Lecture 3 Flashcards
nondisjunction
error in cell division
- failure of chromosomal pair or 2 chromatids to disjoin
- may occur in maternal or paternal gametogenesis
down syndrome (trisomy 21)
- extra copy of chromosome 21
- decreased alpha fetoprotein (AFP) levels
- error during meiotic division
- varying levels of mental retardation, craniofacial anomalies, cardiac defects, hypotonia, early onset of Alzheimer’s disease
alpha fetoprotein (AFP)
plasma protein produced by the old sac and the liver during fetal life
-though to be a fetal counterpart of serum albumin
menstrual phase
day 1-4, the functional layer is sloughed off
proliferative phase
day 5-14, the functional layer becomes thicker
secretory phase
day 15-28, the functional layer is very thick, the glands are filled with glycogen
ovulation days
~day 14-15
2 functions of the ovaries
- oogenesis- production of oocytes (female gamete)
- steroidogenesis- hormone production (estrogen and progesterone)
2 major events happening in the ovary
- maturation of the follicle
- maturation of the oocyte
what structures are ovulated on day 14?
- oocyte
- zona pellicida- glycoprotein structure surrounding the oocyte
- corona radiata- specialized cells of the ovarian follicle that surround the zona pellucida
what gives rise to the corpus luteum?
granolas cells that stay in the ovary
two systems for dating pregnancies?
- fertilization age
- menstrual age
fertilization age
dates pregnancy from the time of fertilization
menstrual age
dates pregnancy from the woman’s last normal menstrual period.
- the menstrual age of a human embryo is 2 weeks greater than the fertilization age because usually 2 weeks elapse between the start of the last menstrual period and fertilization
fertilization age pregnancy division
- period of early embryo (3 weeks)
- period of embryonic organogenesis (8 weeks)
- fetal period (38 weeks)
menstrual age pregnancy division
3 equally dated trimesters
major events of week 1
- cleavage divisions produce smaller daughter cells
- the morula enters the uterus
- zona pellucid breaks down and a central cavity is formed (blastocele)
- developing embryo is called a blastocyst
embryoblast
development of embryo
trophoblast
involved in maintenance
once the blastocyst attached to the endometrial epithelium the endometrium changes in the following ways
- arteries become elongated and coiled
- uterine glands secrete nutrients (glycogen)
- stromal cells become large and filled with glycogen and lipids
implantation induced the trophoblast to proliferate into
- cytotrophoblast
- syncytiotrophoblast
cytotrophoblast layer
mitotically active, inner layer of cells
syncytiotrophoblast layer
- many functions
- always adjacent to maternal blood supply
- produces human chorionic gonadotropin (hCG)
at the end of weeks 1
- the endometrium has proliferated and is full of blood vessels and glands
- the developing embryo is 7 days post fertilization and has begun migrating into the endometrium (implantation)
what is the period of maximal sensitivity to abnormal development of an embryo
3-8 weeks
embryonic period
-susceptibility to teratogens
-tissues and organs are forming and development of a system can be severely impacted
teratogens
environmental agents that cause congenital abnormalities
most ectopic pregnancies occur in the …
uterine tube/ oviduct
lithopedion
- occurs in less than 2% of pregnancies
- results from undiagnosed advanced abdominal pregnancy
- embryo can grow to fetal size then calcifies
- 40 year old presents with abdominal pain and features of acute intestinal obstruction
complete hydatidiform mole
- fertilization of an empty oocyte by 1 or 2 sperm
- fetus is entirely missing
partial hydatidifrom mole
- oocyte inseminated by 2 sperm
- female pronucleus and 2 male pronuclei combine to form triploid nucleus
- evidence of embryonic development usually found
clinical presentations of partial hydatidiform mole
- abnormally high levels of plasma hCG
- severe nausea and vomiting
- vaginal bleeding
- spontaneous abortion
during week 2 embryo blast reorganize into 2 epithelial layers
- epiblast layer
- hypoblast layer
epiblast layer
-high, columnar cells related to the amniotic cavity
hypoblast layer
small cuboidal cells adjacent to the yolk sac
2 cavities that from during week 2
- amniotic cavity
- primative yolk sac/umbilical vesicle
extraembryonic mesoderm
layer of loose connective tissue that forms between the yolk sac and the cytotrophoblast
chorionic cavity
space formed when the cavities of the extra embryonic mesoderm become confluent and divides the extra embryonic mesoderm into the
- extraemrbyonic somatic mesoderm
- extraembryonic splanchnic mesoder
extraembryonic somatic mesoderm
lining trophoblast and the amnion