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Critical period
In human development (3-8 weeks) where the embryo is most susceptible to the formation of congenital anomalies from teratogens
Critical dose
Exposure and gene-environment interactions also influence the severity of and/or susceptibility to birth defects
Embryonic period
Zygote formation to the end of the 8th week
- Period of organogenesis
Fetal period
Beginning of the 3rd month to the end of intrauterine life
- No new creation of structures, just growth
What is the leading cause of infant death?
Birth defects
Birth defect categories
Genetic factors, environmental factors, multifactorial inheritance
Most and least common birth defect
Clubfoot (most), anencephaly (least)
Gametogenesis
Process by which primordial germ cells (PGCs) reduce the number of chromosomes and undergo cytodifferentiation to complete maturation
PGCs appear in the wall of the ___________ and begin migrating toward the posterior body wall to ____________________ (in biological parent)
yolk sac; developing gonads
How many spermatids are created from 1 PGC?
4 spermatids
How many oocytes (and polar bodies) are created from 1 PGC?
1 oocyte (and 3 polar bodies)
Spermatogenesis vs oogenesis
Spermatogenesis:
- Starts (& continues throughout life, so not a fixed number of primary spermatocytes) at puberty
- PGCs will stay dormant until puberty
Oogenesis:
- Mitosis stops when the fetus reaches 5 months gestation (fixed amount)
- Meiosis I begins at puberty and then arrests until ovulation; @ ovulation will enter MII and then arrest at metaphase. Will complete MII if fertilized
Capacitation
Process where glycoproteins and seminal proteins are removed from the sperm's acrosome
- Mediated by female genital tract substances
Sperm must undergo _________ to be able to fertilize the oocyte
Capacitation
In oogenesis, the first phase of meiosis begins in the 3rd-5th month in utero where it arrests in ____________ until _________
Prophase I (MI); puberty
What triggers the primary oocyte to resume meiosis I?
Surge of the luteinizing hormone during the beginning of puberty
Pituitary hormones
FSH and LH
Ovarian hormones
Estrogen and progesterone
Corpus luteum purpose
Produce progesterone and will be maintained through hCG during embryonic development (to prevent the shedding of the endometrium)
Zona pellucida function
Prevents polyspermy and protects the egg
Acrosomal enzyme function
The release allows sperm to penetrate the zona pellucida
Trophoblast cell function
Contact and implant into the endometrium
- Develop into the placenta
Chorionic villi function
Increase the surface area by which maternal and fetal blood flow through the placenta to exchange metabolites/gases
Phases of fertilization
1. Capacitation of sperm
2. Acrosomal enzyme release
3. Sperm penetrates the zona
4. Zona reacts (cortical granules release their contacts rendering the zona impenetrable to others)
5. Sperm and oocyte membranes fuse
6. Oocyte resumes meiosis II
When does cleavage occur?
24 hours after fertilization
Cleavage process
Subdivides the zygote, without increasing the size of the cell
- Zona intact
Morula stage
16-32 cells
- Travels into the uterine cavity, where the uterine fluid enters and pushes cells to one side of the egg
- Zona intact
Blastocystic cavity separates the blastocyst into an ____________ and ______________ cell mass
Inner; outer (a bilaminar disc)
- Now referred to as a blastocyst
When does the zona pellucida shed/hatch?
Late blastocystic stage (days 5-6)
- Before implantation
Early blastocysts contain...
Embryoblast (inner cell mass), zona pellucida, blastocystic cavity, trophoblasts
Late blastocysts contain...
Embryonic poke, blastocystic cavity, trophoblast, embryoblasts
Embryonic pole
Region to first make contact with endometrial epithelium (trophoblast specifically)
The blastocystic cavity will become...
Primary yolk sac
Trophoblast separates into...
Syncytiotrophoblast and cytotrophoblast
Embryoblast becomes...
Embryo proper
- Hypoblast and epiblast
When does implantation occur?
Day 7
Implantation (beginning)
Syncytiotrophoblasts pull the blastocyst into the uterine wall
- Hypoblast are ventral
- Epiblast are dorsal
Implantation (middle)
Syncytiotrophoblasts continue to pull the blastocyst into the uterine wall. The amniotic cavity is now present
Implantation (final)
On day 9, full implantation achieved
- Trophoblastic lacuna develop inside the syncytioblast, pulling the blastocyst closer to maternal glands
- Hypoblast signal extraembryonic endoderm formation by proliferating and pushing towards outside of the blastocyst
Trophoblastic lacuna function
Allow maternal blood to accumulate within the lacunae
What comprises 1° chorionic stem villi?
Extensions and the outer layer of the syncytiotrophoblasts
What tissue forms early embryonic vessels?
Splanchnic mesoderm
Blood cells are first supplied by the...
Yolk sac
What structures form the arterial system?
Aortic arches and paired dorsal aortae
Aortic arches wrap around the...
Foregut (arches)
What supplies the pharyngeal arches with blood?
Aortic arches
What tissue forms the aortic arches?
Mesoderm
Which aortic arches regress?
Aortic arches 1 & 2
Restructuring of the aortic arches depends on...
Breakdown of the left and right dorsal aortae between the 3rd and 4th arch
Blood traveling through the 3rd arch goes to the ________ region after tissue breakdown
Head
Blood traveling through the 4th and 6th arch goes to the ________ region after tissue breakdown
Trunk
3rd aortic arches remain connected to...
Left/right dorsal aorta and the aortic sac (3rd arch)
Proximal 3rd aortic arch forms
Common carotid arteries
Distal 3rd aortic arch forms
Part of the internal carotid
Left 4th aortic arch forms
Midportion of the arch of the aorta
Lower right 4th aortic arch disappears or stays?
Disappears
Right 4th aortic arch forms
Proximal right subclavian artery
Left 4th aortic arch remains connected to the...
Dorsal aorta and the aortic sac derivatives (4th arch)
Left 6th aortic arch forms
Proximal left pulmonary artery
Distal left 6th aortic arch forms
Ductus arteriosus
Right 6th aortic arch forms
Proximal right pulmonary artery
Ductus arteriosus
Carries oxygenated blood leftover from the placenta to fetal organs
- Useful for arterial compensation
Why do the recurrent laryngeal nerves change their course?
Distal 6th arch regresses and the 5th arch degenerates
Final position of recurrent laryngeal nerves
Left: Hooks under ligamentum arteriosum (a derivative of DA)
Right: Hooks under right subclavian artery
Vitelline vein artery fate
Maintained as a GI plexus of arterial vessels
Umbilical artery fate
Regress (umbilical artery)
Intersegmental arteries
Derivatives of the dorsal aorta
- Branches that supply 1 somite (and it's derivatives) then lose their connection
Patent ductus arteriosus
Failure of the ductus arteriosus to close after birth, resulting in an abnormal opening between the pulmonary artery and the aorta
- @ birth, inc PO2, increase leads prostaglandin E2 production to stop, close DA
Coarctation of the aorta
Narrowing of the aorta in the ductus arteriosus region (above or below)
- Theory: PO2 sensitive muscle cells of the DA migrate to aortic wall, at birth, when PO2 levels increase, aortic muscles contract in response, leads to narrowing
Double aortic arch
Abnormal persistence of the right dorsal aorta
- Result: Trachea and esophagus are trapped in a vascular ring
Umbilical vein gets blood from...
Placenta (blood supply for vein)
Vitelline vein gets blood from...
Yolk sac (blood supply for vein)
Cardinal veins get blood from...
Embryo proper (anterior + posterior)
Vitelline vein forms the...
- Ductus venosus
- Superior RVV makes inferior vena cava
- RVV below liver makes portal and superior mesenteric veins
Ductus venosus function
Shunts half of the oxygenated blood from the umbilical vein directly to the right atrium
- If not, liver would take too much oxygenated blood
Where is the ductus venosus located?
liver (location)
Left umbilical vein forms an anastomosis with the...
Ductus venosus (LUV)
Left anterior cardinal vein breaks down to form the ________________________ with the right anterior cardinal vein
Left brachiocephalic vein
Left brachiocephalic rein function
Shunts blood coming from the left side of the head to the right side
- Blood flow now entering the right side of the atrium
Right common cardinal vein and caudal right anterior cardinal vein form the...
Superior vena cava (what forms)
Posterior cardinal veins are replaced by...
Subcardinal, sacrocardinal, and supracardinal
Double Superior Vena Cava (Persistent Left Superior Vena Cava)
Inadequate anastomosis between the right and left anterior cardinal vein
- Persistence of a vessel on the left side that drains to the right atrium via coronary sinus (becomes large)
Tissue of the primitive gut tube...
Endoderm (derived via the yolk sac)
gut tube is suspended by
mesenteries (dorsal and ventral)
Where is the gut tube suspended
Splanchnic mesoderm
What forms mesenteries?
Splanchnic and somatic mesoderm
- Two layers of peritoneum
Parietal peritoneum derived from...
somatic mesoderm (mesentery peritoneum)
Visceral peritoneum derived from...
splanchnic mesoderm (mesentery peritoneum(
Foregut blood supply
Celiac trunk artery
Midgut blood supply
Superior mesenteric artery
Hindgut blood supply
Inferior mesentery artery
Foregut consists of...
Esophagus, stomach, liver, gallbladder, pancreas, spleen, proximal duodenum
Midgut consists of...
Distal duodenum, jejunum, ileum, cecum, appendix, ascending colon, proximal 2/3 of transverse colon
Hindgut consists of...
Distal 1/3 of transverse colon, descending colon, sigmoid colon, rectum, upper 2/3 of anal canal
Lesser omentum is a derivative of the ___________ mesentery and has attachments to the _________ curvature of the stomach
Ventral, lesser
Greater omentum is a derivative of the ___________ mesentery and has attachments to the _________ curvature of the stomach
Dorsal, greater
Prior to stomach rotation; spleen develops in the ________ mesentery and the liver develops in the __________ mesentery
Dorsal, ventral
Esophagus is lined with...
Endoderm
Stomach has 4 attachments to it. What are they?
Left & right vagus nerve, dorsal mesentery (attached to posterior wall), ventral mesentery (attached to anterior wall)
Stomach will dilate on the ______ side, and then will rotate ______ degrees
Left, 90