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|Blastocyst just before implantation|
|A human blastocyst, 5 days after fertilization|
|Gives rise to||Gastrula and inner cell mass|
The blastocyst is a structure formed in the early development of mammals. In humans, its formation begins 5 days after fertilization during the germinal stage of development. It possesses an inner cell mass (ICM) which subsequently forms the embryo. The outer layer of cells of the blastocyst are called the trophoblast. This layer surrounds the inner cell mass and a fluid-filled cavity known as the blastocoel. The trophoblast gives rise to the placenta.
The human blastocyst comprises 200-300 cells following rapid cleavage throughout this stage. This group of cells embeds itself into the endometrium of the uterine wall where it will undergo later developmental processes, including gastrulation.
The use of blastocysts in in-vitro fertilization (IVF) involves culturing a fertilized egg for five days before implanting it into the uterus. It can be more a viable method of fertility treatment than traditional IVF.
During human embryogenesis, the blastocyst arises from the morula in the uterus, 5 days after fertilization. The early embryo undergoes cell differentiation and structural changes to become the blastocyst. It is then prepared for implantation into the uterine wall 6 days after fertilization. Implantation marks the end of the germinal stage and the beginning of the embryonic stage of development.
The morula, which precedes the blastocyst, is an early embryo composed of 16 undifferentiated cells. Shortly following the morula's entry into the uterus from the Fallopian tube, the morula becomes the blastocyst through cellular differentiation and cavitation. The morula's cells differentiate into two types: an inner cell mass growing on the interior of the blastocoel and trophoblast cells growing on the exterior. The animal pole refers to the side of the blastocyst where the ICM resides, while the vegetal pole is on the opposite side. Cavitation is the process by which the outer trophoblast cells secrete fluid inside the embryo. The trophoblast cells pump sodium ions into the center of the embryo, which causes water to enter through osmosis. This forms an internal fluid-filled cavity called the blastocoel. This distinguishable blastocoel cavity in addition to cellular specification are both hallmark identities of the blastocyst.
Implantation is critical to the survival and development of the early embryo. It establishes a connection between the mother and the early embryo which will continue through the remainder of the pregnancy. Implantation is made possible through structural changes in both the blastocyst and endometrial wall. The zona pellucida surrounding the blastocyst breaches, referred to as hatching. This removes the constraint on the physical size of the embryonic mass and exposes the outer cells of the blastocyst to the interior of the uterus. Furthermore, hormonal changes in the mother, specifically a peak in luteinizing hormone (LH) prepares the endometrium to receive the blastocyst and envelope it. Once bound to the extracellular matrix of the endometrium, trophoblast cells secrete enzymes and other factors to embed the blastocyst into the uterine wall. The enzymes released degrade the endometrial lining, while autocrine growth factors such as human chorionic gonadotropin (hCG) and insulin-like growth factor (IGF) allow the blastocyst to further invade the endometrium.
Implantation in the uterine wall allows for the next step in embryogenesis, gastrulation, which includes formation of the placenta from trophoblastic cells and differentiation of the ICM into the amniotic sac and epiblast.
The blastocyst is made up of blastomere cells and the blastocoel.
There are two types of blastomere cells:
Multiple processes control cell lineage specification in the blastocyst to produce the trophoblast, epiblast, and primitive endoderm. These processes include: gene expression, cell signaling, cell-cell contact and positional relationships, and epigenetics.
Once the ICM has been established within the blastocyst, this cell mass prepares for further specification into the epiblast and primitive endoderm. This process of specification is determined in part by Fibroblast Growth Factor (FGF) signaling which generates a MAP kinase pathway to alter cellular genomes. Further segregation of blastomeres into the trophoblast and inner cell mass are regulated by the homeodomain protein, Cdx2. This transcription factor represses the expression of Oct4 and Nanog transcription factors in the trophectoderm. These genomic alterations allow for the progressive specification of both epiblast and primitive endoderm lineages at the end of the blastocyst phase of development preceding gastrulation.
Trophoblasts express integrin on their cell surfaces which allow for adhesion to the extracellular matrix of the uterine wall. This interaction allows for implantation and also triggers further specification into the 3 different cell types, preparing the blastocyst for gastrulation.
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Levels of human chorionic gonadotropin secreted by the blastocyst during implantation is the factor measured in a pregnancy test. HCG can be measured in both the blood and urine to determine if a woman is pregnant. More hCG is secreted in a multiple pregnancy. Blood tests of hCG can also be used to check for abnormal pregnancies.
In vitro fertilization is an alternative to traditional in vivo fertilization for fertilizing an egg with sperm and implanting that embryo into a female’s womb. For many years the embryo was inserted into the fallopian tube two to three days after fertilization. However at this stage of development it is very difficult to predict which embryos will develop best, and several embryos were typically implanted. Several implanted embryos helped to guarantee that there would be a developing fetus but it also led to the development of multiple fetuses. This was a major problem and drawback for using embryos to IVF.
A recent breakthrough in in vitro fertilization is the use of blastocysts. A blastocyst would be implanted five to six days after the eggs had been fertilized. After five or six days it is much easier to determine which embryos will result in healthy live births. Knowing which embryos will succeed allows just one blastocyst to be implanted, cutting down dramatically on the health risk and expense of multiple births. Now that the nutrient sources for embryonic and blastocyst development has been determined, it is much easier to give embryos the correct nutrients in order to sustain them into the blastocyst phase. Blastocyst implantation through in vitro fertilization is a painless procedure in which a catheter is inserted into the vagina, guided through the cervix via ultrasound, into the uterus where the blastocysts are inserted into the womb.
Blastocysts also offer an advantage because they can be used to genetically test the cells to check for genomic problems. There are enough cells in a blastocyst that a few trophectoderm cells are able to be removed without disturbing the developing blastocyst. These cells can be tested for chromosome aneuploidy using preimplantation genetic screening (PGS).