Limb Development Flashcards
Define Syndactyly
The fusion of the digits
Define Polydactyly
Having more than 5 digits
Define Preaxial polydactyly
before the thumb, an anterior defect
Define Post-axial polydactyly
digits after the little toe or finger
What is Cleft foot/lobster claw deformity?
- Cleft between 2nd & 4th metacarpals
* Third metacarpal/phalangeal bones absent
Define Clubfoot
- Inward facing soles
* More common in males, sometimes hereditary
What is Phocomelia?
- Seal like limbs that are seen in patients, typically seen after exposure to thalidomide
- The patterning of the limb is interrupted, the proximal elements are preserved and the intervening elements are missing such as the humorous, radius and ulna.
- The hands are formed almost normally
Name the 3 major axis’ of the hand
On image
Describe the structure of the limb bud
- The limb bud is a simple structure consisting of an ectodermal jacket surrounding a mesenchymal core
- At the distal tip of the limb bud is the apical ectodermal ridge which arises from the ectodermal cells. It runs from the anterior to posterior ridge. It is pseudostratified epithelium, which is formed by the physical movement of the epithelial cells along the distal tip of the limb bud.
- The ridge marks the boundary between the dorsal surface from the ventral surface on the left and right respectively.
What does the ZPA stand for and pattern in the limb?
What happens if we graft the ZPA to the anterior region of the limb bud?
Zona polarising activity - found posteriorly - mesenchymal tissue - patterns limb on AP axis
- Anterior ZPA (zona polarising activity) graft
a. This experiment takes a section of the limb from the posterior margin of the limb bud (mesenchymal portion of the tissue). It is transplanted into the anterior margin of a host limb bud. This leads to a mirror duplication of the outgrowing limb. So we end up with two little fingers forming.
What happens to the limb bud if we flip the ectodermal jackets at the dorsal and ventral poles?
- 180 degree rotation of the ectoderm
a. Here the ectodermal jacket is removed which is rotated 180 degrees so the ventral and dorsal surfaces have flipped. This causes a reversal of the dorsal-ventral axis of the limb. This tell us signals from the ectoderm pattern along the dorsal-ventral axis.
What happens if we remove the apical-ectodermal ridge?
What does this tell us?
a. Pseudostratified epithelium is removed at the distal tip. This leads to the truncation of limb outgrowth and loss of distal structures. This tells us that the apical ectodermal ridge is required for the continued outgrowth and formation of the limb from the limb bud.
Where is the skeleton derived from?
• Skeleton (including girdles) are derived from limb bud mesenchyme
Where are the Tendons, ligaments, fascia, dermis derived from?
• Tendons, ligaments, fascia, dermis also derived from limb bud mesenchyme
Where are the muscles derived from?
• Muscles are derived from myotome of somites
Where are the nerves derived from?
• Nerves from spinal nerves (neural tube)
What are the blood vessels derived from?
• Blood vessels from endogenous plexus and dorsal aorta
What are the Pigment and Schwann derived from?
• Pigment and Schwann cells from neural crest
Describe the origin of the limb bud musculature
- The myotome cells will migrate into the emerging limb buds.
- They will remain in an undifferentiated state because of the expression of a gene called pax3 which keeps them as a myoblast precursor
- Scatter factor causes the migration of the myoblasts into the developing limb bud.
- The cells split into a dorsal and ventral muscle mass that will give rise to extensors and flexors which will then be patterned depending on the limb environment itself.
- Migration of muscle precursors from the myotome of somites
- Splitting of dorsal and ventral muscle masses in the limb bud
- Signals (Scatter factor) from limb induce myoblast (c-Met RTK) migration
- Muscle patterning is dependent on the limb environment
- Pax3 mutation interferes with myoblast migration
How do we know forelimb proceeds hindlimb development?
- The embryo on the LHS has 10 pairs of somites and the wing field has been specified (cell marking experiments have allowed us to see which tissue this will emerge from).
- A few hours later (5), the wing field has migrated upwards because the embryo has extended. In the chick it will always develop between somites 16 and 20.
- A few hours later the leg field has started to emerge, cell tracing experiments tell us this. The bulges in the flank of the chick show us the first morphological changes that give rise to the limbs. Forelimb development proceeds hindlimb development
- The embryo needs to decide where the limbs will actually grow out (along the dorsal ventral axis). Also, the forelimb has a different identity to the hindlimb, these differences needs to be specified.
Once the limb bud has formed what now needs to happen to the axis’
Once the limb bud has emerged it needs to be patterned along the three major axis: the proximal-distal axis, dorsal-ventral axis and what determines anterior-posterior identity