energy available to fuel endergonic reactions (anabolic)
glucose > pyruvate > Adenosine triphosphate > Adenosine monophosphate > Adenosine.
Stages of an embryo between conception and an inner cell mass
Zygote -> Morula -> Blastocyst -> Inner Cell Mass + Trophoblast
Deficiency of this gene causes holoprosencephaly
Sonic hedgehog gene - Produced at base of limbs in zone of polarizing activity
Lack of this gene results in short limbs
FGF gene - fibroblast growth factor: produced at apical ectodermal ridge, stimulates mitosis of underlying mesoderm - lengthens limbs
Homeobox (HOX) Genes
- BIueprt for skeletal morphology
- Code for transcription regulators
- Mutation in Homeobox HOXD-l3 synpolydactyly (extra fused digit between 3rd and 4th fuigers)
- Retinoic acid alters HOX gene expression
Surface ectoderm
- Adenohypophysis (from Rathke’s pouch) - Craniopharyngioma - benign Rathke’s puch tumor with cholesterol crystals, calcifications - it didn’t become induced by the notocord
- lens of eye
- epithelial linings of oral cavity, sensory
- organs of ear, and olfactory epithelium
- epidermis
- anal canal below the pectinate line
- salivary, sweat, and mammary glands
Neuroectoderm
- CNS and Brain
- Brain (neurohypophysis, CNS neurons,
oligod en drocy tes, astrocytes, ependymal cells,pineal gland) - retina
- spinal cord
Neural Crest
PNS and non-neural structures nearby (STAMPEDE to heart) “missionaries” of the neuroectoderm
Endoderm
- Gut tube epit helium (including anal canal above the pectinate line) and derivatives
- lungs
- liver
- pancreas
- thy mus
- parathyroid
- thyroid follicular cells
Mesoderm
- Muscle
- bone
- connective tissue
- seroas
- linings of body cavities (e.g., peritoneum),
- spleen (derived from foregut mesentery)
- cardiovascular structures
- lymphatics
- blood
- bladder
- urethra
- vagina
- eustachian tube,
- kidneys
- adrenal cortex
- skin dermis
- testes, ovaries
Mesodermal defects
Mesodermal defects = VACTERL
- Vertebral defects
- Anal atresia
- Cardiac defects
- **Tracheo - **Esophageal fistula
- Renal defects
- Limb defects (bone and muscle)
1 cause of mental retardation in the US
Fetal alcohol syndrome - Even just 1 drink a day can have deleterious effects. NO ALCOHOL WHATSOEVER! Cleft lip, cleft palate.
Relationship between notochord, neural plate, neural tube, and neural crest
- Notochord forms the neural plate.
- Neural plate - gives rise to the he neural tube and neural crest cells
Drugs contraindicated in pregnancy
- Antiseizures: Carbamazepine, Phenytoin, Valproate.
- Antibiotics: Aminoglycosides, Tetracyclines, Fluoroquinolones (cartilage abnormalities), Sulfonamides, Clarithromycin, Chloramphenicol (gray baby).
- Folate Antagonists: Pyrimethamine, methotrexate (kills ectopic pregnancies).
- Miscellaneous: ACE inhibitors, Thalidomide, Diethylstilbestrol (DES) Warfarin (Coumadin)
NCC derivative deficiencies
- Aganglionic colon,
- Albinism (melanocytes),
- Dental abnormalities(odontoblasts),
- PNS abnormalities,
- Abnormalities of bones and skull.
- Thyroid abnormalities from parafollicular (C) cells,
- Adrenal abnormalities from chromaffin cells,
- Disruptions of the aorticopulmonary septum.
Nuclear Lamins
provide the structural framework for DNA and the nuclear envelope
Are responsible for fostering the progression through the cell cycle.
Cyclins and Cyclin-Dependent Kinases
Cyclin-CDK complexes that assist in the progression from G1 phase to S phase
Cyclin D + CDK4 and Cyclin E + CDK2. “D-K4 and E-K2”
“Good 1 Sporting: Dave cycles up K4, Eric cycles up K2”
Cyclins-CDK complexes that assist in the progression of G2 to M phase
Cyclin A + CDK2 and Cyclin B + CDK1
“Good SECOND Mountain (to climb) Alex cycles up K2, Bob cycles K1”
In I-cell disease, there is a deficiency of
- Mannose Phosphorylation - no mannose-6-phosphate to target lysosomal proteins -> secretion out of cell instead of into lysosomes
- Mannose-6-Phosphate is a molecule that targets proteins in the endoplasmic reticulum for lysosomes
- Death by age 8
- (+) corneal clouding, course facies, HSM, skeletal abnormalities, restricted joint movement, +/- MR
Nuclear localization signals contain these amino acids.
Lysine, Arginine, Proline
Granulomatous diseases
- Mycobacterium tuberculosis
- Fungal infections (e.g., histoplasmosis)
- Treponema pallidum (syphilis)
- M. leprae (leprosy)
- Bartonella henselae (cat scratch disease)
- Sarcoidosis
- Crohn’s disease
- Berylliosis
- Listeria
- Foreign bodies
- Wegner’s
- Chronic granulomatous disease
Leukocyte extravasation
- Rolling (selectins)
- Tight binding (integrins)
- Diapedesis (PECAM-1
- Migration (CILK)
C-Reactive Protein
- Acute-phase reactant synthesized by the liver
- Part of the innate immune response: opsonizes bacteria and activates complement clears microbes
- Can be secreted from cells within atherosclerotic plaques to activate local endothelial cells to induce a prothrombotic state and increase the adhesiveness of the endothelium to leukocytes
- Elevations are a strong predictor of Ml, stroke, PAD, and sudden cardiac death
- CRP can be lowered by smoking cessation, exercise, weight loss, and statins
Elevated ESR
- Polymyalgia rheumatica
- Temporal arteritis
- Disease activity in RA and SLE
- Infection, Inflammation (osteomyeliis)
- Malignancy