embryology-final-review
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- theca produces what/why?
- androgen- substrate for granulosa-prod. estrogen
- ovulation releases from ovary?
- 2ndary oocy. w/ 1st polar body, zona pell., corona rad.
- cumulus oophorus becomes?
- corona radiata
- sperm binds with egg how? species-specific
- sperm cell zona binding sites w/ ZP3 zona sperm receptor on oocyte
- sperm-oocyte membrane binders?
- integrin receptor on oocyte
- what occurs during the 2nd week following fertilization?
- embryo implants. amniotic cavity/primitive yolk sac form
- trophoblast produces what 5 days after fertilization?
- enzymes: disrupt zona pellucida – causes hatching
- after hatching?
- trophoblast can make contact with endometrium.
- What is hCG? (basis for pregnancy test)
- Human Chorionic Gonadotropin: essential hormone for pregnancy: maintains proliferation of corpus luteum, secretes hormones - keeps uterine lining:receptive state
- inner cell mass during process of implantation?
- two layered structure:bilaminar embryonic disc – hypoblast facing the blastocyst cavity – becomes yolk sac w/in cytotrophoblast . inner cell mass cavities‡ form amniotic cavity: floor is single cell layer: epiblast.
- main developmental task during the third week?
- gastrulation – third tissue layer appears
- primitive streak forms when?
- 13 – 14 days after fertilization until 5th week
- primitive streak later in gastrulation?
- becomes smaller, more caudal as embryo grows. disappears in 5th week from sacrococcygeal trunk
- ectoderm contribute to?
- nervous system, epidermis body surface tissues (epidermis, hair, nails), glands connected by ducts to body surface (sweat glands, sebaceous glands)
- timing of closure of anterior and posterior neuropores?
- 23 days +/-
- endoderm form
- lining of the GI tract, ducts that open to tract, and secretory cells (parenchyma) and glands
- causes embryo to fold during 4th week of development?
- different rates in the growth of tissue neurotube/notoch
- when are most structures complete?
- end of 8th week after fertilization
- gonadal factors which may cause infertility?
- sex chromosomes aneuploidy; space occupying lesions – cysts, tumours, scars; environmental agents – lead, alcohol, nicotine; testicular dysfunction
- Kleinfelters karyotype
- 47XXY (male with extra X chromosome)
- Kleinfelters
- have breasts, small testes, no spermatogenesis
- Turners Syndrome karyotype
- 45X0 – most don’t survive.female, req. hormone repl.
- post gonadal factors may include?
- obstruction of accessory reproductive ducts
- what % of female infertility due to obstruction?
- 50%
- tightly structured mucin glycoprotein cervical mucous
- type G– may be barrier to microorganisms and sperm
- loosely structured mucous
- Type E– sperm can get through-in cervix: periovulatory
- what causes Type G – E mucous change
- rising estrogen levels in periovulatory period
- woman/men developing antibodies to sperm cells
- isoimmunity (woman) autoimmunity (man)
- placenta
- apposition of fetal and parental tissues for purposes of physiological exchange and hormonal production
- main components that form placenta?
- syncytiotrophoblast/cytotrophoblast (forms villous chorion)-disappears 4th month
- layers of placental “barrier”
- maternal blood, syncytiotrophoblast, cytotropoblast, extracellular space, endothelium of fetal blood vessels, fetal blood
- before placenta formation – fetus survives how?
- uterine secretions from uterine glands – until day 13
- chorion/chorionic sac def.
- extra-embryonic mesoderm + two layers of trophoblast
- contained within the chorion?
- embryo/amniotic+yolk sacs susp. via conn. stalk in chorionic cavity
- only single artery in placenta - % and type of problems
- 16%premature, 17%abnormal, 34% small baby
- what might cause cessation of pregnancies?
- combinations & unknowns 60 – 70% chromosome abnormality/mutation 25%, radiation 1%, infections 2 – 3%, drugs and chemicals 4 – 5%,
- 60 – 70% of early abortions due to
- chromosomal disorders: trisomy 50%, polyploidy 25%, 45 + X 25%
- terathanasia
- monster death: tera= monster, thanatos=death
- Of spina bifida cases, what % dies?
- 90%
- Retinoids cause defects of
- CNS, face, ears, heart, kindey, esophagus, thymus. Cause spontaneous abortions.
- Cardiovascular system derived mainly from
- splanchnic mesoderm (forms primordium of heart), paraxial and lateral mesoderm midway along hindbrain, & neural crest cells from between otic vessicles (primitive ears) and 3rd pair of somites
- in the primitive heart, future site of Semilunar valves?
- bulbo-truncal junction
- what does the right vitelline vein become
- inferior vena cava
- how does left atrium form
- first sign of left atrium: primary pulmonary vein FROM LEFT ATRIUM (Not SV). grows toward/ ‘cannibalizes’ pulmonary vein walls, absorbing them to create its walls
- divides the truncus into the aorta & pulm. trunk
- aorticopulmonary septum: (truncal bulbar cushions)
- fallotÂ’s teratology?
- pulmonary stenosis, overriding aorta (destropositioning) interventricular communication, hypertrophy of R ventricle
- cyanosis
- venous blood in systemic system
- lung formed by
- endoderm and mesoderm. endoderm=lung epithelium. splanchnic mesoderm:cartilage, musc., blood vess
- two types of fistula in lung development
- tracheoesophageal fistula, and esophageal atresia
- stimuli for breathing at birth
- temp., pain, hypoxia – chg in chemoreceptor sensitivity
- hyaline membrane disease also known as
- respiratory distress syndrome – not enough surfactant
- connects only foregut to anterior body wall
- ventral mesentery
- primitive gut lined with, and supported by – tissues?
- lined with endoderm, supp. by splanchnic mesoderm
- endoderm forms what in GI tract
- tissue lining GI tract and its outgrowths (including lungs, airways) and parenchyma
- if laryngotracheal diverticulum forms incorrectly, result?
- fistula (causes polyhydramnios)
- stomach rot. 90 deg. clockwise around long.axis when
- during 7th week
- in umbilicus, which direction does the herniation of the midgut loop rotate?
- counterclockwise
- what does the final rotation accomplish?
- duodenal-jejunal junction to adult location
- failure of midgut to return to gut – name?
- omphalocele – intestines within umbilical cord
- tear of abdominal wall near umbilicus
- gastroschisis – tissue becomes rigid and brittle – amniotic fluid bad for tissue
- divides cloacal membrane into urogenital and anal membranes?
- urorectal septum
- if anal membrane doesn’t break down – condition?
- congenital membranous atresia
- if urorectal septum fuses with posterior cloaca rather than cloacal membrane – result?
- complete anal atresia: VERY difficult to correct (no anal opening, no sphincters, etc.)
- if incomplete fusion of urorectal septum and cloacal membrane – result?
- because urorectal septum is bifid, incomplete fusion can mean fistulas connect urogenital and rectoanal organs
- tissue type: liver and gallbladder
- outgrowth of endoderm near distal foregut
- what does ventral pancreatic bud become?
- uncinate process with MAIN pancreatic duct
- embryonic tissue becomes: diaphragm central tendon?
- cranial part of septum transversum
- rest of diaphragm
- from dorsal mesentery assoc. w/ esophagus + projections of tissue: pleuroperitoneal folds from body wall
- pancreatic cause of obstruction
- annular pancreas: ring of pancreatic tissue, surrounds duodenum like a collar
- if bowel becomes twisted
- congenital volvulus: can block both lumen and blood supply – can become gangrenous
- condition where bowel telescopes on itself
- intussusception
- condition where anus is stenosed by incorrect chamber division
- imperforate anus
- intestine of newborn contains
- meconium: secretions, cells, detritis swallowed with amniotic fluid
- why might intestinal contents not pass? suspect what?
- if too viscous (too much mucous) meconium wonÂ’t pass. common in kids with cystic fibrosus
- kidney development: 3 stage, with which structure
- nephrogenic cords of intermediate mesoderm from cervical – sacral segments
- 1st stage kidney development begins when
- 3rd week
- stage name, & what develops
- proenephric phase – proenephric vessicles near cervical segments form proenephric duct into cloaca
- during 4th week, what happens to duct?
- proenephros and cervical proenephric duct degenerate
- second phase of kidney development
- mesonephric – remaining proenephric duct now called mesonephric, is opposite thoracic/lumbar segment
- what develops in second stage
- mesonephric tubules, which open into mesonephric duct
- what do remnants of the second stage contribute to
- male reproductive system
- where and when does third stage develop
- beginning in 5th week, at caudal mesonephric duct with appearance of ureteric bud
- ureteric bud becomes
- ureter, renal pelvis, calyces, collecting ducts/tubules
- metenephric mass becomes what
- glomerulus, nephrons (creating urine)
- metanephric mass forms what around ureteric bud
- metanephric mass forms condensation of masses of mesoderm cells around branches of the ureteric bud, called a TISSUE CAP
- tissue cap forms what
- metanephric vessicles: twist and elongate
- twisting, elongation of tissue cap forms
- loop of henle, convoluted tubules
- if metanephric mass doesnÂ’t link up with collecting syst?
- will make urine, but nowhere for it to go: kidney cyst
- recessive polycystic kidney disease
- autosomal recessive, effects both kidneys, massive kidneys, filled with vessicles:take up normal healthy tissue space. collecting tubules are widely dilated. Children usually die. treatment: dialysis or transplant.
- ureteric bud triggers?
- sends out survival signals to metanephric mesoderm mass so that kidney tubules and tissue cap survive, nephrons form (condensation of metanephric mass, and tubologenesis)
- nephrons form but don’t join ureteric bud branches – result?
- nephrons canÂ’t drain, may form cysts
- if nephrogenic cords fuse, results?
- kidneys will fuse, probably wonÂ’t be able to ascent
- name four abnormalities that ureteric bud-metanephric mass interaction difficulties may cause
- bifid ureter, supernumary kidneys, crossed renal ectopia, renal agenesis
- causes of oligohydramnios
- bilateral polycystic kidney disease, bilateral renal agenesis, premature rupture of amniotic membrane (leakage of fluid), posterior urethral valve (remnant of urogenital membrane) –causes blockage
- which ducts and tubes join the urogenital sinus
- ureters, and mesonephric ducts (common excretory ducts)
- allantois forms?
- uracus (when involutes) umbilicus-bladder remnant
- uracus forms?
- fibrous median umbilical ligament
- problem with bladder development
- extrophy – mesoderm doesn’t separate bladder from sinus, body wall tears, or ureter opens to body surface: result is similar – bladder open to body wall
- phenotypic sex is what?
- structural gender. develops over first 3 months
- genital ridge tissue structure
- intermediate mesoderm core, with covering of epithelial lining of body cavity (coelom)
- what are sex cords?
- cord-like extensions of coelomic epithelium penetrating mesoderm of genital ridge
- what is between the sex cords?
- intermediate mesoderm
- stimulates further development of gonad?
- epiblast primordial germ cells appear near origin of allantois, migrate to genital ridges, arrive and enter sex cords -appear at 4th week, arrive at 6th week
- if no Y chromosome, what happens to sex cords?
- begin to fragment
- what do germ cells become if no Y chromosome
- oogonia (primary oocytes)
- what do sex cord cells become if no Y chromosome
- follicular cells around oocytes
- If Y chromosome (and SRY gene) germ cells become
- spermatogonia
- if Y chromosome, sex cords do what?
- elongate to form seminiferous tubules
- if Y chromosome, sex cord cells become
- sertoli cells - secrete antimuellerian hormone
- if Y chromosome, what do intermediate mesoderm cells between the sex cords of genital ridge become?
- Leydig cells, which secrete testosterone
- describe the 2nd phase of test. descent
- trans-inguinal: during 7th month, happens over two days, active process
- where are ductus and testicular vessels after descent
- within spermatic cord
- gubernaculum between ovary and uterus becomes
- ligament of the ovary
- gubernaculum between uterus- labium majus becomes
- round ligament of the uterus
- mass of endoderm created between urogenital sinus and uterovaginal primordium called
- vaginal plate or sinovaginal bulb
- If testicle present, what is induced?
- antimuellerian from sertoli cells induces paramesonephric ducts and uterovaginal primordium to undergo regression
- after regression, remnants of uterovaginal primordium?
- prostatic utricle and appendix of testes
- androgens from leydig cells diffuse into adjacent tissues, inducing what three processes?
- mesonephric excretory tubules link with rete testes, forming efferent ductules, mesonephric duct develops into epididymis, vas deferens and ejaculatory duct, and seminal vessicles grow out of mesonephric ducts
- If no testicle present, paramesonephric ducts become
- uterine tubes
- If no testicle, uterovaginal primordium develops into
- uterus
- if no testosterone present (i.e. no testicle) mesonephric ducts
- regress and degenerate
- mesonephric duct remnants are called
- epoophoron and paroopharon in broad ligament, gartners cyst near uterus
- vagina develops from what two structures
- uterovaginal primordium, plus endoderm of urogenital sinus area called vaginal plate
- condition if hymen not perforated?
- hydrocolpos
- problems caused if hymen not perforated
- fills with fluid, compresses urethra, urine backs up, can cause hydronephrosis
- how is fissure created on ventral surface of glans
- ingrowth of epithelium(ectoderm) forms glandular plate, which breaks down, creating the fissure
- direction of fusion of male urethral folds, and result
- posterior– anterior bringing urethral meatus out to glans
- condition where body canÂ’t create cortisol
- congenital virulizing adrenal hyperplasia :genotypic females, phenotypic males: no breasts, small penis, chest hair, male pattern baldness XX (female) masculinizes due to androgen
- gonadal dysgenesis
- 46XX or 46 XY – usually only streak ovary, with uterus/uterine tubes. No testicle, leydig/testosterone, no male duct development: remain pre-pubertal female, with no functioning gonad
- Androgen resistance syndrome (or androgen insensitivity syndrome)
- canÂ’t take up androgens, so no masculinizing takes place. Genetically male 46XY, but otherwise female: external genitalia, short vagina to nowhere, no pubic or axillary hair, ample breasts. no male ducts, no descent of testes.
- what is a somite
- visibly segmented mesoderm
- skull and facial bones derived from
- neural crest cells: ectoderm from area (more headwards than somites)
- vault of skull created from
- unsegmented mesoderm
- bifid abnormality of notochord means
- two brains, two faces
- portion of somite which forms bones – which bones?
- ventromedial somite: sclerotome: ribs and vertebrae
- face created from
- brain (neuroectoderm), neural crest cells + mesoderm
- mesoderm (neural crest cells) forms which part of face
- facial bones – proliferate & migrate -> face bones
- placode
- ectodermal thickenings: naso, optic, otic
- forms sides of roof of mouth
- secondary palatal shelves
- Cyclops
- holoprosencephaly, non-hemispheric brain, nose in forehead(or absent), 1 eye, upper lip=maxillary processes (no nasal tissue), no incisor teeth, canines in midline – mentally retarded
- median cleft face syndrome
- hyperteloric, mentally normal, variety: facial abnorm.
- cleft lip causes
- genetic + environmental (pollution?): MUTATION
- cleft lip may or may not occur with
- cleft palate
- Treacher Collins syndrome:
- Autosomal dominant with mutations (GENETIC) small mandible/maxillae, cleft palate, no zygomas, anti-mongoloid eyeslant, no lower eyelashes, notched lid, DEAF: abnormal incus/malleus, malformed ears, NORMAL MENTALLY
- Lateral facial displasia
- due to bleeding in utero: toxic. Normal mentally, asymmetry – can involve all structures
- endocrine glands (3)
- thyroid, parathyroid, pituitary
- thyroid derivation
- endoderm of tongue
- thyroid created from
- foramen cecum tunnel at back of tongue – buds off, foramen atrophies, becomes fibrous
- hormones of thyroid produced by
- endodermal cells
- thyroid has components of what germ layers
- all – neural crest which migrate to thyroid, vessels from mesoderm, epithelial layer
- thyroid cells produce
- calcitonin
- thyrotoxicosis
- HUNGRY, anxious, panicky – high heart rate, heart may fail: beats too fast to fill, staring bulging eyes, jumpy fast metabolic rate
- Thyroid deficiency
- Myxedema in adults, cretinism in children: mentally retarded dwarfs, sleep a lot, donÂ’t want to eat, tongue hangs out, if neo-natal, MUST give thyroid hormone, or will have developmental problems
- if too much parathyroid, condition?
- hyperparathyroidism: high calcium level in blood, stones in urinary tract, less calcium in bones = fractures, paranoia: stones bones moans groans
- parathyroid glands develop where
- pouches 3 & 4
- anterior pituitary origin
- stomadeal placode –> rathkes pouch -> anterior pit.
- posterior pituitary origin
- downgrowth of diencephalons infundibulum – posterior pituitary + stalk
- anterior pituitary produces
- hGH
- Posterior pituitary produces
- antidieuretic hormone
- Anterior pituitary stalk connection
- blood vessels
- Posterior pituitary stalk connection
- nerves
- benign tumour of Rathkes pouch -where ant. pit. devel
- Craniopharyngioma
- rathkes pouch tumour will effect
- hormone & cranial nerve problems, esp. CNII, compressed by tumour growth
- craniopharyngeoma symptoms
- bitemporal hemianopia (canÂ’t see out to sides or may go blind if enough nerves damaged) hormonal problems (kids with pubic hair, breasts, pigmented nipples, that are also BLIND) SURGICAL TRTMNT.