Identification of Thymosin Β4 As an Effector of Hand1-Mediated Vascular Development
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3 Embryology and Development
BIOL 6505 − INTRODUCTION TO FETAL MEDICINE 3. EMBRYOLOGY AND DEVELOPMENT Arlet G. Kurkchubasche, M.D. INTRODUCTION Embryology – the field of study that pertains to the developing organism/human Basic embryology –usually taught in the chronologic sequence of events. These events are the basis for understanding the congenital anomalies that we encounter in the fetus, and help explain the relationships to other organ system concerns. Below is a synopsis of some of the critical steps in embryogenesis from the anatomic rather than molecular basis. These concepts will be more intuitive and evident in conjunction with diagrams and animated sequences. This text is a synopsis of material provided in Langman’s Medical Embryology, 9th ed. First week – ovulation to fertilization to implantation Fertilization restores 1) the diploid number of chromosomes, 2) determines the chromosomal sex and 3) initiates cleavage. Cleavage of the fertilized ovum results in mitotic divisions generating blastomeres that form a 16-cell morula. The dense morula develops a central cavity and now forms the blastocyst, which restructures into 2 components. The inner cell mass forms the embryoblast and outer cell mass the trophoblast. Consequences for fetal management: Variances in cleavage, i.e. splitting of the zygote at various stages/locations - leads to monozygotic twinning with various relationships of the fetal membranes. Cleavage at later weeks will lead to conjoined twinning. Second week: the week of twos – marked by bilaminar germ disc formation. Commences with blastocyst partially embedded in endometrial stroma Trophoblast forms – 1) cytotrophoblast – mitotic cells that coalesce to form 2) syncytiotrophoblast – erodes into maternal tissues, forms lacunae which are critical to development of the uteroplacental circulation. -
Neonate Germinal Stage Blastocyst Embryonic Disk Trophoblast Umbilical Cord Placenta Embryonic Stage Cephalocaudal Proximodistal
neonate umbilical cord Chapter 3 Chapter 3 germinal stage placenta Chapter 3 Chapter 3 blastocyst embryonic stage Chapter 3 Chapter 3 embryonic disk cephalocaudal Chapter 3 Chapter 3 trophoblast proximodistal Chapter 3 Chapter 3 A tube that connects the fetus to the placenta. A newborn baby. Chapter 3 Chapter 3 An organ connected to the uterine wall and to the fetus by the umbilical cord. The placenta The period of development between conception serves as a filter between mother and fetus for and the implantation of the embryo. the exchange of nutrients and wastes. Chapter 3 Chapter 3 The stage of prenatal development that lasts A stage within the germinal period of prenatal from implantation through the eighth week of development in which the zygote has the form pregnancy; it is characterized by the of a sphere of cells surrounding a cavity of fluid. development of the major organ systems. Chapter 3 Chapter 3 The platelike inner part of the blastocyst that From head to tail. differentiates into the ectoderm, mesoderm, and endoderm of the embryo. Chapter 3 Chapter 3 The outer part of the blastocyst from which the From the inner part (or axis) of the body amniotic sac, placenta, and umbilical cord outward. develop. Chapter 3 Chapter 3 ectoderm amniotic sac Chapter 3 Chapter 3 neural tube amniotic fluid Chapter 3 Chapter 3 endoderm fetal stage Chapter 3 Chapter 3 mesoderm stillbirth Chapter 3 Chapter 3 androgens teratogens Chapter 3 Chapter 3 The outermost cell layer of the newly formed The sac containing the fetus. embryo from which the skin and nervous system develop. -
Human Pluripotent Stem Cells As a Model of Trophoblast Differentiation in Both Normal Development and Disease
Human pluripotent stem cells as a model of trophoblast differentiation in both normal development and disease Mariko Horiia,b,1, Yingchun Lia,b,1, Anna K. Wakelanda,b,1, Donald P. Pizzoa, Katharine K. Nelsona,b, Karen Sabatinib,c, Louise Chang Laurentb,c, Ying Liud,e,f, and Mana M. Parasta,b,2 aDepartment of Pathology, University of California, San Diego, La Jolla, CA 92093; bSanford Consortium for Regenerative Medicine, University of California, San Diego, La Jolla, CA 92093; cDepartment of Reproductive Medicine, University of California, San Diego, La Jolla, CA 92093; dDepartment of Neurosurgery, Center for Stem Cell and Regenerative Medicine, University of Texas Health Sciences Center, Houston, TX 77030; eThe Senator Lloyd and B. A. Bentsen Center for Stroke Research, University of Texas Health Sciences Center, Houston, TX 77030; and fThe Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases, University of Texas Health Sciences Center, Houston, TX 77030 Edited by R. Michael Roberts, University of Missouri–Columbia, Columbia, MO, and approved May 25, 2016 (received for review March 24, 2016) Trophoblast is the primary epithelial cell type in the placenta, a Elf5 (Ets domain transcription factor) and Eomes (Eomeso- transient organ required for proper fetal growth and develop- dermin), also have been shown to be required for maintenance of ment. Different trophoblast subtypes are responsible for gas/nutrient the TSC fate in the mouse (8, 9). exchange (syncytiotrophoblasts, STBs) and invasion and maternal Significantly less is known about TE specification and the TSC vascular remodeling (extravillous trophoblasts, EVTs). Studies of niche in the human embryo (10, 11). -
Messages from the Placentae Across Multiple Species a 50 Years
Placenta 84 (2019) 14–27 Contents lists available at ScienceDirect Placenta journal homepage: www.elsevier.com/locate/placenta Messages from the placentae across multiple species: A 50 years exploration T Hiroaki Soma Saitama Medical University, Japan ARTICLE INFO ABSTRACT Keywords: This review explores eight aspects of placentation in multiple mammalian. Gestational trophoblastic disease 1) Specialities of gestational trophoblastic disease. SUA(Single umbilical artery) 2) Clinical significance of single umbilical artery (SUA) syndrome. DIC(Disseminated intravascular coagulation) in 3) Pulmonary trophoblast embolism in pregnant chinchillas and DIC in pregnant giant panda. giant panda 4) Genetics status and placental behaviors during Japanese serow and related antelopes. Placentation in Japanese serow 5) Specific living style and placentation of the Sloth and Proboscis monkey. Hydatidiform mole in chimpanzee Placentation in different living elephant 6) Similarities of placental structures between human and great apes. Manatee and hyrax 7) Similarities of placental forms in elephants, manatees and rock hyrax with different living styles. Specific placental findings of Himalayan people 8) Specialities of placental pathology in Himalayan mountain people. Conclusions: It was taught that every mammalian species held on placental forms applied to different environ- mental life for their infants, even though their gestational lengths were different. 1. Introduction of effective chemotherapeutic agents. In 1959, I was fortunate tore- ceive an invitation from Prof. Kurt Benirschke at the Boston Lying-in Last October, Scientific American published a special issue about a Hospital. Before that, I had written to Prof. Arthur T. Hertig, Chairman baby's first organ, the placenta [1]. It is full of surprises and amazing of Pathology, Harvard Medical School, asking to study human tropho- science. -
Self-Organized Amniogenesis by Human Pluripotent Stem Cells in a Biomimetic Implantation-Like Niche
LETTERS PUBLISHED ONLINE: 12 DECEMBER 2016 | DOI: 10.1038/NMAT4829 Self-organized amniogenesis by human pluripotent stem cells in a biomimetic implantation-like niche Yue Shao1†, Kenichiro Taniguchi2†, Katherine Gurdziel3, Ryan F. Townshend2, Xufeng Xue1, Koh Meng Aw Yong1, Jianming Sang1, Jason R. Spence2, Deborah L. Gumucio2* and Jianping Fu1,2,4* Amniogenesis—the development of amnion—is a critical factors seen in the in vivo amniogenic niche: a three-dimensional developmental milestone for early human embryogenesis (3D) extracellular matrix (ECM) that is provided by the basement and successful pregnancy1,2. However, human amniogenesis membrane surrounding the epiblast during implantation11; and a is poorly understood due to limited accessibility to peri- soft tissue bed provided by the uterine wall and trophoblast to implantation embryos and a lack of in vitro models. Here support the developing amnion (Fig. 1a,b). Since amniogenesis ini- we report an ecient biomaterial system to generate human tiates from the expanding pluripotent epiblast, we utilized mTeSR1 amnion-like tissue in vitro through self-organized development medium and basement membrane matrix (Geltrex) to render the of human pluripotent stem cells (hPSCs) in a bioengineered culture permissive for pluripotency maintenance. niche mimicking the in vivo implantation environment. We In this culture system, H9 human embryonic stem cells (hESCs) show that biophysical niche factors act as a switch to toggle were plated as single cells at 30,000 cells cm−2 onto a thick, hPSC self-renewal versus amniogenesis under self-renewal- soft gel bed of Geltrex (with thickness ≥100 µm, bulk Young's permissive biochemical conditions. We identify a unique modulus ∼900 Pa, coated on a glass coverslip), in mTeSR1 medium molecular signature of hPSC-derived amnion-like cells and supplemented with the ROCK inhibitor Y27632 (Fig. -
The Science of Amnioexcite™ Three Layer Placental Membrane Allograft
The Science of AmnioExcite™ Three Layer Placental Membrane Allograft REV. 10-2020 The Science of AmnioExcite™ Placental Membrane Allograft AmnioExcite™ is a full-thickness decellularized placental membrane. AmnioExcite™ is a lyophilized, full-thickness placental membrane allograft decellularized with LifeNet Health’s proprietary Matracell® process and patent pending technology and intended for homologous use as a barrier membrane.(1) Inclusion of the intact amniotic and chorionic membranes, as well as the trophoblast layer, makes it thicker than most available amniotic-only or amniotic-chorionic allografts, and provides a robust protective covering while also delivering superior handling. AmnioExcite™ retains the placental membrane’s naturally occurring growth factors, cytokines, protease inhibitors, and extracellular matrix components, such as proteoglycans, collagen and fibronectin(2) In vitro studies have shown that these endogenous factors are capable of inducing cellular proliferation and migration, mitigating inflammation, and inhibiting protein degradation(3-5) STRUCTURE OF THE THREE LAYER PLACENTAL MEMBRANE AMNIOTIC MEMBRANE CHORIONIC MEMBRANE TROPHOBLAST LAYER The placental membrane is comprised of the amnion and chorion (6). The amnion, also called amniotic membrane (AM) has five layers, including the epithelium, basement membrane, compact layer, fibroblast layer, and the spongy layer(6), which provide important extracellular membrane components, as well as a wide variety of growth factors, cytokines, and other proteins.(7) While these characteristics are important, the AM by itself lacks substantial structure for providing a protective covering and contains only a small portion of the biological factors found in the full-thickness placental membrane. AM-only grafts can also be difficult to apply and may migrate away from the intended site of application.(8) The chorion is comprised of four layers, including the cellular layer, reticular layer, the pseudobasement membrane and the trophoblast layer (TL) (6). -
The Derivatives of Three-Layered Embryo (Germ Layers)
HUMANHUMAN EMBRYOLOGYEMBRYOLOGY Department of Histology and Embryology Jilin University ChapterChapter 22 GeneralGeneral EmbryologyEmbryology FourthFourth week:week: TheThe derivativesderivatives ofof trilaminartrilaminar germgerm discdisc Dorsal side of the germ disc. At the beginning of the third week of development, the ectodermal germ layer has the shape of a disc that is broader in the cephalic than the caudal region. Cross section shows formation of trilaminar germ disc Primitive pit Drawing of a sagittal section through a 17-day embryo. The most cranial portion of the definitive notochord has formed. ectoderm Schematic view showing the definitive notochord. horizon =ectoderm hillside fields =neural plate mountain peaks =neural folds Cave sinks into mountain =neural tube valley =neural groove 7.1 Derivatives of the Ectodermal Germ Layer 1) Formation of neural tube Notochord induces the overlying ectoderm to thicken and form the neural plate. Cross section Animation of formation of neural plate When notochord is forming, primitive streak is shorten. At meanwhile, neural plate is induced to form cephalic to caudal end, following formation of notochord. By the end of 3rd week, neural folds and neural groove are formed. Neural folds fuse in the midline, beginning in cervical region and Cross section proceeding cranially and caudally. Neural tube is formed & invade into the embryo body. A. Dorsal view of a human embryo at approximately day 22. B. Dorsal view of a human embryo at approximately day 23. The nervous system is in connection with the amniotic cavity through the cranial and caudal neuropores. Cranial/anterior neuropore Neural fold heart Neural groove endoderm caudal/posterior neuropore A. -
What Is the Role of the Placenta—Does It Protect Against Or Is It a Target for Insult?
Teratology Primer, 3rd Edition www.teratology.org/primer What Is the Role of the Placenta—Does It Protect Against or Is It a Target for Insult? Richard K. Miller University of Rochester School of Medicine & Dentistry Rochester, New York The placenta is not just a barrier but has many functions that are vital to the health of the embryo/fetus. The placenta is the anchor, the conduit, and the controller of pregnancy—and it can also be a target for toxicant action. The placenta encompasses not only the chorioallantoic placenta but all of its extraembryonic membranes (chorion/amnion) and the yolk sac. (Figure 1). The placenta and its membranes secure the embryo and fetus to the decidua (uterine lining) and release a variety of steroid and protein hormones that characterize the physiology of the pregnant female. Figure 1. Placental Structure in the Mouse. Figures depict early development of the mouse conceptus at embryonic days (E3.5, E7.5, E12.5). In the fetus, the visceral yolk sac (vYS) inverts and remains active throughout the entire gestation providing for transfer of selective large molecules, e.g., immunoglobulins IgG and vitamin B12. Abbreviations: Al, allantois; Am, amnion; Ch, chorion; Dec, decidua; Emb, embryo; Epc, ectoplacental cone; ICM, inner cell mass; Lab, Labyrinth; pYS, parietal yolk sac; SpT, spongiotrophoblast; TCG, trophoblast giant cell; Umb Cord, umbilical cord; vYS, visceral yolk sac; C-TGC, maternal blood canal trophoblast giant cell; P-TGC, parietal trophoblast giant cell; S-TGC, sinusoidal trophoblast giant cell; SpA-TGC, Spiral artery-associated trophoblast giant cell; Cyan-trophectoderm and trophoblast lineage, Black- inner cell mass and embryonic ectoderm; Gray -endoderm, Red-maternal vasculature, Purple-mesoderm, Yellow- decidua, Pink-fetal blood vessels in labyrinth. -
From Trophoblast to Human Placenta
From Trophoblast to Human Placenta (from The Encyclopedia of Reproduction) Harvey J. Kliman, M.D., Ph.D. Yale University School of Medicine I. Introduction II. Formation of the placenta III. Structure and function of the placenta IV. Complications of pregnancy related to trophoblasts and the placenta Glossary amnion the inner layer of the external membranes in direct contact with the amnionic fluid. chorion the outer layer of the external membranes composed of trophoblasts and extracellular matrix in direct contact with the uterus. chorionic plate the connective tissue that separates the amnionic fluid from the maternal blood on the fetal surface of the placenta. chorionic villous the final ramification of the fetal circulation within the placenta. cytotrophoblast a mononuclear cell which is the precursor cell of all other trophoblasts. decidua the transformed endometrium of pregnancy intervillous space the space in between the chorionic villi where the maternal blood circulates within the placenta invasive trophoblast the population of trophoblasts that leave the placenta, infiltrates the endo– and myometrium and penetrates the maternal spiral arteries, transforming them into low capacitance blood channels. Sunday, October 29, 2006 Page 1 of 19 From Trophoblasts to Human Placenta Harvey Kliman junctional trophoblast the specialized trophoblast that keep the placenta and external membranes attached to the uterus. spiral arteries the maternal arteries that travel through the myo– and endometrium which deliver blood to the placenta. syncytiotrophoblast the multinucleated trophoblast that forms the outer layer of the chorionic villi responsible for nutrient exchange and hormone production. I. Introduction The precursor cells of the human placenta—the trophoblasts—first appear four days after fertilization as the outer layer of cells of the blastocyst. -
Yolk Sac Diameter in Multiple Gestations
Case Studies Yolk Sac Diameter in Multiple Gestations Chelsea Fox, MD; Karenne Fru, MD, PhD; and Bruce A. Lessey, MD, PhD From the Department of OB/GYN, Greenville Health System, Greenville, SC (C.F., B.A.L.), University of South Carolina School of Medicine Greenville, Greenville, SC (B.A.L.), and Department of Obstet- rics and Gynecology, New Hanover Regional Medical Center, Wilmington, NC (K.F.) Abstract Enlargement of the yolk sacs is an ominous sign even in multi-gestational pregnancies. he yolk sac functions as the primary route ity conceived after placement of 2 embryos on of exchange between the embryo and post-retrieval day 3. Quantitative hCG levels were Tmother prior to the establishment of the higher than expected and transvaginal ultrasound placental circulation. It is well established that an at 6 weeks’ gestation demonstrated a triplet preg- abnormally large yolk sac serves as a prognostic nancy with a singleton sac and a separate mono- indicator for early pregnancy failure in singleton chorionic-monoamniotic versus conjoined twin gestation. However, no studies have been per- pregnancy with symmetrically enlarged yolk sacs, formed to describe normal versus abnormal yolk each with cardiac activity present (Figs. 1A and B). sac diameters (YSD) in multiple gestations. In this The yolk sacs associated with the twin pregnancy case, we describe a patient with triplet pregnancy were 6.15 mm and 7.37 mm, respectively, while the consisting of monochorionic-monoamniotic singleton had a normal yolk sac. A repeat ultra- twins both with enlarged yolk sacs in addition to sound 10 days later confirmed absence of fetal car- singleton pregnancy in a separate sac with a nor- diac activity in the monochorionic-monoamni- mal yolk sac. -
Human Embryologyembryology
HUMANHUMAN EMBRYOLOGYEMBRYOLOGY Department of Histology and Embryology Jilin University ChapterChapter 22 GeneralGeneral EmbryologyEmbryology DevelopmentDevelopment inin FetalFetal PeriodPeriod 8.1 Characteristics of Fetal Period 210 days, from week 9 to delivery. characteristics: maturation of tissues and organs rapid growth of the body During 3-5 month, fetal growth in length is 5cm/M. In last 2 month, weight increases in 700g/M. relative slowdown in growth of the head compared with the rest of the body 8.2 Fetal AGE Fertilization age lasts 266 days, from the moment of fertilization to the day when the fetal is delivered. menstrual age last 280 days, from the first day of the last menstruation before pregnancy to the day when the fetal is delivered. The formula of expected date of delivery: year +1, month -3, day+7. ChapterChapter 22 GeneralGeneral EmbryologyEmbryology FetalFetal membranesmembranes andand placentaplacenta Villous chorion placenta Decidua basalis Umbilical cord Afterbirth/ secundines Fusion of amnion, smooth chorion, Fetal decidua capsularis, membrane decidua parietalis 9.1 Fetal Membranes TheThe fetalfetal membranemembrane includesincludes chorionchorion,, amnion,amnion, yolkyolk sac,sac, allantoisallantois andand umbilicalumbilical cord,cord, originatingoriginating fromfrom blastula.blastula. TheyThey havehave functionsfunctions ofof protection,protection, nutrition,nutrition, respiration,respiration, excretion,excretion, andand producingproducing hormonehormone toto maintainmaintain thethe pregnancy.pregnancy. delivery 1) Chorion: villous and smooth chorion Villus chorionic plate primary villus trophoblast secondary villus extraembryonic tertiary villus mesoderm stem villus Amnion free villus decidua parietalis Free/termin al villus Stem/ancho chorion ring villus Villous chorion Smooth chorion Amniotic cavity Extraembyonic cavity disappears gradually; Amnion is added into chorionic plate; Villous and smooth chorion is formed. -
Embryology and Teratology in the Curricula of Healthcare Courses
ANATOMICAL EDUCATION Eur. J. Anat. 21 (1): 77-91 (2017) Embryology and Teratology in the Curricula of Healthcare Courses Bernard J. Moxham 1, Hana Brichova 2, Elpida Emmanouil-Nikoloussi 3, Andy R.M. Chirculescu 4 1Cardiff School of Biosciences, Cardiff University, Museum Avenue, Cardiff CF10 3AX, Wales, United Kingdom and Department of Anatomy, St. George’s University, St George, Grenada, 2First Faculty of Medicine, Institute of Histology and Embryology, Charles University Prague, Albertov 4, 128 01 Prague 2, Czech Republic and Second Medical Facul- ty, Institute of Histology and Embryology, Charles University Prague, V Úvalu 84, 150 00 Prague 5 , Czech Republic, 3The School of Medicine, European University Cyprus, 6 Diogenous str, 2404 Engomi, P.O.Box 22006, 1516 Nicosia, Cyprus , 4Department of Morphological Sciences, Division of Anatomy, Faculty of Medicine, C. Davila University, Bucharest, Romania SUMMARY Key words: Anatomy – Embryology – Education – Syllabus – Medical – Dental – Healthcare Significant changes are occurring worldwide in courses for healthcare studies, including medicine INTRODUCTION and dentistry. Critical evaluation of the place, tim- ing, and content of components that can be collec- Embryology is a sub-discipline of developmental tively grouped as the anatomical sciences has biology that relates to life before birth. Teratology however yet to be adequately undertaken. Surveys (τέρατος (teratos) meaning ‘monster’ or ‘marvel’) of teaching hours for embryology in US and UK relates to abnormal development and congenital medical courses clearly demonstrate that a dra- abnormalities (i.e. morphofunctional impairments). matic decline in the importance of the subject is in Embryological studies are concerned essentially progress, in terms of both a decrease in the num- with the laws and mechanisms associated with ber of hours allocated within the medical course normal development (ontogenesis) from the stage and in relation to changes in pedagogic methodol- of the ovum until parturition and the end of intra- ogies.