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1. Gametogenesis: Spermatogenesis a. Regulated by Luteinizing Hormone (LH) produced in the anterior pituitary i. Stimulates testosterone production ii. Binds to Sertoli cells to promote spermatogenesis b. Follicle Stimulating Hormone (FSH) i. Binds to Sertoli cells to stimulate testicular fluid production c. Primordial Germ Cells (PGC’s) (46, 4n) gametes i. 2nd week: formed in the epiblast ii. Moves to wall of yolk sac iii. 4th week: migrate to gonads iv. Remain dormant till puberty d. PGC’s at puberty differentiate into spermatogonia A (stem cell) in the sex cords i. Spermatogonia A become clone of cells by meiotic division ii. The last division of spermatogonia A creates spermatogonia B e. Spermatogonia B (46, 2n) mitosis 1° spermatocytes (46, 2n) f. 1° Spermatocytes meiosis I 2° spermatocytes (23, 2n) g. 2° Spermatocyte (23, 2n) meiosis II spermatids (23, n) h. Sertoli cells support and protect the germ cells, providing nutrition, and assists in release of mature spermatozoa. 2. Spermiogenesis: Morphology of the spermatozoon a. Four steps for transformation of spermatids into spermatozoa (takes 64 days) i. Formation of acrosome from Golgi 1. Covers half the nuclear surface 2. Contains acrosin assisting penetration of the egg (zona pellucida) ii. Condensation of the nucleus iii. Formation of neck, middle piece, and tail 1. Same structure as kinocilia (9 + 2 arrangement) iv. Shedding of most of the cytoplasm b. Morphology i. Head 1. Acrosome and nucleus ii. Neck 1. Proximal and Distal Centrioles iii. Midpiece 1. Microtubules Page |1 2. Outer dense fibres 3. Mitochondria 4. Annulus iv. Tail 1. Main piece a. Microtubules b. Outer dense fibres c. Fibrous Sheath 2. End piece a. Microtubules c. The mature spermatozoa enters the lumen of the seminiferous tubules and then ‘squeezed’ towards the epididymis i. Gain full motility in the epididymis ii. 2-3 mm/min swim speed 3. Gametogenesis: Oogenesis a. Prenatal maturation i. 3rd week: PGC’s enter ovary and differentiates into oogonia ii. End of 3rd Month: undergoes number of meiotic divisions iii. Become arranged in clusters surrounded by flat epithelial cells (follicle cells) iv. The majority of oogonia continue to divide by mitosis but 1. Some stop in prophase I and form 1° oocytes th v. 5 Month: Rapid oogonia production, germ cells in the ovary reach maximum (about 7 million) vi. After: Cell death begins vii. 7th Month: The majority of oogonia have degenerated except for a few near the surface viii. All surviving 1° oocytes are stopped in prophase I and most are individually surrounded by follicular cells = primordial follicle b. Postnatal maturation i. Near birth: all 1° oocytes enter into diplotene stage 1. 1° oocytes remain in prophase and do not finish the meiotic division before puberty is reached (maybe by oocyte maturation inhibitor) ii. At birth: there are 700 000 – 2 000 000 1° oocytes 1. <500 will be ovulated 2. Can last for 40 years or more iii. Each ovarian cycle: 15-20 primordial follicles begin to mature only 1 matures through all 3 stages – Primary or Preantral Secondary or Antral Preovulatory 1. As 1° oocyte grows follicular cells change from flat to cuboidal and then proliferate to produce stratified epithelium of granulosa cells, and the whole unit is called a primary follicle Page |2 2. Granulosa cells rest on basement membrane separating them from stromal cells = theca folliculi 3. Granulosa cells and oocytes secrete glycoproteins on the surface of oocytes = zona pellucida 4. As growth continues: follculi organize into theca interna (secretory cells) and theca externa (fibrous capsule) 5. A fluid filled space forms between the granulose cells and together form the antrum = secondary follicle (25 mm diameter) a. Granulosa cells surrounding the oocyte = cumulus oophorus 6. A surge in LH causes the mature secondary follicle to undergo the Preovulatory growth phase 7. Meiosis I completed and two unequal daughter cells (each 23, 2n) are formed a. Secondary oocyte receives most of the cytoplasm b. First Polar body receives no cytoplasm and lies between zona pellucida and cell membrane 8. The cell enters meiosis II but stops in metaphase II 3 hours before ovulation a. Meiosis II completed only if fertilized b. Cell degenerates 24 hours after ovulation if not fertilized 4. Ovulation and Fertilization a. Ovulation i. FSH stimulates the primordial follicles to grow and mature, and maturation of granulosa cells 1. Granulosa cells + theca interna cells produce estrogen ii. LH secreted after estrogen stimulation 1. Stimulates progesterone production in follicular stromal cells and follicles rupture and ovulation begins iii. High LH concentration increase collagenous activity surrounding the follicle digestion of collagenous fibres surrounding follicle iv. LH surge cause contraction of the ovary expelling the oocyte with the cumulous oophorus region out of the ovary v. Some of the cumulous oophorus rearranges to form the corona radiate b. Corpus Luteum i. After ovulation, the ruptured follicle together with cells from the theca interna forms the corpus luteum by LH influence ii. The corpus luteum secretes progesterone iii. Progesterone + Estrogen causes the uterine wall to enter the progestational or secretory stage which prepares for embryo implantation c. If no fertilization then… i. Corpus Luteum reaches maximum development 9 days after ovulation ii. It shrinks and forms the Corpus Albicans Page |3 iii. Progesterone production decreases and menstrual bleeding occurs d. If fertilization occurs then… i. Human chorionic gonadotropin (HCG) prevents degeneration of corpus luteum ii. Corpus luteum continues to secrete progesterone until the end of 4th month iii. After 4th month: placenta takes over progesterone secretion e. Fertilization i. Occurs in the ampullary region of the uterine tube (widest part and close to ovary) ii. Spermatazoa must undergo capacitation (to pass through corona cells) and acrosome reaction 1. Capacitation is the conditioning period in the uterine tube where the glycoprotein coat and seminal plasma proteins are removed from the plasma membrane covering the acrosome 2. The acrosome reaction is induced by zona proteins once bound to zona pellucida. This causes the release of enzymes to penetrate the zona pellucida (eg. acrosin) iii. 3 Phases of fertilization 1. Penetration of Corona Radiata a. Capacitated sperm passes through the corona radiata 2. Penetration of Zona Pellucida a. Aided by acrosomal enzymes b. Cortical reaction: once one sperm comes in contact with the oocyte surface, the zona pellucida releases lysosomal enzymes from the cortical granules 3. Fusion of Sperm and Oocyte cell membranes a. Plasma membranes of egg and sperm fuse head and tail of spermatozoa enter the cytoplasm of oocyte, but plasma membrane is left behind b. Spermatozoa nucleus male pronucleus (22 + X or Y) c. Oocyte completes meiosis II i. The result is second polar body ii. And the definitive oocyte forms female pronucleus (22 + X) d. Each pronucleus replicates its own DNA before they fuse together and form a zygote 5. Cleavage of the fertilized egg, morula, formation of the blastocyst (First week of intrauterine life) a. Cleavage i. After 2 cell stage zygote increases number of cells by mitotic divisions (NOT increase in mass) ii. These cells which become smaller with each cleavage are known as blastomeres Page |4 iii. The third cleavage (1 2 4 8 cells) causes the cells to maximize contact with each other forming a compact ball (compaction process) held by tight junctions iv. After 3 days, the compacted 16 cell morula has an inner cell mass and outer cell mass 1. Inner cell mass embryo proper 2. Outer cell mass thophoblast which later contributes to the placenta b. Blastocyst formation i. Fluid begins to penetrate zona pellucida into intercellular spaces of the inner cell mass ii. The spaces gradually become one singe cavity called the blastocele iii. Inner mass located on one pole = embyroblast iv. Outer mass flattens to form wall of blastocyst= trophoblast v. Zona pellucida disappears ready for implantation 6. Implantation: Changes in the uterus and on the surface of the blastocyst a. Wall uterus consists of 3 layers i. Endometrium – mucosa lining the inside wall ii. Myometrium – thick layer of smooth muscle iii. Perimetrium – peritoneal covering lining the outside wall b. From puberty to menopause, the endometrium undergoes a cycle of 28 days under hormonal control by the ovary c. During this menstrual cycle, endometrium passes through 3 stages i. Proliferative phase – growth under influence of estrogen ii. Secretory phase (2-3 days after ovulation) – in response to progesterone from the corpus luteum 1. If fertilization occurs then endometrium assists in implantation and contributes to formation of placenta a. Three distinct layers are seen in endometrium i. Compact layer (superficial) ii. Spongy layer (intermediate) iii. Basal Layer (thin) b. Normally the human blastocyst implants in the endometrium along the anterior or posterior walls of the uterus 2. If fertilization does not occur then shedding of endometrium marks beginning of menstrual phase iii. Menstrual phase 1. Blood from superficial arteries and stuff are shedded 2. 3-4 days during menstrual phase, compact and spongy layer are expelled from the uterus and only basal layer remains d. Changes in the surface of the blastocyst i. … ii. … Page |5 iii. … iv. … 7. Development of the blastocyst during the second week a. 8th day: blastocyst partially embedded into endometrial stroma i. Trophoblast has two layers 1. Cytotrophoblast: inner layer of mononucleated cells 2. Syncytiotrophoblast: outer multinucleated zone ii. Inner cell mass or embryoblast differentiates into 1. Hypoblast: cuboidal cells 2. Epiblast: columnar cells iii. Small cavity appears within the epiblast which enlarges amniotic cavity 1. Amnioblasts form the roof of the cavity from epiblast th b. 9 day: blastocyst more deeply embedded into endometrium i. Lacunae form in the syncytiotrophoblast ii. Primitive yolk sac (exocoelomic cavity) appears from 1. Heuser’s membrane (single layer of flat cell) - develops from the cytotrophoblast 2. Hypoblast th th c. 11 and 12 day: blastocyst is completely embedded into endometrium, so that the epithelium cell almost entirely covers the hole in the uterine wall i. Extraembryonic mesoderm: cells that appear between the inner surface of cytotrophoblast and outer surface of the exocoelomic cavity (primitive yolk sac) ii. Extraembryonic Coelom: forms from spaces in the extraembryonic mesoderm 1. Extraembryonic somatopleuric mesoderm – lines the cytotrophoblast and amnion 2. Extraembryonic splanchnopleuric mesoderm – lines the yolk sac th d. 13 day: endometrium surface has fully healed i. Hypoblast produce cells that proliferate and form a new cavity in the yolk sac 1. Secondary yolk sac: as it forms, portions of the exocoelomic cavity pinch off and become the exocoelomic cyst 2. Extraembryonic coelom chorionic cavity Page |6 8. Developmental map of the blastocyst (the epiblast fate map) 9. Homeobox genes, determination of body axes a. HOX genes codes for transcription factors which regulates the morphogenesis i. There are 39 HOX genes in 4 parallel series ii. 4 copies on 4 different chromosomes iii. Genes coding for later events are located upstream b. 3 axis i. Craniocaudal (anteroposterior) axis 1. Once the head ends is established, the primitive streak forms caudally, which is maintained and expressed by nodal, from the TGF-β gene family 2. Cells at posterior margin of embryonic disc (posterior marginal zone, PMZ) secretes an activin-like molecule, thus inducing primitive streak formation ii. Dorsoventral axis 1. Bone morphogenetic protein-4 (BMP-4) and fibroblast growth factor (FGF) is secreted throughout the embryonic disc, which ventralizes the mesoderm into the intermediate and lateral plate mesoderm iii. Transverse axis 1. Sonic hedgehog expression gets restricted to the left side of the primitive node by the binding of activin-IIa to its receptor 10. Gastrulation Page |7 a. Occurs during 3rd week of gestation with the formation of the primitive streak on the surface of the epiblast i. Cephalic end bulge of the primitive streak is the primitive node ii. Epiblast cells migrate towards primitive streak and detach from epiblast and slip into the streak 1. The epiblast cell migrate through the primitive streak and node in specific patterns which determine their fate (see 8. Epiblast fate map) iii. The cells invaginate (inward movement), and some cell become endoderm and others form the mesoderm between the epiblast and newly formed endoderm iv. The cells remaining in the epiblast ectoderm v. As more cells migrate through primitive node, they fuse contact with extraembryonic mesoderm and become the prechordal mesoderm at the cephalic end vi. The cells after become the notochordal plate b. As hypoblast cells are replaced by migrating endoderm cells moving in the streak, the notochord proliferates and detaches from endoderm and becomes the definitive notochord c. The buccopharyngeal membrane forms the mouth since it is cephalic while the cloacal membrane forms at the caudal end which forms the anus i. 16th day: The cloacal membrane appears and the posterior wall of the yolk sac forms the allantois d. Migration of cells ceases at 4th week i. The cranial end starts differentiation sooner ii. The embryonic plate grows iii. The primitive streak gets shorter and shorter e. Primary villi capillaries created secondary villi tertiary villi i. Capillaries created connect capillaries in the chorionic plate and connecting stalk ii. Provide nutrition and oxygen 11. Neurulation, derivatives of the ectoderm a. Middle of 3rd week: Surface ectoderm in midline dorsal to the notchord differentiates into microdermal cells = neural plate b. Elongated, slippershaped neural plate expands towards the primitive streak. c. End of 3rd week: i. lateral edges of neural plate becomes elevated = neural folds ii. Depressed midregion forms the neural groove d. Neural folds approach each other at midline and fuse = neural tube e. Cephalic and caudal ends of neural tube communicate with amniotic cavity by way of caranial and caudal neuropores f. Day 25 closure of cranial neuropore g. Day 27 closure of posterior neuropore h. Neuraltion completed and CNS is represented by a closed tubular structure with : i. A narrow caudal portion = spinal cord Page |8 ii. Broader cephalic portion characterized by dilations = brain vesicles i. As the neural folds elevate and fuse, cells at the lateral border or crest of the neuroectoderm begin to dissociate from their neighbors = neural crest j. Crest cells leave the neural folds after closure of the neural tube and migrate along one of two pathways : i. A dorsal pathway through the dermis, where they will enter the ectoderm and form melanocytes in the skin and hair follicles ii. A ventral pathway through the anterior half of each somite to become sensory ganglia, sympathetic and enteric neurons, Schwann cells and cells of the adrenal medulla. k. By the time the neural tube is closed, two ectodermal thickenings become visible in the cephalic region. i. The otic placodes 1. Forms otic vesicles for hearing and maintenance of equilibrium ii. The lens placodes 1. 5th week, form the lenses of the eye l. Derivatives of the Ectodermal Germ Layer i. CNS and PNS ii. Sensory epithelium : ear, nose, and eye iii. The epidermis : hair and nail 12. Differentiation and derivatives of the mesodermal germ layer a. Intraembryonic Body Cavity divides the intraembryonic mesoderm in 3 parts i. Paraxial mesoderm 1. Beginning of 3rd week paraxial mesoderm is organized into segments known as somitomeres 2. Formation proceeds cephalocaudally 3. Somitomeres are further organized into somites which first arise in the occipital region (20th day) 4. Divides by transverse grooves into 42-44 pairs of somites a. 4 occipital b. 8 cervical c. 12 thoracic d. 5 lumbar e. 5 sacral f. 8-10 coccygeal 5. The first occipital and 5-6 coccygeal disappear 6. Remaining somites divide into 3 parts a. Sclerotome – ventromedial part Page |9 i. Bones, cartilage, and ligaments b. Myotome – middle part i. Skeletal muscle of chest, abdomen, and limbs c. Dermatome – dorsal part i. Dermis ii. Subcutaneous tissue ii. Intermediate mesoderm 1. Connects paraxial mesoderm with lateral plate 2. Differentiates into urogenital structures iii. Lateral plate mesoderm 1. 2 parts a. Visceral mesoderm – surrounds wall of gut b. Parietal mesoderm – surrounds intraembryonic cavity of body wall b. Derivatives of mesoderm i. Paraxial 1. Part of skull, muscles, and vertebrae ii. Intermediate 1. Urogenital system iii. Lateral 1. Visceral – serous membranes around the organs 2. Parietal – serous membranes, body wall, and limbs 13. Cephalo-caudal and lateral folding. Early differentiation of the endoderm a. Lateral folding: somites start to rapidly grow laterally which divides and splits the yolk sac into 3 parts before the gut is formed i. Intraembryonic part (which becomes gut) ii. Extraembyonic part (which stays as yolk sac) iii. Connecting duct (becomes vitelline duct) b. Cephalo-caudal folding: the curving of the embryo in a sagittal plane i. 3 parts 1. Foregut – separated from the amnion by buccopharyngeal membrane a. Created from endoderm 2. Midgut – connected with yolk sac by the vitelline duct 3. Hindgut – separated from the amnion by the cloacal membrane ii. The buccopharungeal eventually ruptures (4th week) creating an open connection between amniotic cavity and primitive gut iii. The cloacal membrane ruptures (7th week) creates an opening for the anus c. Both types of folding partially incorporate the allantois into the body d. Derivatives of endoderm i. Epithelial lining of respiratory tract ii. Epithelial lining of urinary bladder and urethra iii. Epithelial lining of tympanic cavity and auditory tube P a g e | 10 iv. Reticular stroma of tonsils and thymus v. Parenchyma of thyroid, parathyroid, liver, and pancreas 14. Development of the muscular system a. Skeletal muscle i. Cell from myotome (middle part of paraxial mesoderm) migrate to their definite locations and differentiate to myoblast and fuse to form long multi nucleated fibres ii. 5th week: myotome cells are divided by intermuscular septum into 2 parts 1. Epimere a. Dorsal portion b. Forms extensor muscles c. Innervated by dorsal ramus 2. Hypomere a. Ventral portion b. Forms muscles of limbs and body wall c. Innervated by ventral ramus b. Smooth muscle i. Cells of visceral mesoderm (lower part of lateral plate mesoderm) surround the gastrointestinal tract (GI tract) and vascular system ii. Differentiate into smooth muscle cells c. Cardiac muscle i. Cell of visceral mesoderm surround the endothelial heart tube ii. Differentiate to myoblasts and adhere to one another by intercalated dics iii. Myoblasts develop as in skeletal but don’t fuse, forming the special bundles called Purkinje fibers 15. Growth of the bones: Increase in length and diameter a. … b. … c. … 16. External appearance of the embryo, development of the fetus, full-term baby a. 2nd week i. Bilaminar germ discs ii. Amniotic cavity iii. Yolk sac iv. Extraembryonic mesoderm v. Extraembryonic coelom rd b. 3 week i. Gastrulation ii. Parachordal plate iii. Primitive streak and node iv. Notochord v. Trilaminar germ disc (intraembryonic mesoderm, endoderm, and ectoderm) P a g e | 11 c. d. e. f. g. h. i. j. vi. 2 mm embryo length 3 and 4th week i. Neurulation 1. Neural tube 2. Neural crest ii. Cephalo-caudal and lateral folding 1. Gut a. Foregut b. Midgut c. Hindgut 2. Viteline duct 3. Definitive yolk sac 3rd to 8th week i. Organogenesis 1. All major organs develop 2. Limbs develop 3. Knee and elbow joints develop 4. Fingers separate 5. Tail disappears 6. 25 mm length of embryo th 9 week – delivery = fetal period i. Maturation of tissues and organs ii. Fast growth of body rd 3 month i. Head constitutes half of the length ii. Eyes found ventrally iii. Ears found laterally iv. Limbs are proportional v. External genitalia can be seen th 4 month i. Head a third of length ii. Eyelids th 5 month i. Muscular activity initiates (movements can be felt by mother) ii. Fetus is covered with fine hair (lanugo hair) on eyebrows and head 6th month i. Reddish skin ii. Wrinkled appearance because of lack of underlying connective tissue iii. Some organs function but the respiratory and CNS have not differentiated sufficiently and there is little coordination between them th 7 month i. 90% survival rate if born at this time rd P a g e | 12 ii. Subcutaneous fat pads deposit iii. Maturation of nervous system iv. 25 cm th k. 40 week i. Head is a quarter of length of embryo ii. 50 cm length of body iii. 3 – 3.5 kg l. Premature < 37 weeks m. Postmature > 40 weeks 17. Fetal membranes, umbilical vessels and cord at full term. Formation of the placenta 18. Twinnings a. Dizygotic twins (70% of twins) (also called fraternal) i. Simultaneous fertilization of 2 oocytes and 2 different spermatozoa ii. The zygotes implant separately in the uterus and grow individually therefore having their own placentas, amniotic cavity, and chorionic cavity iii. If placentas are close together fusion might take place, leading to rbc exchange (erythrocyte mosaicism) b. Monozygotic twins i. 1 oocyte is fertilized by 1 spermatozoa ii. Zygote splits at two cell stage and two separate zygotes develop iii. Each embryo has own placenta and amniotic cavity, but different chorionic cavity iv. If late separation occurs at bilaminar germ disc stage (before formation of primitive streak), then both embryos will have their placentas, amniotic cavities, and chorionic cavities together v. If separation fails to complete = conjoined twins 19. The factors causing malformations a. Environmental Factors i. Infections 1. Rubella 2. Toxoplasma ii. Ionizing radiation iii. Chemical agents 1. Drugs 2. Vitamins 3. Alcohol P a g e | 13 4. Pollution iv. Hyperthermia b. Genetic mutations i. Dominant, recessive 1. Haemophilia 2. Phenylketonuria c. Disruptions i. Vascular accidents 1. Bowel atresis ii. Amniotic bands 1. Amputation d. Deformations i. Mechanical forces 1. Compression 2. Clubfeet (due to compression in amniotic cavity) P a g e | 14