Embryo Block 1
Terms
undefined, object
copy deck
- What is gestational age?
- - calculated from first day of menstral cycle (LNMP)
- What is conceptional age?
-
- calculated from day of fertilization
- 2 weeks less than gestational age - What is expected date of delivery?
- - add nine months and 7 days to LNMP (gestational age)
-
Embryo
Fetus
Neonate
Infancy -
1. 1st to 8 weeks
2. 9th week onwards
3. First 28 days after birth
4. First year of life - What is gametogenesis?
- Conversion of primodial germ cells into mature male and female gametes via meiosis and cytodifferentiation
- Development of Primordial germ cells?
- Yolk sac --> gonadal ridge (dorsal body wall)
- What do primordial germ cells induce?
- - primary sex cords which lead to male and female gonads
- What happens if primordial ger cells don't migrate to the gonadal ridge?
- - they form tumors
- When are the gonads indifferent?
- - before 7 weeks
- What is sex determined by?
- - SRY gene on the short arm of the y chromosome
- What does the SRY gene code for?
- - Testis Determining Factor
-
1. N number
2. Ploidy -
1. number of like or homologus DNA strands
2. number of like or homologus chromosomes - Aneuploidy
- - one or a few chromosomes above or below the normal number
- Where does Meiosis occur?
- - in the germ cells
- What are the products of meiosis?
- - 4 gametes with 23 chromosomes and 1N DNA
- What are the stages of Meiosis 1?
-
- synapsis: pairing of 4 homologous duplicated chromosomes
- crossing over: exchange of segments of DNA
- alignment: 46 chromosomes separate from each other
- cell division: 2 secondary gametocytes are formed (23, 2N) - What are the stages of Meiosis 2?
-
- No synapsis and crossing over
- alignment: 23 duplicated chromososmes align at metaphase plate
- Disjunction: 23 chromosomes separate to form 23 sing chromosomes
- Cell division: 4 gametes (23 single chromosomes, 1N) - Stages of spermatogenesis
-
1. Spermatocytogensis
2. Meiosis
3. Spermiogenesis - When do primordial germ cells arrive at the gonads?
- - Week 4
- How long to primordial germ cells stay dormant in males?
- - week 4 - puberty
- What happens to primordial germ cells at puberty in Males?
- - differentiate into type A spermatogonia
- How do Type A spermatogonia form Type B spermatogonia?
- - via mitosis
- What do Type B spermatogonia give rise to?
- - primary spermatocyte
- What do primary spermatocytes do?
- - undergo meiosis to form secondary spermatocytes
- What do secondary spermatocytes give rise to?
- - 4 secondary (halploid) spermatids which give rise to mature sperms
- What is spermiogenesis?
- - from late spermatid to spermatozoa
- What is sperm capacitation?
- - capacity to fertilize an oocyte
- Where does capicitation occur?
- - Female genital tract
- How does capacitation occur?
- - removal of surface coating proteins and unmasking of enzymes
- Where is sperm motility aquired?
- - epidydimis
- When do primordial germ cells arrive in gonads and differentiate into oogenia?
- - week 4
- When are all primary oocytes formed?
- - 5th month of fetal life
- How long do primary oocytes remain dormant?
- - from prophase of meiosis 1 till puberty
- What occurs to primary oocytes at puberty?
-
- completes meiosis 1 to form two daughter cells
- secondary oocyte and first polar body (later degenerates) - What occur during meiosis 2 involving secondary oocyte?
-
- secondary oocyte stops at metaphase of meiosis 2
- if fertilization occurs, then completes meiosis 2 to form mature oocyte and secondary polar body - Increased paternal age is associated with what chromosomal abnormality?
- - Achondroplasia
- What chromosome abnormality is Down syndrome?
- - Trisomy 21
- What is Down Syndrome associated with?
-
1) esophageal atresia
2) Congenital Heart Disorders
3) abnormal facial features
4) esophageal atresia
5) acute lymphocytic leukemia
6) Alzheimers disease - What are symptoms of Turners syndrome?
-
1) web neck
2) widely spaced nipples
3) infertility - Kleinfelter's Syndrome
-
- gynecomastia
- XXY - What is the ovarian cycle?
- - changes in the ovary
- What is the menstrual cycle?
- - changes in the endometrium
- What hormones control Ovarian cycle?
-
- Gonadotropins: FSH and LH
- from the pars distalis of the pituitary gland - What occurs during Ovarian cycle?
- - Only one oocyte of several primordial follicles matures and ruptures during ovulation
- What is corpus luteum?
- - After ovuluation, the follicle is converted to corpus luteum in which oocyte is released
- What are the three stages of Ovarian cycle?
-
- Follicular phase: 1-13 days
- Ovulation phase: 14 (rupture of follicle releasing oocyte)
- Luteal phase: 15-28 (presence of corpus luteum activity) - Where does follicle rupture in ovulation?
- - at stigma at center of swelling of follicle
- When is secondary oocyte released with granulosa cells?
- - 12-24 hours after LH surge
- What is corpus luteum formed under the influence of?
- - LH
- What does corpus luteum secrete?
- - progesterone and small amounts of estrogen
- What happens to corpus luteum if no fertilization occurs?
- - forms corpus albicans by 10-12 days
- What happens to corpus lutuem if fertilization occurs?
- - continues to first 20 days of pregnancy as corpus luteum of pregnancy
- What hormone is needed to maintain pregnancy?
- - progesterone
- What hormones influence Menstrual cycle?
- - estrogen and progesterone
- What occurs during first five days of menstrual cycle?
- - uterus sheds endometrium
- What is the proliferative phase of mestrual cycle?
- - Epithelium regenerating under influence of estrogen
- What is secretory phase of menstrual cycle?
- - secretions under influence of progesterone
- What are two layers of endometruim of uterus?
-
1) stratum functionalis: undergoes cyclical changes, shed during menses
2) stratum basalis: gives rise to basal layer, permanent layer - What is the menstrual phase of menstrual cycle?
- - 1st day of menstrual cycle: lasts 3-5 days, functional layer sloughed off
- What is proliferative phase of menstrual cycle?
-
- last 9 days
- growth of ovarian follicles
- controlled by estrogen secreted by follicle - What is secretory phase?
- - 13 days, progesterone dependent
- What happens in secretory phase if fertilization occurs?
- - blastocyst implants about 6th or 20th day of normal cycle
- What happens in secretory phase if fertilization does not occur?
-
- secretory endometrium enters an ischemic phase
- falling hormone levels (especially progesterone) cause cconstriction of arteries in endometrium - What is fertilization?
-
- contact of sperm with secondary oocyte
- ends with fusion nuclei of sperm and ovum - How does sperm penetrate oocyte?
-
- acrosomal cap of sperm head releases enzyme hylarunidase that allows passage through corona radiata
- acrosome also release acrosin and neuraminidase which lyses zona pellucida
- sperm passes through zona and zona/cortical reaction occurs that makes the plasma membrane of the ovum impermeable to other sperms - What is a female pronucleus?
- - Nucleus of mature oocyte
- What is male pronucleus?
- - Nucleus of the sperm (tail denerates)
- What is a zygote?
- - Fusion of male and female pronucleus
- When is fertilization complete?
- - Within 24 hours of ovulation
- When is Early Pregnancy Factor produced and what is its function?
-
- 24-48 hours after fertilization
- produced by ovary
- immunosupressant, prevents zygote from being destroyed - What is In Vitro Fertilization?
- - sperm cultivated with unfertilized egg in test tube and then transplanted into uterus
- What is Gamete Intra Fallopian Transfer? (GIFT)
- - gametes of male and female injected into female’s fallopian tube for fertilization to occur
- What is Zygote Intra Fallopian Transfer? (ZIFT)
- - egg is fertilized outside the body and then implanted into fallopian tube
- What is Intracytoplasmic sperm injection? (ICSI)
- - fertilization in which a sperm is directly injected into an egg to achieve fertilization. ICSI done for male infertility
- What is Intrauterine insemination?
- - a catheter tube is inserted through cervix into uterus to deposit sperm
- What is a blastula?
- - Division of zygote which will implants in uterus(blastomeres)
- What is cleavage?
- - Process in which zygote divide within 24 hours of fusion
- What is compaction?
-
- Blastomeres align against each other by interacting with surface glycoproteins
- Outer cells form tight junctions which form trophoblast
- Inner cells develop gap junctions which develop embryo - What is Morula?
- - Solid ball of 12 or more blastomeres
- What does trophoblast give rise to?
- - The placenta
- What is a blastocyst cavity?
-
- Fluid filled spaces between central blastomeres
- Increases in size as zona pellucida degenerates - Where does blastocyst attach?
- - Endometrium adjacent to embryonic pole
- When does this attatchment occur? (implantation)
- - 6 days post fertilization
- What does trophoblast differentiate into?
-
- Inner cytotrophoblast
- Outer synctiotrophoblast (invades endometrium during implantation) - When is blastocyst completely embedded in uterus?
- - 10th-11th day
- Where does normal implantation occur?
- - Upper posterior wall of the uterus
- What is an ectopic pregnancy?
- - Implantation anywhere apart from the uterus
- Where is the most common place for ectopic pregnancy?
- - Fallopian tube
- Where is amniotic cavity located?
- - At embryonic pole b/w trophoblast and epiblast
- What does the inner cell mass differentiate into?
-
- Epiblast: facing amniotic cavity
- Hypoblast: facing the blastocyst cavity - Where does the yolk sac come from?
- - Blastocyst cavity
- How does the Amnion form?
- - Amnioblasts delaminate from the epiblast and form membrane surrounding amniotic cavity
- What two structures give rise to primary yolk sac?
-
- Exocoelomic membrane
- Exocoelomic cavity
**cells migrate from hypoblast to form membrane which surrounds blastocyst cavity which is now called exocoelomic cavity - What is extraembryonic mesoderm derived from and where is it located?
-
- Derived from hypoblast
- Located around amnion and primary yolk sac - What is extraembryonic coelum derived from?
- - Isolated cavities in extraembryonic mesoderm
- What is the connecting stalk?
-
- embryonic mesoderm attatches wall of amniotic cavity to trophoblast
- coelem does not develop here - What does connecting stalk give rise to?
- - Umbilical cord
- What two layers does the extraembryonic mesoderm form?
-
- Somatopleuric extraembryonic mesoderm: lines trophoblast and outside of amniotic cavity
- Splanchno extraembryonic mesoderm: lines outside of yolk sac - When does Secondary yolk sac form?
-
- As extraembryonic coleom forms
- Primary yolk sac decreases in size
- Exocoelmic vescicle is degenerates (remnant) - What forms the chorion?
-
- Extraembryonic somatic mesoderm
- Trophoblast
**coleom now called chorionic cavity - What are predisposing factors of ectopic pregnancy?
-
- Previous history of PID/Salpingitis
(pelvic inflammatory disease/inflammation of fallopian tubes)
- Previous surgery on tubes or close to tubes
- Previous history of ectopic pregnancy
- Intra Uterine Device
- Advanced maternal age
- Smoking - What is gastrulation?
- - Process by which the bilaminar disc is converted to trilaminar disc
- What are two places where the mesoderm does not reach?
-
- Prochordal plate (cranium)
- Chrodal reion (cloacal membrane) - What is primitive streak?
- - Thickened linear band formed by migrating cells of epiblast at beginning of 3rd week
- Where is primitive streak located?
- - Caudal end of embryo
- What does primitive streak grow to form?
- - Primitive node at its cranial end
- What does prochordal cavity form in the future?
- - mouth
- What does cloacal membrane form in the future?
- - anus
- How does intraembryonic mesoderm form?
- - Displaced cells migrated from hypoblast
- When does the primitive streak degenerate and what does it become?
- - around 4th week and beomes insignifican structure of sacrococcygeal region
- What happens if primitive streak persists?
- - Becomes sacrococcygeal teratoma
- What is and how does the notochordal process form?
- - A median cellular cord that is formed by cells which have migrated cranially from the primitive node
- Where is the notochord located?
- - Extends from primitive node to prochordal plate
- What is the prochordal plate?
- - Where endoderm and ectoderm fuse
- What are the two regions on the embryo where the disc is bilaminar?
-
- Prochordal plate: forms oropharyngeal membrane
- Cloacal membrane: site of future anus - What defines primitive axis of the embryo?
- - The notochord- gives rigidity
- What does the notochord give rise to?
- - Vertebral column
- How does Neurenteric Canal form?
-
- The primitive pit extends into notochordal process.
- Cells of process fuses with endoderm.
- Located between yolk sac and primitive cavity
**if persistence occurs, then have neurenteric cysts - What is allantois?
-
- Outpouching from yolk sac extending into connecting stalk
- Occurs around day 16
- Involved w/ development of urinary bladder as it will form urachus - What is neurulation?
- - Processes involved in formation of neural tube
- What does the neural tube give rise to?
- - Brain and spinal cord
- When is neurulation complete?
- - end of 4th week
- How does neuroectoderm form?
- - notochord induces overlying ectoderm
- How does neural groove form?
- - Neural plate invaginates in longitudinal plane
- Where are folds of neural groove prominent?
- - Cranial region
- How does neural tube form?
- - Neural folds move towards each other and begin to fuse converting neural plate to neural tube
- What are neuropores?
- - Openings at cranial and caudal end of neural tube
- When is neuralation complete?
- - During 4th week when neuropores close
- What happens if two openings of neural tube do not fuse?
- - Severe malformations of the brain
- What are neural crest cells?
- - Specialized cells at surface ectoderm and neuroectoderm
- What happens to neural crest cells when neural tube is formed?
- - Separate into two parts and migrate ventrolaterally
- What are dervitives of neural crest cells?
-
1) Dorsal root ganglia and ganglia of ANS
2) Schwann cells
3) Piamater and arachnoid
4) Melanocytes
5) Adrenal medulla
6) Skeletal and muscular components of the head - What three parts is the intraembryonic mesoderm divided into along sides of the notochord and neural tube?
-
1) Paraxial mesoderm
2) Intermediate mesoderm
3) Lateral plate mesoderm - What are somites?
-
- Balls of paraxial mesoderm on either side of the neural tube
- Give rise to axial skeleton and associated musculature - What are chordomas?
-
- Tumors of notochordal remnants in bone
- Arise anywhere in skeleton from base of skull to coccyx - What are neural tube defects?
-
- occur due to defect in neurulation
- common birth defects - What causes neural tube defects?
-
- Multifactoral: genetic and environmental
- Folate deficiency
- Chromosomal abnormality (Trisomy 13, 18. 21)
- Maternal hyperthermia
- Maternal diabetes
- Alcohol abuse
- Drugs like valproate (anti epileptic) - What should pregnant women take to prevent neural tube defects?
- - Folic acid
- What is raschischisis?
- - Failure of fusion of vertebral arches and neural tube with consequent exposure of neural tissue
- What is cranioschisis?
-
- Congenital failure of skull to close usually accompanied by defect in development of the brain
- Associated with anencephaly - What is anencephaly?
-
- Defect in closure of neural tube during fetal development.
- Marked defective development of the brain together with absence of brain and spinal cord - What is meningocele?
- - Only meninges are protruding
- What is meningomyelocele?
- - Brain and spinal cord are protruding out of body
- What is decidua?
-
- Phase after implantation of endometrium
- Under influence of progesterone
- Decidual cells derived from connective tissue cells which have increased glycogen and lipid content - What layer of deciduas gives rise to placenta?
- - Deciduas basalis
- What is the chorion made up of?
-
- Trophoblast
- extraembryonic mesoderm - What is Chorion Laeve?
- - Chorionic villi associated w/ deciduas capsularis disappears and leave a bare area known as Chorionic leave
- What is Chorion Frondosum?
- - Chorionic villi associated with deciduas basalis will develop further to form placenta
- What is Primary Chorionic Villi?
- - Cytotrophoblast plus synchotrophoblast
- What is secondary chorionic villi?
- Cytotrophoblast plus syncytiotrophoblast plus extraembryonic mesoderm
- When does the cytotrophoblastic layer gradually start disappearing?
- - As placenta ages
- What is cytotrophoblastic shell?
- - Area where tertiary villi invades layer between syncytiotrophoblast and decidua
- Where do maternal blood vessels empty?
- - Intervillous space of cytotrophoblastic shell
- When does growth of placenta continue until/completely form?
- - 20th week of gestation
- What is the fetal component of the placenta?
- - Chorionic villi
- What is the maternal component?
- - Decidua basalis
- What is placenta divided by?
-
- Placenta septa (composed of villi) that project toward chorionic plate
- Placenta divided into cotyledons
- Maternal cotyledons form placenta - What is placenta membrane?
-
- Separates maternal and fetal blood
- Composed of:
1) endothelium of fetal blood vessels
2) Connective tissue of villus
3)Cytotrophoblast
4)Syncytiotrophoblast
- After 20th week, placenta has formed, membrane is smaller, allowing more gas exchange - What is the function of the placenta?
-
- Metabolism-synthesizes glycogen, cholesterol, and fatty acids that serve as energy sources for fetus
- Transport:
- Oxygen, CO2
- Vitamins, glucose
- Steroid hormones (not proteins)
- Electrolytes
- IgG antibody
- Drugs
- Infection agents
- Small amount of blood
- Endocrine:
- HCG
- Human chorionic sommatomammotropin
- Human chorionic tyrotropin
- Human chorionic adreno-corticotropin
- Progesterone and estrogen - Where is HCG produced?
- - placenta
- When is HCG detectable in blood or urine?
- - 1-2 days after implantation
- When do HCG reach a peak?
- - 8-10 weeks of gestation
- What is the function of HCG?
-
- Stimulates corpus luteum and maintains pregnancy
- Forms basis of urine pregnancy test - What gives rise to the umbilical cord?
- - Connecting stalk
- What is the umbilical cord covered by?
- - Amnion
- Which vein of the umbilical cord degenerates?
- - Right umbilical vein
- What forms Wharton’s Jelly?
- - Extraembryonic mesoderm
- What is the umbilical cord a remnant of?
- - Yolk sac
- What composes the fetal membrane?
- - Fused amnion and chorion along with deciduas
- What is amniotic fluid?
- - Clear yellowish fluid present in the amniotic sac covering the fetus
- What is the major contribution to amniotic fluid?
- - Urine from the fetus
- How is amniotic fluid circulated?
-
- Exchange through amniochorionic membrane
- Amniotic fluid swallowed by fetus and is absorbed in respiratory and digestive tracts - What is oligohydraminos?
-
- Decrease in amniotic fluid
- Due to excessive swallowing of amniotic fluid, carried away in blood from placenta and discharged - What is polyhydraminos?
-
- Increase in amniotic fluid
- Could be due to problem w/ swallowing - What is pulmonary hypoplasia?
- - If too little amniotic fluid, lungs will not develop
- What is the function of amniotic fluid?
-
- Shock absorption
- Freedom of movement
- Promotes symmetrical growth of fetus
- Maintains constant temperature around fetus
- Barrier for infection
- Normal lung development - What is amniocentesis?
-
- Amniocentesis is a common prenatal test in which a small sample of the amniotic fluid surrounding the fetus is removed and examined.
- Do not perform before 14 weeks of pregnancy b/c not enough amniotic fluid - What is chorionic villus biopsy?
-
- Take biopsy of chorionic villus from vagina round 8-10th week of pregnancy
- 10th week is better
- procedure performed to see if there is an abnormality in fetus