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Development of the Skeletal System Principles & Mechanisms Histogenesis Cartilage Bone Intramembranous bone formation Intracartilaginous (Endochondrial) bone formation Development of the skeleton Axial skeleton Appendicular skeleton 1 Skeletal development: Paraxial mesoderm 2 Skeletal development: Somite formation 3 Formation of sclerotome Sclerotome: ventromedial part Dermatomyotome: dorsolateral part 4 Formation of myotome and dermatome Dermatomyotome: Myotome: form myoblast (muscle primodium) Dermatome: form dermis of skin 5 Development of skeleton: Overview mesoderm → Somite → Sclerotome Dermatomyotome → Dermatome, Myotome Mesenchyme: loosely organized embryonic connective tissue to form fibroblasts, chondroblasts, osteoblasts Source Mesodermal cells: limbs & trunks Neural crest cell: migrating into pharyngeal arches to form craniofacial structures Paraxial 6 Principles of skeletal development Types of skeleton Axial skeleton Vertebral column Skull Appendicular skeleton Limb bones Sequence Mesenchymal stage Cartilagenous stage Bone stage 7 Development of Vertebrae 4-week embryo 8 Development of vertebrae Formation of vertebrae at 4th week differential growth of sclerotomal cells Vertebrae Body: centrum (notochord) Arch: mesenchyme surrounding neural tube Costal process/Rib: mesenschyme of body wall Influenced by Pax-1 gene 9 Mesenchymal stage of vertebral development 4-week embryo 10 Mesenchymal stage of vertebrae: 4-week Condensation of sclerotomal cells Around notochord, Surrounding neural tube In body wall Each sclerotome with Cranial loose mesenchyme Caudal dense mesenchyme 11 Mesenchymal stage of vertebrae: 5-week (1/2) Nucleus pulposus: expansion of notochord between vertebrae Annulus fibrous: circular fibers surrouding nucleus pulposus 12 Mesenchymal stage of vertebrae: 5-week (2/2) Vertebral body: degeneration of notochord, replaced by centrum Vertebral (neural) arch: from mesencyme surrounding neural tube Costal process (ribs in throax): from mesenchyme of body wall 13 Cartilaginous stage of vertebrae: 6-week Fusion of 2 chondrification centers in centrum Fusion of 2 chondrification centers in vertebral arch with centrum Spinous / transverse processes: extension of chondrification centers in vertebral arch 14 Bone stage of vertebrae: ossification centers 3 primary ossification centers at 7-8 week One in centrum; One in each half of vertebral arch 5 secondary ossification centers at puberty One for tip of spinous process One for tip of each transverse process Two in annular epiphyses 15 Vertebrae after birth Fusion of vertebral arches: at 3-5 years old; begin in lumbar region, progress cranially Neurocentral joint: between vertebral arch and centrum; permit growth of vertebral archs; disappear at 3-6 years old 16 Pax-1 DNA-binding transcriptional activator Highly expressed in developing sclerotome, pharyngeal pouches, facial mesenchymes Mouse phenotypes with deformed vertebrate: undulated 17 Pax-1 in spine development: undulated 18 Development of skull Skull Neurocranium: protection for brain Viscerocranium: skeleton of face Sequence Mesenchyma Cartilaginous cranium Membranous cranium: intramembranous bone formation Postnatal growth 19 Development of Neurocranium Cartilaginous neurocranium = Chondrocranium Initially by fusion of cartilages; Later by endochondral ossification to form base of skull Sequence of ossification pattern: occipital bone basisphenoid bone (body of sphenoid bone) ethmoid bone Membranous neurocranium intramembranous ossification 20 Cartilaginous neurocranium Parachordal cartilage: from cranial end of notochord, fuse with cartilages from sclerotome of occipital somite form base of occipital bone form foramen magnum by extensive growth around spinal cords Nasal capsules 21 Cartilaginous neurocranium Trabeculae cranii: fuse to form body of ethmoid bone Nasal capsules: around nasal sac, form ethmoid bone Hypophyseal cartilage: around pituitary gland (hypophysis cerebri); fuse to form body of sphenoid bone 22 Cartilaginous neurocranium: 12-week Ala orbitalis: form lesser wing of sphenoid Ala temporalis: form greater wing of sphenoid Otic capsules: form petrous and mastoid parts of temporal bone 23 Membranous neurocranium Calvaria: intramembranous ossification Fontanelles: between sutures 24 Postnatal changes in skull (calvaria) Major changes Disappearance of fontanelles / suture Growth of bone by itself to adapt the brain growth Closure of fontanelles Anterolateral (sphenoid) fontanelles: 2-3 months after birth; suture sremain for several years Posterior fontanelles: by 1 year of age Anterior fontanelle: by 2 year of age 25 Cartilaginous viscerocranium: 1st, 2nd pharyngeal arches 1st arch cartilage (Meckel cartilage): incus, malleus 2nd arch cartilage (Reichert cartilage) Dorsal end: stapes, styloid process of temporal bone Ventral end: lesser cornu/superior part of hyoid bone 26 Cartilaginous viscerocranium: 3rd & 4th arches 3rd arch cartilage: greater corn/inferior part of hyoid bone 4th/6th arch cartilages: laryngeal cartilages except epiglottis 27 Membranous viscerocranium Maxillary prominence of 1st pharyngeal arch: squamous temporal, maxillary, zygomatic bones Mandibular prominence of 1st pharyngeal arch: condense around Meckel cartilage to become mandible 28 Development of long bones 33 days 28 days 5th week 6th week 29 Time table for the development of appendicular skeleton bone models: begin at 5th week Chondrofication to form hyaline cartilage bone models: begin at 6th week Primary center of ossification: begin from 8th-12th week Secondary center of ossification: begin from 34th-38th week Mesenchymal 30 Hox genes: the discovery of 4-wing fly EB Lewis, C Nusslein-Volhard, EF Wieschaus wild type mutant 4-winged 31 HOX genes in mammals for body planning 32 Hox mutations in humans Syndactyly: a rare dominant malformation in distal limbs; between 3rd and 4th fingers Mutation in HoxD13 33 Summary of Neurocranium and Viscerovranium Mem. neuro: frontal, parietal Cart. neuro: sphenoid, occipital, temporal (petrous, mastoid) Mem. viscero: mandible, maxilla, temporal (squama) Cart. viscero: auditory, temporal (styloid), hyoid, thyroid 34 Overview of Myotome 41-day embryo 41-day embryo Myotome of a somite → ventral hypaxial, dorsal epaxial divisions Spinal nerve → Ventral primary ramus for hypaxial division and limb muscles Dorsal primary ramus for epaxial division 35 Derivatives: Epaxial division of myotome 7-week embryo Extensor o 6-week embryo muscles of neck & vertebral column But extensors of sacral & coccygeal myotomes → degenerate → dorsal sacrococcygeal ligaments 36 Derivatives: Hypaxial division of myotome 7-week embryo 8-week embryo Cervical myotome: scalene, prevertebral, geniohyoid, infrahyoid m. Thoracic myotome: lateral / ventral flexor muscles of vertebral column Lumbar myotome: quadratus lumborum etc Sacrococcygeal myotome: pelvic diaphgragm, striated m. of anus/genital organs 37 Development of Facial / Tongue muscles 8-week embryo 41 days Pharyngeal arch muscles: mastication, facial expression, pharynx, larynx (innervated by pharyngeal arch nerves) Tongue muscles: from 4 occipital (postotic) myotomes; indeed the first eventually disappears; innervated by hypoglossal nerve 38 Derivatives of Extraocular muscles 8-week embryo 6-week Ocular muscles: from mesenchymal cells near prechoral plate → preotic myotome → extraocular muscle (EOM) 39 Development of Limb muscles Limb bud 6-week Limb muscles: from myoblasts surrounding bones (somites) Precursor myogenic cells in ventral dermatomyotome (epithelium in nature) → migrate to premodium of limbs after mesenchymeepithelium transformation 40 Myotome: Summary of a somite → ventral hypaxial division dorsal epaxial division Spinal nerve → Ventral primary ramus for hypaxial division Dorsal primary ramus for epaxial division Intercostal muscles: remain segmented Most other muscles (limbs): non-segmented because of myoblast migration Myotome 41 Development of Muscles: Summary Muscular system: develop from mesoderm or derivatives Mesenchyme of myotome in somites or neural crestinduced pharyngeal arches (exception: iris from neuroectoderm) Myoblasts Skeletal muscles Head/Neck: from mesenchyme of pharyngeal arches Trunk: from mesoderm in myotome of somite Limb: from myogenic precursor cells in limb buds (originating from somites as well) 42 Pharyngeal arch: summary Arch Nerve Muscles Skeletal structures First, mandibular Trigeminal (V3) mastication, tensor tympani, veli palatini malleus, incus Second, hyoid CN 7 (facial) facial expression, stapedius, stylohyoid stapes, styloid proc, hyoid (upper, lesser cornu) Third CN 9 (glossopharyngeal) stylopharyngeaus Hyoid (lower, greater cornu) Fourth / Sixth CN 10 (superior cricothyroid, levator / recurrent veli palatini, pharyngeal laryngeal) constrictor Cartilage (thyroid, cricoid, arytenoid, corniculate, cuneiform) 43 Molecular mechanisms of myogenesis BMP-4 Inductive factors from ectoderm and dorsal neural tube: wnt, BMP-4 Inductive factor from notochord and ventral neural tube: Shh Activation of Pax-3 and Myf-5 in dermatomyotome Migratory activity: Pax3 44 Control of muscle size Myostatin to TGF-β family, important for growth and differentiation expressed at myotome of somites Mutation: causing muscle hypertrophy belong 45 Myostatin mutation with muscle hypertrophy 46 Early stages of limb development Limb buds: 4th week, small elevation in ventrolateral body wall Upper limb bud: 26-27 days; caudal cervical segments Lower limb bud: 28-30 days; lumbar/upper sacral segments 47 Development of limb buds Limb bud: a mass of mesenchyme with covering ectoderm Apical ectodermal ridge (AER): thinning of ectoderm at apex of each limb bud; a multilayered epithelium 48 Formation of hands and feet (4th-8th week) U: 27 days L: 28 days 32 days 36 days 41 days 46 days 46 days 49 days 50 days 52 days 52 days 56 days Plate: hand plate (by 6th wk), foot plate (7th wk) Digital rays by condensation of mesenchyme; Mesenchymal premodia of bone (phalanges) Notches between digital rays: breakdown of intervening loose mesenchyme; Mechanism: programmed cell death (apoptosis) by BMP Clinical correlation: syndactyly by blocking apoptosis and BMP Separate digits: by 8th wk 49 Anomalies of limbs Critical period for limb formation 24-36 days post-fertilization (thalidomide) Exposure before day 33: absence/hypoplasia of thumbs Thalidomide: as sedative/antinausea agent (withdrawn in1961); contraindicated in women of childbearing age 50 Limb anomalies: thalidomide 51 Story of Frances Oldham Kelsey, MD, PhD “In 1960, Kelsey was hired by the FDA in Washington, DC. At that time, she "was one of only seven full-time and four young part-time physicians reviewing drugs" for the FDA. One of her first assignments at the FDA, was to review application by Richardson Merrell for the drug thalidomide (under the tradename Kevadon). Even though it had already been approved in over 20 European and African countries, she withheld approval for the drug, and requested further studies. Despite pressure from thalidomide's manufacturer, Kelsey persisted in requesting additional information to explain an English study which documented a nervous system side effect.” http://en.wikipedia.org/wiki/Frances_Oldham_Kelsey 52 Summary of Limb development at the end of 4th week Slight elevation of ventrolateral body wall (upper limbs: 2 days earlier than lower limbs) Limb buds: from mesoderm & ectoderm Apical ectodermal ridge (AER): Inductive influence on limb mesenchyme promoting growth & development of limbs Elongation: proliferation of mesenchyme Formation of digits: with involvement of programmed cell death Begin 53