Fertilisation And Implantation Flashcards

(62 cards)

1
Q

What is the first hurdle in fertilisation?

A

Survival of spermatozoa in the vagina

Sperm must survive the vaginal environment to reach the cervix.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the factors involved in spermatozoa maturation?

A
  • 100 fold concentration of sperm (oestrogen-dependent)
  • Completion of sperm modelling
  • Changes in metabolism
  • Acquisition of forward motion
  • Changes in membrane surface proteins, charge, and fluidity
  • Coating of sperm plasma membrane with glycoproteins

Adequate stimulation of the epididymis by androgens is essential.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What mediates coitus in both males and females?

A
  • Sympathetic activity (hypogastric nerve)
  • Parasympathetic activity (pelvic nerve)
  • Somatic outflow (pudendal nerve)

These activities coordinate the physiological responses involved in sexual intercourse.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the role of lactobacillus spp. in the vagina?

A

They produce lactic acid, maintain an acidic pH (<5), and prevent pathogenic bacterial colonisation

This helps create a protective environment for sperm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is capacitation in spermatozoa?

A

It is a process required for sperm to reach full fertilisation capacity

Capacitation involves loss of glycoproteins coat, revealing binding sites and receptors.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens during the acrosome reaction?

A

Exocytosis of acrosome enzymes occurs, allowing sperm to penetrate the zona pellucida

Enzymes like acrosin and hyaluronidases are involved.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the significance of the cumulus oophorus in fertilisation?

A

It surrounds the ovulated oocyte and aids in its collection by fimbria

This structure is crucial for guiding sperm to the oocyte.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Fill in the blank: Sperm fusion with the oocyte membrane triggers the release of _______ from internal stores in the oocyte.

A

Ca2+

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the stages of preimplantation development?

A
  • Zygote (24 hours post-fertilisation)
  • Morula (80-96 hours post-fertilisation)
  • Blastocyst (120-150 hours post-fertilisation)

Each stage represents significant developmental milestones leading to implantation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What occurs during the maternal recognition phase?

A

It involves the embryo signaling its presence to the mother to prevent menstruation

This is crucial for successful implantation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

True or False: The journey of spermatozoa through the uterus is solely dependent on self-propulsion.

A

False

Other factors like ciliated cells and myometrial contractions also play a role.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the role of progesterone during the luteal phase regarding cervical mucus?

A

It decreases cervical mucus secretion and hydration, making it impermeable to sperm and pathogens

This protects the potential fertilized embryo.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What triggers spermatozoa hyperactivation?

A

An increase in intracellular Ca2+

This results in ‘whiplashing’ tail beats, enhancing motility.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the role of the tetraspanin network in fertilisation?

A

It facilitates sperm fusion with the egg membrane

Components like CD9 and CD81 are involved.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two main types of receptors involved in sperm attraction to the oocyte?

A
  • Odorant receptors
  • Specific receptors responding to chemo-attractive substances

These receptors help direct sperm towards the oocyte in the uterine tube.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the term ‘chemotaxis’ refer to in the context of sperm movement?

A

The movement of sperm towards chemo-attractive substances

This is essential for sperm locating the oocyte.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Fill in the blank: The outer rim of the blastocyst is called _______.

A

trophoblast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What factors can neutralise the acidic vaginal environment?

A
  • Alkaline seminal fluid
  • Immunosuppressive compounds in seminal fluid

These factors help sperm survive the vaginal environment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the significance of the fimbria during ovulation?

A

They collect the ovulated oocyte from the peritoneal cavity

This is crucial for the oocyte’s journey to the fallopian tube.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the rim of trophoblast cells that form a precursor to extra-embryonic support tissue?

A

Trophectoderm

The trophectoderm is crucial for the formation of the placenta.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the fluid-filled cavity within the blastocyst called?

A

Blastocoel

The blastocoel is essential for the development of the embryo.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the first hurdle that spermatozoa must overcome?

A

Survival of spermatozoa in the vagina

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the second hurdle that spermatozoa must penetrate?

A

Penetration through the cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the third hurdle in the journey of spermatozoa?

A

Journey through the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is the fifth hurdle spermatozoa encounter?
Fertilisation of the ovum
26
What is the fourth hurdle related to spermatozoa?
Entering the uterine tube leading to the ovulated oocyte
27
What is the sixth hurdle regarding maternal recognition?
Maternal recognition of conceptus
28
What is the seventh hurdle that involves implantation?
Implantation in the uterus
29
What hormone do trophoblasts of the blastocyst secrete?
Human chorionic gonadotrophin (hCG)
30
What is the role of hCG during early pregnancy?
Prevents luteal regression
31
To what receptors does hCG bind?
LH receptors on the luteal cells
32
What hormones does hCG stimulate the secretion of?
* Progesterone * Oestrogen
33
What are cytokines and growth factors involved in maternal recognition?
* Interleukins * Transforming growth factor-beta (TGF-β) * Vascular endothelial growth factor (VEGF)
34
What do extracellular vesicles modulate in maternal immune responses?
MicroRNAs and proteins
35
What prevents the cells of the pre-compaction conceptus from separating?
Zona Pellucida
36
What does the Zona Pellucida prevent in terms of conceptus formation?
Prevents genetically distinct conceptuses from forming a chimera
37
What do mucins (MUC-1) in the endometrial glycocalyx do?
Prevent binding of the conceptus and guide it to a receptive area
38
What is the first phase of implantation?
Hatching
39
What occurs during the hatching phase of implantation?
Zona Pellucida breaks down
40
What is the second phase of implantation?
Apposition
41
What characterizes the apposition phase?
Unstable interaction between the blastocyst and the uterine epithelium
42
What is the third phase of implantation?
Adhesion
43
What are pinopodes?
Protrusions in the luminal epithelium of the endometrium
44
What receptors are expressed by trophoblasts during the adhesion phase?
Epidermal Growth Factor (EGF) receptors
45
What do trophoblasts use to mediate firm adhesion to the endometrial lining?
Cell adhesion molecules such as integrins
46
What is the fourth phase of implantation?
Invasion
47
What do trophoblasts differentiate into during the invasion phase?
* Cytotrophoblast * Syncytiotrophoblast
48
What do syncytiotrophoblasts secrete to facilitate invasion?
TNFa
49
What does decidualisation refer to?
Transformation of endometrial stroma into decidual cells
50
What is the primary decidualisation reaction characterized by?
Oedema and ECM remodelling
51
What does angiogenesis refer to in the context of implantation?
Increased sprouting and growth of capillaries
52
What do regulatory T cells do during immune tolerance in pregnancy?
Suppress the activation of effector T cells
53
What provides nutrients for the developing conceptus during invasion?
Breakdown products from degenerating decidual cells
54
What is histotrophic nutrition?
Direct uptake of nutrients from maternal blood
55
What do cytotrophoblastic cells form during invasion?
Finger-like projections in the syncytiotrophoblast (chorionic villi)
56
What defines the implantation window in terms of timing?
Days 1-7 luteal phase is pre-receptive; Days 7-10 is receptive phase
57
What happens if there is no implantation during the implantation window?
Refactory phase
58
What is a common issue that occurs in 75% of cases leading to failure to implant?
Failure of fertilized oocytes to lead to pregnancy
59
What is the role of contraception methods?
Prevent pregnancy
60
What is the only contraception method that also protects from STIs/STDs?
Condoms
61
What is the price range for a male sterilization procedure?
£350-1k
62
What does mifepristone do?
Prevents progesterone binding to its receptor