Session 3 - Limb development Flashcards

1
Q

What happens to the notochord in development of the embryo?

A

-The remnant of the notochord forms nucleus pulposus of vertebrae as it becomes marooned during vertebral column formation from sclerotome

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2
Q

Where abouts on the embryo do limb buds appear?

A

-Ventero-lateral body

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3
Q

Which limb bud appears first?

A

-Upper limb bud

NB. lower limb bud is about 2 days behind in development

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4
Q

What happens to the distal end of the limb bud after elongation has occured?

A

-It flattens producing the primorida of the hand and feet, ie hand and foot plates

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5
Q

What is a limb bud?

A

-A core of proliferating mesoderm with an ectodermal covering

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6
Q

When do limb buds appear?

A

-By the end of week 4

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7
Q

What is the first step in the development of the limb buds?

A

-Activation and proliferation of somatic lateral mesoderm

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8
Q

What is the apical ectodermal ridge?

A

-A thickened ridge of ectoderm at the apex

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9
Q

What section of mesoderm forms the bones of the upper limb?

A

-Somatic lateral mesoderm

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10
Q

What section of mesoderm makes the musculature of the limbs?

A

-The somites (paraxial mesoderm)

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11
Q

What are the main functions of the AER?

A
  • Drive elongation of the limb bud

- Controls differentiation proximally to distally

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12
Q

How does the AER control elongation and proximal to distal differentiation?

A
  • The AER has an inductive influence on the underlying mesoderm in such a way that it instructs the mesoderm to remain undifferentiated and keep dividing and elongate
  • The proximal mesoderm is too far away to receive signal and thus begins to differentiate
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13
Q

What happens if the AER does not develop?

A

-Elongation of the limb bud will not occur

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14
Q

What happens to the limb bud after it has elongated?

A

-The distal end flattens into the hand and foot plates and the mesenchyme condenses into discrete organisations known as digital rays

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15
Q

What happens to the AER after the hand and foot plates appear?

A

-Organised regression of the AER except over the digital rays

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16
Q

What happens to the digitial rays of hand and foot plates?

A

-Become the bones of the hand/foot through endochondral ossification

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17
Q

What happens to the interdigital spaces between the digital rays?

A

-They become sculped by apoptosis

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18
Q

What happens to the digital rays before ossification?

A

-Elongation driven by the AER

19
Q

Give the postnatal axis of these embryonic axis

i) Anterior
ii) Posterior
iii) Ventral
iiii) Dorsal

A

i) Superior
ii) inferior
iii) Anterior
iv) Posterior

20
Q

What contributes to the formation of the limb buds?

A
  • Somites

- Lateral plate mesoderm

21
Q

What controls dorso-ventral patterning?

A
  • Controlled by the ectoderm

- Dorsal ectoderm produces dorsalising influences whilst ventral ectoderm produces ventralising influences

22
Q

What controls anterioposterior axial development?

A

-The zone of proliferating activity

23
Q

Where is the zone of proliferating activity?

A

-The posterior base of the limb bud

24
Q

What is the function of the zone of prolifeating activity?

A

-Control patterning and maintain the AER

25
Where does ossification begin?
-The proximal limb bud
26
Describe endochondral ossification of the limb bud
- Mesoderm condenses and proliferates producing a cartilaginous model of the bone - Collar of periosteal bone appears in shaft - Central cartilage calcifies and nutrient artery penetrates-> primary ossifcation centre formed - Medulla becomes cancellous bone and cartilage forms epiphyseal growth plates - Epiphyses develop secondary ossification centres - Epiphyses ossify and growth plates continue to move apart, lengthening bone - Epiphyseal growth plates replaced by bone
27
Why are epiphyseal growth plates significant in clinical practice?
-They can look like fractures on radiographs
28
How is the musculature of the limb bud formed?
- Myogenic precursors migrate from somites into limb buds - Precursors coalesce into 2 common muscle masses around the skeleton - Split into individual muscles throughout development
29
How does innervation of the limb bud occur?
- The myogenic precursors bring their innervation with them, ie the spinal roots are pulled into the limb bud - The nerves grow into the common muscle masses and then are pulled into individual muscles
30
What happens if innervation of the limb bud does not properly develop?
-Development of the limb bud stops
31
How are the limbs orientated initially after development?
- Thumb/big toe up | - Elbow/knee out
32
How is the correct anatomical orientation of each limb bud acheived?
- The limb buds rotate as they elongate - Upper limb rotate laterally - Lower limb rotates medially
33
What is a dermotome?
-Strip of skin innervated by a single spinal berve which can be clinically examines
34
What is a myotome?
-Muscle or group of muscles innervated by a single spinal nerve which can be clinically examined
35
Which limb buds are more commonly effected by defects?
-Upper limb bud
36
How common are limb defects?
6/10,000
37
What is the main cause of limb defects?
-Usually hereditary but can be teratogen-induced
38
Give an example of a teratogen-induced limb defect
-Phocomelia -> interfered with development of AER
39
What is syndactyly?
-Fusion of digits (can be by CT or bone)
40
What is polydactyly?
-Extra digit
41
What is amelia?
-Complete absence of a limb
42
What is meromelia?
-Partial absence of one or more limbs
43
Which border of the limb bud is preaxial?
-Thumb/big toe
44
Which border of a limb is postaxial?
-5th digit