FMS II DEv of Limb.ppt

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    DEVELOPMENT OF LIMB

    Dr Anggraini Barlian

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    Classification of mesoderm : Notochord& a(ial !esoder!

    in ad"lt s"bstit"ted b# col"!na vertebrate

    schleroto!e ro! so!ite

    +o!ite & $ara(ial !esoder!- Der!ato!eDer!is- M#oto!e s.eletal !"scle- +chleroto!evertebrae/ ribs

    Mesoder! inter!ediate & 0rogenital s#ste! Mesoder! lateral &

    - !esoder! s$lancnic & circ"lator# s#ste!- !esoder! so!atic & li!bs

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    Stages development ofsomites:

    A. Mesoderm cells arearranged around a

    small cavity

    B. Cells of ventral &medial walls ofsomites lose theirepithelial arrangement

    & migrates notochordsclerotomeCells at dorsolateralmigrate limb &body wall

    musculature.Dorsomedial cellsmigrate myotome

    C.Myotome continueto etend

    D. Dermatome

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    Expression patterns of genes that regulates somite differentiation. Sonichedgehog (Shh),secreted by notochord floor plate of neural tube ventralpart of somite form sclerotome expressed !"#$

    control chondrogenesis vertebral formation. %nt protein

    activate !"#&

    demarcates dermomyotome.%nt prot dorsomedial portion of somite form epaxial muscle expressmuscle specific gene 'yf. 'iddorsal portion of somite

    dermis byneurotropin &(*+&)expressed by dorsal neural tube. ypaxial musculature isderived from the dorsolateral portion of somite under activating %nt prot -'!+ rot to ether activate ' oDex ression

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    /0'- -1D 234'"*03

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    !"#$"#%%

    Li!b B"d For!ation

    The distal ti$ o the li!b b"d is covered %ith a transient

    str"ct"re .no%n as the apical ectodermal ridge ("E4)1Li!b o"tgro%th is de$endent "$on interactions bet%eenthe AE2 and the "nderl#ing !esoder!1

    I the AE2 is re!oved/ the !esoder! sto$s dividing1

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    !"#$"#%%

    Li!b Develo$!ent

    I a s"$ern"!erar# AE2 is grated adjacent to adevelo$ing li!b/ a s"$ern"!erar# li!b res"lts1

    Pros$ective li!b !esoder! grated "nder lan.ectoder! %ill $ro!ote or!ation o an AE2 and as"$ern"!erar# li!b1

    I li!b b"d !esoder! is re!oved ro! an earl#li!b b"d/ the AE2 regresses and the !esoder!ceases $rolieration1

    Thereore/ li!b o"tgro%th involves reci$rocalinteractions bet%een the AE2 and "nderl#ing!esoder!1

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    3hat 4ontrols Establish!ent o Li!b A(es5

    The li!b has three a(es& Pro(i!o*distal6 Anterior*$osterior and Dorsal*ventral1

    !roximo+distal

    2e!oval o the AE2 at $rogressivel# later stagesres"lts in a tr"ncated li!b %ith $rogressivel# !oredistal ele!ents1 Th"s/ these ele!ents are laid do%n ina $ro(i!al*to*distal direction1

    The AE2 does not reg"late P*D $olarit#1 Fates o cellsare deter!ined b# the length o ti!e the# s$end in theprogress 5one1 Those residing there the longestbeco!e the !ost distal ele!ents1

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    !"#$"#%%

    Anterior*Posterior A(is

    This a(is is deter!ined b# the 5one ofpolari5ing activity (6!")/ %hich is located at

    the j"nction bet%een the li!b b"d and thebod# %all1

    7rats o the 8PA to the anterior !argin o a

    host li!b b"d ca"ses d"$lication o digits in!irror*i!age s#!!etr#1

    A di"sible !or$hogen 9retinoic acid5: is

    released ro! the 8PA1

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    3hich a(is or!s irst5

    ;1 anterior)$osterior 9;stto

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    0$$er Li!b

    +ca$"la

    ,"!er"s

    2adi"s/ "lna

    4ar$als Digits

    - Metacar$als

    - Phalanges

    Lo%er Li!b

    Pelvis

    Fe!"r

    Tibia/ ib"la

    Tarsals Digits

    - Metatarsals

    - Phalanges

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    +ca$"la

    ,"!er"s

    2adi"s/ "lna

    4ar$als

    Digits

    - Metacar$als

    - Phalanges

    0$$er Li!b

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    %hy Study /imb

    Development7 F"nda!ental 0nderstanding o the

    $rocess

    4linical relevance- +o!e statistics&

    oFre?"enc# o abnor!alit# de$ends on severit#

    oD"$lication o digits is airl# co!!on at @; in> births

    oMajor ail"res o or!ation is less co!!on/ at@ ; in ;/ births

    9Indiana ,and 4enter:

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    o8 do these abnormalities

    arise7

    *4319 0'!43!E4

    DEE/3!'E*;;;

    The goal of limb development research is to

    understand how cartilage, muscle and tendonsare formed in the right place and how they

    make the right connections with each other to

    form a normal functional limb

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    /imb Development is " !art

    of 3rganogenesis The $rocess o organogenesis involves

    "sing the basic bod# $lan 9organiede!br#o: to develo$ s$eciic organs 9li!bs/

    heart/ e#es: in s$eciic regions that leadsto the "ll# "nctional organis!/ ca$able oinde$endent s"rvival- Involves& $attern or!ation/ s$eciication o

    $ositional inor!ation/ ind"ction/!or$hogenesis/ and cell"lar dierentiation

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    o8 are these processes

    involved7 Pattern or!ationdirects cell identit# and leads

    to ordered s$atial $attern o cell activit#

    Positional inor!ationdirects %here organs%ill or!

    Ind"ctiondirection o s$eciic cell ate

    Mor$hogenesischanging the or! o cells

    Dierentiation ac?"ire "nctional and str"ct"ralidentit# distinct ro! their s"rro"nding cells

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    'odel System rdda#

    ater la#ing

    The li!b develo$

    ro! li!b b"ds on thebod# %all o the

    e!br#o

    De elopment of the Chic= /imb

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    Development of the Chic= /imb

    00

    Development of the Chic= /imb

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    Development of the Chic= /imb

    000As the limb bid grows outward, cells in the progress zone

    proliferate and acquire a positional value

    When cells leave the progress zone, cartilage may begin to

    differentiate, and other elements gain their positional

    information

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    Embryonic Chic= %ing (day

    $>)

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    %hat Directs /imb Development7

    The API4AL E4TODE2MAL 2ID7E 9AE2: is

    res$onsible or the $ro(i!o*distal $atterning o theli!b/ %hich occ"rs over ti!e thro"gh the $rogress

    one

    +ignals are sent both ro! the AE2 to the $rogress

    one/ and ro! the $rogress one to the AE2

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    %hat Directs /imb

    Development7(cont?d) The 8ONE OF POLA2I8IN7 A4TIVITC

    98PA: is res$onsible or antero*$osterior

    $atterning o the li!b The E4TODE2M controls $atterning

    along the dorso*ventral a(is

    Differences in the activation of genesthat control the interpretation ofpositional information is responsiblefor development of different limb

    structures (i.e. upper or lo8er)

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    3hat Molec"les Direct Li!b

    Develo$!ent5 Sonic Hedgehog (Shh)

    - The Shhgene encodesind"ctive signaling!olec"les that "nction

    d"ring e!br#ogenesis- Involved in establishing

    cell ates

    - e# signal in $atterning

    o the antero*$osteriorli!b a(is

    -Alx-4re$resses Shhe($ression

    Fibroblast GrowthFactor 4 (FGF-4)- Me!ber o F7F a!il#- Mesoder!al cell

    sti!"lator and directsdevelo$!entalsignaling

    - FGF-4*)* die on E

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    !"#$"#%%

    2etinoic Acid & A Develo$!ental

    Mor$hogen

    2etinoic acid is the active or! o Vita!in A

    Both e(cess retinoic acid and vita!in A

    deicienc# each aect let*right s#!!etr#

    9e1g1/ abnor!al or!ation o the !a!!alian

    heart: thro"gh alterations in gene e($ression1

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    !"#$"#%%

    4ell Death and Digit For!ation

    'ithout apoptosis( the )ngers would be webbed.:syndactyly

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    Li!b !alor!ation

    *hese are clenched hands resulting

    from camptodactyly +)ngers bentover, and clinodactyly +)ngersinclined to one side or the other,. *hisparticular appearance is verysuggestive of trisomy -.

    Deformation from constraint witholigohydramnios in utero can result inthe appearance of the club feet

    +varus deformity, seen here. *he feetare turned inward.

    E l f b li b f

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    Eample of abnormalityabsent of

    hands !" legs#

    !amelia$ phocomelia#caused by

    thalidomide !anti%vomiting#

    Syndactyly represents fusion of two ormore digits. /t can be an isolated)nding or part of syndromes thatde)ne patterns of anomalies. Most ofthese syndromes do not have aspeci)c genetic defect yet de)ned(though some do. Seen above are thedigits of the hand fused together.Below the foot has rudimentar

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    Sirenomelia+caudaldysgenesis,gastrulationdisruption. 0oss ofmesoderm in the

    lumbosacral region hasresulted in fusion of limb

    *his is sirenomelia. *he term comes from 1siren1or 1mermaid1 because of the characteristic fusion

    of the lower etremities that results from a failurein the development of a normal vascular supplyto lower etremities from the lower aorta inutero.

    2eg"lative

    abilit# o Li!bield

    %h t th

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    %hat are these

    abnormalities7

    &olydactyly ' the

    duplication of a digit

    Caution: aspirin2 streptomycin

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    Caution: aspirin2 streptomycin+deafness,2 antidepressant +limbdeformities,2 tetracyclin +bone andtooth anomalies, etcCocaine( 0SD( 3C3 +C4S( limbabnormalities( hypoia,

    Child with unilateral amelia

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    '"/234'"*03 0 C4"0"/ DEE/3!'E*

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    E4*E-4" C3/1' DEE/3!'E*

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    Develo$!ent o vertebrae

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    Develo$!ent o vertebrae

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