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88 Cards in this Set

  • Front
  • Back
what is a zygote?
a fertilized egg
what are the immediate stages of development of the zygote
cleavage of cells up to stage 32 cells at which it is called a morula
what is a morula
a zygote which has divided to around 32 cells and resembles a mulberry
what process does a morula undergo
compaction
what is compaction? what 2 molecules are important in this?
maximising of intracellular contact
formation of junctions between outer layers of cells
B catenin and E cadherin are important
occurs in the trophoblast cells (trophoectoderm)
what does the trophoectoderm of the blastocyte contain?
compacted trophoblast cells
what are the important stages of the development of the blastocyst
1) assymetrical division: division of cells into trophoectoderm and inner cell mass
2) adhesion of trophoectoderm (compaction)
3) formation of blastoceol cavity
what role does the zona pellucida play in formation of the blastocyte
prevents the embryo falling apart during cleavage
also prevents formation of chimeric conceptus: 2 dizygotic twins merged
what is a chimeric conceptus and what prevents its formation
2 dizygotic twins merged
zona pellucida prevents it
what is the extraembryonic part of the blastocyte?
the trophoectoderm
what is a zygote?
a fertilized egg
what are the immediate stages of development of the zygote
cleavage of cells up to stage 32 cells at which it is called a morula
what is a morula
a zygote which has divided to around 32 cells and resembles a mulberry
what process does a morula undergo
compaction
what is compaction? what 2 molecules are important in this?
maximising of intracellular contact
formation of junctions between outer layers of cells
B catenin and E cadherin are important
occurs in the trophoblast cells (trophoectoderm)
what does the trophoectoderm of the blastocyte contain?
compacted trophoblast cells
what are the important stages of the development of the blastocyst
1) assymetrical division: division of cells into trophoectoderm and inner cell mass
2) adhesion of trophoectoderm (compaction)
3) formation of blastoceol cavity
what role does the zona pellucida play in formation of the blastocyte
prevents the embryo falling apart during cleavage
also prevents formation of chimeric conceptus: 2 dizygotic twins merged
what is a chimeric conceptus and what prevents its formation
2 dizygotic twins merged
zona pellucida prevents it
what is the extraembryonic part of the blastocyte?
the trophoectoderm
what does the formation of junctions in the trophoectoderm achieve?
polarity of the cells, transformation from radically symmetrical to highly polarised
what are the two main effects/ outcomes of maternal recognition of pregnancy?
1) change in reproductive pattern from cyclic to non cyclic
2) further decidualization of the endometrium
what hormone ensures maternal recognition of pregnancy and how?
HCG secreted by trophoblast cells act on luteal cells of corpus luteum in ovary (act on LH receptors)
what receptors does HCG act on in the corpus luteum?
LH receptors
what is the result of LH receptor stimulation in corpus luteum?
prevention of luteolysis
prolongs life of corpus luteum
what hormone levels are found as a result of maternal recognition of pregnancy?
high progesterone levels
what are the consequences of high progesterone levels in maternal recognition of pregnancy?
prevents ovulation
prolongs luteal phase of endometrium
encourages decidualisation of endometrium
what occurs in the stromal reaction? 5 things
1) thinning of mucus
2) loss of glycocalyx, a charged side chain
3) flattening of microvilli
4) angiogenesis, increased permeability and oedema
5) lose -ve charge to epithelium
what happens when the blastocyte attaches in terms of the stromal reaction?
attachment encourages further decidualisation of the whole endometrium
what is the part of the decidua overlying the conceptus?
the decidua capsularis
what is the part of the decidua underlying conceptus?
decidua basalis
what is the decidua parietalis
the part of decidua not in contact with conceptus
briefly, what are the 4 methods of language of attachment?
endometrium
- LIF
- HBEGF like growth factor
- MUC1
blastocyte:
- HSPG
how does the endometrium use LIf in attachment?
LIF produced by endometrium glands
receptors develop on epithelium and stroma
global reaction, needs presence of oestrogen
encourages receptivity and further decidualisation
what is the role of HB EFG -liek growth factor in attachment?
in presence of blastocyte
requires eostrogen
endometrium produces Heparin binding EFG like growth factor
reacts with receptors on blastocyte
causes breakdown / proteolysis of zona pellucida and attachment of embryo
how does the presence of the blastocyte allow the endometrium to talk to it?
may give a signal to endometrium to allow production og HBEFG liek growth factor
or may make endometrium receptive to a signal which is already present.
how does HBEFG like growth factor react with the blastocyte?
blastocyte has 2 receptors for it
heparin sulphate
EFG receptorss
causes proteolysis of zona pellucida and attachment of blastocyte
what is zipper theory?
trophoblast of blastocyte produces Heparin sulphate proteoglycans HSPG
react with receptors on endometrium to allow attachment
what kind of signal is MUC1?
"go away"
what happens to MUC1 signal during attachment?
it is downregulated
what part of the blastocyte helps with invasion and what does it do?
trophoblast: develops syncytiotrophoblast and cytotrophoblast
syncytiotrophoblast; finger like prjections isolate and digest stromal / epithelial cells
breaks through basement membrane
what is the role of cytotrophoblasts?
proliferation of new trophoblast
what is "interstitial implantation"
occurs in humans
embryo grows in wall of uterus, not in cavity
obliterates cavity as it grows
what happens to the uterine tissue as a result of invasion?
destroys glandular tissue
releases primary metabolic substrates
"yolk" equivalent
what type of nutrition is facilitated by invasion?
histotrophic nutrition form metabolic substances released from uterine tissue
what happens to invasion in an eptopic pregnancy, and why?
becomes more invasive / dangerous
either
1) inadequate restriction by mother
2) blastocyte trying to overcome inadequate nutrition at ectopic site
what are the main "words" in the language of invasion?
endometrium;
1) TGF B
2) VGF, proliferin
3) TGF, PDGF, PGF
trophoblast:
1) proteolytic enzymes eg MMP
what is MMP and what is its role in invasion
Matrix metalloprotein, produced by trophoblast, especially from finger like projections, essential to break through Basement membrane
what is TGF B and what is its role in invasion
transforming growth factor B, it restricts activity of finger like projections of trophoblast.
it also takes part in encouraging angiogenesis
what factors encourage angiogenesis?
PFGF, (platelet derived growth factor) PGF (placental growth factor) VEGF (vascular endothelial growth factor), proliferin, TGF
what part of the blastocyte helps with invasion and what does it do?
trophoblast: develops syncytiotrophoblast and cytotrophoblast
syncytiotrophoblast; finger like prjections isolate and digest stromal / epithelial cells
breaks through basement membrane
what is the role of cytotrophoblasts?
proliferation of new trophoblast
what is "interstitial implantation"
occurs in humans
embryo grows in wall of uterus, not in cavity
obliterates cavity as it grows
what happens to the uterine tissue as a result of invasion?
destroys glandular tissue
releases primary metabolic substrates
"yolk" equivalent
what type of nutrition is facilitated by invasion?
histotrophic nutrition form metabolic substances released from uterine tissue
what happens to invasion in an eptopic pregnancy, and why?
becomes more invasive / dangerous
either
1) inadequate restriction by mother
2) blastocyte trying to overcome inadequate nutrition at ectopic site
what are the main "words" in the language of invasion?
endometrium;
1) TGF B
2) VGF, proliferin
3) TGF, PDGF, PGF
trophoblast:
1) proteolytic enzymes eg MMP
what is MMP and what is its role in invasion
Matrix metalloprotein, produced by trophoblast, especially from finger like projections, essential to break through Basement membrane
what is TGF B and what is its role in invasion
transforming growth factor B, it restricts activity of finger like projections of trophoblast.
it also takes part in encouraging angiogenesis
what factors encourage angiogenesis?
PFGF, (platelet derived growth factor) PGF (placental growth factor) VEGF (vascular endothelial growth factor), proliferin, TGF
which factor is reduced in preeclampsia and what is the result of this?
VEGF may be reduced, may cause low birth weight
what are the main steps (briefly) in establishment of maternal circulation
1)cytotrophoblast form anchoring villi
2) lacunar network forms
3) unplugging and remodelling of spiral arteries
what is an anchoring villi and when does it form?
column of cytotrophoblast cells which invades the uterine stroma, forms as maternal circualation is becoming established
what are lacunae?
lakes formed in the syncytiotrophoblast as a result of digested material from uterine wall
explain how the lacunar network contributes to establishing maternal circulaion
lacunar network reaches spiral artery ends so that blood from the arteries can spurt into the lacunae. villi then sit in the lacunae, bathed in maternal blood
what week sees the unplugging of maternal arteries?
12th week
which type of cytotrophoblast sees the remodelling of spiral arteries?
extravillous CTs
describe in detail the remodelling of spiral arteries
- replace smooth muscle and endotherlium
- form a hybrid vessel
- EVCTs released from end of anchoring villi
- increase diameter and reduce resistance of vessels
- ensures maximisation of maternal blood flow
- EVCTs undergo epithelial - endothelial transition
which trimester has low oxygen levels? why?
first trimester because spiral arteries not unplugged
what molecular signal is important in allowing invasion of trophoblasts into the uterine stroma
integrin switch
which integrins are switched on usually? what is the name of this receptor?
a6b4 - basal lamina receptor
which integrins are switched on for invasion? i.e. hiking boots...
a5b1 avb1 a1b1
what goes wrong with integrin switch in preeclampsia?
a1b1 may not be expressed, resulting in shallower implantation and insufficient remodelling of spiral arteries
what is the choriovittelline placenta, and when is it important?
transient placenta formed from yolk sac endoderm and chorionic mesoderm
occurs during the histotrophic phase of nutrition
in histotrophic phase of nutrition, how are nutrients delivered to embryo?
arteries develop in the embryonic and extraembryonic mesoderm which deliver nutrients - fetal heart pumps blood around embryo.
what is the chorioalantoic placenta?
develops when alantois (endoderm and mesoderm) fuses with chorion. this is the proper placenta.
what occurs in the 1st trimester in terms of change to haemotrophic nutrition
1) maternal circulation develops
2) fetal circulation develops and establishes itself
3) chorionic villi develop
what occurs in the second trimester and third trimester?? in terms of haemotrophic nutrition changeover
growth and remodelling of villi an fetoplacental capillaries for more efficient transport
haemotrophic support from extraembryonic mesoderms
what is placenta praevia
occurs when implantation occurs near to the cervical os. causes bleeding in second stage of pregnancy
what is the sequence of arteries in the uterus from myometrium to endometrium?
uterine and ovarian arteries
form arcuate artery
from this comes straight radial arteries headed for centre
these form spiral arteries in the endometrium
what is the extent of development of fetal circulation in the first trimesters?
formation of primary, secondary and tertiary villi
describe a primary villus
column, cytotrophoblast covered by syncytium
describe a secondary villus?
mesoderm invades primary villus
still has a column of cytotrophoblasts at top, extending towards endometrium
describe a tertiary villous
haematopoetic cells in mesoderm have developed into a primitive capillary network. this joins up with the umbilical arteries to form the fetal circulation
at what week has the tertiary villous formed?
2-4 weeks
which comes first, fetal or maternal circulation?
fetal
what is the chorion frondosum
the part of the chorion which is at the embryonic pole. develops villi
what is the chorion laeve
the part of the chorion not at embryonic pole. villi are small and regress. no exchange takes place here.