L19- defects of embryonic development

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l19 defects of embryonic development
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Potential impact of developmental biology on human health 1. Understanding growth and differentiation can inform therapy of degenerative diseases. 2. Tissue engineering for transplantation using a patient's own stem or embryonic cells. 3. Decapulation of developmental events can occur in adult disease resulting in illness
Development - In human development, embryos develop in the womb, no new growth but increase in number of cells, resulting in blastocyst, which implants into the uterus of mother.
Germ layers At the end of gastrulation, 3 germ layers are present: - Top layer: ectoderm; epidermus, NS - Middle layer: Mesoderm; trunk skeleton, muscle, dermis, kidney, blood. - Inner layer: endoderm; gut, liver, pancreas, lungs.
Susceptibility to developmental defects - susceptibility corresponds with organ development - most organ development occurs at 3-8 weeks of development; organ systems and limbs develop during this time. - Peak of risk of issue in embryonic development at 5 weeks.
Common defects - Cardiac and blood vessel defects are the most common: 1 in 115 births EG: transposition of the great blood vessel (which can be resolved by arterial switch surgery) Minor defects: - Ankyloglossia: tongue tie - Colombia of the iris - cleft lip/palate - polydactyly- extra fingers/toes
Causes of human embroyonic malformations - Unknown- 54% - Genetic factors- 14% ie chromosomal aberrations such as duplicated/lacking chromosomes, or point mutations. EG downs syndrome - Enviromental factors- 7%; drugs, chemicals, infections, maternal disease. - multifactoral inheritance- 25%, inheritance of multiple genes with one or more enviromental factors
Example of defects caused by a single gene - Cleidocranial dysotosis, where clavicals are thinner or absent, resulting in hyperflexibility and dental abnormality. This is caused by a defect in the RUNX2 gene involved in bone development
Example of developmental defects caused by environmental factors - Thalidomide- morning sickness drug launched before being properly tested. Resulted in children being born without limbs. - Fetal alcohol syndrome- small head, behavioural issues, flat face - Zika virus, transmitted via mosquito bites, results in undergrowth of the NS
Brain development in humans - brain development begins from the hollow neural tube, which form bulges and flextures that shape the brain - the neural tube is derived from the ectodermal germ layer How this happens: 1. between 17 and 23 days of development neurulation occurs; 2. midline of neural plate dips down and borders rise up, meeting in the middle, fusing to form the neural tube - This involves a number of different genes, and if anything goes wrong defects in the neural tube appear (NTDs)
Neural tube defects: NTDs: Ectodermal defects - Which defect occurs depends on which end of the neural tube has been affected. EG: Defect at the top= anacephaly= no brain Defect at the posterior= spina bifta; spinal cord exposed to the enviroment, risk of infection - can be caused by genetic/enviromental factors; folate helps to prevent NTDs. Less severe NTDs: - hyphohidrotic ectodermal dysplasia; affects ectodermal organs- hair, sweat glands, teeth, and in females; mammary glands. Caused by a point mutation in ectodysplasin A gene, can be resolved by injecting Eda protein signalling factors (only been tested in mice).
Mesodermal NTDs - vertebral defects: mesoderm organised into somites, progenitors of vertebrae and axial muscles. *Spondylocostal dysostosis is when this develops in a disorganised way *Achrondroplasia; defect in cartliage cells, results in short stature and undeveloped bones
How digit duplications occur ZHH: morphagen, sonic hedgehog. - different digits formed from the mesoderm are formed by a gradient of ZHH - ZHH is expressed in ZPA (zone of polarising activity) released from here and diffuses across limb bed. High conc= pinky Low conc= thumb - If something goes wron within this gradient, digit duplications can occur.
Endodermal NTDs - endoderm gives rise to the gut, liver, pancreas and lungs. Defects include: - Lung aplasia- absence of lung - Esophegeal atresia/fistula- extra tubes in the respiritoey sistem - Omphalocele- bowel outside the body Other gut issues: - astresia aka 'double bubble' - malrotation; rotation of the gut, strangulation of the gut- leading to ischemia
Neural crest - PNS is neural crest- derived - Neural plate borders that fuse during neural tube formation give rise to migratory cell population; the neural crest. - Neural crest cells are multipotent, and give rise to a number of of cell types. - Form entire PNS inc sensory neurons , autonomic neurons , pigment cells, schwann cells and smooth muscle - Adult neural crest stem cells can be identified in the skin, meaning there is a potential use for therapy. Defects here include congenital aganglionic megacolon= Hirschsprung's disease
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