T2 review Flashcards
Where does the mesoderm originate and how does it move?
from the epiblast, moves through the primitive streak as bottle cells
What is the pathways of mesoderm development?
originates from epiblast, passes through primitive streak as bottle cells, spreads laterally and establishes a continuous layer between ectoderm and endoderm.
What are the divisions of the mesoderm?
paraxial (segmented somite), intermediate (urogenital), lateral plate (lines limbs and most internal organs).
What forms first, somites or somitomeres?
Somitomeres
When do somites form?
after 20 pairs of somitomeres are formed, somites then form caudal to the 7th pair of somitomeres at the expense of the eighth pair of somitomeres.
How many pairs of somitomeres are kept constant at the caudal end of the paraxial mesoderm?
11 pairs
What is the wavefront mechanism?
opposing gradients of FGF-8 and retinoic acid, controlled by MESP-2, the causes the differentiation of somites, called somitogenesis.
What is the segmentation clock?
leads to the pattern for the somite formation.
What are the TF in segmentation clock?
Lunatic fringe and C-hairy, which are TF on Hox genes, and the receptors are EphA and EphB
What are the proteins that result in the fissure between the two adjacent somites.
Cells at anterior expressed EPHA, the receptor.
Cells at the posterior express EPHB, the ligand.
What divides the borders between adjacent somites?
Lunatic fringe (anterior - Eph A) and C hairy (posterior - Eph B)
What is the TF involved in differentiation of the ventral part of the somite?
shh
What is the TF involved in differentiation of the dorsal part of the somite?
wnt
What separates dermomyotomes into dorsal and ventral myotomes?
Pax 3, Pax 7, and paraxis
Dermomyotomes differentiate into what two things?
dermis and skeletal muscle
What inhibits BMP-4
noggin
Hox genes are involved in what?
cranial/caudal differentiation
What does intermediate mesoderm respond to?
BMP and activin
What does intermediate mesoderm express
Pax2
What type of mesoderm is associated with pronephros and mesonephros?
intermediate mesoderm
Cells migrating through the anterior primitive streak form what?
form outflow tract (vena cava and aorta)
Cells migrating through the middle primitive streak form what?
form ventricles
Cells migrating through the posterior primitive streak form what?
form atria
What cells form the cardiac crescent?
cells migrating through the anterior, middle, and posterior primitive streak.
What signaling molecules cause the formation of the cardiac crest?
BMPs and FGFs
From what does the cardiogenic plate arise?
Splanchnic mesoderm
proepicardium primordium is the source of what non cardiac cells?
pericardium and myocardial fibroblasts
Why is the oropharyngeal opening formed?
Because there is contact between the ectoderm and endoderm with no mesoderm in between them.
The lack of mesoderm forms the oropharyngeal opening.
Initial signaling for endoderm formation occurs during gastrulation and depends on what?
nodal, signaling molecule.
What are the three circulatory arcs of the 4 week embryo?
Vitelline, allantoic, and embryonic
All extraembryonic tissues have what germ layer?
mesoderm
Amnion and chorion consists of what germ layers?
Mesoderm and ectoderm
Yolk sac and allantois consists of what germ layers?
Endoderm and mesoderm
What are the characteristics of the previllous embryo?
no villi
What are the characteristics of the primary villous embryo?
ectodermal
What are the characteristics of the secondary villous embryo?
mesodermal
What are the characteristics of the tertiary embryo?
appearance blood vessels
What are villi that are anchored to the cytotrophoblastic shell?
anchoring villi
Villi increase what?
surface area
The lumen of the uterus is called what?
decidua parietalis, comes from lateral plate mesoderm.
What are the functions of the placenta?
diffusion of oxygen and carbon dioxide, diffusion of foodstuffs, excretion of waste products.
What are the characteristics of the early placenta?
Thick, permeability low, small surface area, and diffusion conductance is minuscule.
What are the characteristics of the late placenta?
Thin, permeability high, large surface area, and large increase in placental diffusion.
What is the PO2 of the mother and fetus near the end of pregnancy?
50 and 30, respectively
What is the reason why adequate oxygenation can occur with such low pressure gradient?
Bohr effect
When is HCG measurable?
8-9 days after ovulation
What is HCG secreted by?
syncytial trophoblast cells (into maternal fluids)
When is the maximal secretion of HCG?
10-12th week of pregnancy
What is the function of HCG?
Causes corpus luteum to increase section of progesterone and estrogens.
What is the main source of progesterone?
The placenta
What are the functions of progesterone?
Causes decidual cells to develop in the endometrium
Decreases contractility of pregnant uterus
Increases secretions of fallopian tubes and uterus
May work with estrogen to prepare breasts for lactation
When does HCS begin to be secreted?
beginning of week 5
What are the functions of HCS?
to get glucose to fetus.
Causes decreased insulin sensitivity and decrease utilization of glucose by mother.
General metabolic hormone
The placenta is highly permeable to alcohol and excessive ingestion can produce what defect in the fetus?
Fetal alcohol syndrome
What happens in erythroblastosis fetalis?
hemolysis of fetal RBC
What is hydrops fetalis?
edema in fetus. water accumulation in fetus
Placenta previa?
abnormal implantation of the embryo, causing a mechanical block of the birth canal. This is a “disruption”
Hydatidiform mole?
Swellings of the chorionic villi, caused by maternal imprinting.
Malformations?
primary errors of morphogenesis. they are usually multifactorial, involving etiological agents including genetic and env factors.
Disruptions?
disturbances in otherwise normal morphogenetic processes. Ex amniotic bands
Deformations?
disturbances in otherwise normal morphogenetic processes. Typically cases by abnormal biochemical forces such as uterine constraints. Ex clubfoot
Sequences?
a series (cascade) of events triggered by one initiation factor. Ex is oligohydramios (decreased amniotic fluid) which leads to a variety of events, including fetal compression and other problems stemming from the fetal compression.
Syndromes?
constellations of congenital anomalies that are thought to be pathologically related but cannot be explained on the basis of a single local initial event, but are often caused by a single event.
Turner’s syndrome
One X.
Female with underdeveloped sex characteristics, low hairline, broad chest, folds on neck, usually sterile, usually of normal intelligence.
Poly X syndrome
Several X (XXX) Usually tall and thin, often fertile, most have normal intelligence.
Thalidomide
No or malformed limbs
Alcohol
Fetal alcohol syndrome
Retinoic acid
incorrect hox gene differentiation
Folic acid
anencephaly and spina bifida
What are maternal factors resulting in fetal growth restrictions?
Preeclampsia, chronic hypertension, maternal use of drugs/alcohol/nicotine, and maternal malnutrition.