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Cell Bio Respiratory Development
KYCOM Block 3
63
Biology
Graduate
10/14/2012

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Term
when does the respiratory diverticulum appear
Definition
4 weeks
Term
what does the respiratory diverticulum come from
Definition
ventral wall of foregut
Term
what transcription factors determines the location of the respiratory diverticulum
Definition
TBX4
Term
where is TBX4 expressed
Definition
endoderm of gut tube
Term
what does TBX4 control
Definition
lung bud formation, continued growth and differentation of the lungs
Term
what is the larynx, trachea, and bronchi and the rest of the lung derived from
Definition
endoderm
Term
what is the cartilaginous, muscular, and connective tissue part of the lung derived from
Definition
splanchnic mesoderm
Term
initially what is the lung bud in open communication with
Definition
foregut
Term
what seperats the lung bud from the foregut
Definition
caudal expansion: two longitudinal ridges and the tracheoesophageal ridges
Term
when the lung bud seperates from the foregut ridges form, what is the destiny of these ridges
Definition
fuse to form tracheoseophageal septum
Term
what are the divisions of the foregut
Definition
dorsal and ventral
Term
what is in the dorsal portion of the foregut
Definition
esophagus
Term
what is in the ventral portion of the foregut
Definition
trachea and lung buds
Term
what is the function of the respiratory primordium
Definition
maintains the communication with the pharynx through the larengeal oriface
Term
where does the internal lining of the larynx originate from
Definition
endoderm
Term
where do the cartilages and muscles of the larynx originate from
Definition
mesenchyme of 4th and 6th pharyngeal arches
Term
as the mesenchyme of the cartilages and muscles of the larynx proliferate what happens
Definition
at the laryngeal orifaces it changes from a saggital slit to a T shape
Term
when the cartilages of the larynx are forming, what happens to the epithelium? what does this cause to happen?
Definition
it proliferates rapidly and occludes the lumen
Term
what produces the laryngeal ventricles
Definition
vacuolization and recanalization
Term
what are the laryngeal ventricles bound by
Definition
folds of tissue that become false and true vocal cords
Term
what are the laryngeal muscles innervated by
Definition
vagus
Term
what part of the laryngeal muscles does the superior laryngeal nerve innervate
Definition
4th arch derivatives
Term
what part of the laryngeal muscles does the recurrent laryngeal nerve innervate
Definition
6th arch derivatives
Term
what do the lung buds form
Definition
trachea and two lateral optpocketings called bronchial buds
Term
what do the bronchial buds form
Definition
right and left main bronchi
Term
what does the right main bronchi form
Definition
3 secondary bronchi
Term
what does the left main bronchi form
Definition
2 secondary bronchi
Term
in what fashion do secondary bronchi divide
Definition
dichotomous
Term
what do secondary bronchi divide to form
Definition
tertiary or segmental bronchi, creating the bronchopulmonary segments
Term
how many subdivisions of the bronchi are formed by the end of the 6th month
Definition
17
Term
how many subdivisions of the bronchi form in post natal life
Definition
6
Term
what is branching of the bronchi regulated by
Definition
interactions between endoderm of the lung buds and the splanchnic mesoderm surrounding them. the signals coming from the mesoderm involved fibroblast growth factor family
Term
in what directions do the lung buds expand into the body cavity
Definition
caudally and laterally
Term
what are the pericardioperitoneal canals
Definition
spaces on each side of the foregut that the plural cavity expands into
Term
what seperates the folds of the pericardioperitoneal canals
Definition
pleuroperitoneal and pleuropericardial
Term
what are the folds of the pericardioperitoneal canals seperate into
Definition
peritoneal, pericardial, and primitive pleural cavities
Term
what makes the visceral pleura
Definition
mesoderm on the outside of the lung
Term
what makes the parietal pleura
Definition
somato mesoderm covering the inside of the body wall
Term
at what month do the bronchi stop dividing, what is also occuring during the divisions
Definition
month 7, vascular supply increases
Term
what initially makes respiration possible
Definition
some of the bronchiole lining cells become flat and associate with blood capillaries making terminal sacs or primitive aveoli
Term
at what month is there enough terminal sacs to provide adequate gas exchange for an infant to be born prematurly
Definition
7
Term
what in the lungs is still proliferating and maturing in the last 2 prenatal months
Definition
terminal sacs
Term
how do terminal sacs mature in structure
Definition
epithelium becoems thinner forming type 1 aveoli, associated capillaries protrude form the wall of the sacs, this contact allows formation of the blood-air barrier
Term
when do mature aveoli appear
Definition
AFTER birth
Term
what aveolar cells become present in month 6
Definition
type 2
Term
when does surfactant production significantly increase
Definition
2 weeks before birth
Term
how can you tell if surfactant is being produced in a fetus
Definition
it can be seen in the amniotic fluid
Term
when do fetal breathing movements appear
Definition
BEFORE birth
Term
what do pre birth fetal breathing movements cause
Definition
aspiration of amniotic fluid
Term
what does aspiration of amniotic fluid provide for the fetus
Definition
stimulates lung development, conditions breathing muscles
Term
what happens to the surfactant just before birth
Definition
most of it is resorbed into the blood and lymphatics
Term
what part of the lungs grows after birth
Definition
respiratory bronchioles and aveoli
Term
what fraction of adult aveoli are present at birth
Definition
1/6
Term
at what age do aveoli stop forming
Definition
10 yrs, later there is continous formation of new primitive aveoli
Term
what causes esophageal atresia and teacheoesophageal fistulas
Definition
abnormalities in partitioning of the esophagus and trachea by the tracheoesophageal septum
Term
what other defects are esophageal atresia and teacheoesophageal fistulas associated with
Definition
cardiac abnormalities, vertebral abnormalities, anal atresia, esophageal atresia, renal abnormalities, limb defects, tracheoesophageal fistulas, polyhydraminos, gastric contents in the trachea and lungs (pneumonitis, pneumonia)
Term
what is polyhydraminos
Definition
aminotic fluid may not pass into the stomach
Term
what is the most common development in esophageal atresia
Definition
esophagus has a dead end, trachea connects to stomach
Term
what are the complications with the most common form of esophageal atresia
Definition
esophagus fills during nursing and they baby spits it up, gastric juices can enter into the airway leading to chemical damage
Term
what are the ways the trachea can develop in esophageal atresia
Definition
most common, H type, isolated, esophagus connects to trachea nothing connected to stomach, esophagus enters trachea but has a seperate exit from it to stomach
Term
what is H type atresia
Definition
esophagus is complete but has a little part connected to trachea
Term
what is isolated atresia
Definition
esophagus has no assication with trachea but has two dead ends with no way to get to stomach
Term
what occurs during a diaphragmatic hernia
Definition
pluraperitoneal folds and pleura do not close allowing abdominal contents to move into pleural cavity compressing lung and pushing heart and mediastinum to the side leading to pulmnary hypoplasia (poor lung development)
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