Development of the Skeletal System Medical Editor: Jan Camille Santico outline


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267 - Embryology Physiology] Development of Skeletal System

proximal to distal growth of the limb skeleton
o The mesoderm closest to the AER is referred to as 
the 
progress zone (PZ)  

A zone which focuses on proliferation instead of 
differentiation
o Meanwhile, the mesoderm far from the AER focuses 
on differentiation instead of proliferation

Growth factors are not saturated in this area

The mesoderm here differentiates into cartilage 
and bone

The most proximal area forms the 
stylopod
which differentiates into the 
humerus  
As the progress zone keeps extending/moving distally, 
the relatively proximal areas left behind differentiate into 
cartilage and bone
o This forms the zeugopod, which differentiates into 
the 
forearm 
o The autopod differentiates into:

Carpal bones 

Metacarpals 

Phalanges
Some tissue in the AER will undergo apoptosis due to 
bone morphogenetic protein (BMP) and retinoic acid 
o The apoptosis of these tissues leads to the formation 
of 
fingers 
o AER still releases FGF, which stimulates the progress 
zone to proliferate/extend the fingers/digits
Eventually, the AER will start dying and the FGF levels 
will drop 
o As a result, the progress zone will stop proliferating 
and just differentiate
In summary, the AER drives the activity of the progress 
zone
Figure 7. Development of the Limb Buds 
(C) DORSAL-VENTRAL DIFFERENTIATION 
Within the hand, the dorsal portion has condensing tissue 
called the 
zone of polarizing activity (ZPA), which 
drives the anterior and posterior development of the 
thumb
The ZPA releases molecules which create a gradient that 
stimulates the differences in our fingers

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