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Transcript of Lecturer: Dr Lucy Patston [email protected]. Lundy: Chapter 5 Tortura: Chapter 14 – see...
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Week beginningMonday 21 October 2013
Lecture 10
Development & Aging
Lecturer: Dr Lucy [email protected]
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Lundy: Chapter 5 Tortura: Chapter 14 – see Moodle pdf
Reading
Lundy-Ekman. Neuroscience: Fundamentals for Rehabilitation, 4th Edition. W.B. Saunders Company, 2013.
Kandel et al. Principles of Neural Science, 5th Edition. McGraw Hill, 2012.
Tortura & Derrickson. Principles of anatomy and physiology, 13th Edition. Wiley. 2012.
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Fetal brain development Development at cellular level Normal development Developmental disorders
Overview
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Understand and be able to reproduce (Ha!) the process of brain development during the three stages of fetal development
Have an appreciation of normal brain development in the wider context of the person
Have an understanding of the types of disorders that can occur during fetal development and know a little bit about each of these
Learning Objectives
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Genetic and environmental influences act on cells throughout development of nervous system
Processes: cell growth, migration, differentiation
Even cell death, axonal retraction help to create the mature brain
Some processes completed in utero, others in first years after birth (by no means “ready to go” at birth! Gazelle anecdote)
Introduction
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We will only be considering the brain development of babies
Humans undergo 3 developmental stages:◦ Pre-embryonic◦ Embryonic◦ Fetal (Major brain development occurs very early
in this stage)
Developmental Stages in Utero
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Conception to day 14 Fertilization (usually fallopian
tube) Cell begins divisions -> solid
sphere cells Blastocyst (D) opens into a
cavity Outer layer becomes
placenta, inner cell mass becomes embryo
Implants in uterus (day 7), inner cell mass forms embryonic disk of ectoderm and endoderm (future brain)!
Pre-embryonic Stage
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Day 15 to end of 8th week Organs are formed Ectoderm develops into sensory organs,
epidermis and nervous system Mesoderm develops into dermis, muscles,
skeleton, excretory and circulatory systems Endoderm develops into gut, liver,
pancreas and respiratory system
Embryonic Stage
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Beginning of 9th week to birth Nervous system develops more and
myelination begins
Fetal Stage
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During embryonic stage nervous system tissue coalesces to form a neural tube running down the back of the embryo
When tube closes (right to the ends) brain formation begins◦ Neural tube formation (Day 18-27)◦ Brain formation (Day 28 ->)
Formation of Nervous System
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NS begins as longitudinal (head to “tail”) thickening of ectoderm – the neural plate
In contact with amniotic fluid
Neural tube formation (Day 18-27)
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Midline of neural plate moves toward interior, creating the neural groove
Somites begin to form
Neural tube formation
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Somites spherical clusters of cells adjacent to mesoderm
Anteromedial part (sclerotome) becomes vertebrae and skull (e.g., “somite 10” becomes C6 & “somite 1 becomes occipital bone)
Posteromedial part (myotome) becomes skeletal muscle
Lateral part (dermatome) becomes dermis
Somites
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When folds touch, neural tube is formed The neural crest separates from the tube
and from the remaining ectoderm
Neural tube formation
The neural crest is a mass of tissue that differentiates into: dorsal root ganglia, spinal nerves, ganglia of cranial nerves, cranial nerves, ganglia of ANS, adrenal medulla and meninges
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Neural tube first closes in cervical region then zips up rostrally and caudally, leaving open ends (neuropores)
(Superior neuropore closes Day 27, inferior neuropore Day 30)
Neural tube formation
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By Day 26 the tube differentiates into:◦ Mantle layer: which will become gray matter◦ Marginal layer: which will become axons of cells in
mantle layer and glial cells◦ Ependymal layer: which will become the lining of
the central canal of spinal cord and ventricles When tube and crest have developed both
move inside embryo, remaining overlying ectoderm will become skin
Developing Structures
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Cells of mantle layer proliferate inside neural tube and start to separate into dorsal and ventral sections (look familiar?!)
Axons from cells in motor plate grow out of neural tube and innovate myotome region of a somite
Developing Structures
Leads to the formation of a myotome: a group of muscles derived from one somite and innervated by a single spinal nerve.NB: two meanings of “myotome”, embryonic and post-embryonic
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Somite
Neurons with cell bodies in motor plate become motor neurons (innervate muscles) and interneuronsMotor/basal plate becomes ventral horn of the mature spinal cord
• Neurons with cell bodies in motor plate become motor neurons (innervate muscles) and interneurons
• Motor/basal plate becomes ventral horn of the mature spinal cord
• Association plate becomes dorsal horn of mature spinal cord
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Neural crest separates into two columns (each side of tube)
Some neural crest cells become peripheral sensory neurons and grow two processes, one connects to spinal cord, one to dermatome of somite
Developing Structures
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Somite
Adult nervous system
Fetal nervous system
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Developing Structures
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Once the superior neuropore closes the neural tube forms 3 enlargements called primary brain vesicles:◦ Forebrain◦ Midbrain◦ Hindbrain
Hollow cavities -> ventricles During 5th week of development,
secondary brain vesicles begin to develop
Brain Formation (Day 28 ->)
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Forebrain divides into:◦ Telencephalon: develops into
the cerebral hemispheres housing the lateral ventricles and the basal nuclei
◦ Diencephalon: develops into the thalamus and hypothalamus and houses the third ventricle
Brain Formation
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Midbrain (mesencephalon): develops as the midbrain
Central canal becomes the cerebral aqueduct (connects the third and fourth ventricles)
Brain Formation
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Hindbrain divides into:◦ Metencephalon:
develops into the pons, cerebellum, and houses part of the fourth ventricle
◦ Myelencephalon: develops into the medulla oblongata and houses the remainder of the fourth ventricle
Brain Formation
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The cerebral hemispheres expand so extensively that they envelop the diencephalon. As they expand ventrolaterally they attain a C shape (temporal lobes)
As a result internal structures like caudate nucleus and lateral ventricles also attain a C shape
Brain Formation
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Ventricle Formation
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Lateral areas of cortex do not grow as much as other areas, resulting is covered region – insula
Edges of temporal and parietal lobes meet to form lateral sulcus
During this time the sulci and gyri are formed
Brain Formation
insula
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Primary Brain Vesicles
Secondary Brain Vesicles Mature Brain
Forebrain (Prosencephalon)
TelencephalonCerebral Hemispheres
Basal NucleiLateral Ventricles
DiencephalonThalamus
HypothalamusThird Ventricle
Midbrain (Mesencephalon) Mesencephalon Midbrain
Cerebral Aqueduct
Hindbrain (Rhombencephalon)
MetencephalonPons
CerebellumFourth Ventricle
Myelencephalon Medulla OblongataFourth Ventricle
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Cell growth, migration, and myelination are balanced by regressive processes that act to “remodel” the nervous system (cf. development of spastic cerebral palsy: inappropriate connections not eliminated, hence abnormal synergy of muscles)
Neurons migrate to their final location and then differentiate appropriately
Not genetically determined, but location-specific (omnipotent… hence, stem cells…)
Cellular Development
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Axons develop from the cell body with a “growth cone” on the end
Growth cone samples/“smells” the environment and “wiggles” its way to a target cell, toward and away from chemical and substrate properties
Neurogenesis
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Time lapse images of neural migration
http://www.neuralimages.org/ Number 6 and 7 are good
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When growth cone contacts its target, NTs are released repeatedly and postsynaptic receptors are developed accordingly
Hence, synapse is created & strengthened Neuronal death occurs during these
processes as normal “survival of the fittest” ◦ Due to failing to establish an optimal connection◦ Too inactive
Thus, development dependent on activity (“use it or lose it”)
Neurogenesis
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The Nervous System• Brain Development
◦ Largest, most developed part at birth
◦ Weight compared to adult brain 25% at birth 75% at age 2 90% at age 5
◦ Normal experience, stimulation, result in normal brain
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Cephalocaudal: From head, downward
Principles of Growth
• Because of its importance to the functioning of the entire body, the brain is rapidly developed prenatally. For the next few years our bodies slowly catch up!
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Cephalocaudal Principle
Development proceeds from the head to the feet.◦ From birth to adulthood
Head doubles Trunk trebles Arms/hands quadruple Legs/feet grow fivefold
Head is one-fourth of body
Head is one-twelfth of body
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Principles of Growth• Procession of growth is orderly Cephalocaudal: From head, downward Proximodistal: From the center, outwards
◦ Organs/muscles in trunk develop first, then extremities
◦ Gross motor function comes before fine motor function
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Begins in fourth fetal month Near completed around 4yo (but continues
well into adulthood!) Different rates in different systems
◦ Motor roots of spinal cord myelinated at 1mo, tracts from cortex to spinal cord at 2yo
◦ “growing into deficit” is when problems cannot be detected until normal development would have occurred normally – CP not “diagnosed” in babyhood for this reason (frustrating for parents who “know” something is not right”)
Myelination
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CNS most susceptible to major malformations day 14 to week 20 (major structures forming in this time)
Developmental Disorders
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Times when neuronal projections compete for synaptic sites
Periods that are critical for normal development and (usually) cannot be reversed
Monkeys with one eye stitched closed from birth to 6mo are unable to see from that eye even when opened
Visual cortex did not respond to light information hitting “stitched” retina
(occluding vision for 6mo in adult monkey had no effect) Absolute pitch by 7yo Language by 12yo Non-native speech sounds by 6mo (r and l)
Critical Periods
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Anencephaly: formation of brainstem without cerebral and cerebellar hemispheres
Occurs when cranial end (superior neuropore) of neural tube remains open
Skull does not form over incomplete brain, leaving brainstem and meninges exposed
Causes: abnormal chromosomal abnormalities, maternal malnutrition, maternal hyperthermia
Survival no longer than one week (but 2yo on YouTube)
Neural Tube Defects
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Arnold-Chiari malformation: deformity of hindbrain
Arnold-Chiari type II: malformation of brainstem and cerebellum leading to extension of medulla and cerebellum through foramen magnum◦ Type II almost always
associated with meningomyelocele (men-IN-go-my-el-o-seal)
Neural Tube Defects
Level of foramen magnum
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Spina bifida: results when the inferior neuropore does not close
Developing vertebrae do not close around incomplete neural tube -> bony defect at distal end of tube
Less 400mg folic acid per day results in higher incidence of disorder
Neural Tube Defects
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Four types of Spina bifida:1. Spina bifida occulta “Spina bifida cystica” (umbrella term for
when meninges protrude causing cyst-like sac)2. SB with meningocele (men-IN-go-
seal)3. SB with meningomyelocele (men-IN-go-
my- el-o-seal)4. SB with myeloschisis (my-o-LOS-
ka-sis)
Neural Tube DefectsG
reate
r se
verity
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Neural tissue does not protrude through bony defect
Spinal cord function usually normal Usually L5 or S1
Spina bifida occulta
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Only meninges protrude through defected vertebrae
Spinal cord function may be impaired
SB with meningocele
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Neural tissue also protrudes
Abnormal growth of spinal cord and some degree of lower extremity dysfunction
Bowel & bladder dysfunction
Higher cognitive deficits
SB with meningomyelocele
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Neural tissue also protrudes
Abnormal growth of spinal cord and some degree of lower extremity dysfunction
Bowel & bladder dysfunction
Higher cognitive deficits
SB with meningomyelocele
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Malformed spinal cord open to the surface of body
Neural folds fail to close Intellectual disability Paralysis of lower limbs and no sensation
SB with myeloschisis
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Tethered spinal cord◦ When filum terminale
adheres to one of lower verebra instead of coccyx
Cerebral palsy Forebrain Malformation
◦ When only single hemisphere develops
◦ Associated with facial abnormalities (single eye)
◦ Holoprosencephaly
Developmental Disorders
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Development coordination disorder ADHD Autism Spectrum Disorders Intellectual Disability
◦ Abnormalities in dendritic spines
Fetal Alcohol Syndrome◦ Fetal Alcohol Syndrome is a pattern of mental and physical
problems that may occur in some children whose mothers consumed alcohol during pregnancy.
◦ During gestation the fetus receives nourishment through the placenta. When a pregnant woman drinks, alcohol passes through the placenta to the developing fetus.
Developmental Disorders
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Fetal Alcohol Syndrome
What is it?◦ Fetal Alcohol Syndrome is a pattern of
mental and physical problems that may occur in some children whose mothers consumed alcohol during pregnancy.
How Does Alcohol Reach The Fetus? ◦ During gestation the fetus receives
nourishment through the placenta. When a pregnant woman drinks, alcohol passes through the placenta to the developing fetus.
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Fetal Alcohol Syndrome
What Are the Neurological Problems? ◦ The absorption of
alcohol through the placenta may damage the fetus's developing central nervous system and may result in:
◦ mental retardation◦ developmental delays ◦ learning disabilities◦ Aggression◦ Behavioural problems
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The Aging Brain
• The Aging Brain◦ Gradual and mild degeneration
• Elderly adults• Brain weight and volume decrease, esp. after
50yo◦ 5-30% fewer neurons than younger adult◦ Greater loss in sensory-motor areas◦ Senile plaques (hard areas surrounding neurons)◦ Plasticity IS STILL possible (new synapses formed)◦ Race between degeneration and plasticity!!!
• Main result of age is slower processing