Page 656 - First Aid for the USMLE Step 1 2020, Thirtieth edition [MedicalBooksVN.com]_Neat
P. 656

612        SectioN iii    RepRoductive  ` REPRODUCTIVE—EmbRyOlOgy                                                                                                  RepRoductive  ` REPRODUCTIVE—EmbRyOlOgy





                `  REPRODUCTIVE—EmbRyOlOgy

               Important genes of embryogenesis
                gENE                 lOCATION                    FUNCTION                    NOTES
                Sonic hedgehog (SHH)  Zone of polarizing activity at   Anterior-posterior axis   Mutations Ž holoprosencephaly
                 gene                 base of limb buds           patterning, CNS development
                Wnt-7 gene           Apical ectodermal ridge at   Dorsal-ventral axis patterning,
                                      distal end of each limb     limb development
                Fibroblast growth    Apical ectodermal ridge     Limb lengthening (via mitosis of  “Look at that Fetus, Growing
                 factor (FGF) gene                                mesoderm)                   Fingers”
                Homeobox (Hox)       Multiple                    Segmental organization in   Mutations Ž appendages in
                 genes                                            cranial-caudal direction,   wrong locations. Isotretinoin
                                                                  transcription factor coding  Ž  Hox gene expression



               Early fetal development
                 Early embryonic
                                                   N = # of chromosomes
                 development                       C = # of chromatids/DNA copies
                                                                 DAY 1     DAYS 2-3
                                                        Zygote
                                                         (2N4C)
                                                                                           DAY 4
                                                                                           Morula
                                                  Fertilization
                                                      (2N2C)                Corpus albicans       DAY 5
                                                      DAY 0            Developing                 Blastocyst
                                                                         follicle


                                                                                                  DAYS 6–10
                                                                             Ovary
                                                                                                  Implantation
                                                                                 Myometrium
                                                                    Ovulation
                                                            2° oocyte        Early corpus
                                                              (1N2C)         luteum  Endometrium
                Within week 1        hCG secretion begins around the time of   Blastocyst “sticks” at day 6.
                                       implantation of blastocyst.
                Within week 2        Bilaminar disc (epiblast, hypoblast).     2 weeks = 2 layers.
                Within week 3        Gastrulation forms trilaminar embryonic disc.   3 weeks = 3 layers.
                                      Cells from epiblast invaginate Ž primitive
                                      streak Ž endoderm, mesoderm, ectoderm.
                                      Notochord arises from midline mesoderm;
                                      overlying ectoderm becomes neural plate.
                Weeks 3–8            Neural tube formed by neuroectoderm and   Extremely susceptible to teratogens.
                 (embryonic period)   closes by week 4.
                                     Organogenesis.
                 Week 4              Heart begins to beat.                     4 weeks = 4 limbs and 4 heart chambers.
                                     Upper and lower limb buds begin to form.
                 Week 6              Fetal cardiac activity visible by transvaginal
                                      ultrasound.
                 Week 8              Fetal movements start.                    Gait at week 8.
                Week 10              Genitalia have male/female characteristics.  Tenitalia.











          FAS1_2019_15-Repro.indd   612                                                                                 11/7/19   5:52 PM
   651   652   653   654   655   656   657   658   659   660   661