Week 2 Embryology 2 Flashcards

1
Q

2 outside layers in the trophoblast during Implantation

A

Cytotrophoblast

syncytiotrophoblast

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2
Q

2 layers in the embryo during implantation

A

Epiblast

Hypoblast

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3
Q

2nd week

A

Implantation
Formation of 2 cavities above and below the bilaminar disc
2 layers in the embryo (epiblast, hypoblast)
2 layers in trophoblast (syncytiotrophoblast, cytotrophoblast

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4
Q

3rd week

A
Extraembryonic Mesoderm (XE)
3rd week, from 2 layers to 3 layers
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5
Q

Extraembryonic (XE) Mesoderm

A

New layer of cells
Derived from epiblast (& yolk sac)
Found between inner lining of cytotrophoblast and yolk sac
Continue to separate embryo from surrounding uterine tissue
New layer will be important in forming the materno-fetal interface (placenta)

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6
Q

Coelom

A

Larger cavity

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7
Q

This gives mechanical and trophic support

A

XE Mesoderm

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8
Q

“Somatic”

A

Body wall, skeletal muscle

-green part of XE mesoderm on drawings

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9
Q

Chorion

A

Fetal contribution to the placenta

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10
Q

Transvaginal Ultrasound

A

Measure diameter of chorionic sac

*beginning of 3rd week can see this on u/s

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11
Q

Time frame early on that you are not susceptible to teratogens

A

Weeks 1 and 2.

dividing zygote, implantation and gastrulation

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12
Q

Time frame for major morphological abnormalities

A

Weeks 3-8

Embryonic Period

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13
Q

Time frame for functional defects and minor morphological abnormalities

A

Weeks 9-38

38 weeks is full term

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14
Q

Embryonic Period

A

All major body systems develop
2D disk to 3D cylinder (take edges of disk and fold to get cylinder)
Folding of the embryo
Craniocaudal folding - CNS (head and tail end fold together)
Lateral folding - amnion/body wall

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15
Q

Cranio

A

head

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16
Q

Caudal

A

tail

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17
Q

Gastrulation

A

Beginning of morphogenesis (development of body form)
Forms a trilaminar embryonic disk
Process that establishes the 3 primary germ layers
These 3 layers give rise to all the tissues and organs of the adult

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18
Q

Morphogenesis

A

Development of body form

Begins to occur during gastrulation

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19
Q

3 primary Germ Layers

A
  1. Endoderm
  2. Mesoderm
  3. Ectoderm
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20
Q

Process that establishes the 3 primary germ layers

A

Gastrulation

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21
Q

Primitive Streak

A

Forms about day 13 or 14
Tail - Caudal end
Narrow line of cells appears on surface of embryonic disk

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22
Q

This is future axis of embryo

A

Primitive Streak

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23
Q

This marks beginning of gastrulation

A

Primitive streak

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24
Q

Buccopharyngeal membrane

A

aka Oropharyngeal membrane

Marks the head end and where mouth will be

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25
The Streak organizes embryo
along a craniocaudal axis
26
Dorsal part of embryo
Epiblast
27
Ventral part of embryo
Hypoblast | frontal
28
Cloacal membrane
In embryo | anus
29
Another possible way to get conjoined twins
Two primitive streaks
30
Elongation of Primitive Streak
Forms from a proliferation of epiblast cells Cells migrate to center of embryo Streak elongates with cells added to the caudal end
31
Primitive node and pit
Towards the middle of the cell
32
Primitive streak
(groove) | Functions like a sieve, allows them to get underneath
33
Heart in embryo
Starts as a hat, above brain, during folding, moves to correct place
34
What becomes mesoderm and endoderm
Epiblast
35
Amniotic endoderm and Primitive Ectoderm comes from
Epiblast NOT hyphoblast
36
If primitive streak doesn't go away by third week...
Teratoma Can have teeth, hair, bone, etc. Since it comes from all 3 germ layers, can contain anything. Removed after birth, can present some issues Ex. can put strain on heart
37
Sacrococcygeal Teratoma
``` Remnants of primitive streak Derivatives of all 3 germ layers 'Common' tumor type in newborn (1:35000) Bizarre mixture of tissue types (all layers) Like spina bifida can do fetal surgery ```
38
Caudal dysplasia - aka
Germ layer problem. Usually fetus is not viable *Mesoderm problem Total or parial failure of development of the lower vertebrae including sacrum. Also known as sacral agenesis, sacral regression, caudal aplasia, caudal regression sequence, sirenomelia - once thought to be all of these.
39
Caudal dysplasia
Caused by abnormal gastrulation Mesoderm migration is disturbed In about 16% of cases (relative risk for a child of a diabetic mother: about 1%)
40
4 classifications of caudal dysgenesis
1. complete absence of the sacrum and lower vertebrae, multiple congenital anomalies and association with maternal diabetes 2. agenesis of distal sacral or coccygeal segments 3. hemisacral dysgenesis with presacral teratoma 4. hemisacral dysgenesis with anterior meningocele
41
Meningocele
Herniation of spinal cord cover
42
Notochord
replaces the primitive streak | Forms in middle layer - Mesoderm
43
Notochord Formation
Migrating cells also form a median column of cells, posterior to head region Originally called the notochordal process Will become the notochord Also called the chordamesoderm (British)
44
Functions of the Notochord
Structure - acts as a rigid axis around which the embryo develops Skeletal - foundation upon which the vertebral column will form Forms part of the intervetrebal discs Induction - will bring about formation of the neural tube (future nervous system)
45
Adult part of the Notochord
The disk part of the spinal cord
46
Chordoma
Primary malignant bone cancer, usually at base of skull or in sacrum Develops from remnants of embryonic notochord Avg age of diagnosis - 49 for skull, 69 for spine Avg survival - 7 years Affects men more frequently than women
47
Clival Chordoma
Benign but invasive skull base tumors arise from bone and often grow through dura. Most can be debulked through an endonasal approach. Because of their invasivness, many require radiotherapy to control further growth.
48
Clival
Brain
49
Primary inductor in embryo
Notochord
50
Notochord induces
Overlying ectoderm to form neural plate --> neural tube. | Tells ectoderm to become the nervous system
51
Induction of the Nervous System
Specific signaling molecules are produced by cells of the notochord that elicit a response in the overlying ectoderm to begin the process of neurulation
52
Induction
Organisms are formed by interactions between cells and tissues When one group of cells/tissues causes another set of cells/tissues to change their fate is called this.
53
When one group of cells/tissues causes another set of cells/tissues to change their fate is called
Induction
54
Inducer
Group of cells or tissues that send signal in induction
55
Responder
Group of cells or tissues that receive signal in induction
56
Cross - talk
During Induction when the Inducer and Responder 'talk' tack and forth
57
Cell to Cell Signaling
Most signaling molecules are proteins synthesized by one cell that diffuses over short distances to contact other cells Growth and differentiation factors (GDFs)
58
GDFs
Growth and Differentiation Factors
59
Neurulation
Specific molecules are produced by cells of the notochord that elicit a response in the overlying extoderm to begin the process of neurulation Separates the ectoderm into two parts * Epithelial (surface) ectoderm * Neural ectoderm
60
Simple definition of neurulation
formation of the neural tube
61
2 parts the ectoderm will be separated into by Neurulation
* Epithelial (surface) ectoderm | * Neural ectoderm
62
4 Steps to Neurulation
1. Thickening of the neural plate 2. Formation of the neural folds and groove 3. Convergence of the lateral margins of the neural plate - Neural crest begins to 'pinch off' of the neural folds and form other structures 4. Fusion of the neural plate to form the neural plate
63
Neural Crest
Migrates extensively to form a variety of structures throughout the body
64
Epithelial Ectoderm
(Surface) Epidermis, hair, nails, tooth enamel, cutaneous glands (sweat, oil, ceruminous), mammary glands, anterior pituitary, lens of eye, inner ear, sensory nasal epithelium
65
Neuroectoderm
Derived from neural plate and neural folds
66
Neuroectoderm Derivatives - Neural tube
CNS (brian, spinal cord), retina, pineal body, posterior pituatary
67
Neuroectoderm Derivatives - Neural crest
Sensory ganglia and nerves of PNS, Schwann cells, adrenal medulla, pigment cells, pharyngeal arch cartilages. Components of the eye, skull, teeth and skin. **Some argue this is the fourth germ layer
68
Some argue this is the 4th germ layer
Neuroectoderm Neural crest
69
Ectodermal Dysplasia (ED) syndromes
Problems with surface ectoderm Group of about 150 heritable disorders that affect the ectoderm, outer layer of tissue in a developing baby. When child has at least two types of abnormal extodermal features, the child is identified as being affected by an 'ED' syndrome
70
Pigmentary Disorders
Neural crest disorders Diseases of melanocyte development, function and survival Ex. Piebaldism, Albinism, Vitiligo
71
Piebaldism
``` Pigmentary Disorder (from neural crest issue) characterized by a congenital white forelock and multiple symmetrical hypopigmented and depigmented areas ```
72
Albinism
Most are autosomal recessive Global reduction or absence of pigment in skin, hiar and eyes or eyes only (ocular) Eye conditions often include: nystagmus, strabismus, light sensitivity due to lack of pigment
73
Ocular Albinism
Affects only eyes
74
Oculocutaneous Albinism
Affects skin, hair and eye
75
Why does albinism have problems with eyes?
Need melanin for muscle, so this causes problem | Ex. nystagmus, strabismus
76
Vitiligo
Pigmentary Disorder Loss of melanocytes Autoimmune disorder Other support for autosomal dominant iheritance with variable expression and incomplete penetrance
77
Forebrain
Prosencephalon
78
Midbrain
Mesencephalon
79
Hindbrain
Rhombencephalon
80
Metencephalon
Pons
81
Myelencephalon
Medulla
82
Pons
Cerebellum
83
Cerebellum
Important for position and movement in space
84
Medulla Oblongata
Autonomic control of nervous system and heart beating
85
Spinal Dysraphism
(NTDs) | When there is a connection from neural and ectoderm
86
Closure of Neuropores
Cranial day 24 | Caudal day 27
87
Anencephaly
aka Craniorachischisis | Cranial doesn't close, can be born alive and live for awhile
88
Iniencephaly
Folding of head goes wrong so spine is hyperextended Extreme retroflexion of head, short/absent neck Facial skin connected directly to the skin of the chest Do not survive.
89
Encephalocele
``` Bones don't fuse so that some of the contents can herniate Cranium bifida Most common in occipital region *Meningoenephalocele *meningohydroencephalocele ```
90
Meningoencephalocele
herniation contains meninges and brain
91
Meningohydroencephalocele
Herniation contains meninges, brain and ventricular system
92
Arnold-Chiari Malformation
Herniation of cerebellar vermis or tonsils through the foramen magnum blocking the flow of CSF *can be associated with neural tube defect, isn't one on it's own
93
Spina Bifida
Failure of closure of Caudal Neuropore
94
4 Types of Caudal Neuropore
1. Spina Bifida 2. S.B. Occulta 3. S.B. Meningocele 4. S.B. Meningomyelocele
95
Spina Bifida
Failure of neural arches to form Spectrum disorder. The lower the defect, the better the outcome Usually: urinary/bowel dysfunction, range of locomotor difficulties and reduced sensation
96
Spina bifida occulta
Arches absent, tube is normal
97
Spina bifida meningocele
Dura and arachnoid also protrude
98
Spina bifida meningomyelocele
Neural tissue also protrudes
99
Dietary and Genetic Affects on NTSs
Daily intake of 0.4mg of folic acid (folate) will decrease 70% of neural tube defects
100
Alpha-fetoprotein Testing
AFP Is produced in the fetal liver. In a fetus with open NTD, AFP leaks across the defect into the amniotic fluid and across placenta into the maternal serum.