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Craniofacial Development
Medical Genetics MS1 Lecture 23
16
Biology
Professional
11/17/2011

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Term
How do the medial and lateral nasal prominences arise? How does their formation relate to bilateral or unilateral cleft upper lips?
Definition
As the ectdodermal placodes invaginate, they divide the lowerfrontonasal prominence into two medial and two lateral nasal prominences.

Cleft upper lip arises when the medial nasal prominences do not fuse appropriately with the maxillary prominences.
Term
How do the ears arise in terms of the middle ear bones, the inner ear and the external auditory meatus?
Definition
Middle ear bones- malleus and incus (1st branchial arch), stapes (2nd branchial arch)

External auditory meatus- 1st branchial groove

Inner ear- otic placodes (just above 1st and 2nd arches)
Term
Neural crest cells give rise to the bones and cartilage of the face jaws and ears when they populate branchial arches. For each arch, which structures do crest cells contribute to?
Definition
frontonasal prominence- nasal, orbital and frontal bones

Arch 1- Malleus and Incus, maxillary and mandibular bones and cartilages of external ears.

Arch 2- Stapes, upper hyoid

Arch 3- Lower hyoid

Arch 4- laryngeal cartilages
Term
Each branchial arch consists of a core mesenchyme surrounds by surface ectoderm. What tissues are contained within the mesenchyme, and how do they contribute differently to cranial development?
Definition
1) Neural crest and Head mesoderm

2) Neural crest gives rise to viscerocranium cartilage structures and the head mesoderm gives frise to unique set of muscles.
Term
At 4-5 weeks, the pharyngeal gut gives rise to pharyngeal pouches that lie between branchial arches. What structures arise from each pouch?
Definition
Pouch 1) Tympanic cavity and auditory tube and form tympanic membranes with 1st branchial crest.

Pouch 2) Palatine tonsils

Pouch 3) Thymus and inferior parathyroids

Pouch 4) Superior parathyroids
Term
Where is Shh expressed in neural development. What role does Shh play in forebrain development?
Definition
1) Expressed in prechordal mesoderm and ventral forebrain.

2) Required for 1st branchial arch formation (inner ear bones, maxillary and mandibular prominences) and survival of first crest (external auditory meatus)
Term
Where is FGF expressed in neural development. What roles does it serve?
Definition
1) Anterior edge of forbrain

2) Outgrowth and specification of fore. Also in the migration and proliferation of neural crest required for surivival of branchial arch mesenchyme
Term
What role does RA play in neural development? Where is it found?
Definition
1) Regulates FGF and Shh expression, thereby affecting forebrain cell development. Also important for survival of head mesenchyme

2) Detected in early forebrain and frontonasal regions
Term
What roles to Hox genes play in neural development? Where are they found?
Definition
1) Defining particular skeletal elements that arise from each branchial arch.

2) In neural crest cells that populate branchial arches 2-4
Term
Where does the anterior palate originate from?

Where does the posterior palate originate from?

How do you get anterior vs. posterior cleft palate?
Definition
1) Ectodermal placodes that invaginate to form medial nasal prominence

2) Formed behind premaxilla, originating bilaterally from maxilla in the form of palatal shelves.

3) Anterior- premaxillary segment doesn't fuse with posterior shelves

Posterior- two palatine shelves arising from maxilla do not fuse.
Term
How can cleft palates arise (molecular interpretation)
Definition
1) Neural crest cell populations

2) Disruption in forebrain induction (reduction in size of medial nasal prominences)

3) TGFB for fusion

4) Tongue and/or lower jaw development (palatal shelves cannot elevate)
Term
Treacher Collins

1) Defective tissue
2) Gene/Protein
Definition
1) Neural crest contributing to 1st branchial arch
2) TCOF1/treacle
Term
Digeorge/Velocardiofacial

1) Chromosome of interest
2) Gene/Protein
3) Symptoms
Definition
1) micro deletions in 22q11 causing neural crest issues
2) TBX1 (not expressed in cranial neural crest!)
3) Tetralogy of fallot, facial dysmorphia, cleft palate
Term
Holoprosencephaly

1) Molecule of interest
2) Symptoms
Definition
1) Shh- prechordal mesoderm function-induction of cranial neural plate (also can be caused by RA)

2) Midline development issue
Term
Fetal Alcohol Syndrome

1) Gene/Protein
2) Symptoms
Definition
1) Ethanol inhibits migration of prechordal mesoderm cells and is associated with Shh signaling

2) Hypoplastic philtrum, this upper lip, median cleft lip, short papebral fissues
Term
RA Embryopathy

1) Gene/Molecule
2) Symptoms
Definition
1) Neural crest (head and heart) particularly sensitive to Vitamin A derivatives. RA can effect Shh and Hox gene expression

2) craniofacial, mental retardation, narrow forehead, flat nasal bridge, VSD/ASD
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