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89 Cards in this Set

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What is LMP and how does it relate to the age of the embryo?
LMP- Last Menstrual Period, refers to the last period before fertilization. A 6 week pregnant woman has a 4 week old embryo.
What are the first 3 stages of human embryology?
1. Spermatogenesis 2. Fertilization 3. Cleavage
What is gametogenesis?
The production of gametes from spermatozoa and ova via meiosis.
When an oocyte is released, what happens to the corpus luteum?
It stays behind in the ovary.
Spermatogenesis?
Location: Testis 1. Spermatogonium (46 XY)

2. Primary Spermatocyte (46)


3. 1st meiotic division -> 2 Secondary Spermatocytes: 23X & 23Y


4. 2nd meiotic division -> 4 haploid spermatids (2) 23X & (2) 23Y

https://o.quizlet.com/Z8WV50Qkc.iCZUXH50Fgjw_m.png
What role does progesterone play in fertilization?
It makes a small amount of estrogen and prepares the endometrium for implantation.
Oogenesis?
Location: Ovary 1. Primary oocyte (46 XX) stuck in Prophase I by birth 2. After puberty, once a month Meiosis I is completed in 1 Primary Ooctye and a Secondary Oocyte is formed (23x + 1st polar body) that is arrested in Metaphase II 3. Zona Pellucida and Antrum form 4. Ovulation - corpus luteum left in ovary 5. If FERTILIZED then 2nd meiotic division, completes and 2nd polar body forms. 6. If NOT fertilized, then the corpus luteum degenerates into the corpus albicans and meiosis II does not complete.
https://o.quizlet.com/RUTprD6mvoI38KlCDkY..g_m.jpg
Meiosis vs. Mitosis
Cells divide and reproduce in two ways:

Mitosis- cell division that results in two genetically identical diploid daughter cells developing from a single parent cell.




Meiosis - division of a germ cell involving two fissions of the nucleus, ultimately producing four haploid gametes, each possessing 23 chromosomes.

What is the second phase of human embryology?
Fertilization: in the fallopian tube (ideally)

1. Sperm enters corona radiata -> zona pellucida -> plasma membrane of the oocyte -> sperm loses its plasma membrane -> in cytoplasm of oocyte


2. 2nd meiotic division in oocyte completes -> mature oocyte + female/male pronucleus + sperm tail degenerates + 1st/2nd polar bodies


3. The female/male pronuclei combine to form a zygote 4. Cleavage (2 cells, 4 cells, 8 cells, morula, blastocyst)

How does only one sperm fertilize an egg?
The zona pellucida changes as soon as a sperm enters so no others can enter
What are some consequences of fertilization?
1. Oocyte completes 2nd meiotic division

2. Diploid # of chromosomes restored (46)


3. Genetic variation


4. Initiation of zygote cleavage 5. Determines the sex of the embryo (XX = female, XY = male)

What is a zygote?
The combination of a sperm and a oocyte to form a single cell zygote. 1-31 cells.
What is the 3rd phase of human embryology?
Cleavage- repeated mitotic divisions of zygote resulting in rapid increase in # of cells now called blastomeres.
Steps of Cleavage
1. 2 cells

2. 4 cells


3. 8 cells


4. Morula (12-32 cells)


5. Early blastocyst (still has zona pellucida, blastocytic cavity developing, , embryoblast forms (ICM), trophoblasts)


6. Late blastocyst (no more zona pellucida, now surrounded by trophoblasts, inner mass still stem cells)

https://o.quizlet.com/i/mMdPc5VQGN7Sl1rVQosKpw_m.jpg
When does the embryoblast (ICM) form?
In the early blastocyst phase.
What is a morula?
Early stage embryo filled with 8 - 32 cells surrounded by zona pellucida
https://o.quizlet.com/HwK38.EcnIud489jqVG1cQ_m.jpg
What changes does the morula undergo as it enters the uterus?
- ~ day 5 - Uterine fluid passes through the zona pellucida to form a fluid filled space called the BLASTOCYSTIC CAVITY

- the EMBRYOBLAST (inner cell mass, ICM) and the TROPHOBLAST outer cell layer are formed

- now called a BLASTOCYST
https://o.quizlet.com/Ifm0dFgYlEfcqCtWlZ4j4g_m.jpg
How does IVF (in vitro fertilization) work?
1. Hormone shots are given to cause hyperovulation.

2. The eggs are combined with the sperm in a petri dish and allowed to mature until blastocyst form.


3. More hormones are used to prepare the uterus for implantation. 4. Blastocyst implanted.

Why is the blastocyst stage used for IVF?
At this stage we know there is an embryo and trophoblasts which help to embed into the endometrium and increase the chance of a viable pregnancy.
At what stage is genetic testing usually done?
The morula stage
Why are Inner Cell Mass (ICM) cells so important?
They are stem cells and can make any cell type.
https://o.quizlet.com/QhBdrG.QbpsrWI-D8C.HJQ_m.png
Around what day does implantation occur?
~ Day 6
What happens to trophoblasts after implantation?
They proliferate and differentiate into cytotrophoblasts (outer) and syncytiotrophoblasts (inner).
Be able to draw a diagram with endometrium, synciotrophoblasts, embryoblast, cytotrophoblast, hypoblast, and blastocystic cavity

get on it

https://o.quizlet.com/wouA1bBMhdPty7aUlu56MA_m.jpg
What 3 types of cells do trophoblasts differentiate into?
Syncytiotrophoblasts Cytotrophoblasts Hypoblasts
https://o.quizlet.com/VU6SpUVD78S9LD.q1TAwIg_m.jpg
Syncytriotrophoblasts
- Cells that burrow into the endometrial CT, no discernible cell boundaries

- produces hCG (human chorionic gonadotropin)

hCG (human chorionic gonadotropin)
- hormone produced by syncytriotrophoblasts (only after implantation)

- what pregnancy tests detect as early as week 2


- maintains development of arteries in the myometrium


- communicates with corpus luteum to keep making hormone until the placenta takes over

Cytotrophoblasts
The outer layer of cells around the blastocyst, originally the trophoblasts.

- Fill the cavity w/extra embryonic mesoderm (not part of the embryo) then the mesoderm gets pushed to the edges.

https://o.quizlet.com/VU6SpUVD78S9LD.q1TAwIg_m.jpg
Hypoblasts
Cells on the bottom of the inner cell mass (ICM) adjacent to the cavity - these form the yolk sac
https://o.quizlet.com/VU6SpUVD78S9LD.q1TAwIg_m.jpg
What is an ectopic pregnancy?
Implantation of the embryo in a location other than the uterus. i.e. tubes, ovary, abdominal cavity, cervix, etc.
What are the signs of an ectopic pregnancy?
1. hCG not doubling every 48 hours

2. Extensive spotting or abnormal periods (not always recognized)


3. Abdominal pain


4. Referred shoulder pain

How do the morning after pill and IUD work?
Morning after pill - large dose of estrogen for several days prevents implantation of the blastocyst.



IUD - causes inflammation of endometrium that prevents implantation of the uterus. Some contain hormones or alter cervical mucous as well.

What is decidualization?
Postovulatory endometrial remodeling in preparation for implantation. Triggered by progesterone.

Transformation of glands, blood vessels, etc.

How is the chorionic sac formed?

(end of 2nd week)

1. Cytrophoblasts cells proliferate and become primary chorionic villi that extend into the synciotrophoblast 2. The layers of cytotrophoblast and synciotrophoblast and the extraembryonic somatic mesoderm become the chorionic sac.

What are the 2 forms of extra embryonic mesoderm?
- Somatic: Surrounds everything but the yolk sac & amniotic cavity. - Splanchnic: Surrounds the amniotic cavity & yolk sac.
What cell forms the mesoderm?
Cytotrophoblasts
What is the purpose of the yolk sac?
Not a true yolk sac for eggless mammals.



After 5-6 weeks the umbilical cord forms and sac is no longer needed and gets incorporated into gut tube.




Germ (sex cells) originate in extraembryonic mesoderm of umbilical vesicles.

What becomes the umbilical cord?
The extra-embryonic mesoderm
What becomes the germ cells?
The extraembryonic mesodermal cells
What are coelom [SEE - lum]
- spaces in the embryo where things develop (like the peritoneal and pericardial cavities, etc.) - the first is the extra-embryonic coelom
What is the 4th phase of human embryology?
Gastrulation
What is gastrulation?
Formation of the trilaminar embryonic disc which yield the three germ layers (endoderm, mesoderm, ectoderm).
What layer of the trilamina does not fall into the primitive streak?
Ectoderm
What are the three layers of the trilamina?
Superior to inferior, Ectoderm, Mesoderm, Endoderm
What cell composes the primitive streak?
embryoblast
What cells replace the original hypoblast cells to form the endoderm and mesoderm?
Epiblast cells that migrate through the primitive groove.
How does the embryonic disc change during gastrulation?
It elongates, new cells are formed at the caudal end.
Where does the cardiac mesoderm migrate to, and how does it move to the correct location.
Migrates to the head region. The head fold puts the heart and diaphragm in the correct place.
Formation of the notochordal process (day 17)
- cells migrate cranially from the primitive node & pit BETWEEN the ectoderm and endoderm - grows until it hits the prechordal plate
What do the cranial and caudal portions of the notochordal process become?

Cranial - cardiogenic area (heart & diaphragm)


Caudal - stops at cloacal membrane and becomes anus

What about lateral growth?



Lateral - vertebral bodies and column

Notocord Formation (day 20)
- notochord process become notochord plate

- plate infolds to form the notochord


- notochord become nucleus pulposus of each intervertebral disc

Allantois
- small diverticulum in caudal wall of umbilical vesicle into the connecting stalk

- involved in early blood formation (umbilical bl vessels) and urinary bladder

What does the notochord induce?
Neural Tube Somites (with the help of the overlying ectoderm)
What does the neural tube form?
Brain Spinal Cord Neural Crest Cells
Somite definition
Package of mesoderm that is innervated by particular spinal nerve (paraxial to notochord with ectoderm dorsal to it)
What happens in the lateral fold?
Embryo becomes cylinder Mesoderm (muscle) and ectoderm (skin) grow laterally and ventrally Endoderm (gut tube) formed
What does lateral plate mesoderm divide into?
The lateral plate mesoderm is divided by he intraembryonic coelom. Becomes somatic mesoderm above and splanchnic mesoderm below. After lateral folding, these become the extraembryonic somatic mesoderm (chorion and connecting stalk) and extraembryonic splanchnic mesoderm (around the yolk sac).
What does the extraembryonic somatic mesoderm become?
- body wall - Forms the connecting stalk and chorion
What does the extraembryonic splanchnic mesoderm become?
- organs and viscera - around the yolk sac
Describe somite differentiation.
Somite becomes:Sclerotome - will form spine/vertebrae (bone, not neural tissue) and bone of the ribs. Stays right around the neural tube.
Dermomyotome:

- lateral edge differentiates into the limb bud


- splits into DERMATOME (dermis, all bones but ribs and vertebrae) and MYOTOME (muscles, also splits, see myotome card).

What does the myotome divide into?
- dorsal/epaxial/hypomere will be extensors - ventral/hypaxial/epimere will be flexors
What are epaxial muscles?
• epaxial: dorsal extensor muscles
What are hypaxial muscles?
• hypaxial: ventral flexor muscles
Dermatome definition
A patch of skin innervated by a particular spinal nerve
What are the stages of myogenesis?
Satellite cells -> myoblasts -> myotubes -> mature skeletal muscle
What triggers myogenesis?
-Ectoderm, notochord, and neural tube all tell the dermomyotome to make muscle via MyoD transcription factors. -myotome - all skeletal muscle - dermatome - smooth muscle cells around sweat glands and dermal papillae
What muscles does the myotome make?
all skeletal muscle
What muscles does the dermatome make?
smooth muscle cells around sweat glands and dermal papillae
Limb bud
-Ectoderm on outside, mesoderm on inside - grows proximal to distal, stunted growth will yield no hands/feet
What allows fingers and toes to be separated?
Apoptosis between the digits.
Chorionic Villi
- fingerlike extension of cytotrophoblast into the syncytriotrophoblast

- cytotrophoblasts hollow out as mesenchyme from the extraembryonic somatic mesoderms fills the middle


- mesenchyme differentiates into capillaries of fetal blood

Intervillous space
The space where mom's blood sits outside of the chorionic villia with the placental barrier in between.



Where nutrients (no blood) are exchanged.

Describe the physical characteristics of the fetal and maternal part of the placenta.
physical characteristicsfetal part: • chorionic villi develop off of cytotrophoblast • villi are anchored • villous chorion: part of chorion that is rough looking and contains lots of villi; this part is where oxygen and nutrients are each although blood does not mix! • smooth chorion: this part pushes out into the uterus and gets squished smooth; villi recede • placental septa: go around the chorionic villi to keep maternal blood close to chorionic villi maternal part: from endometrium; decidua basalis
Describe the villous chorion and smooth chorion.
-villous chorion: part of chorion that is rough looking and contains lots of villi; this part is where oxygen and nutrients are exch although blood does not mix!

-smooth chorion: this part pushes out into the uterus and gets squished smooth; villi recede

What is the function of the placental septa?
• placental septa: go around the chorionic villi to keep maternal blood close to chorionic villi
what structure do the chorionic villi develop from?
cytotrophoblast
Describe the functions of the placenta.
functions

• oxygen, nutrients, wastes are able to be exchanged without the maternal blood mixing with fetal blood


• amniotic fluid helps with development of limbs, muscles, lungs

what are the fetal membranes?
fetal membranes: amniochorionic membrane (chorion and amnion)
describe the blood flow through the placenta.
blood flow

• mother's arteries dump oxygenated blood into the intervillous space


• oxygen diffuses across to the fetus' veins


• fetal veins carry the oxygen throughout circulation and fetal arteries bring oxygen-poor blood to the villi

Fetal veins carry what? Fetal arteries carry what?
Veins carry oxygen rich blood to fetus and arteries carry oxygen poor blood to villi.
what is hemolytic disease of the newborn?
Hemolytic disease of newborn (rH factor) The mother's body makes antibodies against a protein that is found in the baby's RBC but not the mother's. The mother's body will kill the RBC.
is there a problem if mother and baby are both rH negative? Why?
if mother and baby are both (-) then there is no problem because the baby doesn't have a protein for the mother's immune system to make antibodies against.
Chorion/chorionic sac
extraembryonic mesoderm, cytotrophoblasts, syncytiotrophoblasts
https://o.quizlet.com/.viDshpKOuIzueWTIhV17A_m.png
Amniochorionic Membrane
amnion & chorion
This is what breaks when the 'water breaks'.
https://o.quizlet.com/PRtFeGKWf7AeJOYiqEQTcg_m.png
Placenta
chorionic villi and endometrium (decidua basalis)
https://o.quizlet.com/i/JEbnBfD7vxJrrSNxOmGvxg_m.jpg