Week 11 Flashcards
(145 cards)
How many conceptions are lost in the first 5 months?
23%
How many children are born with malformations?
Over 5%
Out of 20 eggs in US and Western countries how many come to term?
Only 6.2 are expected to come to full term
What is the name of exgenous agents responsible for birth defects?
Teratogens
What are examples of teratogens?
Drugs, chemicals, ionising radiation, high temperature, infectious micro-organsisms and metabolic conditions in the mother
When are embryos most susceptible to teratogens?
During the embryonic period between 3 and 8 weeks, when most organs form
What happens during the fetal period?
Growth and remodelling takes place
When is the CNS susceptible?
CNS is constantly forming and remains susceptible throughout the development
Whats the difference between cogential defects and birth defects and embryo loss?
Congenital defects- present at birth
Birth defects and embryo less- have intrinsic and extrinsic causes
When is the heart sensitive to environmental teratogens?
3-6 weeks major congenital anomalies
7-8 weeks functional defects and minor anomalies
When are Ears sensitive to environmental teratogens?
4-9 weeks major congenital anomalies
9-16 weeks functional defects and minor anomalies
What are the symptoms of fetal alcohol syndrome (FAS)?
Characterised by small head size, narrow upper lip and low nose bridge
Brain can be dramatically smaller (defects in neuronal and glial cell migration, abnormal cell death)
How frequent is FAS?
FAS is the 3rd most prominent cause of neurological problems and affects 1 of 500-750 births in USA
How does FAD (fetal alcohol disease) impact mice?
Failure of the anterior neural tube to close results in anencephaly (baby is born without parts of the brain and skull)
Abnormal nose or upper lip (also seen in human)
3-D recontruction of MRI of mouse brain shows brain impacts olfactory bulbs and cerebral hemispheres
Cell adhesion mediated by L1 is inhibited by alcohol
How does FAD impact brain development?
Nile blue stains show that embryos exposed to alcohol show more cell death compared to control
How can drugs affect cell metabolism or cell proliferation impacts embryos?
This can cause limb defects in experimental animals, if administered during period of limb growth (4-12 weeks in humans)
What was the case study for Thalidomide?
It is a painkiller for pregnant women in the 60s resulted in 5000 live births of affected children. It impacts limb development eg Phocomelia
What impacts the defect through drug exposure?
Amount ingested, susceptibility of individuals and the period of development during and which drug was present
What are the 3 types of congenital limb defects?
Reduction defects - part of entire limb missing
Duplication defects- Polydactyly
Dysplasia- Malformation eg fused digits, excessive growth of limbs or parts of limbs
What can cause defects during development?
Compodents dont form during development, primorida fail to differntiate, duplication, overgrowth or undergrowth (hyper- or hypoplasia) focal defects and general skeletal abnormalilites
What is the known gene that causes each of the defects?
HOXD13 = Syndactyl (fusion of digits)
FGF receptors 1 and 2 = Syndactyl plus malformations of the skul (Apert and Pfeiffer syndrome)
FGF receptor 3 = Dwarfism and parts of limb lost
TBX5 = Holt-Oram syndrome, heart defects, meromelia and finger thumb
What are the symptoms of Apert syndrome?
Tower skull and syndactylyl
What causes Apert Syndrome?
A gain of function mutation in the receptor which is hypersensitive and can respond to additional ligands. This results in premature differentiation, fusion of sutures in the skull and death of carilage om the growth plates of long bones
What is SRY?
Putative transcription factor expressed in male genital ridge