Prenatal G&D 1

Prenatal Development

Introduction

  • When does development start?

    • stages of prenatal development

      • ovum

        • from fertilization to end of cleavage

      • embryonic

        • from implantation to fetal stage

      • fetal

        • from beginning of fetal stage to parturition

  • stages of fertilization

    • oocyte → ovulated

      • oocyte surrounded by the zona pellucida

        • a protective layer made of glycoproteins

        • thickens after ovulation to protect oocyte

    • sperm makes contact with egg

      • acrosome in the sperm head reacts to ZP (acrosome reaction)

        • sperm fuses with cell membrane of egg and releases its contents

          • ZP hardens

            • prevents polyspermy

        • pronuclei of male and female fuse and egg completes Meiosis II

          • results in a second polar body

        • now a fertilized egg = zygote

          • fertilized ovum + sperm = zygote

Ovum Phase

  • begins at fertilization

  • 11-14 days, ending at the end of cleavage

  • cleavage

    • rapid cell division = hyperplasia

    • no protein synthesis

      • >DNA: protein

        • ratio

        • increasing in cell number → increasing DNA, stagnant protein

    • ends with implantation

    • no morphogenesis or differentiation

    • stages:

      • early cleavage

        • two cells → four cells → eight cells

      • late cleavage

        • sixteen cells→ thirty-two cells (Morula)

    • increase in cell number, decrease in cell size

      • zona pellucida prevents cells from growing in size too much

      • in the morula phase, the zona pellucida begins to degenerate/crack

        • “hatching”

  • blastulation

    • conceptus now referred to as a blastocyst

    • center of morula becomes hollow

      • lumen (blastocoel)

    • cells begin to differentiate (blastula)

      • trophoblasts

        • allows for implantation and becomes the fetal portion of the placenta

        • around the perimeter

      • inner cell mass

        • becomes the embryo

  • elongation

    • lengthening of the fetal tissues

      • oval shape → tubule → filamentous shape

      • horses and humans:

        • conceptus remains in egg shape

        • do not go through elongation

    • increased placental surface area

      • increase absorption of nutrients from placenta

Embryonic Phase

  • Implantation

    • conceptus imbeds itself into the endometrial wall of uterus and into maternal side

    • occurs 1-5 weeks after fertilization

      • time frame depends on species

    • still referred to as a conceptus, or fetal tissue

  • Key player: Progesterone

    • maintain pregnancy, hormone of pregnancy

      • increase vascularity and glycogen secretions

        • glycogen - stored glucose (sugar)

          • fetal nutrients/energy

        • fetal tissue receives nutrients from blood

      • inhibit muscular contractions

    • Special note:

      • Leukemia Inhibitory Factor

        • produced by endometrial glands

        • in humans and mice

          • preps uterus and conceptus

            • without this, implantation can’t occur

        • in cattle, it is not believed to be involved in implantation

          • rather cell differentiation

  • inner cell mass pushes to one side of blasocyst to form embryonic disc

    • zygote → blastula → trophoblast & inner cell mass → epiblast & hypoblast

  • Factors of maternal recognition of pregnancy (limiting maternal immunity)

    • FAS Ligand

      • binds to Fas

        • receptor on the maternal cytotoxic T cells

          • causes apoptosis of cytotoxic T cells

    • Indoleamine 2,3 dioxygenase (IDO)

      • trophoblast produces IDO which destroys tryptophan

        • tryptophan (amino acid) activates maternal cytotoxic T cells

    • Interferon Tau

      • ruminants

        • effects hormone cycles

      • acts on uterine peithelium

      • decrease estrogen and oxytocin

        • in result, decrease PGF2a

    • Synctiotrophoblast/Synctial Plaques

      • endogenous retroviruses

      • form feto-maternal interface

        • nutrient exchange, hormone secretion, immune modulator (decrease dam’s immune system)

      • non-ruminant: Syncytiotrophoblast

      • ruminant: syncytial plaques

Embryonic Phase

  • formation of embryo

  • hyperplastic growth

  • multipotent cells → different cell lineages

    • eventually form different tissues

    • driven by gene expression

  • stages:

    • (implantation), gastrulation, neurulation, embryonic folding, organogenesis

  • gastrulation

    • formation and development of the gut

      • epiblast cells replicate to form the primitive streak

        • depression forms → primitive groove

        • epiblast cells migrate toward the hypoblast to form germ layers, fold themselves to center and in result, push hypoblast down to form third layer

          • ectoderm, mesoderm, endoderm

    • three germ layers

      • ectoderm

        • outer layer

          • integument, sensory organs, oral cavity, nervous system, mammary and sweat glands

      • mesoderm

        • middle layer

          • musculoskeletal, excretory, reproductive (except germ cells), cardiovascular and circular systems, visceral and parietal peritoneum, and mesenchyme

      • endoderm

        • inner layer

          • digestive tract, liver, lungs, pancreas, thyroid, respiratory tract, germ cells

  • neurulation

    • notochord

      • formation of spinal cord precursors

      • influences and initiates folding of the embryo

      • sonic hedge hog (Shh)

        • induces neural fold elevation

  • embryonic folding

  • lateral body folds across median and horizontal planes

  • involves ectoderm, mesoderm and endoderm

  • endoderm moves towards midline to form primitive gut tube

    • foregut, midgut, hindgut

  • ectoderm moves to cover the outside of the embryo

  • body plan developed

  • germ layers continue to differentiate to form organ systems

  • somites

    • block of mesoderm tissue, lateral to notochord

      • line the vertebrae

        • one pair of somites for every vertebrae

    • each somite differentiates into three regions

      • sclerotome (skeleton)

        • vertebrae, ribs, endochondral bones of skull

      • dermatome

        • dermis of skin

      • myotome

        • skeletal muscle

  • organogenesis

    • the formation of organs and organ systems

      • endoderm layer becomes:

        • digestive system, liver, pancreas, lungs (inner layers)

      • mesoderm layer becomes:

        • circulatory system, lungs (epithelial layers), skeletal system, muscular system

      • ectoderm layer becomes:

        • hair, nails, skin, nervous system

Placenta

Introduction

How does the embryo grow and develop?

  • by way of the placenta

    • nutrient transfer

Anatomy

Basics

  • trophoblast cells

  • implantation

  • increased size of conceptus = increased size of placental tissue

  • why does a cow eat her placenta?

    • to deter predators

  • placental variation based on species

  • placentas are classified by:

    • layers between fetal and maternal blood supply

    • shape and contact of chorionic villi

    • less layers = less connection

  • Umbilical Cord

    • umbilical artery and umbilical vein

    • wrapped in connective tissue

Layers Surrounding Fetal Membrane

  • chorion

    • trophoblastic layer

      • avascular

      • 2 layers thick

      • encloses the embryo and fetal membrane

  • allantois

    • precursor of the umbilical cord

      • outgrowth of the hindgut

  • amnion

    • formed by folding of membranes around the Internal Cell Mass (ICM)

    • encloses the fetus in a fluid-filled cavity

  • yolk sac

    • formed by the endoderm spreading over the surface of the trophoblast

    • important for placental development

    • part of the primitive gut

    • early nutrition for the embryo

      • prior to placental development

        • aka no longer getting energy from glycogen derived from uterus

        • in between glycogen secretions between implantation and formation of placenta

Chorioallantois Layer/Membrane

  • allantois and chorion fuse to form the allanto-chorion

    • in this process the yolk sac has been displaced

  • surrounds entire fetus

  • expansion of allantois

    • formation of chorioallantoic placenta

  • the chorionic villi

    • interdigitate with the endometrium

    • nutrient, gas, and waste exchange

      • blood supply changes depending on species

        • location of these villi changes

Classification by Layers

Hemochorial

  • most fetal-maternal interface

    • closest connection between mom/fetus

  • blood escapes maternal capillary and circulates unimpeded against placenta

  • example: primates (humans) and rodents

Endotheliochorial

  • placental epithelium invades maternal epithelium

  • immediately adjacent to maternal blood supply

  • example: carnivores (cats and dogs)

Epitheliochorial

  • placenta + maternal epithelium

  • 2 membranes

    • placental epithelium + maternal epithelium

  • separate maternal and fetal blood

  • example: pigs, horses

Synepitheliochorial

  • similar to epitheliochorial

  • connective tissue layer between placental epithelium and maternal vasculature

  • Binucleate Cells (BNC) of trophectoderm produce syncytium

    • produce syncytial plaques

  • example: cattle, sheep & goats

Classification by Chorionic Villi

Diffuse

  • chorionic villi are distributed over almost the entire surface of the chorionic sac

  • almost entirety of the chorioallantoic membrane is attached

  • villi projections/velvety over entirety of placenta

  • many layers, lots of connection

    • nutrients to baby

  • Example: swine, horses, camel

    • Horses:

      • endometrial cups form early until day 120 (then die)

      • produce equine choriogonadotropin

        • helps with placenta formation

        • horse, note nonpregnant vs pregnant horn

        • fetal side, chorionic villi in the center, maternal side

Cotyledonary (multiplex)

  • chorionic villi are normally restricted villi are normally restricted to circular or oval areas of the chorionic sac

    • number of cotyledons varies in species

  • multiple discrete sites of attachment

  • a lot of layers

  • placentome

    • fetal portion = cotyledon

    • maternal portion = caruncles

  • Example: ruminants

    • sheep:

      • no connections, but rather discrete pockets

      • start out small, grow to softball width

      • grows as placenta and baby grows

      • sheep

    • differ from mare and sow because of synepitheliochoriol

      • BNC produce syncytial plaques make this connection

  • BNC cluster in placentome-like pattern

  • maternal epithelium and capillaries push back towards syncytium and chorion (convex)

    • like inflating rubber glove fingers (fetal villi) into a swelling mound of jelly

  • once pattern is established, growth (IGF -make placenta grow) and angiogenic (VEGF-increase blood supply, make new blood vessels) drive mutual growth and interaction

Zonary Attachment

  • chorionic villi are restricted to an equatorial girdle

  • site of attachment is around a band of tissue that surrounds the fetus

  • example: carnivores (dogs, cats, seals, bears, elephants)

  • band around each offspring

    • nutrients have few layers to get through versus previous species

  • incomplete zonary placenta

    • resembles single or double discoidal condition

      • can be distinguished by the presence of central or marginal effusions of maternal blood

      • example: mink

Discoid

  • chorionic villi are arranged in a circular plate

  • a single placenta is formed is a discoid shape

    • chorionic villi distributed in a circular plate

  • example: primates (humans), rodents

  • only ONE site of attachment

    • primarily at the bottom

    • not necessary to have a lot of attachment because of hemochorial layers

      • very easy to diffuse nutrients

  • double discoid

    • certain monkeys, occasionally an abnormality in humans

Classification of Placenta by Species

Type of Placenta → Common Examples

Diffuse, epitheliochorial → horses and pigs

Cotyledonary, synepitheliochorial →ruminants

Zonary, endotheliochorial → carnivores

Discoid, hemochorial → humans, primates, rodents

Function

Transfer of Nutrients

  • maternal organs work for fetus

    • respiratory tract, digestive tract, kidneys

  • selective permeability

    • only some nutrients can pass

      • this is a good thing as dam can ingest something toxic

    • syncytiotrophoblast/syncytial plaques immune functions

      • increase dam immune function

    • placental fuel

      • all glucose delivered to uterine circulation not umbilical circulation

    • whatever is in maternal circulation does not mean it will pass into fetal blood

  • Types of Diffusion:

    • Simple Diffusion

      • maternal heart and lungs work extra hard

        • increased: BP, HR, RR

      • O2

        • partial pressure

        • hemoglobin concentration >50% than maternal blood

          • higher oxygen carrying capacity

      • CO2

        • byproduct of biochemical processes

        • from fetal blood to maternal circulation → expiration

        • fetus intakes O2, expels CO2 to maternal circulation for dam to excrete

      • Na+, K+, Cl-, Ca, P, H2O

        • necessary in small amounts

    • Facilitated Diffusion

      • glucose

        • 60% of energy

          • GLUT 1 (primary), GLUT 3, and GLUT 4 transporters during early pregnancy

          • fetal circulation dependent on maternal circulation

      • fetal circulation does depend on maternal circulation

      • strange phenomenon:

        • maternal stores will be given to fetus in desperate times

    • Active Transport

      • amino acids

        • 30% of energy

        • fetal circulation greater than maternal

        • requirement determined by growth rate, protein deposition & energy demands

        • placenta expresses over 15 transporters

      • fatty acids

        • triglycerides too large for transport

          • must become free fatty acids (lipases)

        • placenta metabolizes long chain NEFAs and supplies fetus with long chain metabolites

        • very low concentrations of fat soluble vitamins

Endocrine Organ of Pregnancy

  • Chorionic Gonadotropin

    • maintains CL during pregnancy

  • estrogen

    • stimulates growth of myometrium

    • aids in preparation of mammary glands for lactation

  • progesterone

    • suppresses uterine contractions

    • aids in preparation of mammary glands for lactation

    • promotes the formation of the cervical plug to prevent uterine contamination

Blood Supply

  • fetal and maternal blood are separate

    • fetal blood is formed in the yolk sac

    • hematopoietic stem cells from mesoderm

      • hematopoietic → blood generation cells

      • runx1 necessary for HSC to become endothelium

    • mesoderm→hemogenic endothelial cells→pre-hematopoietic stem cells→hematopoietic stem cells

    • Steps of hematopoietic development:

      • Specification: mesoderm/hemangioblast

        • primitive streak

      • Emergence: Pre-HSC

        • aortic gonadotropin mesoderm (AGM), placenta, yolk sac

      • Maturation: HSC

        • placenta, AGM, yolk sac, fetal liver

      • Expansion: multiplication of HSC

        • increase reach

        • placenta, fetal liver, AGM, yolk sac

      • Quiescence/Self-Renewal

        • bone marrow

          • ability to make more blood