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CHAPTER f 8
eee
: THE DEVELOPMENT OF THE
CIRCULATORY SYSTEM
INTRODUCTION TO THE EMBRYONIC CIRCULATION
‘The plan of the embryonic heart and vascular system‘is bound by three major
constraints. First it must mect the immediate needs of the embryo at its various
stages of development by supplying it with oxygen, nutrients, and other
essential materials for growth while at the same time removing CO and other
metabolic wastes. For this, only a simple unidirectional pumping action is
required of the heart to move the blood along channels supplying the develop-
ing organs of the embryo.
To meet the requirements of respiration, nutrition, and excretion, two
extraembryonic circulatory arcs have developed (Fig. 8-17). The arc to the yolk
sac, the vitelline arc, supplies foodstuffs to all large-yolked vertebrate em
bryos; however, in mammals the yolk sac and vitelline circulation persist for
what were originally probably subsidiary functions, the origin and transport of
primordial germ cells and primitive blood cells. The large allantois of amniote
eggs (with its circulatory arc) was originally the chief organ of respiration and
deposition of excretory wastes, but as the placenta in mammals evolved into a
more efficient organ of exchange, the allantois correspondingly became re
duced in prominence. The allantoic circulation, however, has been incorpo
rated into the placenta and continues to serve its original functions.
In addition to satisfying the relatively simple requirements of the embryo
the plan of the embryonic circulation in amniotes must also anticipate the
ee needs of the embryo once it hatches from the egg or is delivers’
« mother's uterus (Fig. 18-1). The most immediate and critical adjust”
ment to birth is the need of the new! aaa F tly.
i 4 ly born dependently:
Breathing requires that the lunge 2 re ae aoe to breathe indep:
¢ developed tardily from the
586
Dipindai dengan CamScannerrte
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Risht ventricle,
Frlnonery tp
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a,
rel ie | 5
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set
» track,
hee
Eh
Pete
Ureter,
ebete tinker
Pas
Ades
Teles
Serie
FIGURE 16-1 i
Pian of tne postnatal circulation. (Aer Paton, 1963, nFsoan Bit ete eae
nal Foundation and the J. B. Lippincott Company. Th ee eat
eng UGE ere important fetal vessels (Fe 1420) wn a ”
acu reduced to fibrous cords. indicates the vatwla foram
vats ne soca poston garda foc posal ua (See cored set)
587
Dipindai dengan CamScanner588 THE DEVELOPMENT OF THE CIRCULATORY SYSTEM
morphological standpoint and are untested functionally, begin to function at
full capacity immediately after birth. Because of this, the embryonic heart
cannot be content with remaining in its original condition, as a simple tube with
the blood passing through it in an undivided stream, Early in embryonic life it
must be converted into an elaborately valved four-chamber organ, partitioned
in the midline and pumping from: its right side a pulmonary stream which is
retumed to the left side and pumped out again as a systemic bloodstream, Ang
the heart cannot cease work while making its internal alterations; there can be
no interruption in the current of blood which it pumps to the growing embryo,
The systemic, as well as the pulmonary, part of the circulation must be
Prepared. Because of the delayed development and restricted vascular bed of
the embryonic lungs, the left side of the heart receives less blood from the
Pulmonary veins than the right side of the heart receives from the venae cavae,
Yet after birth the left ventricle is destined to do more work than the right
ventricle. On the other side of the coin, the right ventricle receives More blood
than can be accommodated by the pulmonary circulation, These and other
problems of the embryonic heart are solved by the presence of shunts, which
act like safety valves, allowing the various chambers of the heart to obtain the
exercise they need for their Tequired development but not overloading the
Pulmonary vasculature beyond its limited carrying capacity,
Besides meeting immediate and future physiological needs, the circulatory
Dipindai dengan CamScannerEMBRYONIC HEMATOPOIESIS 599
FIGURE 18-2
Sites of primary
: erythropoiesis (shaded gray)
in amphibian (A) and bird (B)
‘embryos.
again to functional significance, for the relationship of the aortic arches to the
sill arches writes into the story of individual development an unequivocal
record of the evolutionary phase when the gills were a center of primary
metabolic importance. Other examples of recapitulation in the circulatory
system are the previously mentioned persistence of the vitelline circulatory arc
long after the yolk sac has abandoned its original nutritive function and the
series of highly developed venous channels in the mesonephros, even when it
is destined to degenerate later in development.
EMBRYONIC HEMATOPOIESIS
The first blood cells are produced in extraembryonic sites as small groups of
mesodermal cells called blood islands (Fig. 18-2). The early ood islands are
located next to the endodermal wall of the yolk sac (Fig. 18-3), and in : chic!
the differentiation of blood islands has been shown io depend on af ericron
between the splanchnic mesoderm and the underlying en’orr , 1965).
alan island become flattened-as a
Cells in the outer zone of the primordial Seed eeeay located cells,
Young vascular endothelium and SPEC ig.3B). Within the endothelial
which become hematopoietic stem cells (Fi IO). Nery Cay!
Vesicles, fluid accumulates and suspends the de\ ne onoecopoiess in the
There is a temporal progression of maior se" Ce Cen ig the yolk s3c.
el .-6). The first hematopoietic Het" yund in the liver and
aes a dominant sites of hematopoiesis re eet experiments
spleen, body mesenchyme, and Sinai te Oh toa chick yolk sae) have shown
oie bij sail body 8F etic sursor cells in the
on chimeric bird embryos Ke ulations of ‘hematopoietic breenibryonic) arises
ae eng Se ra
mbryo (Dieterien-Lievre. !
Dipindai dengan CamScanner590 THE DEVELOPMENT OF THE CIRCULATORY SYSTEM
& 4 Unb. ven
veusanan spt ani abet
FIGURE 18-3 MINP Bog Yolk.
sepment ot yok-sac blood islands in human embryus. A-C are camera lucida drawings, re
coders eae (A) Early stage in aggregation of cols behvncy endoderm and splanchrie me:
in yok sae ofan embryo early in fourth week {17 somites). (B) Beginning of diferenta-
fon ol endothe and primitive blood cells rome embryo of about 4 weeks (4.5 mm). (C) A
cles euaponeey, net om a 4:Week embryo showing ‘endothelium well differentiated and corpus:
Hee FeSBENGEd, feo, in plasma. (0) The Doone somite embryo showing location of young
blood islands on yok sac, (Camegie Cont. to Emb., 1829, vor 20) Abbreviation: Heb., primitive
blood-mother-cet, or hemocytoblent
in the yolk sac and constitut
new population of hémato
mesoderm, produces a f erythrocytes that Progressively replaces
the yolk sac-derived Sothrocytes. The cells in the liver and spleen, and
ultimately the bone Marrow, are those which give rise to the erythroid series
(Cells forming red blood cells, or erythrocytes) and the granulocytic series (cells
lated White blood Cells, or neutrophils, eosinophils, and
ntral lym ins, the thymus and the bursa of Fabri=
id cells (lymphocytes and monocytes):
: I iia
8 in the central lymphoid organs,
In later life other pa eed the peripheral lymphoid tissues (see Chap. 19.
Dipindai dengan CamScannerERYTHROPOIESIS ANO HEMOGLOBIN FORMATION 591.
envTHROPOIESIS AND HEMOGLOBIN FORMATION
Enthropoiesis is the process by Which a mature red blood cell (erythrocyte)
faaded with hemoglobin molecules differentiates from primitive hemocyto-
Hastie stem ceils. Erythropoiesis can be viewed from several aspects and
jevels of organization. At the tisste and organ level, there are three major
phases in erythropoiesis (Fig. 18-6, bottom). For a brief period the only
Hood-forming activity occurs extraembryonically, in the yolk sac. After the
cecond month the major sites of erythropoiesis shift from the yolk sac to
jintraembryonic organs. The second major phase is the hepatic period
{roughly the third through seventh months of human pregnancy), during
which the liver and spleen are the dominant hematopoietic organs. Finally,
late in pregnancy the bone marrow takes over as the defi
erythropoiesis in higher vertebrates
The differentiation of individual erythrocytes must also be viewed in the
context of their site of origin. The first erythrocytes are derived from the
original population of yolk-sac precursors. These cells differentiate relatively
synchronously and are released into the bloodstream at an early stage of
differentiation. Maturation is completed in the bloodstream, and in mammalian
embryos the yolk sac-derived erythrocytes are nucleated.
Differentation of the erythrocytes derived from intraembryonic precursor
cells has been extensively studied with respect to both cellular morphology
and production of hemoglobin. Both light and electron microscopic prepara~
tions show a series of developmental stages which are classical for a cell that
is heavily engaged in the production of intracellular protein (Fig. 18-4). From
the hemocytoblast, a primitive cell that is considered by many.to be the stem
cell for all families of blood cells, the erythrocyte line first appears as a highly
basophilic cell called a proerythroblast. These cells have undergone sufficient
restriction to be firmly committed to the production of red blood cells, but
they have not yet begun to produce hemoglobin in amounts sufficient to a
detected by cytochemical analysis. They have large nuclei with prominet
Aucleoli and largely uncondensed nuclear chromatin. Synthesis of globin
TRNA is high. The cytoplasm contains aggregates of mainly free ribosomes,
Which will be used in intracellular protein synthesis. hromato-
Subsequent stages of erythroid differentiation (basophilic, polychromale.
Philic, and orthochromatic erythroblasts) show a progressive change 1 (it
balance between the accumulation of newly synthesized hemoglobin Ms
Sules and the decline of first the RNA-producing pa een continu
aejeit-syathesizing apparatus. During ieee ane (eharacteristic of.
usly stains less basophilically as its eosinophil i (oars changes
Sccumulated protein) increases in intensity. Corresponding Morr
¥S decrease in the concentration of ribosomes in the cytoplasm tay
Shows signs of its inexorable pathway toward inactivation ac tary ig
its steadily decreasing size, the progressive condensation OT atic
and the elimination of the nucleolus. Finally, the late
Ik-sac erythro-
Srythroblast extrudes its pycnotic nucleus. In contrast to yol
ive site for
Dipindai dengan CamScannersvsTeM
yt oF THE CIRCULATORY
592 THE DEVELOPME!
Proerythroblas,
ile
Polychromatopti
erythroblast
Orthochromatie
exythroblast
Erythrocyte
Reticulocyte
FIGURE 18-4 :
i atic i i hemogle-
Suocessive stages in the diferentiation of an erythrocyte. increasing concentrations of
bin are indicated by the Intensity of the gray shading in the cytoplasm. {Adapted from Rifkind,
1874 in Lash and Whittaker, eds,, Concepts of Povelopment, Sinauer Assoc.) *
Poiesis, the changes normally occur within the hematoy
Only after it has lost its nucleus is the cell,
into the bloodstream, Reticulocytes sti
Somes, and they Continue
poietic tissues, and
ustice to the extent to which the
ed to fulfilling its function. 7
Dipindai dengan CamScannerERYTHROPOIESIS AN HEMOGLOBIN FORMATIgN 593
Chromosome 11
Y
fore
=
i (
2
om
Major
aut
FIGURE 10-5
Seauenial geno activation along chromosomes 11 and 16 In he-
denahin synthesis curing development. (Ater &. Gibor, 108s
Developmental Biology, Sinaver)
There are developmental changes in the hemoglobin molecule itself. The
hemoglobin molecule (MW 64,500) contains four polypeptide chains (giobin)
ChuPlexed to a molecule of heme. The human globin genes are located on
fhromesomes 11 and 16 (Fig. 18-5), and during embryonic development there
Gnu oderly succession of pairs of globin types (with a pair derived from each
{hfomosome) contributing to the hemoglobin molecule. The earliest hemoglo-
bin molecule (embryonic hemoglobin) contains a pair of {globin molecules
derived from chromosome 16 and a pair of eglobin chains from chromosome 11
jecched to the heme molecule. A pair of a-globin molecules, specified by genes
located on chromosome 16, soon supplants the original pair of — ati
ane from this point on, regacaless of the type of hemoglobin, two of the globit
Shains are always a molecules. 7
asEbtvonic hemoglobin is present for only a couple of months, after which