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CHAPTER THREE
Chapter contents
3.1
3.2
3.3
3.4
3.5
3.6
3.7
3.8
3.9
Box 3.1
Box 3.2
Box
Box
Box
Box
Box
Box
Box
3.3
3.4
3.5
3.6
3.7
3.8
3.9
60
66
71
72
80
85
87
91
97
62
64
73
74
77
78
82
89
94
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3.1
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3.1.2 Cell size and shape can vary enormously, but rates
of diffusion fix some upper limits
There are many factors that affect cell size (Su and OFarrel,
1998; Saucedo and Edgar, 2002). Cells depend on diffusion to
coordinate their metabolic activities, their interactions with
the environment and their interactions with other cells. As
they grow larger, the surface-to-volume ratio decreases. It is
thought that the simple internal structure of prokaryotic cells
limits their maximum size typically bacterial cells are 1m
in diameter.The complex internal membranes and compartmentalization of eukaryotic cells may be important in
allowing them to grow larger. Nevertheless, metabolically
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Box 3.2: The cytoskeleton: the key to cell movement and cell shape and a major framework for intracellular
transport.
The cytoskeleton of eukaryotic cells is an internal scaffold of
protein filaments which provides stability, generates the forces
required for movement and changes in cell shape, facilitates
the intracellular transport of organelles and also allows
communication between the cell and its environment. There are
three types of cytoskeletal filament: actin microfilaments,
microtubules (made of tubulin) and intermediate filaments (made
from a variety of different proteins, some of which are cell type
specific). Actins and tubulins have been highly conserved during
evolution. Microfilaments and microtubules are very dynamic
structures and they are also polarized because of asymmetry
during polymerization of the actin and tubulin subunits from
which they are constructed. Thus, the polymers grow by
attachment of new subunits at both ends but at different rates,
resulting in a fast-growing end known as the plus (+) end and a
slow-growing end known as the minus () end. Specific classes
of motor proteins can bind to the polarized filaments and move
steadily along them in one direction, powered by ATP hydrolysis.
Actin filaments (also known as microfilaments) can be
arranged into parallel bundles or net-like lattices. They provide
mechanical support in the form of stress fibers, allow controlled
changes to cell shape (e.g. apical constrictions, constrictions
during cell division), and facilitate cell movement by forming
structures such as filopodia and lamellipodia (extensions to the
cell that allow it to crawl along surfaces). Actin filaments are the
basis of special structures such as microvilli, adhesion plaques
and the acrosomal process of the sperm head. They consist of
two-stranded helical polymers of the protein actin and have a
diameter of about 78nm. They interact with members of the
myosin superfamily of motor proteins. In muscle cells the
actinmyosin interaction forms contractile units which provide
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Genome size
Number of
genes
Escherichia coli
4.2 Mb
4300
Saccharomyces cerevisiae
13 Mb
6300
Amoeba dubia
670 000 Mb
Caenorhabditis elegans
95 Mb
ca. 20 000
Drosophila melanogaster
165 Mb
ca. 13 000
15 000 Mb
Mus musculus
3000 Mb
ca. 30 000
Homo sapiens
3300 Mb
ca. 30 000
Unicellular
Multicellular
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3.2
CELL INTERACTIONS
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Cell line
DAUDI
CRL1432
NAMALWA
TIB152
JURKAT E61
T-cell line, derived from acute lymphoblastic leukemia, produces large amounts of interleukin-2
CRL1942
SUP-T1
HL-60
Derived from promyelocytic leukemia cells, used to study differentiation in the myeloid lineage
TIB202
THP
Derived from acute monocytic leukemia, used to study macrophage activation and maturation
CRL1573
293
CRL2190
HK-2
Hep3B
HTB52
SK-HEP-1
HTB75
Caov-3
From ovarian adenocarcinoma, produces mutant p53, used in cytokine and cancer studies
CRL1572
PA-1
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Examples
Cytokines
Hedgehog family
Patched
Wnt family
Frizzled
Nuclear receptors
Dimeric; reside in cytoplasm or nucleus, converted
to transcription factors in association with ligand
Notch
SECRETED SIGNALS
IMMOBILIZED SIGNALS
Delta/Serrate family
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CELL INTERACTIONS
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Figure 3.5: Growth factors act as ligands for receptor tyrosine kinases.
Ligand binding stimulates receptor dimerization and activates the cytoplasmic tyrosine kinase activity intrinsic to the receptor. The receptor
can phosphorylate not only other proteins but also itself (autotransphosphorylation) resulting in the recruitment of proteins that bind
specifically to phosphotyrosine residues, including enzymes that modulate the activity of Ras. Activated Ras recruits Raf to the membrane
where its kinase activity is stimulated. Raf then activates MEK, which in turn activates MAP kinase. Both MEK and MAP kinase activate
latent transcription factors therefore changing patterns of gene expression in the nucleus. Redrawn from Twyman (2001) Instant Notes in
Developmental Biology, published by BIOS Scientific Publishers.
Anchoring junctions in which the actin filaments of the cytoskeleton are connected to cadherins at the cell surface,
therefore linking neighboring cells into a continuous adhesion belt
Desmosomes
Anchoring junctions in which the intermediate filaments of the cytoskeleton are connected to cadherins at the cell surface
Focal contacts
Anchoring junctions in which the actin filaments of the cytoskeleton are connected to integrins at the cell surface,
providing punctate attachment sites to the extracellular matrix
Hemidesmosomes
Anchoring junctions in which the intermediate filaments of the cytoskeleton are connected to integrins at the cell surface,
used to connect epithelial cells to the basal lamina
Gap junctions
These are pores that connect the cytosol of adjacent cells. They are formed by six identical connexin proteins that form a
channel in each membrane. The attachment of connexin complexes on adjacent cells creates the gap junction
Tight junctions
Interconnected transmembrane proteins that seal epithelial cells into a continuous sheet. Depending on the density of the
proteins in the junction, the barrier may be completely impermeable or selectively permeable to molecules of a particular size
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Integrins. These are calcium-dependent adhesion molecules that usually mediate cell-matrix interactions (see
below), but certain leukocyte integrins are also involved in
cellcell adhesion.
Selectins. These molecules are expressed by endothelial
cells during an inflammatory response. They recognize
carbohydrate residues on the surface of neutrophils and
guide these cells to sites of inflammation.
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3.3
AN OVERVIEW OF DEVELOPMENT
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Distribution
Structure/function
Collagens
Many tissues
The collagens are large trimeric glycoproteins. There are several chemically distinct
forms of collagen which vary in abundance in different tissues. The most abundant forms
are collagens I, II and III, which tend to form fibrils stabilized by cross-links between lysine
residues. They provide structural support, and influence cell differentiation and migration
through interactions with integrins. Conversely, collagen IV forms lattices rather than fibrils
and is an important component of the basal lamina. It interacts with cells indirectly, through
association with laminin
Fibronectin
Many tissues
Laminins
Epithelial tissues
Laminins are trimeric proteins comprising A, B1 and B2 subunits. They interact with collagen
IV to form the basal lamina, and their major function is to facilitate the adhesion of cells to
the basal lamina by interacting with integrins and other cell surface molecules. There are
many tissue-specific forms of each laminin subunit
Entactin
Epithelial tissues
Associated stoichiometrically with laminin, and contains sequences that may allow
interactions with cell surface integrins
Elastin
Elastin is a non-glycosylated protein that forms networks and sheets by cross-linking. The
protein has a natural elastic recoil and provides tissues with the ability to regain shape after
deformation
Tenascin
Tenascin is a hexameric glycoprotein that plays an important role in the control of cell
migration. It has an adhesive effect on some cells and a repellent effect on others depending
on the receptors displayed on the cell surface
Vitronectin
This protein is generally associated with fibronectin, although not as widely distributed, and
interacts with particular classes of integrins to facilitate cellmatrix adhesion
Proteoglycans
Many tissues
Very diverse family of molecules comprising a core protein, such as decorin or syndecan,
associated with one or more glycosaminoglycans (e.g. chondroitin sulfate, dermatan sulfate,
heparan, heparan sulfate). Often adopt higher order structure in the ECM. These molecules
mediate cell adhesion, and can also bind growth factors and other bioactive molecules
Hyaluronic acid
Many tissues
The only glycosaminoglycan that is nonsulfated and not covalently attached to a protein to
form a proteoglycan. Facilitates cell migration particularly during development and tissue
repair
adjacent to the connective tissue and an apical surface characterized by a brush border.
The proteoglycan and glycosaminoglycan component of the
ECM serves a number of functions.First,the molecules are very
soluble, forming hydrated gels that act as cushions to protect
tissues against compression.Where the proteoglycan content of
the ECM is particularly high, the tissue is highly resistant to
compression (e.g. cartilage). Proteoglycans can form complex
superstructures in which individual proteoglycan molecules are
arranged around a hyaluronic acid backbone.These complexes
can act as biological reservoirs by storing active molecules such
as growth factors. Indeed, proteoglycans may be essential for the
diffusion of certain signaling molecules. For example, both the
Hedgehog and Wingless signaling pathways are inhibited in the
Drosophila mutant sugarless, which is unable to synthesize
proteoglycans correctly (see Selleck, 2000). Finally, proteoglycans also help to mediate cell-matrix adhesion. This is
achieved by binding to cell surface enzymes known as glyco-
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not diminish the importance of post-embryonic development. Once the basic body plan is established, it is not
clear when development stops. In humans, there is a
continuum of post-embryonic growth and consolidation
which is punctuated by birth and carries on for up to two
decades afterwards, with some organs reaching maturity
before others. It can be argued that human development
ceases when the individual becomes sexually mature, but
many tissues need to be replenished throughout life (e.g.
skin, blood, intestinal epithelium) and in such cases development never really stops at all, only reaches an equilibrium.
Some scientists even regard aging as a part of development,
since it represents a natural part of the life cycle.
Development is a gradual process. The fertilized egg
initially gives rise to a simple embryo with relatively crude
features. As development proceeds, the number of cell types
increases and the organization of those cells becomes more
intricate. Complexity is achieved progressively. At the
molecular level, development incorporates several different
processes that affect the behavior of cells.These processes are
inter-related and can occur separately or in combination in
different parts of the embryo (Twyman, 2001):
cell proliferation, by repeated cell division, which leads
to an increase in cell number. In the mature organism, this
is balanced by cell loss;
growth, by the synthesis of macromolecules, which leads
to an increase in overall size and biomass;
differentiation, the process by which cells become structurally and functionally specialized;
pattern formation, the process by which cells become
organized, first to form the fundamental body plan of the
organism and then the detailed structures of different
organs and tissues;
morphogenesis, or changes in overall form. Several
underlying mechanisms may be involved in morphogenesis, including differential cell proliferation, selective
cellcell adhesion or cellmatrix adhesion, changes in cell
shape and size, the selective use of programmed cell death
and control over the symmetry and plane of cell division.
All of the above processes are controlled by genes, which
specify where and when particular proteins are synthesized in
the embryo and therefore how the different cells behave.
While there are minor differences in DNA sequence among
the cells in a multicellular organism, most cells at least contain
the same genes. Therefore, for cells to diversify in the developing embryo, there must be differential gene expression. Gene
expression is controlled by transcription factors, so development ultimately depends on which transcription factors are
active in each cell (see, for example, Kuo et al., 1992). As
discussed in Section 3.2.2, the activity of transcription factors
can be regulated by signaling between cells. Unraveling the
signaling pathways and regulatory programs that control
development is a major goal of biomedical research. In this
chapter we will focus on vertebrate and particularly
mammalian development. Our knowledge of early human
development is fragmentary because access to samples for
study is often restricted for ethical or practical reasons. As a
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3.4
VERTEBRATES
Vertebrate model organisms serve as representative models of
human development, both at the anatomic and molecular levels.
The domestic chicken (Gallus gallus) and the African clawed
frog (Xenopus laevis) are favored because both species produce
robust embryos that develop outside the body and can be easily
manipulated. However, these species are of little use for genetic
analysis. In the case of X.laevis, this is primarily due to the long
generation interval and the tetraploid genome, which makes
genetic analysis difficult. There has been interest more recently
in a related species, X.tropicalis, which produces smaller
embryos but has a shorter generation interval and is diploid. The
mouse (Mus musculus) is advantageous both in terms of its
genetic amenability, its suitability for genetic manipulation
(particularly gene targeting, which allows specific genes to be
inactivated; see Chapter 20), and its closeness to humans.
However, because the embryo must develop internally, surgical
manipulation is difficult to carry out. The zebrafish (Danio reiro)
combines genetic amenability with accessibility and therefore
represents perhaps the most versatile of the vertebrate model
organisms.
All vertebrate embryos pass through similar stages of
development, including cleavage of a large egg, gastrulation,
neurulation, somitogenesis and the formation of limb buds. They
reach a phylotypic stage where the body plan of all
vertebrates is much the same. Despite these similarities there
are also major differences among the five vertebrate classes,
predominantly in the cleavage and gastrulation stages,
reflecting the alternative nutritional strategies. This is
explained in more detail in Section 3.7.2. There are also
differences in the methods used to specify the primary
embryonic axes (Section 3.5.1), and in other developmental
processes, such as sex-determination (Box 3.9).
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3.4
Box 3.5: Where do our tissues come from the developmental hierarchy in mammals.
Every type of human cell can be traced back through the
developmental hierarchy to the fertilized egg. The chart below
shows the developmental decisions that need to be made in
order for the egg to give rise to each of these cell types, the
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Figure 3.7: Grafting experiments in Xenopus show when ectoderm cells become committed to epidermal and neural cell fates.
On the left, ventral (V) ectoderm (green) gives rise to epidermis whereas dorsal (D) ectoderm (red) gives rise to the neural plate. On the
right, if the ventral ectoderm is grafted onto the dorsal side of the embryo, it is respecified and is able to form the neural plate. This shows
that the fate of the ectoderm is dependent on signals emanating from other cells in the vicinity of the neural plate, i.e. the cells of the axial
mesoderm.
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Figure 3.8: Cell fate in the descendants of neural stem cells depends on the plane of cell division, reflecting the asymmetric distribution
of membrane-spanning proteins such as Notch and intracellular determinants such as Numb.
Symmetrical divisions occur in the plane of the neuroepithelium and result in the even distribution of Notch (green circles) and Numb (red
triangles) between daughter cells. Asymmetrical divisions perpendicular to the neuroepithelium result in the formation of an apical
neuronal progenitor and a basal replacement stem cell.
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Location
Differentiation into
Bone marrow
Bone marrow
Brain
In deep crypts in the lining of the
digestive tract
Basal layer of epidermis
Base of hair follicles
Keratinocytes
Hair follicle and epidermal cells
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and since ES cells can in principle be programmed to differentiate into cells of a specific type, expectations have been high
(Chapter 21).
An alternative strategy is the isolation of primordial germ
cells, the cells of the gonadal ridge which will normally
develop into mature gametes (see figure in Box 11.4). These
can be cultured in vitro and give rise to pluripotent
embryonic germ (EG) cells, which behave in a very similar
fashion to ES cells. Human EG cells, derived from the
primordial germ cells or embryos and fetuses from 5 to 10
weeks old, were first cultured by Shamblott et al. (1998), (see
also Donovan and Gearhart, 2001).
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3.6
MORPHOGENESIS
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3.6 Morphogenesis
Cell division, with progressive pattern formation and cell
differentiation, would eventually yield an embryo with
organized cell types, but that embryo would be a static ball
of cells. Real embryos are dynamic structures, with cells and
tissues undergoing constant interactions and rearrangements
to generate structures and shapes. Cells form sheets, tubes,
loose reticular masses and dense clumps. Cells migrate either
individually or en masse. In some cases, such behavior is in
response to the developmental program but in other cases,
these processes drive development, bringing groups of cells
together that would otherwise never come into contact.
Several different mechanisms underlie morphogenesis,
which are summarized in Table 3.7 and discussed in more
detail below (Hogan, 1999; Mathis and Nicolas, 2002; Peifer
and McEwan, 2002; Lubarsky and Krasnow 2003).
Table 3.7: Morphogenetic processes in development and examples from model developmental systems
Process
Examples
Selective outgrowth of vertebrate limb buds by proliferation of cells in the progress zone.
Different embryonic cleavage patterns in animals. Stereotyped cell divisions in nematodes Switch
from anticlinal to periclinal divisions in leaf development
Change from columnar to wedge-shaped cells during neural tube closure in birds and mammals
Cell fusion
Cell death
Separation of digits in vertebrate limb bud. Selection of functional synapses in the mammalian nervous
system
Cellmatrix interaction
Reproduced from Twyman (2001) Instant Notes in Developmental Biology. 2001 BIOS Scientific Publishers.
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Box 3.7: Polarizing the mamalian embryo signals and gene products
THE DORSOVENTRAL AXIS
The first overt sign of asymmetry in the mammalian embryo is the
segregation of the inner cell mass (ICM) to one side of
the blastocyst (Lu et al., 2001; Zernicka-Goetz, 2002). This defines
the embryonicabembryonic axis, with the ICM representing the
embryonic pole. The embryonic face of the ICM is exposed to and
in contact with the trophoblast while the abembryonic face is
open to the blastocele. This difference in environment is sufficient
to specify the first two distinct cell layers in the ICM primitive
ectoderm at the embryonic pole and primitive endoderm at the
abembryonic pole. This in turn defines the dorsoventral axis of the
embryo. It is not clear how the ICM becomes positioned
asymmetrically in the blastocyst in the first place, but it is
interesting to note that when the site of sperm entry is tracked
using fluorescent beads, it is consistently localized to trophoblast
cells at the embryonicabembryonic border.
THE CRANIOCAUDAL AXIS
The position of sperm entry may also play an important role in
defining the craniocaudal axis of the mammalian embryo, but it
is still unclear how that axis becomes polarized (Beddington and
Robertson, 1999; Lu et al., 2001). Fertilization induces the second
meiotic division, and the second polar body is generally extruded
opposite the sperm entry site. This defines the animalvegetal
axis of the zygote, with the polar body at the animal pole. The
subsequent cleavage divisions take place in the context of the
animalvegetal axis resulting in a blastocyst that shows bilateral
symmetry aligned with the former animalvegetal axis of the
zygote. The axis of bilateral symmetry in the blastocyst predicts
the alignment of the primitive streak, but not its orientation. The
decision as to which end should form the head and which end
should form the tail rests with a region of extra-embryonic tissue
called the anterior visceral endoderm (AVE). In mice, this is
initially located at the tip of the egg cylinder. This rotates
towards the future cranial pole of the craniocaudal axis just
before gastrulation, and the node is established at the opposite
extreme of the epiblast.
LEFTRIGHT AXIS
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3.6
Overview of early axis formation in the mouse embryo from fertilization to the mid-streak stage.
MORPHOGENESIS
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Figure 3.10: Comparison of the Drosophila and mouse HOM-C/Hox gene complexes and their expression domains along the
anteroposterior axis of the embryo.
Redrawn from Twyman (2001) Instant Notes in Developmental Biology, published by BIOS Scientific Publishers.
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(A)
(B)
Figure 3.11: Grafting a second zone of polarising activity to the anterior margin of the chick limb bud results in mirror image duplication
of the digits
(A) A signal gradient established by Sonic hedgehog expression in the zone of polarizing activity (ZPA) generates a nested overlapping
pattern of HoxD gene expression patterns in the developing limb bud, leading to the specification of five digits. (B) ZPA grafts establish an
opposite gradient and result in a mirror image reversal of digit fates. The effect can be mimicked by beads coated in retionic acid (RA) or
sonic hedgehog protein (Shh). Redrawn from Twyman (2001) Instant Notes in Developmental Biology, published by BIOS Scientific
Publishers.
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Figure 3.13: Early development of the mammalian embryo, from fertilization to the formation of the blastocyst.
Redrawn from Twyman (2001) Instant Notes in Developmental Biology, published by BIOS Scientific Publishers.
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3.7.4 Implantation
After some time (day 5 of human development), the blastocyst
hatches: an enzyme is released which bores a hole through the
zona pellucida and the blastocyst squeezes out.The blastocyst is
now free to interact directly with the uterine endometrium.
Very soon after arriving in the uterus (day 6 of human devel-
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Figure 3.14: Gastrulation in humans and other primates involves the reorganization of a flat bilaminar germ disc to form a trilaminar
embryo through the programmed delamination of cells from the epiblast.
(A-C) While the outcome of gastrulation is similar in all mammals, there may be major differences in the details of morphogenesis,
particularly in the way extra-embryonic structures are formed and used. Gastrulation in the mouse is shown on the right as a comparison.
In this species, the flat germ disc is replaced by a cup-shaped egg cylinder, and the cells move out of the primitive streak onto the surface
of the embryo rather than into it. The future anteroposterior axis is wrapped around the base of the cup. (D) Note that whereas the epiblast
gives rise to all three germ layers (ectoderm, endoderm and mesoderm), the hypoblast gives rise to the extraembryonic endoderm that lines
the yolk sac. From Larsen (2002) Human Embryology 3rd Edn, published by Churchill Livingstone. Reproduced with permission from Elsevier.
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Figure 3.15: Migration paths and fates of the mesoderm cells which ingress during gastrulation.
(A) Early mesoderm migration. Epiblast cells ingressing through the primitive node migrate cranially to form the prechordal plate, a
compact mass of mesoderm just cranial to the primitive node and the notochordal process, a dense midline tube which will later form a
solid rod, the notochord. Epiblast cells ingressing through the primitive groove migrate to form the lateral mesoderm flanking the midline.
(B) Early differentation of lateral mesoderm. The mesoderm immediately flanking the notochordal process forms cylindrical condensations,
the paraxial mesoderm. The neighbouring, less pronounced cylindrical condensations are the intermediate mesoderm. The rest of the
lateral mesoderm forms a flattened sheet, the lateral plate mesoderm. (C) Differentiation of lateral plate mesoderm (LPM). Vacuoles form in
the LPM which splits into two layers, a vental layer, the splanchnopleuric mesoderm, gives rise to the mesothelial covering of the visceral
organs and the dorsal somatopleuric mesoderm which gives rise to the inner lining of the body walls and to most of the dermis. (D)
Somitomere formation. The paraxial mesoderm forms a series of rounded whorl-like structures, somitomeres. Except for somitomeres 17
(see text), somitomeres will give rise to somites, blocks of segmental mesoderm which establish the segmental organization of the body. In
this diagram of a 21 day human embryo six central somitomeres have already differentiated into somites. Adapted from Larsen (2002) with
permission from Churchill Livingstone Publishers.
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(A) Morphogenesis. The change from a flat neural plate to a closed neural tube is caused by the formation of hinge points where cells become apically constricted, and the proliferation of
ectoderm at the margins of the neural plate pushing the sides together. As the neural folds come together, neural crest cells delaminate and begin to migrate away. (B) Pattern formation.
Dorsoventral pattern formation involves a competition between secreted signals from the notochord (Sonic hedgehog) and ectoderm (initially BMP4, but later other members of the TGF-
superfamily). As the neural plate folds up, the signals are expressed in the neural tube itself. The result is the activation of different transcription factors in different zones resulting in the
regional specification of different neuronal subtypes.
(C) Differentiation. The genes that control neurogenesis in the developing nervous system (the proneural and neurogenic genes) are also expressed in discrete zones along the
dorsoventral axis, possibly under the control of Pax3, Pax6 and Pax7 whose expression domains are defined in part by the Sonic hedgehog signal emanating from the notochord. The
expression domains of the proneural genes neurogenin, MATH1 and MASH1 are shown, while those of the neurogenic genes Notch, Delta and Serrate are not. Neural development is
characterized by the expression of the transcription factor NeuroD. Then different classes of neurons begin to express distinct groups of transcription factors. Those of the LIM
homeodomain family are especially important in the determination of subneuronal fates by regulating the behavior of projected axons.
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Figure 3.16: The nervous system as an example of the coordination of different developmental processes during organogenesis.
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primordial germ cells (PGCs) introduced into the testis will begin
to differentiate into sperm, and male PGCs introduced into the
ovary will begin to differentiate into oocytes. This may reflect the
regulation of the cell cycle, since PGCs entering the testis arrest
prior to meiosis while those entering the ovary commence
meiosis immediately. Therefore, PGCs of either sex that colonize
somatic tissue outside the gonad begin to differentiate into
oocytes since there is no signal to arrest the cell cycle. In all of
these unusual situations, however, functional gametes are not
produced. Differentiation aborts at a relatively late stage,
presumably because the genotype of the germ cells themselves
also plays a critical role in gamete development.
Unlike the situation with primary sex characteristics, it appears
that female secondary sex characteristics are the default state.
One of the genes regulated by SRY is NR5A1, which encodes
another transcription factor called steroidogenic factor 1
(SF1). This activates genes required for the production of male
sex hormones, including HSD17B3 (encoding hydroxysteroid17--dehydrogenase 3, which is required for testosterone
synthesis) and AMH (the gene encoding anti-Mullerian
hormone). Both hormones play important roles in the
differentiation of the male urogenital system. AMH, for
example, causes the Mullerian ducts (which become the
fallopian tubes and uterus in females) to break down.
Mutations inhibiting the production, distribution, elimination or
perception of such hormones produce feminized XY individuals.
For example, androgen insensitivity syndrome results from
defects in the testosterone receptor, which prevents the body
responding to the hormone even if it is produced at normal
levels. XY individuals with this disease appear outwardly as
normal females, but due to the effects of SRY and AMH they
possess undescended testes instead of ovaries, and they lack
a uterus and fallopian tubes. Mutations that lead to the
overproduction of male sex hormones in females have the
opposite effect, i.e. virilization of XX individuals. Occasionally,
this occurs in developing male/female fraternal twins, when
the female twin is exposed to male hormones from her brother.
The CYP19 enzyme converts androgens to estrogens so
mutations that increase its activity can result in the
feminization of males while those decreasing or abolishing its
activity can lead to the virilization of females.
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3.8
NEURAL DEVELOPMENT
Table 3.8: A selection of human developmental genes that have been associated with specific disease phenotypes.
Several major classes of gene products are considered: signaling proteins, receptors, transcription factors, structural
proteins and enzymes.
Gene
95
Associated disorder
Sonic hedgehog
Signaling protein responsible for patterning
the neural tube, somites, gut and limb buds
EDN3
GH1
LEFTB
FGFR3
EDNRB
KIT
Receptors
Piebaldism, characterized by congenital patches of white skin and hair due to the
failure of melanocyte proliferation
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Associated disorder
GHR
Laron dwarfism, a form of dwarfism where the serum levels of growth hormone are
normal and which is unresponsive to growth hormone therapy. Also known as
growth hormone insensitivity syndrome
Transcription factors
HOXD13
Polysyndactyly (extra fused digits) caused by the mis-specification of cell types and
the consequent formation of abnormal bone structures in the distal regions of the
limb
PAX6
Eye defects ranging from the mild ectopia pupillae (off-center pupils) to aniridia
(partial or complete absence of the iris, in combination with malformations of the
lens and anterior chamber, and corneal degeneration)
TBX5
Transcription factor expressed specifically HoltOram syndrome, a disorder of the upper limbs which also affects heart
in the forelimb region of the developing
development
embryo, has an important role in establishing
limb identity (arm vs leg development)
SRY
Structural proteins
COL6A1
Bethlem myopathy, involving the contraction of joints (particularly the elbows and
ankles), is due to the lack of collagen VI microfibrils. Overexpression may contribute
to the heart defects in Down syndrome.
ELN
Cutis laxa, loose and baggy skin resulting from permanent deformation can be
caused by abnormal and malfunctioning elastin
Aortic stenosis, caused by the deformation of the aorta
LAMA3
Junctional epidermolysis bullosa gravis, a skin blistering disorder where the basal
cells detach from the basement membrane
USH2A
Type II Ushers syndrome, characterized by severe deafness from birth and the onset
of retinitis pigmentosa in late teens
WRN
CYP11B1
HSD17B3
17 beta-hydroxysteroid dehydrogenase,
required for the synthesis of testosterone
EXT1
Enzymes
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3.9
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Further reading
Arias AM, Stewart A (2002) Molecular Principles of Animal
Development. Oxford University Press, Oxford.
Alberts B, Johnson A, Lewis J, Raff M, Roberts K, Walter P
(2001) Molecular Biology of the Cell, 4th Edn. Garland
Publishing, New York.
References
Bainter JJ, Boos A, Kroll KL (2001) Neural induction takes a
transcriptional twist. Dev. Dynamics 222, 315327.
Beddington RSP, Robertson EJ (1999) Axis development and
early asymmetry in mammals. Cell 96, 195209.
Bjornson CRR, Rietz RL, Reynolds BA et al. (1999) Turning brain
into blood: a hematopoietic fate adopted by adult neural stem
cells in vivo. Science 283, 354357.
Bokel C, Brown NH (2002) Integrins in development: Moving on,
responding to, and sticking to the extracellular matrix. Dev.
Cell 3, 311321
Bourne HR (1997) How receptors talk to trimeric G proteins. Curr.
Opin. Cell Biol. 9, 134142.
Burke AC (2000) Hox genes and the global patterning of the
somitic mesoderm. Curr. Top. Dev. Biol. 47, 155181.
Campisi J (1996) Replicative senescence: an old lives tale? Cell
84, 497500.
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REFERENCES
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