Table of Contents

 

 

 

 

Introduction

1

 

Why Study Human Embryology?

2

 

Link Between Development and Cancer

3

 

Periods of Human Embryology

4

 

Note About Gene Names

4

 

Why do We Age

5

 

Progeria: Premature Aging

6

 

Phases of Human Embryology

6

 

Period of Egg and Embryo: Summary of Main Events

8

 

Body Axes: Understanding Embryonic Coordinates

9

 

Want to Learn More?

12

1

Gametogenesis, Fertilization, and First Week

15

 

Primordial Germ Cells

17

 

Teraioma Formation

18

 

Origin of Pgcs

19

 

Molecular Regulation of PGC Development

19

 

Gametogenesis

20

 

Why is Timing of Gametogenesis Different in Males and Females?

20

 

Spermatogenesis

25

 

Spermatozoa Abnormalities

25

 

Oogenesis

28

 

Chromosomal Abnormalities Result in Spontaneous Abortion or Abnormal Development

32

 

Many Chromosomal Anomalies Arise During Gametogenesis and Cleavage

32

 

Chromosome Analysis can Determine Parental Source of Defective Chromosome and Provides Basis for Diagnosis and Possible Treatment

34

 

Ovulation

35

 

Menstrual Cycle

37

 

Fertilization

39

 

Cleavage

41

 

What Determines Whether a Blastomere will form Inner Cell Mass R Trophoblast?

43

 

End of First Week: Initiating Implantation

43

 

Contraception

44

 

Assisted Reproductive Technology

46

2

Second Week: Becoming Bilaminar and Fully Implanting

51

 

Becoming Fully Implanted

53

 

What Regulates the Initial Phase of Implantation: Blastocyst Adherence to the Uterine Epithelium?

53

 

Why isn’t Conceptus Rejected by its Mother?

55

 

Initiating Endoderm Formation

56

 

Development of Amniotic Cavity

57

 

Development of Yolk Sac and Chorionic Cavity

57

 

Uteroplacental Circulatory System Begins to Develop During Second Week

58

 

Hydatidiform Moles

60

 

Genomic Imprinting

64

 

X Inactivation

67

 

X Inactivation Affects Inheritance of Congenital Disease

67

 

Genomic Imprinting Affects Inheritance of Congenital Disease

67

3

Third Week: Becoming Trilaminar and Establishing Body Axes

69

 

Overview of Gastrulation: Forming Three Primary Germ Layers and Body Axes

71

 

Induction of Primitive Streak

71

 

Cellular Basis of Primitive Streak Formation

72

 

Establishing Left-Right Axis

73

 

Development in Animal Models versus Humans

76

 

Cellular Basis of Gastrulation

80

 

Establishing Medial-Lateral Subdivisions of Mesoderm

81

 

Specifics of Gastrulation: Moving Cells to New Locations and Making Organ Rudiments that Undergo Inductive Interactions

83

 

Cellular Basis of Convergent Extension

87

 

Molecular Mechanism of Somitogenesis

88

 

Abnormal Gastrulation Leads to Caudal Dysplasia

92

 

Formation of Neural Plate

94

 

Neural Induction

94

 

Head, Trunk, and Tail Organizers

97

 

Primary versus Secondary Body Development

97

4

Fourth Week: Forming the Embryo

101

 

Tube-within-a-Tube Body Plan Arises through Body Folding

103

 

Anterior Body Wall Defects

106

 

Neurulation: Establishing the Neural Tube, the Rudiment of the Central Nervous System

107

 

Mechanisms of Tieurulation

110

 

Actin-Binding Protiens and Apical Constriction

112

 

Dorsal-Ventral Patterning of the Neural Tube

112

 

Neural Tube Defects (NTDs)

113

 

Secondary Neurulation

117

 

Cranial-Caudal Regionalization of the Neural Tube

117

 

Neural Crest Cells

119

 

Epithelial-to-Mesenchymal Transformation (EMT)

119

 

What Local Factors Guide Migration of Neural Crest Cells?

121

 

Mutants Provide Information About Mechanisms of Neural Crest Cell Migration and Developmental Restriction

122

 

Survival and Differentiation of Peripheral Neurons

128

 

Neural Crest Cell Disease: Neurocristopathies

128

 

Somite Differentiation: Forming Dermatome, Myotome, and Sclerotome

128

 

Inductive Interactions Underlie Formation of Somite Subdivisions

128

 

Spinal Anomalies

130

5

Principles and Mechanisms of Morphogenesis and Dysmorphogenesis

133

 

Principles of Morphogenesis and Dysmorphogenesis

133

 

Animal Models

135

 

Experimental Techniques

142

 

Signaling Pathways

150

 

Embryonic Stem Cells and Cloning

162

6

Fetal Development and the Fetus as Patient

167

 

During Fetal Period, Embryonic Organ Systems Mature and Fetus Grows

169

 

Development of Placenta

170

 

Development of Umbilical Cord

171

 

Exchange of Substances Between Maternal and Fetal Blood in Placenta

173

 

Intrauterine Growth Restriction

178

 

Maternal Diabetes and Obesity

178

 

Placenta Produces Several Important Hormones

179

 

Production and Resorption of Amniotic Fluid

179

 

Twinning

179

 

Prenatal Diagnosis Assesises Health of Unborn

180

 

Treating Fetus in Utero

186

 

Fetal Cord Blood and Stem Cells

189

7

Development of the Skin and its Derivatives

193

 

Origin of Epidermis and Dermis of Skin

195

 

Molecular Regulation of Skin Differentiation

197

 

Inherited Skin Diseases

198

 

Development of Skin Derivatives

202

 

Anomalies of Skin Derivatives

202

 

Regulation of Hair Patterning and Differentiation

205

 

Hair Anomalies

206

 

Wnt Signaling and Development of Mammary Gland

209

 

Tooth Induction

214

 

Tooth Anomalies

214

8

Development of the Musculoskeletal System

217

 

Tissue Origins and Differentiation of Musculoskeletal System

219

 

Commitment to Musculoskeletal Lineage

221

 

Somites Differentiate into Sclerotome, Myotome, and Dermatome

222

 

Resegmentation of Sclerotomes

217

 

Subdivision of Sclerotome

222

 

Specification of Vertebrae Identity

227

 

Vertebral Defects

230

 

Myotomes and Dermatomes Develop at Segmental Levels

231

 

Myogenic Commitment in Somite

234

 

Long Bone and Joint Development

234

 

Molecular Regulation of Bone and Joint Development

237

 

Defects in Skeletal Development

239

 

Development of Limb Muscles

241

 

Migration of Muscle Progenitors

242

 

Muscle Cell and Fiber Type Commitment

244

 

Regional Differences in Development of Muscles

244

 

Muscular Dystrophy

244

9

Development of the Central Nervous System

247

 

Structural Divisions of Nervous System

251

 

Functional Divisions of Nervous System

251

 

Primary Brain Vesicles Subdivide to form Secondary Brain Vesicles

251

 

Positional Information Patterns Neural Plate and Tube

253

 

Formation of Brain Flexures

255

 

Cytodifferentiation of Neural Tube

255

 

Differentiation of Spinal Cord

257

 

Differentiation of Brain

258

 

Cellular and Molecular Basis of Cerebellar Malformations and Dysfunction

267

 

Mouse Mutants with Cerebellar Ataxias

269

 

Development of Visual System: Example of How Nervous System Wires itself

274

 

Congenital Malformations of Cerebral Cortex

285

 

Kallmann Syndrome

287

 

Growth of the Brain

290

 

Brain Size

290

10

Development of the Peripheral Nervous System

297

 

Structural Divisions of Nervous System

299

 

Functional Divisions of Nervous System

299

 

Origin of PNS

300

 

Specification and Plasticity of Precursor Cells of PNS

300

 

Neural Crest Cells and their Derivatives as Stem Cells

301

 

Neurofibromatosis Type 1 (NF-1)

302

 

Neurogenesis in PNS

302

 

Development of Trunk PNS

303

 

Hereditary Peripheral Neuropathies

306

 

Regulating Axonal Guidance in PNS

311

 

Development of Cranial PNS

313

11

Development of the Respiratory System and Body Cavities

319

 

Development of Lungs and Respiratory Tree

321

 

Developmental Abnormalities of Lung and Respiratory Tree

324

 

Lung Maturation and Survival of Premature Infants

325

 

Approaches for Studying Lung Development and Branching Morphogenesis

327

 

Drosophila Tracheal System Development

328

 

Partitioning of Coelom and Formation of Diaphragm

329

 

Diaphragmatic Defects and Pulmonary Hypoplasia

334

 

Oligohydramnios and Pulmonary Hypoplasia

334

 

Congenital Diaphragmatic Hernia

335

12

Development of the Heart

337

 

Formation of Primitive Heart Tube Specification of Cardiac Progenitor

340

 

Role of Secondary Heart Field in Formation of Outflow Segment of Heart

349

 

Gene Mutations Target Primary and Secondary Heart Fields

349

 

Cardiac Looping

350

 

Formation of Primitive Blood Vessels Associated with Endocardial Tube

350

 

Mechanisms Driving Cardiac Bending and Looping

352

 

Sidedness in Heart Looping

353

 

Subregions of Heart are Specified Early in Development

354

 

Coordinated Remodeling of Heart Tube and Primitive Vasculature Produces Systemic and Pulmonary Circulations

355

 

Septation of Heart

360

 

Epithelial-to-Mesenchymal Transformation During Endocardial Cushion Cell Formation

361

 

Effects of Hyperglycemia and Hypoxia on Cushion Tissue Formation

362

 

Myocardium Develops Two Layers

369

 

Neural Crest Cell Contribution to Outflow Tract Septation

375

 

Many Heart Defects may be Related to Interactions Between Secondary Heart Field and Neural Crest Cells

376

 

Development of Pacemaker and Conduction System

376

 

Development of Epicardium and Coronary Vasculature

377

 

Frequency and Etiology of Cardiovascular Malformations

378

 

Common Heart Malformations

378

 

Known Genetic Causes of Heart Malformations

382

 

22q11.2 Deletions and Heart Malformations

383

13

Development of the Vasculature

385

 

Formation of Vasculature Begins Early in Third Week

388

 

Second Source of Hematopoieuc Stem Cells

390

 

Intraembryonic Hematopoietic Stem Cells may be Source OT Definitive Hematopoietic Stem Cells

390

 

Vasculogenesis

392

 

Methods for Visualizing Blood Vessel Formation

392

 

What Initiates and Controls Vasculogenesis?

393

 

Angiogenesis Expands and Remodels Initial Vascular Complex

395

 

Formation of Arteries versus Veins

397

 

Angiomas

399

 

Hereditary Hemorrhagic Telangiectasia

401

 

Treatment of Corticosteroid-Resistant Hemangiomas in Humans

401

 

Development of Aortic Arches

402

 

Tissue Interactions Direct Pharyngeal Aortic Arch Remodeling

407

 

Dorsal Aorta Develops Ventral, Lateral, and Posterolateral Branches

408

 

Vascular Anomalies Arising from Errors in Remodeling of Great Vessels

413

 

Formation of “Vascular Rings” that Constrict Esophagus and Trachea

413

 

Coarctation of the Aorta

415

 

Primitive Embryonic Venous System is Divided into Vitelline, Umbilical, and Cardinal Systems

419

 

Vena Cava Anomalies

424

 

Development of Lymphatic System

425

 

Molecular Mechanisms of Lymphatic Development

428

 

Lymphedema may Result from Lymphatic Hypoplasia

428

 

Dramatic Changes Occur in Circulatory System At Birth

429

 

Patent Ductus Arteriosus Leads to Heart Failure if Not Corrected

432

14

Development of the Gastrointestinal Tract

435

 

Body Folding

437

 

Dorsal Mesentery Initially Suspends Abdominal Gut Tube

439

 

Three Regions of Primitive Gut

441

 

Regionalization of Gut Tube Demarcates Sites of Organ Formation

442

 

Development of Abdominal Foregut

445

 

Hepatoblast Specification and Fate

449

 

Abnormal Formation and Rotation of Ventral Pancreas

452

 

Notch Signaling and Pancreatic Cell Lineage Determination

452

 

Regulation of Number of Islet Cells

454

 

Development

454

 

Derivatives of Ventral Mesentery

454

 

Development of Midgut

456

 

Abnormal Rotation and Fixation of Midgut

456

 

Defects of the Umbilicus and Anterior Abdominal Wall

458

 

Cytodifferentiation of Endodermal Epithelium of Gut

462

 

Differentiation of Gastrointestinal Tract Epithelium

464

 

Faulty Wnt Signaling and Β-Catenin Turnover is Often a Prelude to Colon Cancer

465

 

Development of Outer Intestinal Wall and its Innervation

467

 

Hirschsprung Disease

470

 

Irritable Bowel Syndrome

470

 

Infantile Hypertrophic Pyloric Stenosis

470

 

Hirschsprung Disease and Neural Crest Cell Defects

471

 

Development of Hindgut

472

 

Hindgut Abnormalities and Associated Abdominal Wall Defects

475

 

Urachal Anomalies

475

15

Development of the Urogenital System

479

 

Three Nephric Systems Develop

483

 

Formation of Nephric Lineage

486

 

Factors Expressed in Metanephric Mesoderrn Regulate Induction of Budding Branching of the Ureteric Bud

490

 

Signals from Ureteric Bud Induce Nephrogenic Mesoderm to Condense While Mesoderm Drives Continual Ureteric Branching and Growth

490

 

Influences Between Ureteric Bud and Metanephric Blastema Induce Formation of Nephron through Mesenchymal-to-Epithelial Conversion of Blastema

493

 

Renal Agenesis and Dysplasia

493

 

Mutations Causing Nephron Pathologies

494

 

Congenital Polycystic Kindney Disease

495

 

Ascent of Kidneys

495

 

Contributions of Hindgut Endoderm to Urinary Tract

495

 

Urinary Tract Anomalies

497

 

Development of Suprarenal Gland

499

 

Congenital Adrenal Hyperplasia

500

 

Genital System Arises with Urinary System

500

 

Initiating Male versus Female Development

503

 

Sox9 Gene is Likely a Primary Target of Sry Expression

505

 

Sertoli Cells are Main Organizer of Testes

505

 

Sex Reversal

508

 

Hermaphrodites

508

 

Müllerian Duct Regression and Amh-Mediated Upregulation of Metalloproteinase Expression

509

 

Mutations in Amh or its Receptor Causes Persistent Müllerian Duct Syndrome in XY Individuals

509

 

Differentiation of Leydig Cells

510

 

Development of the Epididymus, Vas Deferens, and Seminal Vesicles

512

 

Cystic Fibrosis Transmembrane Conductance Regulator is Required for Vas Deferens Development

512

 

Development of Prostate Gland

512

 

In Absence of Y Chromosome, Female Development Occurs

515

 

Female Gonadogenesis is not a Simple Matter of Default

516

 

Müllerian Duct Development and Regionalized Expression of Hox Genes

518

 

Anomalies of Uterus

520

 

Diethylstilbestrol Causes Several Reproductive Anomalies

520

 

Development of External Genitalia

521

 

Formation of External Genitalia

522

 

Suspension of Mesonephric-Gonadal Complex within Adbomen

525

 

Development of the Inguinal Canals

525

 

Descent of the Testes

526

 

Cryptorchidism

530

 

Ovaries Become Suspended in Broad Ligament of Uterus and are Held High in Abdominal Cavity by Cranial Suspensory Ligaments

530

 

Pseudohermaphrodism

531

 

Defective Partitioning of Cloaca

536

16

Development of the Pharyngeal Apparatus and Face

543

 

Origin of Skull

545

 

Holoprosencephaly

547

 

Craniosynostosis

550

 

Development of Pharyngeal Arches

551

 

Hindbrain is Segmented

560

 

Retinoic Acid Acts in Normal and Abnormal Development of Head and Neck

560

 

Development of Face

563

 

Outgrowth of Facial Prominences is Regulated by Epithelial-Mesenchymal Interactions

564

 

Patterning of Facial Prominences is Regulated by Epithelial-Mesenchymal Interactions

566

 

Dlx Code Patterns the First Pharyngeal Arch

566

 

Development of Nasal and Oral Cavities

568

 

Facial Clefting

569

 

Development of Sinuses

571

 

Fate of Pharyngeal Clefts

572

 

Pharyngeal Arches Give Rise to Tongue

573

 

Development of Thyroid Gland

576

 

Development of Pharyngeal Pouches

576

 

Development of Salivary Glands

578

 

Causes of Craniofacial Anomalies

579

 

Cranialfacial Syndromes

580

17

Development of the Ears and Eyes

583

 

Ear Development

588

 

Induction and Patterning of Rudiments of Inner Ear

588

 

Formation of Sensory Cells

593

 

Malformations of Inner Ear: Sensorineural Hearing Loss

597

 

Malformations of External and Middle Ear: Conductive Hearing Loss

601

 

Eye Development

602

 

Formation of Eye Field

602

 

Formation and Morphogenesis of Lens

604

 

Patterning of Eye

608

 

Differentiation of Pigmented Epithelium

610

 

Regulation of Proliferation and Differentiation of Retinal Progenitor Cells

610

 

Abnormalities of Eye

613

18

Development of the Limbs

617

 

Epithelial-Mesenchymal Interactions Control Limb Outgrowth

619

 

Patterning of Limb Bud

621

 

Growth and Patterning Along Proximal-Distal Axis

621

 

Morphogenesis of Limb Bud

626

 

Specification of Cranial-Caudal Axis

628

 

Specification of Dorsal-Ventral Axis

630

 

Cessation of Limb Outgrowth and Morphogenesis of Autopod

630

 

Congenital Anomalies of Limbs

632

 

Tissue Origins of Limb Structures

639

 

Differentiation of Limb Bones

639

 

Innervation of Developing Limb Bud

640

 

Specification and Projection of Limb Motor Axons

642

 

Figure Credits

645

 

Index

653