Lower Limb Development Flashcards

1
Q

When is the trilaminar disc stage?

A

17 days

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2
Q

Which core tissue are the limb buds derived from?

A

Lateral plate mesoderm (covered by ectoderm)

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3
Q

What are the limb buds?

A

Outpouchings from ventrolateral body wall

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4
Q

What does the mesoderm core differentiate into and what does this form?

A

Mesoderm to mesenchyme to bones and connective tissue of limbs

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5
Q

Where is the paraxial mesoderm situated in the trilaminar disc stage?

A

Lateral to notochordal process, medial to intermediate mesoderm and even more medial to paraxial mesoderm.

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6
Q

What does the paraxial mesoderm form?

A

Somites either side of neural tube

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7
Q

What two parts do somites differentiate into?

A

Sclerotome ventrally and dermomyotome dorsolaterally

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8
Q

What does sclerotome form?

A

Vertebral column

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9
Q

What does dermatome and myotome form?

A

Dermatome forms dermis of skin, myotome gives rise to skeletal muscles.

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10
Q

What 2 components does the myotome differentiate into?

A

Dorsal epimere and ventral hypomere

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11
Q

What does dorsal epimere differentiate into?

A

Back muscles innervated by dorsal rami of spinal nerves

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12
Q

What does ventral hypomere differentiate into?

A

Muscles of thoracic and abdominal walls and muscles of limbs which are innervated by ventral rami of spinal nerves

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13
Q

What vertebral levels does the limb skeletal muscle from the adjacent hypomere arise from?

A

Upper limb buds - C5-8. Lower limb buds - L3-5.

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14
Q

Which muscles do the two condensations of the limb buds divide into?

A

Anterior condensation = flexors of upper and lower.

posterior condensation = extensors of upper and lower.

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15
Q

Which branches of the ventral primary rami of spinal nerves supply upper limb buds?

A

Brachial plexus = C5-T1

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16
Q

Which branches of ventral primary rami supply lower limb buds?

A

Lumbosacral plexus = L4-S3

17
Q

What are the three axes by which the limb develops in patterning?

A

Craniocaudal, proximodistal (from shoulder to hand) and dorsoventral

18
Q

What does the lateral plate mesoderm secrete and what does this induce?

A

FIbroblast Growth Factor (FGF 10) which induces thickening of overlying ectoderm along tip of limb bud to form AER (apical ectodermal ridge)

19
Q

What does AER secrete and what do they do?

A

FGF 4 and FGF8 which cause proliferation of mesenchymal cells underlying AER (progress zone).

20
Q

What does the progress zone do?

A

Maintain proximodistal growth of limb bud.

21
Q

What does ectopic FGF induce?

A

Supernumerary limbs

22
Q

Which region of mesenchyme determines the craniocaudal axis?

A

ZPA - zone of polarising activity

23
Q

What is expressed in ZPA?

A

SHH - Sonic hedgehog

24
Q

In what direction does SHH diffuse?

A

cranial

25
Q

If there is a high/low concentration of SSH what structures will be induced?

A

high = caudal e.g. little finger, low = cranial e.g. thumb

26
Q

For dorsoventral patterning, what do dorsal and ventral ectoderms express?

A

dorsal = Wnt7 and ventral = ENgrailed-1 (which inhibits Wnt7

27
Q

What gene does Wnt7 activate?

A

LMX1 which is essential for specifying development of cells that become dorsal structures.

28
Q

When does digit formation take place and how?

A

week 6, by apoptosis in AER.

29
Q

What is amelia?

A

complete absence of limb. very early failure of FGF signalling/AER. Progress zone does not develop & there is no proximodistal outgrowth.

30
Q

What is meromelia?

A

Partial absence of a limb. Partial loss of FGF signalling/AER disruption. Vascular abnormalities may be responsible.

31
Q

What is phocomelia?

A

very rare- digits develop normally, proximal elements of limb absent. Associated with thalidomide (which inhibits FGF 10 and 8 and angiogenesis).

32
Q

What is cleft foot?

A

‘split’ hand/foot. failure of AER to form properly.

33
Q

What is syndactyly?

A

= fused digits, failure of AER to apoptose.

34
Q

What is polydactyly?

A

= extra digits. In mirror image fashion, ectoptoc SHH involved.

35
Q

What is nail patella syndrome?

A

shortening of nails, affects thumb most. also small kneecap. Due to LMX1B gene which is essential for dorsoventral patterning.