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Early Embryogenesis - fertilization, cleavage, implantation

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Ovum descent   After ovulation the ovum is drawn into oviduct by sweeping motion of fimbriae (also epithelial cilia); ovum propelled towards uterus by rhythmic contraction of oviduct and cilia; ~3-4 days to reach uterus  
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Sperm ascent   Muscular contraction of uterus and oviducts propel sperm up in womb, towards oviduct; requires 0.5 hr-6 day for sperm to reach egg in oviduct  
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Capacitation   As spermatozoa are transported up womb, they are prepared for fertilization by removal of glycoprotein coat from their plasma membranes  
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Where does fertilization usually occur?   In the ampulla of the oviduct  
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Compare how many sperm are deposited with how many reach the ovum   200-300 million deposited; 300-500 reach ovum  
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How many sperms are allowed to typically fertilize an ovum   1  
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Polyspermy   When more than one sperm fertilizes an egg; must be prevented because it results in lethal triploidy  
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How does the ovum prevent polspermy?   3 barriers - corona radiata, zona pellucida, zona reaction  
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First barrier in polyspermy - corona radiata   Capacitated sperm secrete proteolytic enzymes to penetrate corona radiata  
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Second barrier in polyspermy - zona pellucida   Contain glycoproteins that sperm must penetrate; done by acrosome reaction; acrosome contacts zona, releases digestive enzymes (ex: acrosin) that dissolve glycoproteins of zona; 1st sperm penetrates zona & contacts PM of ovum, PM fuses with egg's membrane  
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Corticol reaction   Fusion of membrane induces rupture of corticol granules lining ovum's PM; enzymes (ex: peroxidase) released from granules  
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Third barrier in polyspermy - zona reaction   Enzymes from corticol reaction inactivates receptors for spermatozoa binding that are on surface of zona, preventing additional sperm and penetrating  
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Male pronucleus   Swelling of sperm nucleus that entered cytoplasm of egg; egg is fertilized  
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Fertilized egg   Zygote  
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Female pronucleus   Nucleus that remains in zygote from secondary oocyte that was released from meiotic metaphase II releasing 2nd polar body  
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Do pronuclei fuse?   NO  
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Cleavage   Series of rapid mitotic divisions of early embryo that serve to multiply genomes required for embryogenesis  
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Blastomeres   Cells of early embryo; embryo does not grow during this period; subdivides into cluster of progressively smaller blastomeres (embryo remains same size in ovum)  
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What happens at the 3rd cleavage (8 cell stage)?   Tight junctions form; also known as compaction (pulls blastomeres closer together); segregates inner cells from outer cells  
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Inner cells   Determined to produce the fetus  
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Outer cells   Contribute to chorion and placenta  
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When does the 4th cleavage occur?   ~3 days after fertilization; cell embryo now called morula; inner cells = inner cell mass; outer cells = outer cell mass  
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What happens when the morula reaches the uterus?   Fluid begins to seep through zona pellucida, forming intercellular spaces between blastomeres  
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Blastocele   Intercellular spaces between blastomeres that coalesce; embryo = blastocyst  
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Outer cell mass in blastocyst   Organized into spherical sheet known as trophoblast  
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Inner cell mass in blastocyst   Localized to one pole where it is known as embryoblast  
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Blastocyst at day 5   Prepares for implantation by hatching from zona pellucida  
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What happens at ~6 days after fertilization?   Blastocyst embryo attaches to region of uterine wall, normally in body of uterus (anterior / posterior)  
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What cells of the embryoblast penetrate the epithelial cells of the uterine mucosa?   Trophoblast cells  
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What enzymes does the trophoblast secrete?   Proteolytic enzymes; induced by adjacent mucosa  
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Ectopic pregnancies   Implantation in the wrong place; usually result in death of embryo during 2nd month (often producing severe hemorrhaging & abdominal pain in mother); usually terminated by methotrexate injection  
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Most common site for incorrect implantation (95%)   Ampulla of oviduct; can also occur at any point along oviduct = tubal pregnancies; pregnancy must be terminated; fetus cannot survive in confined space; tube will rupture as fetus grows  
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Placenta previa   Ectopic implantations at internal os of uterus, where placenta will over-bridge opening resulting in severe bleeding during later part of pregnancy and delivery  
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Most common abdominal implantation   Peritoneal lining of rectouterine cavity (Douglas' pouch); implantation also relatively common in intestinal peritoneum/omentum  
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Primary ovarian pregnancy   Blastocyst implants on surface of ovary  
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Intracytoplasmic sperm injection   Deals w/ male infertility; sperm harvested; male incapable of ejaculatiion, sperm harvested from any point along reproductive tract; single sperm isolated & microinjected into cytoplasm of oocyte  
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In vitro fertilization   Follicular growth induced by gonadotropin treatment; secondary oocytes laparoscopically/transvaginally harvested from ovary by aspiration; several oocytes harvested  
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One drawback of harvesting multiple oocytes?   Increases chances of one surviving, but can also result in multiple gestations  
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Simplistically, how are the harvested oocytes fertilized?   Mixing them with diluted sperm; resulting embryos monitored to eight cell stage, and then placed in uterus  
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