EMBRYOLOGY Dr Marwa Magdy Saad Abbass PhD Oral Biology Phases of Intra-Uterine Life The intra-uterine is divided into three phases Phase I The zygotic phase From fertilization till 2-3rd week Phase II : The embryonic phase From the 3-4th week till the 8th week Recently the first 2 phases collectively are called embryonic phase Phase III : The fetal phase From the 9th week till delivery Phase I: Zygotic (proliferation) phase: (Fertilization-----end of 3rd week) Fertilization is the fusion of male and female germ cells (ovum and sperm) to form the zygot Then a series of mitotic cell divisions occur to form a ball of cells that is called morula (32 cells) Morula Morula The fluid accumulate inside the Morula and the cells realign themselves to form a Blastocyst 5 days IUL The blastocyst implants itself into the uterine wall Embryoblasts (inner cell mass) Trophoblast 1ry yolk sac Blastocyst Bi-laminar embryonic disc (2nd WIU) The inner cell mass realign themselves at the center and differentiate into bi-layered disc Lined by ectoderm Amniotic cavity L.S coronal section Ectoderm 2ry Yolk sac Endoderm Lined by endoderm Trilaminar embryonic disc (Gastrulation) (2nd - 3rd WIU) T.S Top view The embryonic disc has a pear shaped appearance Broad cephalic end Primitive node A groove called Primitive streak Narrow caudal end Trilaminar embryonic disc (Gastrulation) (2nd - 3rd WIU) Top view T.S L.S coronal section The ectodermal cells migrate from the streak in a lateral direction to form the mesoderm between ectoderm and endoderm Formation of the notochord (2nd - 3rd WIU) L.S sagittal section The ectodermal cells migrate from the streak in a cephalic direction to form the notochordal process between ectodem and endoderm The notochordal process canalizes to form the Notochord that support the primitive embryo (Notochord is vertebral column of primitive animals). By the end of the zygotic phase the embryonic disc has a pear shaped appearance T.S L.S coronal section Broad cephalic end Amniotic cavity Dorsal aspect Ectoderm Mesoderm Ventral aspect Endoderm Yolk sac Narrow caudal end Notochord Phase II: The embryonic period: (3-4th week-8th week) 1- Folding of the embryonic disc in an anteropotserior (cephalocaudal) and in lateral direction 2- All organ and systems are developed •Development of major external and internal structures of the embryo SO Any maternal illness specially of viral origin and drug therapy could cause congenital deformities 3-4th WIU Development of the Nervous System Folding of the Embryo The ectoderm at (the midline of the dorsal surface of the cranial portion of the embryonic disc) differentiate into neuroectoderm T.S Amniotic cavity Yolk sac L.S coronal section Amniotic cavity Yolk sac The neuroectoderm thicken to form neural plate. L.S coronal section Non neural ectoderm Neural plate Notochord The cells at the margins of the neural plate proliferate at faster rate, forming raised margins called neural folds encompasses a midline depression called neural groove. L.S coronal section Neural folds Non neural ectoderm Notochord Neural groove The neural groove deepen Until the neural folds fuse to form neural tube (that separate from the ectoderm and sink in the underlying mesoderm). A group of cells separate from the lateral aspect of the neural plate called neural crest cells sink in the underlying mesoderm Form the connective tissue in the head region which is called ectomesenchyme Neural groove Neural tube Folding of the Embryo 24 days -till the end of week 4 Folding in lateral direction Changes the embryonic disc into tubular embryo covered by ectoderm and lined by endoderm Forms a head fold with the primitive stomodeum or oral cavity beneath ;The stomodeum is lined by ectoderm Head fold Tail fold Stomodeum 27 By the end of the embryonic period Development of major external and internal structures of the embryo occur Phase III: The fetal period (9th week----------birth) There is a rapid increase in the overall size of the fetus. 9th week Birth Neural Crest Cells Neural Crest Cells As the nueral tube forms The neural crest cells separate from the lateral aspect of the neural plate (neuroectoderm) Migrate Differentiate extensively within the embryo Migration of cranial neural crest cells Anterior midbrain FNM E Anterior midbrain TG Posterior midbrain Posterior midbrain E Anterior hindbrain TG Md Anterior hindbrain E TG Md Imai et al., 1996 Derivatives of Neural Crest Cells • Meninges •Pigment cells (Melanin cell) • Spinal sensory ganglion • Sympathetic neurons • Schwann cells All tooth structures and surrounding tissues except enamel Connective tissue of the head (Ectomesenchyme) Avian neural crest cells In the mammalian embryo these stem cells separate from the lateral aspect of the neural plate rather than the crest ; even though the term neural crest remains Clinical Correlation Treacher Collins Syndrome is due to failure of neural crest cells to migrate properly to the facial region defects of structures that are derived form them Stem Cells Stem Cell To be a stem cell, 2 requirements are needed 1- Self-renewal: ability to go through multiple cell division cycles while remaining undifferentiated. 2- Potency: ability to differentiate into specialized cell types. 39 According to their Potency Stem cells are Totipotent stem cells Can differentiate into an entire organism. Cells from early embryos (1-3 days) Pluripotent stem cells .Can differentiate into any tissue except placenta. eg. Embryoblasts Multipotent stem cells Can differentiate into multiple cells of related family. Oligopotent stem cells Can differentiate into a few cell types eg. lymphoid stem cells. Unipotent stem cells Can differentiate into only one cell type eg. muscle stem cells. 40 Stem Cell Differentiation 6/15/2019 Princeton University Dr. Hariom Yadav According to the source Stem cells are Embryonic stem cells Derived from the inner cell mass of blastocyst -They are Pluripotent cell population Adult stem cells Found in developed organs and can divide to give more differentiated cells -Act as a repair system for the body -Adult stem cells are multipotent e.g Mesenchymal SCs, Blood SCs, Pulp SCs Induced pluripotent Somatic cells reprogrammed through genetic engineering to become stem cells stem cells 42 Embryonic stem cells Adult stem cells Sources of oral stem cells PDLSCs G-MSCs DFSCs Periodontal ligament cells Inner layer Neural crest ectomesenchyme Dental follicle Outer layer Cementoblasts Gingiva Alveolar bone Dental papilla BM-MSCs DPSCs and SHED SCAP Sources of oral stem cells 2 4, 5 1 6 3 7 1- DFSCs: Dental follicle stem cells, 2- G-MSCs: Gingival mesenchymal stem cells, 3- PDLSCs: periodontal ligament stem cells, 4- SHEDs: stem cells from the human exfoliated deciduous teeth, 5- DPSCs: Dental pulp stem cells, 6 -BM-MSCs: Bone marrow mesenchymal stem cells, 7- SCAP: Stem cells from the apical papilla. 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