Gametes - Multiples Flashcards

1
Q

When does cleavage begin

how does it progress

A

Begins 12 hrs post-fertilisation

zygote divides into 2 cells (mitosis)

2 cell → 4 cell (24 - 36 hrs)

4 cell → 8 cell (36 - 72 hrs)

16 cell

Morula

Blastocyst

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2
Q

for 1st 5 days of life post fertilisation what is the embryo surrounded by

A

Floats around in uterine and oviductal fluid - has huge effect on epigenome - what factors are present

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3
Q

Cleavage via mitosis forms

A

2 cell stage

2 blastomeres with no cellular debris around it

roughly the same size

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4
Q

4 cell stage

A

NO CHANGE IN OVERALL SIZE YET

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5
Q

8 cell stage

A
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6
Q

When does morula develop

when does it enter the uterus

structure

A

72 hrs (3 days) from fertilisation

morula enters uterus after 3 days in oviduct

solid sphere of cells - includes zona pellucida

NO ENLARGEMENT

compaction - formation of tight junctions between blastomeres

totipotency - becomes embryonic stem cells

markers = ecad molecules

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7
Q

effect of compaction on embryo

A
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8
Q

Role of E-Cadherin molecules in compaction of human embryos (markers on morula)

A
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9
Q

Precompaction

A

Low biosynthetic activity

Quiescent - low QO2 (inactivity/dormancy)

Oviod mitochondria (egg shaped)

pyruvate = preferred nutrient

maternal genome

individual cells

identical cells

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10
Q

Post compaction

A

high biosynthetic activity

highly active - high QO2

elongated mitochondria

glucose = preferred nutrient

embryonic genome

transported epithelium

cell differentiation - inner cell mass, trophectoderm

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11
Q

MPN

A

Stops extrusion of 2nd polar body

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12
Q

Blastocyst

how does it form

what characteristic is lost

A

morula enters the uterine cavity - floats freely

  • accumulates fluid and forms a cavity between its cells*
  • once the cavity appears - now called a blastocyst*

loss of totipotency - trophoectoderm, inner cell mass, blastocoele cavity

trophoblasts - will form invading placenta

inner cell mass cells - will form embryo

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13
Q

trophoblasts form

A

Invading placenta

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14
Q

inner cell mass cells

A

form embryo

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15
Q

Blastocyst structure

function of ZP

A

ZP2 and ZP3 - crucial for sperm binding

ZP1 - support (premature hatching without it)

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16
Q

Hatching of blastocyst

A

Series of contractions and relaxations that push the embryo out

17
Q

Twins definition

A

Those born at the same time or of the same pregnancy

18
Q

types of twins

how is this determined

A

fraternal “identical”

conjoined

19
Q

incidence of twins

A

1 in 250

20
Q

incidence of triplets

A

1 in 10,000

21
Q

incidence of quadruplets

A

1 in 700,000

22
Q

what factors increase incidence of dizygotic twins

A

race

age

heredity

prior pregnancy

23
Q

complications for mother for a multiple pregnancy

A

Anaemia

Hydramnios (increase in amniotic fluid)

Preeclampsia (increase in BP)

Preterm labour

Postpartum haemorrhage

Caesarean delivery

24
Q

complications for foetus with a multiple pregnancy

A

Abortion

Malpresentation - foetus may be in breach

Placenta praevia - implantation very low in uterus which blocks birth canal - more common with multiples - more common with mothers who have had 1+ children

abruptio placenta

PROM (premature rupture of membranes)

Prematurity

umbilical cord prolapse

IUGR

congenital abnormalities

25
Q

Average GA at delivery for twins

A

36 weeks

26
Q

average GA at delivery for triplets

A

33 weeks

27
Q

Incidence of preterm delivery in twins pregnancy

A

50%

28
Q

When is surfactant produced

A

week 28

29
Q

how are “identical” monozygotic twins formed

A

single fertilised zygote splits into 2 separate individuals

offspring have “identical” genetic info, however

In contrast to stable genome the epigenome, including various DNA modifications such as DNA methylation, is dynamic and interchangeable in response to various environmental and stochastic events (random)

Using WGS, specific rare somatic mutations - SNPs may occur in one but not the other MZ twin

30
Q

Dichorionic diamniotic

when & where does this occur

incidence

A

Embryo splits before cells begin to differentiate @ 4 days

monozygotic twins will implant as 2 separate blastocysts

separate chorion and separate amnion

in this case they are travelling through the oviduct when they separate

occurs in 1 in ever 4 twin sets

decreased risk of entanglement and twin-twin syndrome that occurs with greater freq in monochorionic twinning

31
Q

Monochorionic diamniotic

when does this occur

associated risks

incidence

A

Embryo splits between days 4-8

twins whill share a chorion (placenta) but have separate amniotic sacs

70% of twins

if the placenta abrupts, both twins will be lost

32
Q

Twin to twin transfusion syndrome (TTTS)

A

Shared placenta so BVs often go between the 2

imbalance of blood flow

1 twin often much smaller

extra blood flow to the other may lead to heart failure

33
Q

physiological processes taking place in the recipient and donor twin in TTTS

A
34
Q

monochorionic monoamniotic

when does it occur

incidence

associated risks

A

embryo split between day 8-13 - they were implanted in the endometrium as 1 and THEN split

share chorion and amnion

only 1-2% of MZ twins occur this way

increased risk of entanglement of umbilical cords - foetal HR is often tested daily to check for this

risk decreases as twins mature and there is less room and less movement

35
Q

conjoined twins

how does this occur

A

on day 13 the embryonic disc (bilayer of epiblast and endoderm) begins to differentiate

if the split occurs AFTER day 13, the twins will share a chorion and amnion

they will also share body parts => conjoined

only monozygotic twins can be conjoined

36
Q

Dizygotic (fraternal) twins

how does this occur

A

multiple sperm fertilised multiple eggs

each offspring is unique in their genetic makeup (no more closely related than any other 2 siblings)

2/3rds of cases

may be of different sex

each foetus has its own placenta and amniotic sac

placentae may be separate or fused

37
Q

factors affecting incidence of DZ twins

A
  • Induction of ovulation - 10% with clomide and 30% with gonadotrophins (in the 1st 1/2 of cycle - GnRH released - FSH and LH released - High levels of progesterone are gone)
  • increased maternal age due to increased gonadotrophin production (Towards the end (perimenopausal) - multiple follicles released)
  • Increases with parity (multiple children)
  • familial - usually on maternal side