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[Embryonic mechanisms in development of spina bifida in humans]
O V Vostrikov1, V A Zotov, E V Nikitenko
1Research Institute of Human Morphology, 117418, Moscow.
Insights
Spina bifida (SB) arises from disruptions in spinal cord development during early embryogenesis. The timing and duration of these developmental delays determine the type and severity of SB, impacting potential surgical outcomes.
Area of Science:
- Developmental biology
- Embryology
- Neuroscience
Context:
- Spina bifida (SB) is a complex neural tube defect.
- Understanding the precise timing of developmental events is crucial for identifying causes of congenital anomalies.
- Human embryonic and fetal development involves intricate cellular movements and signaling pathways.
Purpose:
- To investigate the embryonic origins of spina bifida (SB).
- To correlate specific developmental delays in neurulation with different types of SB.
- To elucidate the etiological factors underlying SB pathogenesis.
Summary:
- A study of 86 human embryos and fetuses identified 23 cases of spina bifida (SB).
- SB is caused by disturbances or delays in the caudal neurulation wave, which forms the spinal cord.
- The type and severity of SB depend on the timing (22-28 days) and duration (4-20+ hours) of neurulation delays, influencing embryonic survival and potential for surgical intervention.
Impact:
- Provides a detailed timeline of SB development during embryogenesis.
- Differentiates SB types based on specific neurulation timing, aiding in prognosis.
- Offers insights into the mechanisms of congenital spinal cord malformations and potential therapeutic targets.
Abstract:
The study of 86 human embryos and fetuses beginning from 23rdday of development up to 18th week after fecundation has detected 23 cases of pathologic development which correspond to the modern definition of spina bifida (SB). It is shown that the cause of various forms of the anomaly is the disturbance or temporary delay of a movement of caudal neurulation wave forming the spinal cord. The anomaly size and type are determined by the time and duration of a pathogenic action on neurulation. Postnatal or the 1st type of SB develops in neurulation wave disturbance not longer than 4-6 hours. Anomaly consequence may be compensated surgically. The 2nd or fetal type of SB arises when neurulation delay is from 6 to 20 hours. If the delay occurs on the 22-24th day of development, embryos die by the neurulation end. If the delay takes place on the 26-28th day embryos may survive till the late fetal period. In embryonal or type III of SB embryos die by the end of the 8th week and do not enter the medical statistics. Their death is associated with delayed movement of the caudal neurulation wave for 24 hours and longer. This results in a spontaneous abortion.
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