Embryology 3: Fertilisation & Implantation MCQ
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Questions and Answers

What is the primary function of the syncytiotrophoblast during early pregnancy?

  • To transport nutrients directly to the embryo
  • To protect the embryo from maternal immune response
  • To erode the endometrium and establish a pathway for the blastocyst (correct)
  • To produce progesterone for endometrial maintenance

What does the corpus luteum primarily produce to support early pregnancy?

  • Interleukins
  • Progesterone (correct)
  • Estrogen
  • Human Chorionic Gonadotropin (hCG)

Which type of trophoblast is primarily responsible for invasive behavior during implantation?

  • Syncytiotrophoblast (correct)
  • Decidual cells
  • Endometrial stroma
  • Cytotrophoblast

What is the role of the lacunae formed by the syncytiotrophoblast?

<p>To fill with maternal blood that provides nutrients to the embryo (C)</p> Signup and view all the answers

Which factor is produced early in pregnancy that can be found in maternal blood by day 8?

<p>Human Chorionic Gonadotropin (hCG) (D)</p> Signup and view all the answers

What is the purpose of the decidual reaction in the endometrium?

<p>To support the implantation process and maintain pregnancy (B)</p> Signup and view all the answers

Which of the following describes the main role of interleukins produced by decidual cells?

<p>To support implantation or inhibit invasive processes (A)</p> Signup and view all the answers

What might a woman mistake for her menstrual period during early pregnancy due to the embryonic process?

<p>Light blood loss caused by erosion of endometrial vessels (D)</p> Signup and view all the answers

What is one of the outcomes of fertilization?

<p>Restoration of the normal diploid number (B)</p> Signup and view all the answers

What role does the zona pellucida play during fertilization?

<p>It acts as an immunological barrier to the embryo. (D)</p> Signup and view all the answers

What is the primary effect of cleavage on the zygote?

<p>It increases the nuclear/cytoplasmic ratio. (A)</p> Signup and view all the answers

How long does it typically take for cleavage to begin after fertilization?

<p>Around 30 hours post-fertilization (D)</p> Signup and view all the answers

What are inner blastomeres?

<p>Blastomeres not in contact with the zona pellucida (D)</p> Signup and view all the answers

What is accomplished during the process of compaction?

<p>Maximization of cell-cell contact among blastomeres (A)</p> Signup and view all the answers

What is produced after cleavage leads to 16 blastomeres?

<p>Morula (C)</p> Signup and view all the answers

What is a consequence of the breakdown of protoamines in the male nucleus?

<p>Decondensation of genetic material (B)</p> Signup and view all the answers

What is the main role of the decidual reaction in early pregnancy?

<p>To nourish the embryo and provide an immunologically privileged site (C)</p> Signup and view all the answers

Which of the following structures is external to the embryo during early implantation?

<p>Decidua basalis (A)</p> Signup and view all the answers

What is the primary factor that differentiates the epiblast from the hypoblast?

<p>Transcription factors (A)</p> Signup and view all the answers

What does an ectopic pregnancy typically lead to?

<p>Rupturing of the uterine tube and possible hemorrhage (B)</p> Signup and view all the answers

Which type of decidua lines the amniotic sac?

<p>Decidua capsularis (B)</p> Signup and view all the answers

Which of the following is NOT a common risk factor for ectopic pregnancy?

<p>Excessive exercise (C)</p> Signup and view all the answers

What characterizes the normal site of implantation in the uterus?

<p>Posterior wall of the uterine cavity (A)</p> Signup and view all the answers

What is the embryonic shield primarily composed of?

<p>Epiblast and hypoblast (A)</p> Signup and view all the answers

What is the primary function of hyaluronidase released by the acrosome during fertilisation?

<p>To break down hyaluronic acid in the corona radiata (A)</p> Signup and view all the answers

Where does the optimal environment for the sperm and oocyte meeting occur?

<p>In the ampullary region of the Fallopian tube (C)</p> Signup and view all the answers

What prevents polyspermy after fertilisation?

<p>Granules produced by the oocyte (A)</p> Signup and view all the answers

What role do zonal proteins like ZP3 play in the fertilisation process?

<p>They are species-specific binding sites for sperm (A)</p> Signup and view all the answers

Which phase of fertilisation involves the attachment of one spermatozoon to the oocyte?

<p>Phase 3 (A)</p> Signup and view all the answers

What occurs during Phase 2 of fertilisation after spermatozoa penetrate the zona pellucida?

<p>Enzymes digest the membrane of the oocyte (A)</p> Signup and view all the answers

Which structures of the spermatozoon enter the cytoplasm of the egg during fertilisation?

<p>Head, mid piece, and tail (C)</p> Signup and view all the answers

What is the size relationship between the egg and the sperm cell?

<p>The egg is 10 million times the volume of the sperm cell (D)</p> Signup and view all the answers

What is the main function of the parietal endoderm?

<p>To support the amnion and other structures (D)</p> Signup and view all the answers

Where is the amniotic cavity formed?

<p>In the epiblast (D)</p> Signup and view all the answers

What is the relationship between the epiblast and the yolk sac?

<p>The yolk sac is ventral to the epiblast (A)</p> Signup and view all the answers

What forms the outer wall of the blastocyst?

<p>Chorion (D)</p> Signup and view all the answers

What happens to the yolk sac by the 13th day of development?

<p>It becomes much smaller (A)</p> Signup and view all the answers

Which structure is primarily responsible for enclosing the amniotic cavity?

<p>Epiblast (D)</p> Signup and view all the answers

Why is the yolk sac not useful for nutrient provision in humans?

<p>The embryo receives nutrients directly from the mother's capillaries (B)</p> Signup and view all the answers

What structure connects the yolk sac and the amniotic sac to the mesoderm?

<p>Body stalk (D)</p> Signup and view all the answers

What is the primary function of the primitive blood vessels formed in the extraembryonic mesoderm?

<p>To facilitate the exchange of materials between mother and embryo (C)</p> Signup and view all the answers

What occurs as the cytotrophoblast extends into the syncytiotrophoblast?

<p>Development of the primary villus (C)</p> Signup and view all the answers

Which statement about spontaneous abortion (SA) is correct?

<p>More than 50% of SA result from chromosomal abnormalities. (A)</p> Signup and view all the answers

What complication might arise if red blood cells from the embryo enter the mother's circulation?

<p>Potential incompatibility issues between maternal and fetal blood (B)</p> Signup and view all the answers

What is a possible consequence of something from the mother's blood reaching the fetus?

<p>Introduction of medications or toxins into the fetal blood (D)</p> Signup and view all the answers

What is the most common timing for spontaneous abortion?

<p>In the first trimester, especially around the 3rd week (C)</p> Signup and view all the answers

What is the role of the tertiary villus in early pregnancy?

<p>To enable nutrient and gas exchange between maternal blood and the embryo (C)</p> Signup and view all the answers

What might cause a higher incidence of spontaneous abortion in certain fetuses?

<p>Presence of chromosomal abnormalities or specific birth defects (A)</p> Signup and view all the answers

Flashcards

Where does fertilization occur?

Fertilization happens in the ampullary region of the Fallopian tube. This is the widest part of the tube, with folds that slow down the egg, creating an optimal environment for the sperm to meet it.

Why is Hyaluronidase important?

Hyaluronidase is an enzyme released by the sperm's acrosome. It breaks down the sticky matrix (hyaluronic acid) of the corona radiata, allowing the sperm to swim freely towards the zona pellucida.

What is zona pellucida?

Zona pellucida is a thick, glycoprotein layer surrounding the egg. It acts as a protective barrier and plays a role in species-specific fertilization.

What is the role of ZP3 proteins?

ZP3 proteins are found in the zona pellucida. Sperm bind to these proteins for fertilization, and these proteins are species-specific, meaning human sperm can only fertilize a human egg.

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What happens in the perivitelline space?

The perivitelline space is the space between the zona pellucida and the egg's plasma membrane. After the sperm penetrates the zona pellucida, it enters this space.

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Why does only one sperm fertilize the egg?

Although multiple sperm may penetrate the zona pellucida, only one sperm can fuse its membrane with the egg's plasma membrane. This is due to a change in the egg's membrane after the first sperm entry.

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What happens after the sperm fuses with the egg?

Once the sperm fuses with the egg, its head, midpiece, and tail enter the egg's cytoplasm, leaving the mitochondria outside. This triggers a series of events leading to the development of the embryo.

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What is the purpose of the acrosome?

The acrosome is a cap-like structure on the sperm's head. It contains enzymes, such as hyaluronidase and acrosin, that help the sperm penetrate the egg's external layers.

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Male pronucleus formation

The process where the male genetic material in the sperm decondense and spreads out within the egg, forming a pronucleus. It involves loss of protoamines, increase of nuclear membrane permeability, and demethylation of paternal DNA.

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Zygote formation

The single-celled entity formed when the male and female pronuclei fuse, combining the genetic material from both parents. This marks the beginning of a new individual with a complete set of chromosomes.

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What is accomplished by fertilization?

Fertilization marks the fusion of sperm and egg, leading to the completion of meiosis in the egg, the restoration of the diploid chromosome number, determination of the genetic sex, variation through mixing of maternal and paternal DNA, and metabolic activation of the egg, initiating cleavage.

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Zona pellucida function

The zona pellucida is a protective layer surrounding the egg. Its functions include promoting oocyte and follicle maturation, preventing polyspermy, initiating acrosomal reaction, acting as a filter during cleavage, serving as an immunological barrier, keeping blastomeres together, facilitating trophoblastic cell differentiation, and preventing premature implantation.

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Cleavage

A series of rapid cell divisions in the zygote, within the zona pellucida, that increase the cell number without increasing the overall size of the embryo. This process leads to the formation of blastomeres.

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Morula

A compact ball of 16 blastomeres formed during cleavage, marking a specific stage in early embryonic development.

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Compaction

A process during cleavage where blastomeres tightly adhere to each other, maximizing cell-cell contact and forming two distinct layers: outer and inner blastomeres. This is facilitated by adhesion molecules like E-cadherin-catenin complexes.

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Outer vs. Inner blastomeres

After compaction, the blastomeres residing on the outer surface of the zona pellucida are called 'outer blastomeres', while those not in contact with the zona pellucida are called 'inner blastomeres'.

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What is the Syncytiotrophoblast?

The outer layer of the trophoblast formed by the fusion of cells, responsible for eroding the endometrium and creating a passage for the blastocyst.

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What are lacunae?

Spaces within the Syncytiotrophoblast that fill with maternal blood. These lacunae provide essential nutrients to the developing embryo.

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What is Immunotolerance?

The mother's immune system does not reject the embryo, despite it having paternal (non-maternal) antigens.

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What is the Decidual Reaction?

Changes occurring in the endometrium (lining of the uterus) in preparation for embryo implantation. This reaction is crucial for successful implantation.

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What does hCG do?

Human Chorionic Gonadotropin (hCG) is a hormone produced by the trophoblast that maintains the corpus luteum.

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What is the Corpus Luteum?

A structure in the ovary that secretes progesterone, a hormone essential for maintaining a pregnancy.

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What is Progesterone?

A hormone produced by the corpus luteum that regulates endometrial functions and the proteolytic activity of the trophoblast.

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Why are Interleukins and growth factors important in implantation?

They create an environment within the uterus that supports either implantation or inhibits invasion of the embryo, controlling the erosion of the endometrium.

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Decidua

The modified endometrium during pregnancy, formed by fibroblasts becoming large, rounded, and filled with fluids, lipids, and glycogen. It creates an immune-protected environment for the embryo and provides early nourishment.

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Decidua basalis

The part of the decidua located on the side of the uterus where the embryo is implanted.

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Decidua capsularis

The thin layer of decidua surrounding the amniotic sac, forming a barrier between the embryo and the maternal tissue.

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Decidua parietalis

The part of the decidua located on the opposite side of the uterus from the implantation site.

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Ectopic Pregnancy

A pregnancy where the embryo implants outside the uterus, most commonly in the fallopian tube, leading to potential complications such as tubal rupture and bleeding.

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Embryonic Shield

The first epithelial layer formed during the second week of development, consisting of two layers: epiblast and hypoblast.

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Epiblast

The upper layer of the embryonic shield, characterized by the expression of the transcription factor Nanog.

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Hypoblast

The lower layer of the embryonic shield, characterized by the expression of the transcription factor Gata 6.

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Amniotic cavity

A fluid-filled cavity formed within the epiblast, providing a protective environment for the developing embryo.

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Yolk sac

A sac formed from the hypoblast, providing a temporary source of nutrients and blood cell development.

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Parital endoderm

Also known as Heuser's membrane, it forms from the hypoblast, encapsulating the yolk sac.

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Extraembryonic mesoderm

A supportive tissue derived from the parietal endoderm. It surrounds the amniotic sac, yolk sac, villi, and blood vessels.

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Chorion

The outermost layer of the blastocyst, composed of the extraembryonic mesoderm and cytotrophoblast.

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Extraembryonic coelom

Also known as the chorionic cavity, this is a large cavity formed within the chorion, surrounding the amniotic sac and yolk sac.

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What is the amniotic cavity?

The amniotic cavity is a fluid-filled sac that surrounds the developing embryo. It provides a protective environment for the embryo, cushions it from shocks, and allows for free movement.

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What are primary villi?

Primary villi are finger-like projections that form in the syncytiotrophoblast. They serve as the initial bridge between the maternal and fetal circulatory systems.

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What are secondary villi?

Secondary villi develop when the extraembryonic mesoderm extends into the core of the primary villi. They are essential for the further development of the placental circulation.

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What are tertiary villi?

Tertiary villi are formed when capillaries develop within the extraembryonic mesoderm of the secondary villi. They allow for the exchange of nutrients and waste products between the mother and the fetus.

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What is the role of the uteroplacental circulation?

The uteroplacental circulation is the system of blood vessels that allows for the exchange of nutrients and waste products between the mother and the fetus through the placenta.

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What are the possible risks of the uteroplacental circulation?

The uteroplacental circulation can face risks such as mixing of fetal and maternal red blood cells, which can be problematic if blood types are incompatible. It can also allow passage of substances like medications, glucose, and alcohol from the mother to the fetus.

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What is spontaneous abortion (SA) or miscarriage?

Spontaneous abortion is the natural loss of pregnancy before the 20th week of gestation. It is more common during the 3rd week and often happens as a result of chromosomal abnormalities.

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What are the possible causes of spontaneous abortion after the 10th week?

After the 10th week, spontaneous abortion can be caused by fetal issues, placental problems, or maternal complications.

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Study Notes

Fertilization Process

  • Egg cell is significantly larger than a sperm cell (10 million times the volume)
  • Fertilization takes place in the ampullary region of the Fallopian tube
  • The folds in the Fallopian tube slow down the oocyte, creating an optimal environment
  • Many changes are needed for fertilization

Phase 1 of Fertilization

  • Spermatozoa swim through the granulosa cells of the corona radiata
  • Hyaluronidase is released from the acrosome, breaking down the hyaluronic acid
  • Spermatozoa swim rapidly toward the zona pellucida
  • Tubal enzymes may aid the process

Phase 2 of Fertilization

  • Spermatozoa reach the zona pellucida and attach to it
  • Spermatozoa bind to species-specific zonal proteins (mainly ZP3)
  • Enzymes (like acrosin) are released from the acrosome, digesting the zona pellucida membrane
  • Sperm head fuses with the zona pellucida
  • Sperm enters the perivitelline space between the zona pellucida and the plasma membrane
  • Only one sperm will attach to the oocyte's plasma membrane

Phase 3 of Fertilization

  • One sperm attaches to the oocyte's microvilli
  • Sperm's plasma membrane fuses with the oocyte's membrane
  • Sperm head, midpiece, and tail enter the oocyte's cytoplasm (mitochondria remain outside)
  • Juno receptors from the oocyte membrane are ejected to prevent polyspermy (multiple sperm fertilizing an egg)
  • Paternal mitochondria are eliminated

Phase 4 of Fertilization

  • Prevention of polyspermy:
    • Fast block: membrane depolarization in a few seconds, preventing further sperm entry
    • Permanent block: Changes in calcium concentration trigger cortical granules to release their contents into the perivitelline space, causing the zona pellucida to swell and harden

Phase 5 of Fertilization

  • Oocyte completes meiosis II and releases a second polar body
  • Two pronuclei (oocyte's and sperm's) form, fuse
  • Fertilized egg (zygote) ready for cleavage

Importance of Calcium

  • Calcium changes induce meiosis resumption, pronucleus formation and polyspermy prevention

Cleavage

  • Series of cell divisions increasing the cell number, without the zygote increasing in size
  • Occurs around 30 hours after fertilization
  • Resulting cells are called blastomeres
  • Blastomeres compact to form a morula, then a blastocyst (within 3 days)

Blastocyst Formation

  • Inner cell mass (embryoblast): forms the embryo
  • Trophoblast: forms the placenta
  • Blastocoele: fluid-filled cavity within the blastocyst
  • Zona pellucida sheds allowing blastocyst to hatch

Early Communication with Mother

  • Trophoblast produces the Early pregnancy factor to prevent maternal immune attack

Blastocyst Polarity

  • Embryonic (inner cell mass) pole and abembryonic (opposite) pole
  • Trophoblast on embryo side is polar trophoblast; other side is mural trophoblast

Implantation

  • Blastocyst attaches firmly to the endometrium
  • Three stages:
    • Apposition: blastocyst approaches the endometrium
    • Adhesion: close contact with adhesion molecules
    • Invasion: blastocyst penetrates the endometrium
  • Implantation window: occurs 6 days after the LH surge
  • Cytokines aid implantation readiness: LIF
  • Immunotolerance regulation of the embryo as a semi-allograft

Trophoblast

  • Syncytiotrophoblast: invasive, erodes endometrium for implantation
  • Cytotrophoblast: provides nourishment for embryo: cells fuse to form the primary, secondary and tertiary villi

Chorionic Cavity

  • Cavity outside of the embryo formed from the extaembryonic mesoderm and cytotrophoblast
  • The yolk sac and body stalk form, connecting the embryo with the developing placenta

Uterine Mucosa

  • Provides the suitable environment for implantation before the fertilized egg's arrival.
  • Endometrium prepared for implantation at the end of menstrual cycle.

Ectopic Pregnancy

  • Implantation occurs outside the uterine cavity, most often in the fallopian tubes (and potentially other locations)
  • May cause hemorrhage.

Early Pregnancy

  • Corpus luteum produces progesterone to maintain endometrial function
  • Human Chorionic Gonadotropin (hCG) maintains the corpus luteum and detectable in maternal blood by day 8 and urine by day 10.
  • Immune response regulated by maternal immune system.
  • Blood vessels formation inside the chorion for improved nutrient absorption

Second Week (of Development)

  • Inner cell mass forms the epiblast and hypoblast
  • Amniotic cavity and yolk sac formation
  • Beginning of primary, secondary, and tertiary villi formation in the chorion
  • Early circulatory systems begin developing to supply oxygen and nutrients.

Important Notes:

  • The process described is for human fertilization.
  • The provided information summarizes the initial steps of prenatal development.

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Test your knowledge on the biological processes and structures involved in early pregnancy. This quiz covers key concepts such as the syncytiotrophoblast, corpus luteum, and cleavage stages. Ideal for students studying human development or reproductive biology.

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