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Submitted To: Dr. Vasudha
By: Komalpreet Kaur
Roll no: 27231979013
MSc. 3rd Semester
Department : Human Genetics
a. The onset of gastrulation is marked by the formation of the primitive streak and the primitive node. The
primitive streak provides an opening to deeper embryonic layers.
b. The migrating cells first move to the primitive streak and then change direction and move down and under
the upper layer
c. Once under the upper layer, the cells change direction and begin migrating rostrally under the upper layer
(blue arrows).
d. Cells that migrate along the axial midline send molecular signals that induce cells in the overlying epiblast
layer to differentiate into neuroectodermal cells (red band) which are the neural progenitor cells.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/
E- cadherin
FGF8
• At the beginning of the third week
CNS appears from thickened
ectoderm with the neural plate in the
mid-dorsal region in front of the
primitive node.
• Its lateral edges elevate to form the
neural folds.
• With further development, the neural
folds continue to elevate, approach
each other in the midline, and finally
fuse, forming the neural tube
Developmental Biology. 6th edition.
Gilbert SF.
Fig: Primary neurulation:
neural tube formation in the
chick embryo
• Secondary neurulation :Fusion begins in
the cervical region and proceeds in
cephalic and caudal directions .
• Closure of the cranial neuropore -18 to 20-
somite stage (25thday);
• caudal neuropore -approximately 3 days
later.
• Human neural tube closure requires a
complex interplay between genetic and
environmental factors. Certain genes, such
as Pax3, sonic hedgehog, and openbrain,
are essential for the formation of the
mammalian neural tube, but dietary
factors, such as cholesterol and folic acid,
also appear to be critical.
Fig :Dorsal views of neurulating embryos at
different stages of neural tube closure
Embryology of neural tube development
T.W. Sadler
https://doi.org/10.1002/ajmg.c.30049
• Failure to close the human posterior neural
tube regions at day 27 (or the subsequent
rupture of the posterior neuropore shortly
thereafter) results in a condition called spina
bifida
• Failure to close the anterior neural tube
regions results in a lethal condition,
anencephaly. Here, the forebrain remains in
contact with the amniotic fluid and
subsequently degenerates.
• The failure of the entire neural tube to close
over the entire body axis is called
craniorachischisis.
• Encephalocele is a sac-like protrusion of the
brain and brain membranes (tissue that
covers and protect the brain) through an
opening in the skull.
It has been estimated that 50% of human neural
tube defects could be prevented by a pregnant
woman's taking supplemental folic acid (vitamin
B12), and the U.S. Public Health Service
recommends that all women of childbearing age
take 0.4 mg of folate daily to reduce the risk of
neural tube defects during pregnancy.
(Multivitamin/folic acid supplementation in early
pregnancy reduces the prevalence of neural tube
defects) PMID: 2478730 DOI:
10.1001/jama.262.20.2847
PROSENCEPHALON
(forebrain)
MESENCEPHALON
(midbrain)
RHOMBOCEPHALON
(hindbrain)
PRIMARY BRAIN VESICLES SECONDARY BRAIN VESICLES
Telencephalon
Diencephalon
Metencephalon
Myelencephalon
Fig :Changes in the morphology of
the embryo in the embryonic
period. The formation of the neural
tube occurs between E19 and E29.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2
989000/
Rapid growth folds the neural tube forming 3 brain flexures
 cephalic flexure - in the midbrain region
 cervical flexure - between hindbrain and spinal cord
 pontine flexure - between metencephalon and
myelencephalon
The lumen of the spinal cord, the central canal is continuous with that of the brain
vesicles. The cavity of the rhombencephalon is the fourth ventricle, that of the
diencephalon is the third ventricle, and those of the cerebral hemispheres are the
lateral ventricles
The lumen of the mesencephalon connects the third and fourth ventricles and is very
narrow and is then known as the aqueduct of Sylvius.
Each lateral ventricle communicates with the third ventricle through the
interventricular foramina of Monro
Fig: (A) neural tube
(B) neural tube showing brain flexures
• roof plate - dorsal region
• alar plate - dorsal lateral region (sensory input fine
touch, proprioception, and vibration)
• basal plate - ventral lateral region (motor output to
skeletal muscle)
• floor plate - ventral region
• sulcus limitans : longitudinal groove which marks the
boundaries between two.
• roof plate region - signals from surface ectoderm
• alar plate region - signals from surface ectoderm
• basal plate region - signals from the notochord and
floor plate
• floor plate region - signals from the notochord
Scanning electron micrographs of the Carnegie stages of
the early human embryos are reproduced with the
permission of Prof Kathy Sulik, from embryos collected
by Dr. Vekemans and Tania Attié-Bitach
The rhombencephalon consists of the
myelencephalon, the most caudal of the
brain vesicles, and the metencephalon,
which extends from the pontine flexure to
the rhombencephalic isthmus.
• The myelencephalon is a brain vesicle
that gives rise to the medulla oblongata.
• The ventral area of the medulla contains
a pair of fiber bundles (pyramids) that
consist of corticospinal fibers descending
from the developing cerebral cortex.
 MYELENCEPHALON
 METENCEPHALON
Fig : Lateral view of the brain vesicles in an 8-week embryo
(crown-rump length ~27 mm).
Langman's Medical Embryology
Author(s): T.W. Sadler
Fig :A, Sketch of the developing brain at the end of the fifth week of gestation shows the three primary divisions
of the brain and brain flexures. B, Transverse section of the caudal part of the myelencephalon (developing closed part
of medulla).C and D, Similar sections of the rostral part of the myelencephalon (developing open part of medulla) show
the position and successive stages of differentiation of the alar and basal plates.
THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY
Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
somatic efferent
group
• In the myelencephalon, it includes neurons of the hypoglossal (XII) nerve that supply the
tongue musculature. In the metencephalon and the mesencephalon, the column contains
neurons of the abducens (VI) trochlear (IV), and oculomotor(III) nerves respectively. These
nerves supply the eye musculature.
special visceral
efferent group
• Its motor neurons supply striated muscles of the pharyngeal arches. In the myelencephalon,
the column is represented by neurons of the accessory (XI), vagus (X), and
glossopharyngeal (IX) nerves.
general visceral
efferent
• The general visceral efferent group contains motor neurons that supply involuntary
musculature of the respiratory tract, intestinal tract, and heart
BASAL PLATE ( motor neurons)
somatic
afferent
(general
sensory)
group
• receives sensations of pain, temperature, and touch from the
pharynx by way of the glossopharyngeal nerve (IX).
Special
afferent
group
• receives impulses from taste buds of the tongue, palate,
oropharynx, and epiglottis and from the vestibulocochlear nerve
(VIII) for hearing and balance.
visceral
afferent,
group
• receives interoceptive information from the gastrointestinal tract
and heart.
ALAR PLATE ( sensory neurons)
The roof plate of the myelencephalon consists of a single layer of ependymal
cells covered by vascular mesenchyme, the pia mater.
tela choroidea.
choroid plexus which produces cerebrospinal
fluid. fluid
Fig :Photomicrograph of a transverse section through the diencephalon and
cerebral vesicles of a human embryo(approximately 50 days) at the level of the
interventricular foramina
THE DEVELOPING HUMAN
CLINICALLY ORIENTED
EMBRYOLOGY
Mark G. Torchia, T.V.N. (Vid)
Persaud ,Keith L. Moore,
• Two components form
• (1) the cerebellum, a coordination
center for posture and movement ,
and
• (2) the pons, the pathway for
nervefibers between the spinal cord
and the cerebral and cerebellar
cortices.
• The marginal layer of the basal plates
of the metencephalon expands as it
makes a bridge for nerve fibers
connecting the cerebral cortex and
cerebellar cortex with the spinal cord.
(1) the medial somatic
efferent group, which gives
rise to the nucleus of the
abducens nerve;
(2) the special visceral
efferent group, containing
nuclei of the trigeminal
and facial nerves, which
innervate the musculature of
the first and second
pharyngeal arches;
(3) the general visceral
efferent group,
with axons that supply the
submandibular and
sublingual glands.
(1) a lateral
somatic afferent
group, which
contains neurons of
the trigeminal nerve
2) the special
afferent group
3)the general
visceral
afferent group
ALAR PLATE
BASAL PLATE
•The dorsolateral parts of the alar plates
bend medially and form the rhombic
lips .
• As a result of a further deepening of
the pontine flexure, the rhombic lips
compress cephalocaudally and form the
cerebellar plate .
• In a 12-week embryo, this plate shows
a small midline portion, the vermis,
and two lateral portions, the
hemispheres.
•A transverse fissure soon separates the
nodule from the vermis and the lateral
flocculus from the hemispheres.
Fig: A, Sketch of the developing brain at the end of the fifth week. B, Transverse section of the metencephalon
(developing pons and cerebellum) shows the derivatives of the alar and basal plates. C and D, Sagittal sections of the hindbrain at 6 and 17 weeks,
respectively, show successive stages in the development of the pons and cerebellum.
THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY
Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
The structure of the cerebellum reflects its phylogenetic
(evolutionary) development
 The archicerebellum (flocculonodular lobe), the oldestpart
phylogenetically, has connections with the vestibular apparatus, especially
the vestibule of the ear.
 The paleocerebellum (vermis and anterior lobe), of more recent
development, is associated with sensory data from the limbs.
 The neocerebellum (posterior lobe), the newest partphylogenetically, is
concerned with selective control of limb movements.
Fig: Sagittal sections through the roof of the
metencephalon showing development of the
cerebellum
Langman's Medical Embryology
Author(s): T.W. Sadler
• The marginal layer of each basal plate enlarges and forms the crus cerebri. These
crura serve as pathways for nerve fibers descending from the cerebral cortex to lower
centers in the pons and spinal cord.
• Initially, the alar plates of the mesencephalon appear as two longitudinal elevations
separated by a shallow midline depression . With further development, a transverse
groove divides each elevation into an anterior (superior) and a posterior(inferior)
colliculus .
• The posterior colliculi serve as synaptic relay stations for auditory reflexes; the
anterior colliculi function as correlation and reflex centers for visual impulses.
Fig: 3 A,B. Position and
differentiation of the
basal and alar plates in
the mesencephalon at
various stages of
development
Langman's Medical Embryology
Author(s): T.W. Sadler
• The prosencephalon consists of
the
• telencephalon, which forms the
cerebral hemispheres and
• diencephalon, which forms the
optic cup and stalk, pituitary,
thalamus, hypothalamus, and
epiphysis.
Fig: A. Medial surface of the right half of the prosencephalon in a 7-week embryo. B.
Transverse section through the prosencephalon
Langman's Medical Embryology
Author(s): T.W. Sadler
• The alar plates form the lateral walls of the diencephalon. A groove, the
hypothalamic sulcus,divides the plate into a dorsal and a ventral region, the
thalamus and hypothalamus, respectively.
• As a result of proliferative activity, the thalamus gradually projects into the lumen of
the diencephalon. Frequently, this expansion is so great that thalamic regions from
the right and left sides fuse in the midline, forming the massaintermedia, or
interthalamic connexus.
• The hypothalamus, forming the lower portion of the alar plate, differentiates into a
number of nuclear areas that regulate the visceral functions, including sleep,
digestion, body temperature, and emotional behavior. One of these groups, the
mamillary body, forms a distinct protuberance on the ventral surface of the
hypothalamus on each side of the midline.
• The diencephalon, develops from median portion of the prosencephalon
is thought to consist of a roof plate and two alar plates but to lack floor
and basal plates.
-The most caudal part of the roof plate which is
initially appears as an epithelial thickening in the midline, but by the
seventh week, it begins to evaginate .
• Serves as a channel through which light and darkness affect endocrine and
behavioral rhythms. In the adult, calcium is frequently deposited in the
epiphysis (landmark on radiographs of the skull.)
• The hypophysis, or pituitary gland, develops from two completely different parts:
 An upgrowth from the ectodermal roof of the stomodeum, the hypophyseal diverticulum
(Rathke pouch)
 A downgrowth from the neuroectoderm of the diencephalon, the neurohypophyseal
diverticulum
• Cells increase in number form anterior lobe of hypopysis-adenohypophysis
• small extension of this lobe forms pars tuberalis
• posterior wall of Rathke's pouch forms pars intermedia
• Infundibulum gives rise to stalk and pars nervosa, or posterior lobe of hypophysis.
Fig : Diagrammatic sketches illustrate development of
the pituitary gland. A, Sagittal section of the cranial end
of an embryo at approximately 36 days shows the
hypophyseal diverticulum, an upgrowth from the
stomodeum, and the neurohypophyseal diverticulum, a
downgrowth from the forebrain.
B to D, Successive stages of the developing pituitary
gland. By 8 weeks, th diverticulum loses its connection
with the oral cavity and is in close contact with the
infundibulum and posterior lobe (neurohypophysis)
of the pituitary gland.
E and F, Sketches of later stages show proliferation of
the anterior wall of the hypophyseal diverticulum to
form anterior lobe (adenohypophysis) of the pituitary
gland
THE DEVELOPING HUMAN CLINICALLY
ORIENTED EMBRYOLOGY
Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L.
Moore,
• FGF8, BMP4, and WNT5A from the diencephalon are
involved in the formation of the anterior and intermediate
lobes of the pituitary gland.
• The LIM homeobox gene LHX2 appears to control
development of the posterior lobe.
THE DEVELOPING HUMAN CLINICALLY
ORIENTED EMBRYOLOGY
Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L.
Moore,
 Consist of two lateral outpocketings
- cerebral hemisphere
 Median portion -lamina terminales.
• Cerebral hemispheres:
• begin as a bilateral evagintions of lateral walls of prosencephalon
• basal part begins to grow and bulges into lumen of lateral ventricle and into the
floor of foramen of monro.
• rapid growing region has a straited apperance , known as corpus straitum.
• The choroid plexus form the roof of diencephalon , but due to disapropriate
growth it protudes into lateral ventricle along choroidal fissure.
• The wall of hemisphere thickens above the fissure to form hippocampus (
olfaction)
Fig:Medial surface of the right half of the telencephalon and diencephalon in a 8 week and 10-week embryo
The corpus striatum expands
posteriorly and is divided into two parts: (1) a dorsomedial portion, the caudate
nucleus and (2) a ventrolateral portion, the lentiform nucleus . The
fiber bundle thus formed is known as the internal capsule
Langman's Medical Embryology
Author(s): T.W. Sadler
Fig:Development of gyri and sulci on the lateral surface of the cerebral
hemisphere. A. 7 months. B. 9 months.
• Continuous growth of the cerebral
hemispheres in anterior, dorsal,
and inferior directions results in
the formation of frontal, temporal,
and occipital lobes, respectively.
• As growth in the region overlying
the corpus striatum slows,
however, the area between the
frontal and temporal lobes
becomes depressed and is known
as the insula .
• During the final part of fetal life,
the surface of the cerebral
hemispheres grows so rapidly that
a great many convolutions
(gyri)separated by fissures and
sulci appear on its surface
Langman's Medical Embryology
Author(s): T.W. Sadler
• The cerebral cortex develops from the pallium
which has two regions:
(1) the paleopallium, or archipallium, immediately
lateral to the corpus striatum , and
(2) the neopallium, between the hippocampus and the
paleopallium
• In the neopallium, waves of neuroblasts migrate to
a subpial position and then differentiate into fully
mature neurons.
• When the next wave of neuroblasts arrives, they
migrate through the earlier-formed layers of cells
until they reach the subpial position. Hence, the
early-formed neuroblasts obtain a deep position in
the cortex, while those formed later obtain a more
superficial position.
Fig: Transverse section through the hemisphere and
diencephalon
Langman's Medical Embryology
Author(s): T.W. Sadler
• The walls of the developing cerebral
hemispheres initially show three typical zones of
the neural tube:ventricular, intermediate, and
marginal; later a fourth one, the
subventricular zone, appears.
• Cells of the intermediate zone migrate into the
marginal zone and give rise to the cortical layers
• The gray matter is located peripherally, and
axons from its cell bodies pass centrally to form
the large volume of white matter (medullary
center).
• In the adult, a number of fiber bundles,
the commissures, which cross the
midline, connect the right and left
halves of the hemispheres.
Fig: Medial surface of the right half of the brain
in a 4-month embryo showing the various
commissures
• Once the neural plate is established, signals for segregation
of the brain into forebrain, midbrain, and hindbrain regions
are derived from homeogenes expressed in the notochord,
prechordal plate, and neural plate.
• The hindbrain has eight segments, the rhombomeres, that
have variable expression patterns of the Antennapedia class
of homeobox genes, the HOX genes . These genes are
expressed in overlapping (nested) patterns, with genes at the
most 3′ end of a cluster having more anterior boundaries
and paralogous genes having identical expression domains.
• Genes at the 3′ end are also expressed earlier than those at
the 5′ end, so that a temporal relation to the expression
pattern is established.
• Retinoids (retinoic acid) play a critical role in regulating
HOX expression. For example, excess retinoic acid shifts
HOX gene expression anteriorly and causes more cranial
rhombomeres to differentiate into more caudal types.
• At the neural plate stage, LIM1(prechordal plate) and OTX2 (neural plate) are
important for designating the forebrain and midbrain areas, with LIM1 supporting
OTX2 expression.
• Once the neural folds and pharyngeal arches appear, additional homeobox genes,
including OTX1, EMX1, and EMX2, are expressed in specific and in overlapping
(nested) patterns in the mid- and forebrain regions and specify the identity of
these areas. Once these boundaries are established, two additional organizing centers
appear: the anterior neural ridge (ANR) at the junction of the cranial border of the
neural plate and nonneural ectoderm and the isthmus between the hindbrain and
midbrain.
• In both locations, FGF8 is the key signaling molecule, inducing subsequent gene
expression that regulates differentiation. In the ANR at the four-somite stage, FGF8
induces expression of FOXG1 - then regulates development of the telencephalon
(cerebral hemispheres).
• In the isthmus -FGF8 induces expression of engrailed 1 and 2 (EN1and EN2), two
homeobox-containing genes, expressed in gradients radiating anteriorly and posteriorly
from the isthmus. EN1 regulates development of dorsal midbrain (tectum) and anterior
hindbrain (cerebellum), whereas EN2 is involved only in cerebellar development.
DORSOVENTAL PATTERNING IN FOREBRAIN AND MIDBRAIN:
• Ventral patterning is controlled by SHH secreted by prechordal plate induces
expression of NKX2.1 regulate development of hypothalamus.
• Dorsal patterning by BMP4 and BMP7 expressed in nonneural ectoderm adjacent to
neural plate.
• Induce expression of MSX1 in midline and repress expression of FOXG1.
• After neural tube closure BMP2 and BMP4 regulate expression of LHX2 in cortex.
Diagram of the cranial neural plate region shown in A (blue area) illustrating the organizing center known as the anterior
neural ridge (ANR). This area lies in the most anterior region of the neural plate and secretes FGF8, which induces
expression of FOXG1 in adjacent neurectoderm. FOXG1 regulates development of the telencephalon (cerebral
hemispheres) and regional specification within the prosencephalon (PR). Sonic hedgehog (SHH),
secreted by the prechordal plate (P) and notochord (N), ventralizes the brain and induces expression of NKX2.1, which
regulates development of the hypothalamus. BPM4 and 7, secreted by the adjacent nonneural ectoderm, control dorsal
patterning of the brain. M, mesencephalon; R, rhombencephalon.
 Time for Radical Changes in Brain Stem Nomenclature - Applying the Lessons From Developmental Gene
Patterns. "
The traditional subdivision of the brain stem into midbrain, pons, and medulla oblongata is based purely on the
external appearance of the human brain stem. There is an urgent need to update the names of brain stem structures to
be consistent with the discovery of rhomobomeric segmentation based on gene expression. The most important
mistakes are the belief that the pons occupies the upper half of the hindbrain, the failure to recognize the isthmus as
the first segment of the hindbrain, and the mistaken inclusion of diencephalic structures in the midbrain. The new
nomenclature will apply to all mammals. This essay recommends a new brain stem nomenclature based on
developmental gene expression, progeny analysis, and fate mapping."
PMID: 30809133 PMCID: PMC6380082 DOI: 10.3389/fnana.2019.00010
 Molecular and cellular reorganization of neural circuits in the human lineage
To better understand the molecular and cellular differences in brain organization between human and nonhuman
primates, transcriptome sequencing of 16 regions of adult human, chimpanzee, and macaque brains was performed.
Integration with human single-cell transcriptomic data revealed global, regional, and cell-type-specific species
expression differences in genes representing distinct functional categories. Integrated analysis of the generated data
revealed diverse molecular and cellular features of the phylogenetic reorganization of the human brain across
multiple levels, with relevance for brain function and disease.
PMID: 29170230 PMCID: PMC5776074 DOI: 10.1126/science.aan3456
• Scientists have been fascinated by the human brain for
centuries, yet knowledge of the cellular and molecular
events that build the human brain during
embryogenesis and of how abnormalities in this
process lead to neurological disease remains very
superficial. Advances in stem cell–derived models of
human organogenesis, in the form of three-dimensional
organoid cultures, and transformative new analytic
technologies have opened new experimental pathways
for investigation of aspects of development, evolution,
and pathology of the human brain.
3D Brain Organoids: Studying
Brain Development and Disease
Outside the Embryo
Annual Review of Neuroscience
Vol. 43:375-389 (Volume publication
date July 2020)
https://doi.org/10.1146/annurev-neuro-
070918-050154
NEW
• The Five Faces of Notch Signalling During Drosophila melanogaster
Embryonic CNS Development
• During central nervous system (CNS) development, a complex series of events
play out, starting with the establishment of neural progenitor cells, followed by
their asymmetric division and formation of lineages and the differentiation of
neurons and glia. Studies in the Drosophila melanogaster embryonic CNS have
revealed that the Notch signal transduction pathway plays at least five different
and distinct roles during these events.
Notch Signaling in Embryology and Cancer. Advances in Experimental Medicine
and Biology, vol 1218. Springer, Cham. https://doi.org/10.1007/978-3-030-34436-8_3
 Developmental Biology. 6th edition. Gilbert SF.
 The Basics of Brain Development Neuropsychol Rev. 2010 Dec; 20(4): 327–348.PMCID:
PMC2989000
 Multivitamin/folic acid supplementation in early pregnancy reduces the prevalence of neural tube
defects A Milunsky et al PMID: 2478730
 Prevention of the first occurrence of neural-tube defects by periconceptional vitamin
supplementationA E Czeizel et al
 Embryology of neural tube developmentT.W. Sadler First published: 01 April 2005
https://doi.org/10.1002/ajmg.c.30049
 https://embryology.med.unsw.edu.au/embryology/index.php/Lecture_-_Neural_Development
 Langman's Medical Embryology Author(s): T.W. Sadler
 THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGYMark G. Torchia, T.V.N.
(Vid) Persaud ,Keith L. Moore
 Molecular and cellular reorganization of neural circuits in the human lineage
Brain development

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Brain development

  • 1. Submitted To: Dr. Vasudha By: Komalpreet Kaur Roll no: 27231979013 MSc. 3rd Semester Department : Human Genetics
  • 2. a. The onset of gastrulation is marked by the formation of the primitive streak and the primitive node. The primitive streak provides an opening to deeper embryonic layers. b. The migrating cells first move to the primitive streak and then change direction and move down and under the upper layer c. Once under the upper layer, the cells change direction and begin migrating rostrally under the upper layer (blue arrows). d. Cells that migrate along the axial midline send molecular signals that induce cells in the overlying epiblast layer to differentiate into neuroectodermal cells (red band) which are the neural progenitor cells. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2989000/ E- cadherin FGF8
  • 3. • At the beginning of the third week CNS appears from thickened ectoderm with the neural plate in the mid-dorsal region in front of the primitive node. • Its lateral edges elevate to form the neural folds. • With further development, the neural folds continue to elevate, approach each other in the midline, and finally fuse, forming the neural tube Developmental Biology. 6th edition. Gilbert SF. Fig: Primary neurulation: neural tube formation in the chick embryo
  • 4. • Secondary neurulation :Fusion begins in the cervical region and proceeds in cephalic and caudal directions . • Closure of the cranial neuropore -18 to 20- somite stage (25thday); • caudal neuropore -approximately 3 days later. • Human neural tube closure requires a complex interplay between genetic and environmental factors. Certain genes, such as Pax3, sonic hedgehog, and openbrain, are essential for the formation of the mammalian neural tube, but dietary factors, such as cholesterol and folic acid, also appear to be critical. Fig :Dorsal views of neurulating embryos at different stages of neural tube closure Embryology of neural tube development T.W. Sadler https://doi.org/10.1002/ajmg.c.30049
  • 5. • Failure to close the human posterior neural tube regions at day 27 (or the subsequent rupture of the posterior neuropore shortly thereafter) results in a condition called spina bifida • Failure to close the anterior neural tube regions results in a lethal condition, anencephaly. Here, the forebrain remains in contact with the amniotic fluid and subsequently degenerates. • The failure of the entire neural tube to close over the entire body axis is called craniorachischisis. • Encephalocele is a sac-like protrusion of the brain and brain membranes (tissue that covers and protect the brain) through an opening in the skull. It has been estimated that 50% of human neural tube defects could be prevented by a pregnant woman's taking supplemental folic acid (vitamin B12), and the U.S. Public Health Service recommends that all women of childbearing age take 0.4 mg of folate daily to reduce the risk of neural tube defects during pregnancy. (Multivitamin/folic acid supplementation in early pregnancy reduces the prevalence of neural tube defects) PMID: 2478730 DOI: 10.1001/jama.262.20.2847
  • 6. PROSENCEPHALON (forebrain) MESENCEPHALON (midbrain) RHOMBOCEPHALON (hindbrain) PRIMARY BRAIN VESICLES SECONDARY BRAIN VESICLES Telencephalon Diencephalon Metencephalon Myelencephalon
  • 7. Fig :Changes in the morphology of the embryo in the embryonic period. The formation of the neural tube occurs between E19 and E29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2 989000/
  • 8.
  • 9. Rapid growth folds the neural tube forming 3 brain flexures  cephalic flexure - in the midbrain region  cervical flexure - between hindbrain and spinal cord  pontine flexure - between metencephalon and myelencephalon The lumen of the spinal cord, the central canal is continuous with that of the brain vesicles. The cavity of the rhombencephalon is the fourth ventricle, that of the diencephalon is the third ventricle, and those of the cerebral hemispheres are the lateral ventricles The lumen of the mesencephalon connects the third and fourth ventricles and is very narrow and is then known as the aqueduct of Sylvius. Each lateral ventricle communicates with the third ventricle through the interventricular foramina of Monro
  • 10. Fig: (A) neural tube (B) neural tube showing brain flexures
  • 11. • roof plate - dorsal region • alar plate - dorsal lateral region (sensory input fine touch, proprioception, and vibration) • basal plate - ventral lateral region (motor output to skeletal muscle) • floor plate - ventral region • sulcus limitans : longitudinal groove which marks the boundaries between two. • roof plate region - signals from surface ectoderm • alar plate region - signals from surface ectoderm • basal plate region - signals from the notochord and floor plate • floor plate region - signals from the notochord Scanning electron micrographs of the Carnegie stages of the early human embryos are reproduced with the permission of Prof Kathy Sulik, from embryos collected by Dr. Vekemans and Tania Attié-Bitach
  • 12. The rhombencephalon consists of the myelencephalon, the most caudal of the brain vesicles, and the metencephalon, which extends from the pontine flexure to the rhombencephalic isthmus. • The myelencephalon is a brain vesicle that gives rise to the medulla oblongata. • The ventral area of the medulla contains a pair of fiber bundles (pyramids) that consist of corticospinal fibers descending from the developing cerebral cortex.  MYELENCEPHALON  METENCEPHALON Fig : Lateral view of the brain vesicles in an 8-week embryo (crown-rump length ~27 mm). Langman's Medical Embryology Author(s): T.W. Sadler
  • 13. Fig :A, Sketch of the developing brain at the end of the fifth week of gestation shows the three primary divisions of the brain and brain flexures. B, Transverse section of the caudal part of the myelencephalon (developing closed part of medulla).C and D, Similar sections of the rostral part of the myelencephalon (developing open part of medulla) show the position and successive stages of differentiation of the alar and basal plates. THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
  • 14. somatic efferent group • In the myelencephalon, it includes neurons of the hypoglossal (XII) nerve that supply the tongue musculature. In the metencephalon and the mesencephalon, the column contains neurons of the abducens (VI) trochlear (IV), and oculomotor(III) nerves respectively. These nerves supply the eye musculature. special visceral efferent group • Its motor neurons supply striated muscles of the pharyngeal arches. In the myelencephalon, the column is represented by neurons of the accessory (XI), vagus (X), and glossopharyngeal (IX) nerves. general visceral efferent • The general visceral efferent group contains motor neurons that supply involuntary musculature of the respiratory tract, intestinal tract, and heart BASAL PLATE ( motor neurons)
  • 15. somatic afferent (general sensory) group • receives sensations of pain, temperature, and touch from the pharynx by way of the glossopharyngeal nerve (IX). Special afferent group • receives impulses from taste buds of the tongue, palate, oropharynx, and epiglottis and from the vestibulocochlear nerve (VIII) for hearing and balance. visceral afferent, group • receives interoceptive information from the gastrointestinal tract and heart. ALAR PLATE ( sensory neurons)
  • 16. The roof plate of the myelencephalon consists of a single layer of ependymal cells covered by vascular mesenchyme, the pia mater. tela choroidea. choroid plexus which produces cerebrospinal fluid. fluid
  • 17. Fig :Photomicrograph of a transverse section through the diencephalon and cerebral vesicles of a human embryo(approximately 50 days) at the level of the interventricular foramina THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
  • 18. • Two components form • (1) the cerebellum, a coordination center for posture and movement , and • (2) the pons, the pathway for nervefibers between the spinal cord and the cerebral and cerebellar cortices. • The marginal layer of the basal plates of the metencephalon expands as it makes a bridge for nerve fibers connecting the cerebral cortex and cerebellar cortex with the spinal cord.
  • 19. (1) the medial somatic efferent group, which gives rise to the nucleus of the abducens nerve; (2) the special visceral efferent group, containing nuclei of the trigeminal and facial nerves, which innervate the musculature of the first and second pharyngeal arches; (3) the general visceral efferent group, with axons that supply the submandibular and sublingual glands. (1) a lateral somatic afferent group, which contains neurons of the trigeminal nerve 2) the special afferent group 3)the general visceral afferent group ALAR PLATE BASAL PLATE
  • 20. •The dorsolateral parts of the alar plates bend medially and form the rhombic lips . • As a result of a further deepening of the pontine flexure, the rhombic lips compress cephalocaudally and form the cerebellar plate . • In a 12-week embryo, this plate shows a small midline portion, the vermis, and two lateral portions, the hemispheres. •A transverse fissure soon separates the nodule from the vermis and the lateral flocculus from the hemispheres.
  • 21. Fig: A, Sketch of the developing brain at the end of the fifth week. B, Transverse section of the metencephalon (developing pons and cerebellum) shows the derivatives of the alar and basal plates. C and D, Sagittal sections of the hindbrain at 6 and 17 weeks, respectively, show successive stages in the development of the pons and cerebellum. THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
  • 22. The structure of the cerebellum reflects its phylogenetic (evolutionary) development  The archicerebellum (flocculonodular lobe), the oldestpart phylogenetically, has connections with the vestibular apparatus, especially the vestibule of the ear.  The paleocerebellum (vermis and anterior lobe), of more recent development, is associated with sensory data from the limbs.  The neocerebellum (posterior lobe), the newest partphylogenetically, is concerned with selective control of limb movements.
  • 23. Fig: Sagittal sections through the roof of the metencephalon showing development of the cerebellum Langman's Medical Embryology Author(s): T.W. Sadler
  • 24. • The marginal layer of each basal plate enlarges and forms the crus cerebri. These crura serve as pathways for nerve fibers descending from the cerebral cortex to lower centers in the pons and spinal cord. • Initially, the alar plates of the mesencephalon appear as two longitudinal elevations separated by a shallow midline depression . With further development, a transverse groove divides each elevation into an anterior (superior) and a posterior(inferior) colliculus . • The posterior colliculi serve as synaptic relay stations for auditory reflexes; the anterior colliculi function as correlation and reflex centers for visual impulses. Fig: 3 A,B. Position and differentiation of the basal and alar plates in the mesencephalon at various stages of development Langman's Medical Embryology Author(s): T.W. Sadler
  • 25. • The prosencephalon consists of the • telencephalon, which forms the cerebral hemispheres and • diencephalon, which forms the optic cup and stalk, pituitary, thalamus, hypothalamus, and epiphysis.
  • 26. Fig: A. Medial surface of the right half of the prosencephalon in a 7-week embryo. B. Transverse section through the prosencephalon Langman's Medical Embryology Author(s): T.W. Sadler
  • 27. • The alar plates form the lateral walls of the diencephalon. A groove, the hypothalamic sulcus,divides the plate into a dorsal and a ventral region, the thalamus and hypothalamus, respectively. • As a result of proliferative activity, the thalamus gradually projects into the lumen of the diencephalon. Frequently, this expansion is so great that thalamic regions from the right and left sides fuse in the midline, forming the massaintermedia, or interthalamic connexus. • The hypothalamus, forming the lower portion of the alar plate, differentiates into a number of nuclear areas that regulate the visceral functions, including sleep, digestion, body temperature, and emotional behavior. One of these groups, the mamillary body, forms a distinct protuberance on the ventral surface of the hypothalamus on each side of the midline.
  • 28. • The diencephalon, develops from median portion of the prosencephalon is thought to consist of a roof plate and two alar plates but to lack floor and basal plates. -The most caudal part of the roof plate which is initially appears as an epithelial thickening in the midline, but by the seventh week, it begins to evaginate . • Serves as a channel through which light and darkness affect endocrine and behavioral rhythms. In the adult, calcium is frequently deposited in the epiphysis (landmark on radiographs of the skull.)
  • 29. • The hypophysis, or pituitary gland, develops from two completely different parts:  An upgrowth from the ectodermal roof of the stomodeum, the hypophyseal diverticulum (Rathke pouch)  A downgrowth from the neuroectoderm of the diencephalon, the neurohypophyseal diverticulum • Cells increase in number form anterior lobe of hypopysis-adenohypophysis • small extension of this lobe forms pars tuberalis • posterior wall of Rathke's pouch forms pars intermedia • Infundibulum gives rise to stalk and pars nervosa, or posterior lobe of hypophysis.
  • 30. Fig : Diagrammatic sketches illustrate development of the pituitary gland. A, Sagittal section of the cranial end of an embryo at approximately 36 days shows the hypophyseal diverticulum, an upgrowth from the stomodeum, and the neurohypophyseal diverticulum, a downgrowth from the forebrain. B to D, Successive stages of the developing pituitary gland. By 8 weeks, th diverticulum loses its connection with the oral cavity and is in close contact with the infundibulum and posterior lobe (neurohypophysis) of the pituitary gland. E and F, Sketches of later stages show proliferation of the anterior wall of the hypophyseal diverticulum to form anterior lobe (adenohypophysis) of the pituitary gland THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
  • 31. • FGF8, BMP4, and WNT5A from the diencephalon are involved in the formation of the anterior and intermediate lobes of the pituitary gland. • The LIM homeobox gene LHX2 appears to control development of the posterior lobe. THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGY Mark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore,
  • 32.  Consist of two lateral outpocketings - cerebral hemisphere  Median portion -lamina terminales. • Cerebral hemispheres: • begin as a bilateral evagintions of lateral walls of prosencephalon • basal part begins to grow and bulges into lumen of lateral ventricle and into the floor of foramen of monro. • rapid growing region has a straited apperance , known as corpus straitum. • The choroid plexus form the roof of diencephalon , but due to disapropriate growth it protudes into lateral ventricle along choroidal fissure. • The wall of hemisphere thickens above the fissure to form hippocampus ( olfaction)
  • 33. Fig:Medial surface of the right half of the telencephalon and diencephalon in a 8 week and 10-week embryo The corpus striatum expands posteriorly and is divided into two parts: (1) a dorsomedial portion, the caudate nucleus and (2) a ventrolateral portion, the lentiform nucleus . The fiber bundle thus formed is known as the internal capsule Langman's Medical Embryology Author(s): T.W. Sadler
  • 34. Fig:Development of gyri and sulci on the lateral surface of the cerebral hemisphere. A. 7 months. B. 9 months. • Continuous growth of the cerebral hemispheres in anterior, dorsal, and inferior directions results in the formation of frontal, temporal, and occipital lobes, respectively. • As growth in the region overlying the corpus striatum slows, however, the area between the frontal and temporal lobes becomes depressed and is known as the insula . • During the final part of fetal life, the surface of the cerebral hemispheres grows so rapidly that a great many convolutions (gyri)separated by fissures and sulci appear on its surface Langman's Medical Embryology Author(s): T.W. Sadler
  • 35. • The cerebral cortex develops from the pallium which has two regions: (1) the paleopallium, or archipallium, immediately lateral to the corpus striatum , and (2) the neopallium, between the hippocampus and the paleopallium • In the neopallium, waves of neuroblasts migrate to a subpial position and then differentiate into fully mature neurons. • When the next wave of neuroblasts arrives, they migrate through the earlier-formed layers of cells until they reach the subpial position. Hence, the early-formed neuroblasts obtain a deep position in the cortex, while those formed later obtain a more superficial position. Fig: Transverse section through the hemisphere and diencephalon Langman's Medical Embryology Author(s): T.W. Sadler
  • 36. • The walls of the developing cerebral hemispheres initially show three typical zones of the neural tube:ventricular, intermediate, and marginal; later a fourth one, the subventricular zone, appears. • Cells of the intermediate zone migrate into the marginal zone and give rise to the cortical layers • The gray matter is located peripherally, and axons from its cell bodies pass centrally to form the large volume of white matter (medullary center).
  • 37. • In the adult, a number of fiber bundles, the commissures, which cross the midline, connect the right and left halves of the hemispheres. Fig: Medial surface of the right half of the brain in a 4-month embryo showing the various commissures
  • 38. • Once the neural plate is established, signals for segregation of the brain into forebrain, midbrain, and hindbrain regions are derived from homeogenes expressed in the notochord, prechordal plate, and neural plate. • The hindbrain has eight segments, the rhombomeres, that have variable expression patterns of the Antennapedia class of homeobox genes, the HOX genes . These genes are expressed in overlapping (nested) patterns, with genes at the most 3′ end of a cluster having more anterior boundaries and paralogous genes having identical expression domains. • Genes at the 3′ end are also expressed earlier than those at the 5′ end, so that a temporal relation to the expression pattern is established. • Retinoids (retinoic acid) play a critical role in regulating HOX expression. For example, excess retinoic acid shifts HOX gene expression anteriorly and causes more cranial rhombomeres to differentiate into more caudal types.
  • 39. • At the neural plate stage, LIM1(prechordal plate) and OTX2 (neural plate) are important for designating the forebrain and midbrain areas, with LIM1 supporting OTX2 expression. • Once the neural folds and pharyngeal arches appear, additional homeobox genes, including OTX1, EMX1, and EMX2, are expressed in specific and in overlapping (nested) patterns in the mid- and forebrain regions and specify the identity of these areas. Once these boundaries are established, two additional organizing centers appear: the anterior neural ridge (ANR) at the junction of the cranial border of the neural plate and nonneural ectoderm and the isthmus between the hindbrain and midbrain. • In both locations, FGF8 is the key signaling molecule, inducing subsequent gene expression that regulates differentiation. In the ANR at the four-somite stage, FGF8 induces expression of FOXG1 - then regulates development of the telencephalon (cerebral hemispheres).
  • 40. • In the isthmus -FGF8 induces expression of engrailed 1 and 2 (EN1and EN2), two homeobox-containing genes, expressed in gradients radiating anteriorly and posteriorly from the isthmus. EN1 regulates development of dorsal midbrain (tectum) and anterior hindbrain (cerebellum), whereas EN2 is involved only in cerebellar development. DORSOVENTAL PATTERNING IN FOREBRAIN AND MIDBRAIN: • Ventral patterning is controlled by SHH secreted by prechordal plate induces expression of NKX2.1 regulate development of hypothalamus. • Dorsal patterning by BMP4 and BMP7 expressed in nonneural ectoderm adjacent to neural plate. • Induce expression of MSX1 in midline and repress expression of FOXG1. • After neural tube closure BMP2 and BMP4 regulate expression of LHX2 in cortex.
  • 41.
  • 42. Diagram of the cranial neural plate region shown in A (blue area) illustrating the organizing center known as the anterior neural ridge (ANR). This area lies in the most anterior region of the neural plate and secretes FGF8, which induces expression of FOXG1 in adjacent neurectoderm. FOXG1 regulates development of the telencephalon (cerebral hemispheres) and regional specification within the prosencephalon (PR). Sonic hedgehog (SHH), secreted by the prechordal plate (P) and notochord (N), ventralizes the brain and induces expression of NKX2.1, which regulates development of the hypothalamus. BPM4 and 7, secreted by the adjacent nonneural ectoderm, control dorsal patterning of the brain. M, mesencephalon; R, rhombencephalon.
  • 43.  Time for Radical Changes in Brain Stem Nomenclature - Applying the Lessons From Developmental Gene Patterns. " The traditional subdivision of the brain stem into midbrain, pons, and medulla oblongata is based purely on the external appearance of the human brain stem. There is an urgent need to update the names of brain stem structures to be consistent with the discovery of rhomobomeric segmentation based on gene expression. The most important mistakes are the belief that the pons occupies the upper half of the hindbrain, the failure to recognize the isthmus as the first segment of the hindbrain, and the mistaken inclusion of diencephalic structures in the midbrain. The new nomenclature will apply to all mammals. This essay recommends a new brain stem nomenclature based on developmental gene expression, progeny analysis, and fate mapping." PMID: 30809133 PMCID: PMC6380082 DOI: 10.3389/fnana.2019.00010  Molecular and cellular reorganization of neural circuits in the human lineage To better understand the molecular and cellular differences in brain organization between human and nonhuman primates, transcriptome sequencing of 16 regions of adult human, chimpanzee, and macaque brains was performed. Integration with human single-cell transcriptomic data revealed global, regional, and cell-type-specific species expression differences in genes representing distinct functional categories. Integrated analysis of the generated data revealed diverse molecular and cellular features of the phylogenetic reorganization of the human brain across multiple levels, with relevance for brain function and disease. PMID: 29170230 PMCID: PMC5776074 DOI: 10.1126/science.aan3456
  • 44. • Scientists have been fascinated by the human brain for centuries, yet knowledge of the cellular and molecular events that build the human brain during embryogenesis and of how abnormalities in this process lead to neurological disease remains very superficial. Advances in stem cell–derived models of human organogenesis, in the form of three-dimensional organoid cultures, and transformative new analytic technologies have opened new experimental pathways for investigation of aspects of development, evolution, and pathology of the human brain. 3D Brain Organoids: Studying Brain Development and Disease Outside the Embryo Annual Review of Neuroscience Vol. 43:375-389 (Volume publication date July 2020) https://doi.org/10.1146/annurev-neuro- 070918-050154 NEW
  • 45. • The Five Faces of Notch Signalling During Drosophila melanogaster Embryonic CNS Development • During central nervous system (CNS) development, a complex series of events play out, starting with the establishment of neural progenitor cells, followed by their asymmetric division and formation of lineages and the differentiation of neurons and glia. Studies in the Drosophila melanogaster embryonic CNS have revealed that the Notch signal transduction pathway plays at least five different and distinct roles during these events. Notch Signaling in Embryology and Cancer. Advances in Experimental Medicine and Biology, vol 1218. Springer, Cham. https://doi.org/10.1007/978-3-030-34436-8_3
  • 46.  Developmental Biology. 6th edition. Gilbert SF.  The Basics of Brain Development Neuropsychol Rev. 2010 Dec; 20(4): 327–348.PMCID: PMC2989000  Multivitamin/folic acid supplementation in early pregnancy reduces the prevalence of neural tube defects A Milunsky et al PMID: 2478730  Prevention of the first occurrence of neural-tube defects by periconceptional vitamin supplementationA E Czeizel et al  Embryology of neural tube developmentT.W. Sadler First published: 01 April 2005 https://doi.org/10.1002/ajmg.c.30049  https://embryology.med.unsw.edu.au/embryology/index.php/Lecture_-_Neural_Development  Langman's Medical Embryology Author(s): T.W. Sadler  THE DEVELOPING HUMAN CLINICALLY ORIENTED EMBRYOLOGYMark G. Torchia, T.V.N. (Vid) Persaud ,Keith L. Moore  Molecular and cellular reorganization of neural circuits in the human lineage