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Blastogenesis DCT 144 Cleavage Zygote Blastomeres Morula Blastocyst Cleavage Cleavage – mitotic division without cell growth and without proteosynthesis Doughter cells (blastomeres) become smaller and embryo does not change its size, being surrounded by zona pellucida Mitotic division is total and equal Formation of 2 cells (24 hours) 4 cells (40 hours) 6 – 12 cells (3ED) 16 – 32 cells (4ED) . This stage is called morula Differentiation blastomeres Blastomeres start to differentiate on the stage consisting 8 cells – expression of adhesive proteins – association and polarization of cells Tight and gap junction – outer cell mass trophoblast Cells in centre – inner cell mass – embryoblast Cavity in blastocyst comprises fluid Blastocyst – Embryonic pole Vegetative pole Blastocyst Trophoblast – outer cell mass Embryoblast – inner cell mass Blastocyst cavity – from ED 4 ED5 - loss of zona pellucida – “hatching” possibility of implantation Cells of trophoblast express adhesive molecules – adhesion to the epithelial lining of uterus (secretory phase of menstrual cycle) Imprinted genes, that are active from father, cause chorion development Implantation Adhesion to the endometrium – embryonic pole Trophoblast – proliferation and cell coalescence – syncytium − Cytotrophoblast – proliferating cells − Syncytiotrophoblast – loss of inter-cellular borders Implantation – proteolytic enzymes (metalloproteinases) – cytotrophoblast Syncytiotrophoblast – penetrates among epithelial cells = it pull embryo in the endometrium Implantation Implantation Implantation ED 9 – blastocyst is implanted in mucosa It is covered by the coagulation plug Syncytiotrophoblast develops in contact places with maternal tissue, successively surrounds whole blastocyst Maternal reaction on embryo – decidual reaction – secretion of mucus, glycogen accumulation and oedema Decidua basalis, marginalis, capsularis and parietalis Immune reaction Endometrium – immunologically favored tissue Progesterone – decreases nonspecific immune reaction – (complement) Secretion of interleukin-2 – decreases specific reaction Syncytiotrophoblast and cytotrophoblast does not express common antigens – or they are covered both form barrier between maternal and fetal tissues Cytotrophoblast shell – cells of cytotrophoblast penetrate stem villi and form barrier between maternal and fetal connective tissues Prenatal losses Implantation tests embryos Chromosomal abnormalities are the most frequent causes of spontaneous abortion Immune reason - auto-antibodies More that 50% embryos are unable to implant Only 25 – 30% zygotes survive to birth Amnion Amniotic cavity (ED8) – appears among cells of epiblast – differentiation into amnioblasts and columnar cells of epiblast Cavity is small, later surrounds whole embryo Development of embryoblast Inner cell mass differentiates in two layers even before implantation epiblast and hypoblast Epiblast – columnar cells Hypoblast – cubic cells Hypoblast Cell proliferation and migration along the cytotrophoblast - (squamous epithelium) lining of blastocyst cavity – exocoelomic Heuser´s membrane Blastocyst cavity is also called exocoelomic cavity or primary yolk sac Extraembryonic reticulum (extracellular matrix) is produced between Heuser´s membrane and cytotrophoblast ED12 – cells – extraembryonic mesoderm (probably from epiblast) Exocoelomic vesicles – they fuse in new chorionic cavity – extraembryonic coelom – between yolk sac and cytotrophoblast Cavity growth separates amnion and yolk sac from chorion – junction – connecting stalk Mesoderm – visceral and parietal layers Yolk sac ED12 - hypoblast proliferates again – cells migrate along Heuser´s membrane – secondary definitive yolk sac (smaller than primary) Primary yolk sac – exocoelomic vesicules disappears Function − Haematopoesis and development of vessels – vitellinne vasculature (blood islands) − Production of serum proteins, metabolism of nutrients − Germ cells Embryonic nutrition Resource in embryo – for first 4 – 8 blastomers, only Nutrition – diffusion from fluid in uterine tube and uterus Growth (proliferation) needs effective transport of gases (oxygen and carbon dioxide) and metabolites into the cells – development of vessels and placenta Development of chorionic villi, cardiovascular system, contact with maternal blood Development of chorion placenta Development of lacunae in trophoblast (ED9) Contact with maternal vessels – blood into the lacunae – intervillous spaces Vascular system needs adaptation for pregnancy – development of utero-placental vessels from spirale arteries (under influence of hormones) – otherwise IUGR develops Implantation is regulated by hormones – takes place in the lamina functionalis, only Development of chorion Chorion frondosum, chorion laeve Primary stem villi – syncytiotrophoblast and cytotrophoblast (ED 11 to 13) Secondary stem villi – syncytiotrophoblast, cytotrophoblast, extraembryonic mesoderm (ED16) Terciary stem villi (definitive) – syncytiotrophoblast, cytotrophoblast, extraembryonic mesoderm and vessels (ED21) Placenta Fetal organ providing nutrition and other function to embryo: Functions: Metabolism (synthesis – glycogen) Transport of gases and nutrients Excretion of vaste products Hormone production (hCG) Structure Fetal part – chorion Chorionic plate Chorionic villi Maternal part Endometrium – part functionalisdecidua basalis Structure Placental shape – discoid (olliformis) + haemochorial Placental septa – rests of decidua basalis. They separate placenta from maternal side in lobes - cotyledons Cotyledons – contain 2 and more anchoring villi Diameter – 15 -20 cm, thickness 2-3 cm, weight 500 to 600 g Placental villus Function of trophoblast Transport of respiratory gases Transport of metabolites and electrolytes Transport of maternal antibodies (IgG) Production of hormones: progesteron, estriol, hCG, somatomammotropin (placental lactogen) Placental transport Difusion Facilitated difusion Active transport Pinocytosis Other types of transfer: Damage of placetal barrier – blood cellas Own activity – Treponema pallidum Damage due to infection - toxoplasmosa Transport Many substances from maternal blood may transfer placental barrier including drugs Nutrients – glucose, AK, fatty acids, water, vitamines, electrolytes Hormones – only steroid unconjugates Maternal antibodies, transferin+ iron Ectopic implantation Abdominal cavity (Douglas pouch – retro-uterine cavity), ovary (primary ovarian pregnancy), uterine tube (95%) - most frequent in ampulla, intestitiale – in uterine horn Placenta previa Placenta accreta, percreta – penetrates into the zona basalis and myometrium Twins Dizygotic versus monozygotic Dichorial x monochorial Diamniotic x monoamniotic Conjointed twins