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Unit 4: Developmental Genetics. 6 days. October 23:. Birth Defects. The medical impact of birth defects is considerable More than 20% of infant deaths are from birth defects An additional 20% may be caused by complications of pre-maturity. Birth Defects.
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Birth Defects • The medical impact of birth defects is considerable • More than 20% of infant deaths are from birth defects • An additional 20% may be caused by complications of pre-maturity
Birth Defects • In addition to mortality there is a high level of morbidity • Mental retardation and other dysfunctions that limit the productivity of affected individuals
Birth Defects • Developmental anomalies have a major impact on public health • Genetic counseling and prenatal diagnosis, with the option to terminate the pregnancy, are important for helping individuals faced with a risk of serious birth defects in their offspring
Birth Defects • Dysmorphy is the study of congenital birth defects that alter the shape or form of one or more parts of the body of a newborn • A dysmorphologist strives to understand how genes and environmental influences lead to birth defects
Birth Defects • They also suggest diagnostic evaluations • They develop a plan to manage expected complications • They provide the family with an understanding of the causation of the malformation
Birth Defects • Perhaps the most important job is to give recurrence risks to the parents and other relatives
Birth Defects • Three major categories: • Malformations • Deformations • Disruptions
Malformations • Result from intrinsic abnormalities in one or more genetic programs operating during development • Ex. Extra fingers in Greig Cephalopolysyndactyly
Deformations • Caused by extrinsic factors impinging physically on the fetus during development • Especially common during the second trimester when the fetus is constrained within the amniotic sac
Deformations • Ex. Contractions of the joints of the extremities called arthrogryposes • Occasionally accompany constraint of the fetus due to twin or triplet gestation
Deformations • Most deformations apparent at birth can be treated by external fixation devices or resolve spontaneously
Disruptions • Result from destruction of irreplaceable normal fetal tissue • More difficult to treat than deformations because of the loss of actual tissue
Disruptions • May be caused by vascular insufficiency, trauma, or teratogens • Ex. Amnion disruption which is the partial amputation of a fetal limb, caused by strands of amniotic tissue • Often recognized by the presence of partial irregular digit amputation in conjunction with constriction rings
Malformations • Malformations can have many causes • Chromosome imbalance (25%) • Trisomy 21, 18, 13 are most common • Single gene mutations (20%) • Achondroplasia • Complex inheritance (50%) • Cleft lip and cleft palate • Environmental teratogen (5%) • Fetal alcohol syndrome • Can be drugs, infections, chemicals, radiation, etc.
Developmental Biology • A single cell is transformed into an adult human with • 1014 cells • Hundreds of different cell types • Dozens of tissues
Developmental Biology • Has roots in embryology • 19th and early 20th century studies showed that organisms develop from single cells • Used amphibian and avian embryos • Defined many of the fundamental processes
Developmental Biology • Evolution is critically important • Early in development embryos of many species look similar • As development progresses the features shared between species successively transform into more specialized features, that are in turn shared by successively fewer, but more closely related, species
Homologous Structures • Evolved from a structure present in a common ancestor
Analogous Structures • Appear to be similar, but arose independently
Developmental Genetics • Development results from genes interacting with cellular and environmental cues • However, the genome is not an architect’s blueprint, not a literal description of the final form of all structures
Developmental Genetics • Rather it specifies a set of interacting proteins that set in motion different processes like growth, migration, differentiation, and apoptosis • This ultimately results in the correct mature structures, with a high degree of accuracy
Developmental Genetics • For example: • It is not coded for the eye to be spherical • The shape is a consequence of developmental processes
Developmental Genetics • Probability also plays a huge role as well • A mutation being present does not ensure that the organism will have malformations
Developmental Genetics • Environmental factors can be a huge factor in development as well • Many cells use concentration gradients and cell to cell signaling to determine placement and function • Environmental substances can mimic or disrupt this (teratogens)
Developmental Genetics • Sometimes the pathways active in embryonic development are turned off in adulthood • Chemicals that disrupt embryos may cause little to no damage to adults
Developmental Genetics • Isoretinoid • Used to treat acne • Alcohol • Fetal alcohol syndrome • Thalidomide • Sedative used widely in the 1950’s
Cellular Processes • Proliferation • Differentiation • Migration • Apoptosis
Human Embryogenesis • After fertilization, the human embryo undergoes a series of cleavages • After 3 days and 4 divisions, the 16 cell morula has been formed
Human Embryogenesis • At day 4 the mass transitions to a blastocyst • Cells that give rise to the placenta form a wall • Cells that will turn in to the embryo itself aggregate to one side (this is called the inner cell mass)
Human Embryogenesis • At this point the embryo acquires its first manifestations of polarity • The inner cell mass is bilaterally symmetrical
Human Embryogenesis • Then the inner cell mass separates again into the epiblast (which will form the embryo proper) and the hypoblast (which will for the amniotic membrane) • The embryo then implants in the endometrial wall between 7 and 12 days after fertilization
Human Embryogenesis • After implantation, gastrulation occurs • This is where the cells rearrange themselves into the 3 germ layers • Ectoderm • Mesoderm • Endoderm