Embryonic period Development 149 Organogenesis: 3.-8. week Formation of all organ systems: Cardiovascular and nervous - 3.week External genitalia – later than 8.week Changes in outer shape Most critical period Growth Beginning of embryonic period embryo, stage 10, 23ED according Carnegie classification 3,0mm The end of embryonic period Embryo, stage 23 , 56ED according Carnegie classification 30,0 mm Formation of 3D shape Head fold Tail fold Lateral folds Head fold - growth of brain and spinal cord – folding (septum transversum and heart are pushed ventrally) Changes in shape of intraembryonic coelomic cavity Tail fold – cloacal membrane is also pushed ventrally Lateral folds – gut closure, formation of umbilical cord Differentiation of intraembryonic mesoderm transversal section Differentiation of intraembryonic mesoderm transversal section Longitudinal and lateral folding cervical and caudal folds – 2 tranversal folds lateral foldings contribute to yolk/umbilical sac invagination to the body of the embryo Growth • proliferation + extracellular matrix synthesis + cavities formation • caudal morphogenetic system (cms) – principal growth centre, embryo extension • head region – early growth - expansion, later growth during fetal period • differentiation in head is an advance in early embryo Segmentation neuroectoderm a mesoderm neuromeres - neuroectoderm, CNS – brain vesicles somitomeres - somites - paraxial mesoderm homeotic genes, HOX – rhombencefalon, rhombomeres OTX1, OTX2, EMX1, EMX2 – mesencephalon, prosencephalon Neural tube development in brain region (segmentation in neuroectoderm - neuromeresbrain vesicles) 3 primary brain vesicles wall 5 secondary brain vesicles adult derivates wall cavity forebrain midbrain hindbrain cavities Organogenesis Derivatives of the three germ layers Ectoderm – CNS, PNS, retina, epidermis, mammary gland, enamel Cells of neural crest -– ganglia, Schwann´s cells, melanocytes, medulla of suprarenal gland, meninx, muscle, connective tissue and cartilages/ bones of pharyngeal arches Mesoderm – connective tissue, cartilage, bone, muscle, vessels, kidney, ovary, testes, spleen, cortex of suprarenal gland, mesothelium Endoderm – digestive and respiratory system (epithelium and glands), thyroid gland, parathyroid glands, thymus, pancreas, liver, urinary bladder CS9 (ED19-21) Segmentation in paraxial mesoderm 4th week Closureof rostral and caudal neuroporus (24th and 26th day) Somites (4.-12.) Pharyngeal arches are visible by 26th day Heart prominence Upper limb buds 26th- 27th day Otic pits and lens placodes Lower limb buds – by the end of week Tubular embryo SC11 (ED23-26) 5th week Head growth – brain and pharyngeal arches Pharyngeal arches – development of face and neck Ectodermal grooves and endodermal pouches, pharyngeal membranes Aortic arches – vessels in pharyngeal arches SC13 (ED23-32) 6th week Development of limbs – future fingers – digital rays are visible Development of ear: external acustic meatus(first pharyngeal groove), swelling around it fuse to form auricle Head is larger than body C-shaped embryo (CS14 – ED31-35) 7th week Development of limbs – digits of upper limbs Umbilical herniation– intestine enters the extraembryonic coelom in the proximal region of umbilical cord. 8the week Digits also in lower limbs Tail disappears at the end of 8th week Embryo has distinct human characteristics – head constitutes almost ½ of embryo Eyes – eye lids fuse by end of 8th week External genitalia - indifferent Fetal period By 9th week till birth Biparietal distance, head circumference,body circumference, femur length, Disorder – IUGR – intrauterinne growth retardation – reduction of vascular supply, placental insufficiency Estimation of age From last menstrual bleeding From fertilization According to sonography According to morphologic features Length (in 3+4 week) whole embryo including chorion Stages according to Carnegie Length from top of the head to the coccyx