membra no genesis

Upload: usama-sadiq

Post on 03-Apr-2018

221 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/28/2019 Membra No Genesis

    1/18

    LEARNING OUTCOMES

    1. describe the formation of the tubular embryo by creation of body folds

    2. note the juxtaposition of ectoderm and endoderm at the oral plate and cloacal membrane

    3. describe the formation and fusion of the amnion to create a protective bubble around the embryo

    4. be aware of the vestigial nature of the yolk sac in mammals with regard to nutrition but its importancein terms of haematopoiesis and its transient significance in contributing to the choriovitelline placenta

    5. show the development of the allantois as a bud of the gut tube and its importance in thechorio-allantoic placenta

    6. understand the different histological forms that the foetal/maternal placenta interface can take

    7. understand the different anatomical forms that the foetal/maternal placenta interface can take

    8. Note the emphasis on glucose and amino acids as energy and growth resources in the foetus andexplain how the placenta has an endocrine function in ensuring these resources are directed to the foetus

    9. Explain the special foetal adaptations that ensure adequate perfusion of foetal tissues with oxygen

    MEMBRANOGENESIS AND PLACENTAL FUNCTION

  • 7/28/2019 Membra No Genesis

    2/18

    EctodermNeural tube

    MesodermEndoderm

    The f lat embryo begins to fo ld downwards at the sides and at the

    front and back to enclose a pr imi t ive gut

    FUSION POINTSOF ECTODERMAND ENDODERM

    FUSION POINTSWITH EXTRA-

    EMBRYONICMEMBRANES

    EctodermNeural tube

    MesodermEndodermOral plate

    Regions of brain

    Hindgut

    Cloacal plate

    Longitudinal view

  • 7/28/2019 Membra No Genesis

    3/18

    The fo ld ing pro cess not o nly creates the body form but also the extra-

    embryon ic structu res of the yolk sac, allanto is, amnion and chor ion

    Primitive gut

    Embryo proper

    Somatopleure

    Presumptive chorion

    Presumptive amnion

    Yolk sacSplanchnopleure

    Allantois

    Transient chorio-vitelline placenta

    Longitudinal view

  • 7/28/2019 Membra No Genesis

    4/18

    Chorio-allantoic placenta

    Yolk sac

    Allantois

    Amnion

    Chorion

    Longitudinal view

    The cho r io-vi te l line placenta is temporary (or absent)

    and is replaced by the cho r io-al lantoic p lacenta

  • 7/28/2019 Membra No Genesis

    5/18

    Folds also undercut the sides of the body

    Mesoderm Neural tubeEctoderm

    Endoderm

    Gut tube

    Yolk sac

    Somatopleure

    Splanchnopleure

    Transverse view

  • 7/28/2019 Membra No Genesis

    6/18

    Video of chick embryo (50h)

    showing body folds and amnionIn the chick , the formation o f the head fold

    precedes that of the tai l and the form ation

    of the body sides progresses caudally

    https://www.eevec.vet.ed.ac.uk/vc/node.asp?ID=vcembr02

    https://www.eevec.vet.ed.ac.uk/vc/node.asp?ID=vcembr02https://www.eevec.vet.ed.ac.uk/vc/node.asp?ID=vcembr02
  • 7/28/2019 Membra No Genesis

    7/18

    Histolog ical classi f icat ion o f placentas is based on the degree

    of removal of the maternal layers

    KEY CHARACTERISTICS OF MAMMALIAN PLACENTA

    Foetal capill ary(from umbilical artery)

    Endothelial layer

    Connective tissue layer(may be minimal)

    Cellular layer(may be trophoectoderm + maternalepithelium or a syncytium of the two,or solely trophoectoderm)

    Connective tissue layer

    (may be minimal)

    Maternal capillary(in haemochorial placenta of primatesthe endothelium is degraded)

    EPITHELIOCHORIAL

    Maternal endometrial epithelium intact(horse,pig)

    SYNEPITHELIOCHORIALSyncytium of maternal epithelium andChorion(ruminants)

    ENDOTHELIOCHORIALRemoval of endometrial epitheliumAnd connective tissue(dogs, cats)

    HAEMOCHORIALRemoval of maternal endothelium

    (human, some rodents)

  • 7/28/2019 Membra No Genesis

    8/18

    Gross anatomical classi f icat ion of p lacentas is based on the pattern

    of co ntact between chor ion and endometr ium

    DIFFUSEUniform distribution of chorionic villiover contact surface (horse, pigs)

    COTYLEDONARYVilli restricted to defined area(cotyledons) (ruminants)

  • 7/28/2019 Membra No Genesis

    9/18

    ZONARYGirdle of chorionic villi around middle

    of chorionic sac (dogs,cats)

    DISCOIDALDisc-shaped area on chorionic sac

    (humans, rodents)

  • 7/28/2019 Membra No Genesis

    10/18

    The haemochorial placenta

    Umbilical vein

    Umbilical arteries

    Maternal

    blood pool

    MaternalvenuleMaternal

    arterioleChorionic

    villi

    A

    A http://instruct1.cit.cornell.edu/courses/biog105/pages/demos/105/unit8/ovaryplacenta.html

    B from Johnson, Essential Reproduction

    Foetal capillaries

    B

    Notice the expansions

    at theturnaround to

    allow slower blood flowand better equilibration

    with maternal blood

    The haemochor ial placenta show s the int imate juxtapos i t ion

    of foetal and m aternal blood allow ing eff ic ient exchange

    http://instruct1.cit.cornell.edu/courses/biog105/pages/demos/105/unit8/ovaryplacenta.htmlhttp://instruct1.cit.cornell.edu/courses/biog105/pages/demos/105/unit8/ovaryplacenta.html
  • 7/28/2019 Membra No Genesis

    11/18

    ENERGY SUBSTRATES

    Glucose oxidation accounts from 50% oxygen use

    Most of the rest is due to amino acid and lactate oxidation

    Rather little is from fatty acid oxidation

    (Notice that maternal energy metabolism is almost the mirror of thiswith a shift to fatty acid oxidation and a shift away from amino acidsand glucose)

    Glucose is the dom inant energy y ie ld ing sub strate

    for the foetus w ith l i t t le use of fat ty acids

  • 7/28/2019 Membra No Genesis

    12/18

    CSM = CHORIONIC SOMATOMAMMOTROPHIN (also know as placental lactogen)

    CSM secreted in increasing amounts during gestation

    CSM suppresses insulin action

    Therefore depresses glucose use by the mother

    'Directs' glucose to the foetus

    Maternal insulin resistance can precipitate maternal type 2 Diabetes mellitus

    To some extent the foetal-placental unit programm es maternal

    metabo l ism to ensure that i t meets the needs o f the foetus

    FOETAL INFLUENCES ON MATERNAL METABOLISM 1

    Maternal tissues

    Maternal liver

    GLUCOSE

    CSM

    MO TH E R FOE TUS

    GLUCOSE

  • 7/28/2019 Membra No Genesis

    13/18

    LIPID METABOLISM IN THE FOETUS

    Maternal adipose

    Maternal liver

    LIPOPROTEINS FATTYACIDS

    MO TH E R F OE T US

    CELL

    MEMBRANES

    TAG

    SYNTHESIS

    OXIDATION

    LPL

    FATTYACIDS

    4

    2

    3

    1

    Altho ugh fatty acids are l i t t le used by the foetus for energy th ey are

    essent ial for grow th and also for laying down fat reserves

    1. Fatty acids transported via maternal (or foetal) serum albumin

    2. (a) Triacylglcyerols contain mostly palmitate(b) Palmitate will also be formed from excess glucose

    (c) Epitheliochorial placentas have poor rates of diffusion of fatty acids and neonates (eg calf and piglet)have little body fat compared to the haemochorial model (human)

    3. TAG deposits in both white and brown adipose tissue. Brown fat essential for thermogenesis in neonate

    4. Crucial here are the essential fatty acids18:3 (D9,12,15)

    18:2 (D

    9,12)20:4 (D5,8,11,14)

  • 7/28/2019 Membra No Genesis

    14/18

  • 7/28/2019 Membra No Genesis

    15/18

    Several foetal adaptat ions con tr ibute to the abi l i ty of

    the foetus to del iver suff ic ient oxy gen to its t issues

    OXYGEN SUPPLY - FOETAL ADAPTATIONS 1

    Cardiac anatomy limits intermixing of oxygenated bloodand venous return from the head

    Foetal haemoglobin has a high affinity for oxygen

    There is a double Bohr effect acting on the placentaltransfer of oxygen

    Cardiac output is high

    Haemoglobin concentration is 50% higher than maternal

  • 7/28/2019 Membra No Genesis

    16/18

    The foetal cardiovascu lar system is adapted to providing wel l-oxyg enated b lood to th e

    brain in spi te of intermix ing of venous return and an incom pletely div ided heart

    OXYGEN SUPPLY - FOETAL ADAPTATIONS 2

    1. Numbers are partial pressures of oxygen inmm Hg

    2. Low vascular resistance in placenta takes45% of cardiac output

    3. Blood returning to right atrium is a mixture

    of oxygenated umbilical blood andvenous return from trunk and limbs

    4. Crista dividens directs this betteroxygenated blood through foramenovale for preferential delivery to brain vialeft ventricle

    5. The poorly oxygenated blood from the brainis directed to the right ventricle and thenvia ductus arteriosis to the dorsal aorta

  • 7/28/2019 Membra No Genesis

    17/18

    OXYGEN SUPPLY - FOETAL ADAPTATIONS 3

    50% saturationat 30 mm

    75% saturationat 30 mm

    P50 maternal

    P50 foetal

    Hb asHbO2

    100%

    50%

    pO2 (mm Hg)30

    F O E T A L

    M A T E R N A L

    The haemog ob in of foetal red blood cel ls has a hig her

    aff in i ty for ox ygen than that in maternal blood

  • 7/28/2019 Membra No Genesis

    18/18

    REFERENCES

    Cunningham JGC (2002) Textbook of Veterinary Physiology (Saunders)

    Guyton and Hall (2005) Textbook of Medical Physiology (Elsevier)

    Johnson MH (2007) Essential Reproduction (Blackwells)