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Textbook Developmental Biology Michael J F Barresi Ebook All Chapter PDF
Textbook Developmental Biology Michael J F Barresi Ebook All Chapter PDF
Barresi
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I ncluded w it h t h is b oo k
YOUR Guide to
I ncluded w it h t h is b oo k
DevBio Laboratory: Vade Mecum 3
labs.devbio.com 9
Designed to complement the textbook, this unique resource helps you understand the
organisms discussed in lecture and prepares you for the laboratory. DevBio Laboratory:
Vade Mecum3 is available online, which allows you the flexibility to use the software from
any computer or mobile device. The Genetics of
Over 140 interactive videos and 300 labeled photo- Axis Specification
in Drosophila
graphs take you through the life cycles of model organ-
isms used in developmental biology laboratories. The
easy-to-use videos provide you with the concepts, Opening Question
vocabulary, and motivation to enter the laboratory fully and Photo
prepared. A chapter on zebrafish addresses how to
raise the organism and the effects of various terato- Each chapter begins with
gens on embryonic development. The site also includes an intriguing question and THANKS LARGELY TO STUDIES spearheaded by Thomas Hunt Morgan’s laboratory
chapters on: the slime mold Dictyostelium discoideum; photo, encouraging your during the first two decades of the twentieth century, we know more about the genetics of
learning and discovery as Drosophila melanogaster than that of any other multicellular organism. The reasons have to
planarian; sea urchin; the fruit fly Drosophila melanogas- do with both the flies themselves and with the people who first studied them. Drosophila
the concepts unfold.
ter; chick; and amphibian. is easy to breed, hardy, prolific, and tolerant of diverse conditions. Moreover, in some
larval cells, the DNA replicates several times without separating. This leaves hundreds of
strands of DNA adjacent to each other, forming polytene (Greek, “many strands”) chro-
mosomes (FIGURE 9.1). The unused DNA is more condensed and stains darker than the
regions of active DNA. The banding patterns were used to indicate the physical location
ADDITIONAL FEATURES INCLUDE: of the genes on the chromosomes. Morgan’s laboratory established a database of mutant
strains, as well as an exchange network whereby any laboratory could obtain them.
n Movie excerpts from Differential Expressions 2: n Laboratory Manual: The Third Edition of Mary Historian Robert Kohler noted in 1994 that “The chief advantage of Drosophila initially
was one that historians have overlooked: it was an excellent organism for student proj-
Short video excerpts about key concepts in S. Tyler’s laboratory manual, Developmental ects.” Indeed, undergraduates (starting with Calvin Bridges and Alfred Sturtevant) played
development Biology: A Guide for Experimental Study, important roles in Drosophila research. The Drosophila genetics program, says Kohler, was
“designed by young persons to be a young person’s game,” and the students set the rules
n PowerPoint® slides of chick wholemounts and designed for use with the multimedia chapters for Drosophila research: “No trade secrets, no monopolies, no poaching, no ambushes.”
serial sections for self-quizzing and creating tests of DevBio Laboratory: Vade Mecum3 What changes in
Jack Schultz (originally in Morgan’s laboratory) and others attempted to relate the
The Punchline
burgeoning supply of data on the genetics of Drosophila to its development. But Drosophila
development caused
n Study Questions was a difficult organism on which to study embryology. Fly embryos proved complex
n Full video instruction on histological techniques this fly to have four Herenor
and intractable, being neither large enough to manipulate experimentally you will be clearly
transparent and
n Laboratory Skills Guides wings instead of two? quickly guided toward the
n Glossary: Every chapter of the Laboratory big principles that will be
Manual includes an extensive glossary. exemplified in the chapter.
The Punchline
The development of the fruit fly is extremely rapid, and its body axes are specified
by factors in the maternal cytoplasm even before the sperm enters the egg. The
To access DevBio Laboratory: Vade Mecum 3:
anterior-posterior axis is specified by proteins and mRNAs made in maternal nurse
3
1. Retrieve your VM registration code from your ebook bookshelf. Click here for directions. cells and transported into the oocyte, such that each region of the egg contains
different ratios of anterior- and posterior-promoting proteins. Eventually, gradients
2. Go to http://labs.devbio.com. of these proteins control a set of transcription factors—the homeotic proteins—that
specify the structures to be formed by each segment of the adult fly. The dorsal-
3. Click “Register Using a Registration Code”, and follow the instructions to create an account. ventral axis is also initiated in the egg, which sends a signal to its surrounding
4. Login at http://labs.devbio.com using your email and new password. follicle cells. The follicle cells respond by initiating a molecular cascade that leads
both to cell-type specification and to gastrulation. Specific organs form at the
intersection of the anterior-posterior axis and the dorsal-ventral axis.
Important Note: Each code is valid for only one registration. New registration codes
can be purchased online at labs.devbio.com.
YOUR Guide to
I ncluded w it h t h is b oo k
Developmental Biology
9
The Genetics of
Axis Specification
Opening Question
in Drosophila
and Photo
Scientists Speak (A) Antenna (B) fIgurE 9.26 (A) Head of a wild-type
fruit fly. (B) Head of a fly containing the
Antennapedia mutation that converts
antennae into legs. (A © Eye of Science/
In these interviews, Science Source; B © Science VU/Dr. F.
Rudolph Turner/Visuals Unlimited, Inc.)
emerging topics in
developmental biology
are discussed by lead-
ing experts in the field.
can be detected in specific regions of the embryo (see Figure 9.24B) and are especially developing Questions
prominent in the central nervous system.
Homeobox genes specify
the anterior-posterior body
SCIENTISTS SPEAK 9.3 Listen to this interview with Dr. Walter Gehring, who
axis in both Drosophila and
Web Topic spearheaded investigations that unified genetics, development, and evolution,
leading to the discovery of the homeobox and its ubiquity throughout the animal
humans. How come we do
not see homeotic mutations
kingdom. that result in extra sets of
limbs in humans, as can
Here you are provided with WEb Topic 9.5 INITIATIoN ANd mAINTENANCE of homEoTIC gENE ExPrES- happen in flies?
more information about SIoN Homeotic genes make specific boundaries in the Drosophila embryo. Moreover,
the protein products of the homeotic genes activate batteries of other genes, specifying
cutting-edge topics, as well as the segment.
This feature provides SCIENTISTS SPEAK 9.4 Two videos featuring Dr. Trudi Schupbach
Next Step Investigation
show how the anchoring and regulation of the Gurken protein are
insights into some of accomplished in the Drosophila embryo.
The precision of Drosophila transcription patterning is gene expression, and they may cooperate (B) or compete with
the field’s greatest remarkable, and a transcription factor may specify whole the main enhancer. Some of these shadow enhancers may
fIgurE 9.27 Expression of Gurken between the oocyte nucleus and the
challenges, inspiring regions or small parts. Some of the most important work under particular physiological stresses. New studies
dorsal anterior cell membrane. (A) The gurken mRNA is localized between the
regulatory genes in Drosophila, such as the gap genes, are showing that the robust phenotypes of flies may result
curiosity and further oocyte nucleus and the dorsal follicle cells of the ovary. Anterior is to the left;
have been found to have dorsal
“shadow enhancers,” secondary
faces upward. (B) A more mature oocyte from an entire
shows Gurkenseries of (yellow)
protein secondary enhancers that are able
enhancers that may be quite distant fromregion.
the gene. is stained red,toshowing
ActinThese improvise for differentAsconditions (Bothma et al. 2015).
exploration. across
shadow enhancers seem oocyte
the dorsal
to be critical
grows,for thecells
follicle fine-tuning of
migrate across
cell boundaries.
the top of the oocyte, where they
the
Closing Thoughts appendages follow similar rules for their extension. We now know that many mutations affecting segmentation
of the adult fly in fact work on the embryonic modular unit, the parasegment (see pp. 234 and 240). You should
on the Opening keep in mind that, in both invertebrates and vertebrates, the units of embryonic construction often are not the
same units we see in the adult organism. (Photograph courtesy of Nipam Patel.)
Photo
Snapshot Summary
Coming full circle, this 9 Snapshot Summary
This closing feature provides
feature relates chapter Drosophila Development and Axis Specification
Gilbert Developmental Biology 11/e
you with a step-by-step break-
concepts back to the 1. Drosophila cleavage is superficial. The nuclei divide 13 • There is a temporal order wherein different classes of
Gil_DevBio11e_09.27
times before forming cells. Before cell formation, the
down of the chapter text.
genes are transcribed, and01/19/16
the products of one gene
Opening Question and nuclei reside in a syncytial blastoderm. Each nucleus is often regulate the expression of another gene.
surrounded by actin-filled cytoplasm. • Boundaries of gene expression can be created by
Photo. 2. When the cells form, the Drosophila embryo undergoes the interaction between transcription factors and
a mid-blastula transition, wherein the cleavages become their gene targets. Here, the transcription factors
asynchronous and new mRNA is made. At this time, transcribed earlier regulate the expression of the next
there is a transfer from maternal to zygotic control of set of genes.
development. • Translational control is extremely important in the
3. Gastrulation begins with the invagination of the most early embryo, and localized mRNAs are critical in
ventral region (the presumptive mesoderm), which patterning the embryo.
causes the formation of a ventral furrow. The germ band • Individual cell fates are not defined immediately.
expands such that the future posterior segments curl just Rather, there is a stepwise specification wherein
behind the presumptive head. a given field is divided and subdivided, eventually
regulating individual cell fates.
4. The genes regulating pattern formation in Drosophila
operate according to certain principles: 5. Maternal effect genes are responsible for the initiation
All Web Topics, Dev Tutorials, Watch Development, and Scientists Speak
• There are morphogens—such as Bicoid and
Dorsal—whose gradients determine the specification
of anterior-posterior polarity. bicoid mRNA is bound by
its 3′UTR to the cytoskeleton in the future anterior pole;
nanos mRNA is sequestered by its 3′UTR in the future
of different cell types. In syncytial embryos, these
morphogens can be transcription factors. posterior pole. hunchback and caudal messages are
seen throughout the embryo.
enough to observe microscopically. It was not until the techniques of molecular biol-
ogy allowed researchers to identify and manipulate the insect’s genes and RNA that
its genetics could be related to its development. And when that happened, a revolution
occurred in the field of biology. This revolution is continuing, in large part because of
the availability of the complete Drosophila genome sequence and our ability to generate
transgenic flies at high frequency (Pfeiffer et al. 2009; del Valle Rodríguez et al. 2011).
Researchers are now able to identify developmental interactions taking place in very
small regions of the embryo, to identify enhancers and their transcription factors, and
Vade Mecum to mathematically model the interactions to a remarkable degree of precision (Henge-
Gilbert Developmental Biology 11/e
nius et al. 2014).
Gil_DevBio11e_09.01
01/19/15
This interactive website Early Drosophila Development
will help you understand We have already discussed the specification of early embryonic cells by cytoplasmic
determinants stored in the oocyte. The cell membranes that form during cleavage
the organisms discussed establish the region of cytoplasm incorporated into each new blastomere, and the mor-
in the course, preparing phogenetic determinants in the incorporated cytoplasm then direct differential gene
expression in each cell. But in Drosophila development, cell membranes do not form
you for the lab. until after the thirteenth nuclear division. Prior to this time, the dividing nuclei all
share a common cytoplasm and material can diffuse throughout the whole embryo.
vaDE mEcUm
The specification of cell types along the anterior-posterior and dorsal-ventral axes is
The fruit fly chapter has remark- accomplished by the interactions of components within the single multinucleated cell.
able time-lapse sequences, Moreover, these axial differences are initiated at an earlier developmental stage by the
including footage of cleavage position of the egg within the mother’s egg chamber. Whereas the sperm entry site may
and gastrulation. This chapter
fix the axes in nematodes and tunicates, the fly’s anterior-posterior and dorsal-ventral
also provides access to the fly
axes are specified by interactions between the egg and its surrounding follicle cells
Watch Development life cycle.
prior to fertilization.
Putting concepts into action, Watch DEvElopmEnt 9.1 The website “The Interactive Fly” features movies illustrat-
ing all aspects of Drosophila development.
these informative videos show
you real-life developmental
biology processes.
143 Chapter 5
1
There are many different stem cells and so their status as “undifferentiated” really only per-
tains to the retained ability to divide, but they are in fact a defined cell type.
Scott F. Gilbert
Swarthmore College and the University of Helsinki
Michael J. F. Barresi
Smith College
Printed in U.S.A.
5 4 3 2 1
To Daniel, Sarah, David, and Natalia
S. F. G.
To Scott Gilbert
who offered me this opportunity.
&
To my family, Heather, Samuel, Jonah, Luca, and Mateo
who enabled me to take advantage of this opportunity.
M. J. F. B.
Brief Contents
Chapter 18 Intermediate and Lateral Plate Mesoderm: Heart, Blood, and Kidneys 581
Chapter 20 The Endoderm: Tubes and Organs for Digestion and Respiration 653
VI Postembryonic Development
Chapter 21 Metamorphosis: The Hormonal Reactivation of Development 671
Chapter 25 Development and the Environment: Biotic, Abiotic, and Symbiotic Regulation of Development 763
Chapter 1 Chapter 2
Making New Specifying Identity:
Bodies: Mechanisms Mechanisms of
of Developmental Developmental
Organization 1 Patterning 29
Stem Cells Fueling the Diverse Cell Lineages in Adult Other stem cells supporting adult tissue maintenance
Blood 161 and regeneration 165
The hematopoietic stem cell niche 161 The Human Model System to Study Development and
Regulatory mechanisms in the endosteal niche 163 Disease 167
Regulatory mechanisms in the perivascular niche 163 Pluripotent stem cells in the lab 167
The Mesenchymal Stem Cell: Supporting a Variety of Induced pluripotent stem cells 171
Adult Tissues 164 Organoids: Studying human organogenesis in a culture
Regulation of MSC development 165 dish 174
Stem Cells: Hope or Hype? 176
Chapter 7
Chapter 6 Fertilization:
Sex Determination Beginning a New
and Gametogenesis 181 Organism 217
Chapter 11
Amphibians Chapter 12
and Fish 333 Birds and Mammals 379
Chapter 15
Chapter 13 Neural Crest
Neural Tube Formation Cells and Axonal
and Patterning 413 Specificity 463
Adhesive specificities in different regions of the optic Formation of the Eye Field: The Beginnings of the
tectum: Ephrins and Ephs 506 Retina 521
Synapse Formation 508 The Lens-Retina Induction Cascade 523
A Program of Cell Death 509 Lens and cornea differentiation 525
Activity-dependent neuronal survival 511 Neural retina differentiation 526
Differential survival after innervation: The role of The Epidermis and Its Cutaneous
neurotrophins 511 Appendages 528
Origin of the Epidermis 528
The Ectodermal Appendages 529
Recombination experiments: The roles of epithelium and
Chapter 16 mesenchyme 530
Ectodermal Placodes and Signaling pathways 531
the Epidermis 517 Ectodermal appendage stem cells 533
Coda 537
Migration of the cardiac precursor cells 596 Turing’s model: A reaction-diffusion mechanism of
Initial heart cell differentiation 599 proximal-distal limb development 631
Blood Vessel Formation 601 Specifying the Anterior-Posterior Axis 635
Vasculogenesis: The initial formation of blood vessels 601 Sonic hedgehog defines a zone of polarizing activity 635
Angiogenesis: Sprouting of blood vessels and remodeling Specifying digit identity by Sonic hedgehog 636
of vascular beds 604 Sonic hedgehog and FGFs: Another positive feedback
Anti-angiogenesis in normal and abnormal loop 639
development 605 Hox specification of the digits 640
Hematopoiesis: Stem Cells and Long-Lived A Turing model for self-organizing digit
Progenitor Cells 605 skeletogenesis 642
Sites of hematopoiesis 606 Generating the Dorsal-Ventral Axis 644
The bone marrow HSC niche 608 Cell Death and the Formation of Digits and
Hematopoietic inductive microenvironments 609 Joints 645
Coda 610 Sculpting the autopod 645
Forming the joints 646
Continued limb growth: Epiphyseal plates 647
Fibroblast growth factor receptors: Dwarfism 648
Chapter 19 Evolution by Altering Limb Signaling Centers 649
Development of the
Tetrapod Limb 613
Chapter 20
Limb Anatomy 613 The Endoderm:
The Limb Bud 614 Tubes and Organs
Hox Gene Specification of Limb Skeleton for Digestion and
Identity 616 Respiration 653
From proximal to distal: Hox genes in the limb 616
From fins to fingers: Hox genes and limb evolution 617
Determining What Kind of Limb to Form and Where The Pharynx 655
to Put It 619 The Digestive Tube and Its Derivatives 657
Specifying the limb fields 619 Specification of the gut tissue 658
Induction of the early limb bud 620 Accessory organs: The liver, pancreas, and
Outgrowth: Generating the Proximal-Distal Axis of gallbladder 660
the Limb 625 The Respiratory Tube 666
The apical ectodermal ridge 625
Specifying the limb mesoderm: Determining the
proximal-distal polarity 627
Heterochrony 795
Heterometry 796
Chapter 26 Heterotypy 798
Development and Developmental Constraints on Evolution 799
Evolution: Developmental Selectable Epigenetic Variation 801
Mechanisms of Evolutionary Genetic assimilation 804
Change 785 Fixation of environmentally induced phenotypes 806
Coda 807
Descent with Modification: Why Animals Are Alike
and Different 786 Glossary G-1
Preconditions for Evolution: The Developmental
Structure of the Genome 786
Author Index AI-1
Modularity: Divergence through dissociation 787 Subject Index SI-1
Molecular parsimony: Gene duplication and
divergence 789
Deep Homology 792
Mechanisms of Evolutionary Change 793
Heterotopy 794
From the Authors
From Scott Gilbert adult cells are its descendants. The techniques of computer-
A BIOLOGIST, A PHILOSOPHER, AND A THEOLOGIAN enhanced visualization have given scientists amazing new
WALK INTO A BAR. Yes, it actually happened, in the chill of technologies to see embryonic development.
a winter night in Finland! A group of enthusiastic people lis- A fourth difference is the idea that animal development,
tened as the moderator asked what each of them considered to even that of mammals, is significantly influenced by the envi-
be the most important story people need to know. The Chris- ronment. The data that have accumulated for developmental
tian theologian said that the most important story was salva- plasticity and the roles of microbes in normal development
tion through God’s grace. The analytic philosopher disagreed, have increased remarkably over the past several years.
saying that the most important story for mankind was that of Finally, a fifth difference concerns the way science is taught.
the Enlightenment. The developmental biologist knew that he The “sage on the stage” model, where lectures generate the
was supposed to say “evolution.” But evolution is the conse- flow of information down a gradient from higher concentra-
quence of another, more fundamental story. So the biologist tion to lower, has been supplemented by the “guide on the
claimed that most inspiring and meaningful story was how the side.” Here, the professor becomes a facilitator or capacitator
embryo constructs itself. You pass from unformed zygote to the of discussion while the students are encouraged to discover the
adult organism with its heart, brain, limbs, and gut all properly information for themselves.
differentiated and organized. It is a story of how newness is Indeed, education is sometimes referred to as “develop-
created, how one keeps one’s identity while building oneself, ment,” and there are many similarities between education
and how global forces and local forces work together to gener- and embryology. The two fields have exchanged metaphors
ate a functional entity. This is the story we tell in this book. constantly for the past two centuries, and two German words
In the Ninth and Tenth editions of Developmental Biology, we that have been used for both development and education—Bil-
speculated that the study of animal development was undergo- dung and Entwicklung—connote education by experience and
ing metamorphosis. The field has not reached the climax phase education by instruction, respectively. Both work in different
yet, but certain differences between the previous edition and situations. So in this edition of Developmental Biology, we have
one in your hands (or on your screen) are definitely appar- tried to facilitate those professors who wish to experiment with
ent. The first can be seen on the cover. Developmental biology different teaching methods. As in embryology, we don’t expect
has been charged with a huge undertaking—nothing less than one method to be best for all occasions.
discovering the anatomical and genetic bases of neural orga- To all these ends, this book has metamorphosed to embrace a
nization and behaviors. This task was part of developmental co-author. Michael J. F. Barresi is expert in all these areas of stem
biology when it was reformulated in the early 1900s (especially cells, developmental neurobiology, and new techniques of learn-
by the American C. O. Whitman), but it had dropped out of ing and teaching. It’s been 30 years since the first edition of this
the portfolio as being “too complicated” and not amenable book was published, and I wanted a young professor to recon-
for study. Today, however, developmental neurobiology is an figure this book into a learning tool that a new generation of
increasingly large part of developmental biology. Among many teachers could use to inspire a new generation of students. Enter
other things, developmental biology is becoming necessary for Michael. Michael did not want just cosmetic changes in the book.
cognitive science. He proposed a radical re-envisioning of its mission: to educate
The second difference between this and previous editions is students to appreciate and participate in developmental biology.
the prominence of stem cells. From being a small area of devel- Michael convinced us that we needed to rearrange the order
opmental biology, stem cell research has grown so fast as to have of the chapters, add some chapters and shorten others, alter
its own scientific societies. Not only do stem cells provide expla- the ways that the material is presented within the chapters,
nations for organ development, they also hold the tantalizing and give all chapters more supplemental material for “flipped”
possibility of organ regeneration. Recent work, detailed in this classes, case studies, and other means of learning. The extra
book, shows how knowledge of developmental biology has been thought and effort that went into incorporating Michael’s new
critical in turning adult cells into stem cells that can functionally approaches have clearly been worth it.
replace missing and damaged tissue in laboratory animals. One other thing that has changed in the past decade is
A third difference is the incredible revolution in lineage the realization of how much our understanding of biology
studies made possible by in vivo labeling. We can look at each depends on our knowledge of development. If “nothing in biol-
cell developing in an early, living, embryo and discern which ogy makes sense except in the light of evolution,” we now find
xviii From the Authors
that “nothing in morphological evolution makes sense without The developmental biology stem cell produces new disci-
knowledge of development.” Changes in adult anatomy and plines even as it keeps its own identity. The field of stem cell
physiology are predicated on changes in morphogenesis and biology is directly linked to its parent discipline, and new stud-
differentiation during development. ies (many of them documented in this text) show how directing
This is also true of the history of biology, where developmen- stem cells to differentiate in particular ways demands knowl-
tal biology can be seen to play the unique role of “the stem cell of edge of their normal development.
biological disciplines,” constantly regenerating its own identity Developmental biology interacts with other disciplines to
while simultaneously producing lineages that can differentiate induce new ways of thinking. Ecological developmental biol-
in new directions. As Fred Churchill noted, cell biology “derived ogy, for instance, looks at the interactions between developing
from descriptive embryology.” The founders of cell biology were organisms and their abiotic and biotic environments. Even the
each trying to explain development, and their new conception field of paleontology has been revolutionized by developmental
of the cell helped them do it. The original theories of evolution perspectives that allow new and often surprising phylogenies
concerned themselves with how new variants arose from the to be constructed.
altered development of ancestors. Charles Darwin’s friend and In short, this is an exciting time for this textbook to promote
champion Thomas Huxley, expanded on this idea, which would an interactive way of perceiving and studying the natural world.
eventually flourish into the field of evolutionary developmental Pascal wrote that science is like a balloon expanding into the
biology. unknown. The more that we know, the greater the area in con-
Also during this Victorian age, a variant of developmental tact with the unknown. Developmental biology is a discipline
biology grew to become the field of immunology. Elie Metchnikoff where the unknown contains important questions yet to be
(who showed the pole cells of flies to be germ cell precursors answered, with new techniques and ideas for those ready to try.
and who studied gastrulation throughout the animal kingdom)
proposed a new cell theory of immunology in his attempt to find Acknowledgments
universal characters of the embryonic and larval mesoderm. It is becoming increasingly difficult to distinguish between
Similarly, but with more anguish, genetics directly descended an author, a curator, and a “nexus” in a node-link diagram.
from a generation of embryologists who dealt with whether the This book is a developing and symbiotic organism whose
nucleus or cytoplasm contained the determinants of embryonic acknowledgments must either be confined to an inner layer
development. Before his association with Drosophila, Thomas or else expand throughout the world. First and foremost, I sin-
Hunt Morgan was a well-known embryologist who worked on cerely acknowledge that without Michael Barresi’s enthusiasm,
sea urchin embryos, wrote a textbook on frog development, and expertise, and passion for this project, this edition of the book
was an authority on regeneration. Many of the first geneticists would not exist.
were originally embryologists, and it was only in the 1920s that The Sinauer Associates team, headed by Andy Sinauer and
Morgan formally separated the two fields. And regeneration is Rachel Meyers, has been remarkable. I have been incredibly
still intimately linked with development, for regeneration often is privileged over the years to work with Sinauer Associates. I
a recapitulation of embryonic processes. Ross Granville Harrison am also lucky to have had my words, sentences, and para-
and Santiago Ramon y Cajal founded the science of neurobiology graphs, rearranged, reordered, and realigned by Carol Wigg,
by showing how the brain and axons develop. To this day, neu- who has worked with me on all eleven editions to communi-
rology requires an understanding of the developmental origins cate the wonder of developmental biology in prose that is as
of the central and peripheral nervous systems. clear, accessible, and enjoyable for students as we can possibly
Several medical disciplines descend from embryology. Tera- make it.
tology (the study of congenital anomalies) has always studied This is a beautiful book, and I can say that because it is not
altered or disrupted development, but other medical disciplines my doing. It is due to talent of Chris Small and his production
also trace back to embryology. Cancer biology—oncology— staff; to Jefferson Johnson and his artistic mastery of Adobe
derives from developmental biology, as cancers have long been InDesign; to the expertise of the artists at Dragonfly Media
perceived and studied as a cell’s reversion to an embryonic Graphics; and to photo editor extraordinaire David McIntyre,
state. Although this view was at one time eclipsed by a strictly who manages to find incredible photographs to complement
genetic view of cancer, today it is being revived and revised by the many wonderful images my colleagues have so generously
the discoveries of cancer stem cells, paracrine factor regula- supplied for each edition.
tion of tumor initiation, and embryonic modes of cell migration I have been blessed with remarkable students who have
used by tumor cells. Medical disciplines such as cardiology and never been shy about asking me questions. Even today they
diabetes research are being invigorated by new developmental continue to send me “Did you see this?” emails that make sure
perspectives. And the new fields of endocrine disruption and I’m keeping current. I also thank all those people who continue
the developmental origin of health and disease, looking at how to send me emails of encouragement or who come up to me at
environmental factors experienced during pregnancy can alter meetings to pass on good words about the book and provide
adult phenotypes, have emerged from developmental biology me with even more information. This book is, and always has
with their own paradigms and rules of evidence. been, a community endeavor.
From the Authors xix
My wife, Anne Raunio, has put up with my textbook writing for underprepared students (Waldrop 2015; Freeman et al.
for most of our married life, and I know she’ll be glad that this 2014; Michelene et al. 2014). I want my students and yours to
edition is finished. Indeed, just as this book goes to press our learn the core concepts in developmental biology not by sim-
lives have shifted greatly with our move away from Swarth- ply memorizing the text or stressfully scribing bullets off of a
more. I would certainly be remiss if I didn’t acknowledge the PowerPoint, but by experiencing how these concepts can explain
many years of support I have enjoyed at Swarthmore College, known and unknown phenomena of development. How can a
a wonderful academic institution that deems textbook writ- textbook adapt to (1) support teachers in implementing effec-
ing a service to the scientific community and that encourages tive active learning approaches, and (2) encourage students to
interdisciplinary ventures. become active learners?
—S.F.G. Carrying out effective active learning exercises in class that
target concept acquisition and problem solving skill devel-
opment is challenging. Potential challenges include a lack
From Michael Barresi of activities to offer students and a lack of training on behalf
A NEUROSCIENTIST, AN ECO-EVO-DEVO BIOLOGIST, AND of the instructor to administer those exercises, a shortage of
A DEVELOPMENTAL BIOLOGIST WALK INTO A POOL. Yes, available class time (real or perceived), student reluctance to
it actually happened, on a scorching hot summer day in Cancun, participate in novel and challenging activities, uneven pre-
Mexico! It was at the first Pan American Society for Develop- paredness by students, and a whole range of associated fears.
mental Biology Conference when Scott Gilbert mentioned to We have transformed the Eleventh Edition of Developmental
Kathryn Tosney and me that he was considering a co-author for Biology to support a movement in pedagogy toward an active
the upcoming Eleventh Edition of Developmental Biology. While I experience for both the professor and student. For many of
waded in the water next to two of my heroes, Scott asked wheth- the chapters, Scott Gilbert and I have written and produced
er I might be interested in such an opportunity. “Dev Tutorials,” short (10–20 minutes) video recordings of
A combination of shock, excitement, and fear set in, pretty us explaining some of the basic principles of development.
much in that order. Shock, because I was in wonderment of These professionally produced videos are designed to deliver
how I could be considered; after all, I had neither published some basic amount of content outside of class, thus providing
a dozen papers a year nor had the historical perspective and instructors with a mechanism to conduct a “flipped” classroom
cultural scope that Scott has woven so intricately and uniquely (see Seery 2015).
through each edition. Excitement, because this textbook has To satisfy the in-class half of the “flipped” classroom, we
had such a great impact on my life. The chance to be part of wrote a set of case study problems that accompany the “Dev
a book that has been with me throughout my entire science Tutorials” to encourage team-based learning approaches. Prior
education would be a true honor. Then fear set in because, as it to conducting a case study activity, consider asking students to
does to me, this book means so much to so many in this field. read the “Punchline” for a specific chapter as well as watching
The undertaking required to maintain the standard that Scott the related “Dev Tutorial.” Completing this won’t take students
Gilbert has set for this work was daunting. However, if there very long, so instructors can expect that each student will
is one thing I have learned in 11 years as a college professor, walk into class with a baseline of content exposure sufficient
it is that fear can be the most significant barrier to innovative to actively engage in solving the case study. We intend to add
teaching and learning. more “Dev Tutorials” and “Case Studies” in the future, as user
I agreed to be Scott’s co-author because it presented an interest demands. We are excited to see how “Dev Tutorials”
opportunity to influence how this subject is taught around the and case study problems can be tailored to meet the learning
world. My enthusiasm for all aspects of the book is limitless, objectives of your own courses, and I, in particular, welcome
and I am passionately committed to improving the learning the chance to work with faculty to help support their imple-
experience for all students. There is certainly no replacing Scott mentation of these new active learning resources.
Gilbert, and I do not pretend to be Scott’s equivalent. What I Traditionally, the role of a textbook has been to introduce
can offer to this and future editions of Developmental Biology is a students to the core concepts of a given field; however, I don’t
complementary approach that builds upon Scott’s accuracy and feel this should be its only role. Textbooks can take advantage
style with increased creativity and an overarching philosophy of the fact that, usually, the student is reading about the subject
of student empowerment to learn about developmental biology. for the first time. This is the moment to capture a student’s
The textbook and the classroom have something in com- inquisitive spirit, build their confidence in discussing and ask-
mon. Neither can survive this digital age as a mere vessel for ing questions about the subject, and fuel their future learning
information: pages of dense content paired with even denser through a determined ownership of their place in the field.
lectures are not effective methods for “deep” learning. There Gaining a sense of identity in a particular field of science often
is overwhelming evidence that true active learning pedago- begins with the ability to engage in a dialogue. Unfortunately,
gies provide the most effective gains in conceptual under- for a student learning “the facts” for the first time, one of the
standing, longer retention of material, better problem-solving most difficult barriers is being able to articulate the questions
abilities, and greater persistence in STEM majors, particularly that would open up a substantive conversation.
xx From the Authors
Several unique mechanisms in the Eleventh Edition are I have been continually amazed by the stellar team at Sinauer
intended to empower students to engage actively with the field Associates, Publishers. I have been humbled by Andy Sinauer’s
of developmental biology. The “Developing Questions” found complete acceptance of me into this family. His open-minded
throughout each chapter function as suggested extensions and consideration of all of my ideas was a critical factor in my accep-
potential areas of future research on the topics being covered, tance to co-author this great book; thank you Andy for your
and indirectly provide a model for the type of thinking and support, and for compiling the most amazing staff! First Azelie
questions that developmental biologists might ask. These ques- Aquadro Fortier and then Rachel Meyers oversaw the entire pro-
tions would be a huge success if students repeated them in class duction of this edition, and both provided this new co-author
as a sort of ice-breaker to begin or further the discussion, or nothing but genuine encouragement and support at all times.
used them as entry points for supplemental literature research Carol Wigg, Sydney Carroll, and Laura Green worked together
on their own. Most of these questions do not have definitive to provide the precise editorial eyes needed, especially for this
answers. Sorry, but they are designed to spur interaction in the tired, father-of-four, first-time author. Your determination and
classroom and engage students with the actual research. The equally long hours on this project produced a new edition that I
potential of the thrill of discovery to motivate student interest know I can only be proud of because of your contributions.
cannot be underestimated. And students know the difference I sincerely appreciate the vast amount of energy and time
between quiz questions and life questions. To that end, each Sinauer’s art director Chris Small and the entire group at Drag-
chapter ends with a “Next Step Investigation”; these play a simi- onfly Media Graphics took to produce such a beautiful art pro-
lar role to the “Developing Questions,” except they attempt to gram. They also had to deal with me, an overprotective visu-
present a broader view of the directions the field may be moving al artist who was likely too critical to changes to his original
in. The hope is that students can use “Next Step Investigations” drawings! Thanks for your patience. I’d also like to thank Chris
as logical entry points for their own research. again, as well as Joanne Delphia and Jefferson Johnson, for their
One other objective for the Eleventh Edition has been to excellent design and layout of the book. David McIntyre, thank
introduce the actual voices of the biologists working today. “Sci- you for your help in researching and obtaining the many new
entists Speak” is a new resource linked throughout the textbook photographs.
to provide students (and faculty) with direct access to recorded A new book can only reach the hands of the students with
conversations with leading developmental biologists. Many of the help of strategic marketing, and Dean Scudder, Marie Sca-
these discussions took place between the lead investigators from votto, and Susan McGlew have been remarkable in highlight-
current and seminal papers and my own students at Smith Col- ing all of the new features. I thank you for always managing to
lege through web conferencing technology. For students, the present this new author in the best light. Jason Dirks and all of
unique benefit of this type of resource is a highly approachable the people working in Sinauer’s Media and Supplements depart-
dialogue with the scientists combined with a fantastic array of ment deserve a special thanks for designing an appealing web-
questions asked by their peers—often the only individuals stu- site and brainstorming with me about the best ways to present
dents really trust. all of our new interactive features.
I sincerely hope these many new resources help to increase The support of Smith College cannot go unrecognized. Smith
student engagement, improve their confidence to communicate, has allowed me to produce and disseminate my “Web Confer-
and truly invite everyone to become a significant participant in ences,” “Developmental Documentaries,” and the “Dev Tutori-
this most amazing science of development. als” used in this text. The commitment and talent of Kate Lee
and the overall support by Smith’s education technology services
Acknowledgments department have also made the production of these features
I wish to express my special and sincere thanks to Mary Tyler, possible. I would be remiss if I did not thank all of the scientists
who played a pivotal role as a content editor for my chapters. who over the years have volunteered their time to speak with my
Mary has held a great love for this textbook over the years, and students about their research. Hopefully your shared insights
her perspectives helped me achieve a perfect balance between will now reach many more students.
the past and present in this new edition. Thank you, Mary, for To my students at Smith College, both in my courses and in
all of your support and focused, substantive input. my research lab, I thank you for being my collaborators and the
The field of developmental biology is ever-expanding and best teachers I have ever had. Your enthusiasm, hard work, and
the pace of research seems like it is increasing exponentially. crazy ideas make all that I do worth it.
This comprehensive edition was only possible with the keen There are many things we do in our lives that could not be
oversight of the expert reviewers listed on the following page. possible without the support of family. However, in my experi-
Thanks to Johannah Walkowicz for her unique balance of per- ence, I have never had to rely on my family quite as much as was
sistence and kindness in organizing all of the reviewers. I extend required for this endeavor. True sacrifices were made by all in
a special acknowledgmentf to Willy Lensch and Bill Anderson, my family to meet the demands of this work. In my book, you
who spent significant time with me discussing the field of stem are all my co-authors! I thank you for your unconditional love
cells, which directly influenced the organization of the new stem and support.
cell chapter. —M.J.F.B.
Reviewers of the Eleventh Edition
The Punchline
Animal development is characterized by the differentiation of the fertilized egg into the
many cell types of the body and by the construction of functionally integrated organs.
Development is the route via which an organism goes from genotype to phenotype,
and it can be studied at any level of organization, from molecules to ecosystems. The
processes of development include fertilization, cleavage, gastrulation, organogenesis,
metamorphosis, regeneration, and senescence. These processes are among the
greatest sources of questions in science, questions such as: How do the various cell
types—blood cells, neurons, pancreas cells, etc.—form, and how do they become
different from one another? How do the cells become organized into functional organs?
How do the organs know their correct size? How do organisms make cells that can
reproduce? How can organisms regenerate tissues and missing parts? How can the
organism integrate cues from the environment to develop properly? And how can the
pathways of development change to produce new types of organisms?
Another random document with
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Symptoms. In horses and cattle these are very obscure, being
mainly in the nature of chronic gastritis. In both there are recurrent
attacks of slight colicy pains, with tympany in cattle, and gradual
emaciation. Vomiting has been exceptionally seen in both class of
animal and if the rejected matters are very acid and above all if
mixed with blood it is more suggestive of ulcer. In the horse the
attacks of colic are mostly in connection with eating. or (in case the
ulcer is duodenal) an hour or two after a meal. In this animal it is
possible to withdraw liquids from the viscus by the stomach pump,
and any hyperacidity or blood may be almost diagnostic. Tenderness
to pressure on the epigastrium or hypochondrium is often present,
yet the colics of ulceration are often relieved by pressure and friction.
Blood is sometimes present as such in the excrements, but more
commonly these are simply blackened by the exuded blood as acted
on by the gastric acid and intestinal liquids. The bowels may be
alternately constipated and relaxed. A gradually increasing
feebleness is a characteristic feature and in cattle paraplegia may
precede death.
In the carnivora the symptoms are less obscure. The animal is
dull, prostrate, weak, lies on its belly, but rarely long in one place,
and when up has arched back, stiff movements, and tucked up
abdomen. The epigastrium is painful to touch, which tends to arouse
vomiting of food or bloody mucus. As in the horse the rejected
matters are very acid. Constipation may alternate with diarrhœa, the
fæces being blackened (melæna) or even streaked with blood. The
occurrence of suffering after meals, the constancy and persistency of
the symptoms and the steadily advancing emaciation and weakness
are very characteristic. If the tenderness is referable to a given point,
it is even more distinctive.
Lesions. In the horse ulcers and erosions occur in the cardiac sack
in connection with œstrus larva and spiroptera which destroy and
remove the cuticular covering, or with sarcoma or epithelioma
growing in the gastric walls. In the right sac there may also be round
ulcers from the hooklets of the œstrus, or irregular excavations on
the summits of the folds in connection with catarrhal inflammation.
Ulcers from autodigestion are usually in the right sac, in the most
dependent part of the viscus, between the folds, and of a more or less
circular outline. The raw surface is black, brown, slaty gray or white.
The ulcers which result from petechial fever are irregularly notched
and marked by a mass of dark blood coagulated in their depth.
In cattle and dogs the ulcers are most frequent near the pylorus,
and when of catarrhal origin may be round or irregular, and on the
summit of the fold, or if peptic, may be round and between the folds.
In malignant catarrh and rinderpest, they are mostly formed on the
summits of the folds. They may vary in size from a pea to a quarter of
a dollar. The surrounding mucosa is usually congested, swollen, and
projecting, and the surface of the ulcer itself of a dark red, black,
yellowish, slaty or gray.
The round ulcer is usually marked by surrounding infiltration and
by a tendency to become deeper and to perforate the gastric walls,
with the result of inducing an infective peritonitis. This is more
common in cattle and carnivora than in solipeds.
Treatment. If a reasonably certain diagnosis can be made the
patient should be put on a restricted diet of easily digested materials,
given at regular intervals. For the carnivora scraped or pulped raw
meat, and milk, and for the herbivora milk and well boiled flax seed
or other farina are appropriate.
Violent emesis in carnivora may demand washing out of the
stomach with tepid water with or without the aid of a stomach tube.
This may be seconded by anodynes, chloral, cyanide of potassium, or
even morphia.
Bismuth trisintrate or oxide is appropriate in all animals, also
sodium bicarbonate, chalk or magnesia to neutralize the muriatic
acid.
As antiseptics calculated to obviate the formation of irritant
products from the gastric contents and to check the progress of the
microbian infection in the wound such agents as the following may
be used: Salol (horse or ox 1 dr., dog 5 grs.), naphthol or naphthalin
(same doses), chloral (horse 2 drs., dog 5 grs.).
Sometimes it is well to relax the bowels by small doses of Glauber
salts, and in all cases an abundance of fresh water, butter milk, or
other bland drink.
Cases of the kind are slow in their progress and unless the animal
is specially valuable, treatment may be a source of loss.
PERFORATING ULCER OF THE STOMACH
This may be the result of the gradual deepening of the round ulcer,
yet in the domestic animals it mostly comes from the presence of
sharp pointed bodies. These may be enumerated as needles, pins,
nails, wires, sharp bones (dog), whalebone (horse), forks, knives
(cattle), and even gravel. The burrowing of the spiroptera has seemed
to cause perforation in the horse. All causes of ulceration may,
however, lead to perforation.
The symptoms are those of gastric ulcer, already given, followed by
the more specific ones of perforation. These in their turn differ
according to the parts involved. In the horse and dog the perforating
ulcer usually opens into the peritoneum, inducing a fatal infective
peritonitis. In cattle the foreign body sometimes passes toward the
heart, enveloped in a protecting mass of new formed tissue and
proves fatal by heart disease. In other cases it has been found to
proceed downward toward the sternum and to escape by a fistula
formed beside the ensiform cartilage. In other cases it has taken a
direction toward the right wall of the abdomen where it formed a
fistula, discharging alimentary matters. In still other cases it has
opened into the peritoneal cavity with fatal effects.
Treatment in the case of external fistula, without implication of
the peritoneum, consists in the removal of the foreign body, and the
stimulation of granulations along the tract of the fistula by the
application of an ointment of tartar emetic to the interior. Should
this fail the fistulous tract may be scraped to make it raw, and the
edges may then be drawn together with sutures taking a deep hold of
the skin.
DILATATION OF THE STOMACH.
Hair balls, wool balls, bristle balls, cotton balls, clover-hair balls, oat-hair balls,
paper balls, phosphatic calculi, sand and gravel, nails, wires, needles, pins, etc.,
cloth, leather, whalebone, playthings, etc. Symptoms: of catarrh or colic, dullness,
restlessness, arched back, in dog vomiting of blood, fistula. Diagnosis. Treatment:
emetic, feed potatoes, laparotomy.
Hair Balls. These are common in the rumen of cattle and have
been found in the fourth stomach. They are especially injurious to
young animals by reason of their irritating the gastric mucosa, but
they also occasionally block the pylorus, producing indigestion,
gastric dilatation, gradually advancing emaciation and even a fatal
result.
Wool Balls. These are found in sheep and are especially injurious
in young lambs.
Bristle Balls. These are found in swine as round, or ovoid balls
or long ellipses bent upon themselves. The sharp projecting ends of
the bristles render them very irritating, especially to young pigs.
All of these are caused by licking themselves or their fellows, and
particularly during the period of moulting or as the result of some
skin affection. Lambs which are nursed by ewes with an excess of
wool on and around the mammæ, and old sheep with a disposition to
eat wool are frequent victims.
Cotton Balls. These have been found in lambs fed on cotton seed
cake. A certain amount of the cotton fiber is incorporated in the cake,
and this is rolled together and felted by the movements of the
stomach and agglutinated by mucus.
Clover-hair Balls. The fine hairs from the clover leaf have been
found rolled into balls in the abomasum of lambs producing all the
evil effects of the other pilous masses.
Oat-hair Balls. The fine hairs which cover the seed of the oat are
found matted together and cemented by mucus in the stomach of
horses fed on the dust of oatmeal mills. They are especially common
in Scotland, where oatmeal has been so extensively used.
Paper-ball. In the museum of the N. Y. State Veterinary College
is a conglomerate ball of paper taken from the stomach of a hog by
Dr. Johnson, Sioux City.
Phosphatic Calculi have been described as found in the
stomach, but this is evidently an error, as the acid secretion would
have speedily dissolved them. The error doubtless came from
mistaking the transverse colon for the stomach.
Sand and Gravel arrive in the stomach of the horse from
pasturing on loose sandy land, the plants being pulled up by the
roots and swallowed together with the sand adherent. Also from
drinking water from shallow streams with sandy bottoms. Feeding of
grain from the ground is a cause of swallowing sand, earth and
pebbles. Licking the soil in acidity of the stomach is another cause.
Fodder that has been packed down and mixed with earth, and that
which has been blown full of sand or dust, and roots eaten from the
ground in wet weather lead to the ingestion of much sand or earth.
Shetland ponies taken from the islands pass sand for some weeks.
Dogs taught to fetch and carry, swallow stones, pebbles, marbles,
etc., accidentally.
Nails, Wires, Needles, Pins, etc. More or less pointed metallic
objects are often taken in with the food by gluttonous horses and
though usually arrested in the intestines they sometimes irritate or
wound the stomach.
Fragments of cloth, leather, or whalebone are similarly
taken with the food, or in case of depraved appetite are deliberately
chewed and swallowed.
Playthings and small household articles are especially taken
by puppies through mere wantonness. Rubber balls, pieces of metal,
thread, cord, cloth, bits of leather, sponge, horse hair, human hair,
corks, bits of wood and everything obtainable of small size may be
swallowed and found in the stomach.
Pigs swallow pieces of wood and other objects.
Birds habitually swallow pebbles and ordinary objects are ground
down in the gizzard. They also readily vomit feathers, bones and
other offensive matters that have proven indigestible.
Symptoms. In horses there are no especial symptoms, though the
foreign bodies sometimes cause gastric catarrh, and in other cases
produce wounds and ulcers or block the pylorus causing violent colic.
Most commonly the foreign bodies pass on into the intestines, where
they may directly wound the walls, form nuclei for the deposition of
earthy salts in the form of calculi, or in case of fibrous materials
(cords) roll into firm balls.
In dogs the foreign bodies may cause gastric catarrh, or puncture
or abrasion of the mucosa, and they may be rejected by vomiting.
The more rounded, smooth bodies may lie for a length of time in the
stomach without doing any manifest injury, as in the case mentioned
by Nichoux in which a dog carried in its stomach for twelve years a
four franc piece and a large sou. Sometimes the objects block the
pylorus. Then the subject is dull, depressed, inclined to lie on the
right side but continually changing his position, gives a stifled yelp
when he lies down or occasionally when he stops walking. He carries
the back arched, and the abdomen tucked up, and drags his hind
limbs. Vomiting, is frequent and accompanied by violent and painful
retching. The vomited matters may be mixed with blood. The
epigastrium is tender to pressure. Death may ensue in twenty-four
hours or not until after weeks or even months.
In other cases there is gastro-enteritis with vomiting, colic,
anorexia, trembling, hyperthermia, constipation or diarrhœa, and
finally the passage of the offending agent per anum, when recovery
ensues.
In other cases sharp pointed bodies perforate the walls of the
stomach, and determine the formation of abscess or fistula opening
at any point around the abdominal cavity. This may be followed by
recovery, by gastric or intestinal fistula, or by chronic disease of
some important organ like the liver.
In dogs, diagnosis is often possible by manipulation of the
stomach through the walls of the abdomen. If the belly is very lax it
may be compressed between finger and thumb, or between the two
hands; if more tense, pressure with both hands just behind the
sternum may detect the resistance of a solid body.
Treatment. In the horse this is hopeless.
In the dog much may be expected from the use of emetics,
(ipecacuan, tartar emetic, apomorphine, tepid water, tickling the
fauces). In some cases of sharp pointed bodies an exclusive and
abundant diet of well boiled potatoes proves successful. The object is
to pass much of the starchy matter through the small intestines
undigested, so that it may envelop the sharp body and protect the
mucosa. When it reaches the colon, the ingesta as a whole becomes
more solid and invested by this, the body is often passed without
danger. Other methods failing laparotomy remains. The dog is
stretched on his back on a table with the forelimbs held well apart.
The skin of the epigastrium is denuded of hair and washed with
antiseptics (mercuric chloride solution 1:500). Hands and
instruments are also made aseptic. Then an incision is made in the
epigastrium or in the situation where the offending body has been
felt, and the finger is introduced to locate the body. At this point a
thread is passed through the walls of the stomach, and these are
drawn well out through the abdominal wound and incised to the
extent of an inch or more. Through this orifice the foreign body can
be easily felt and extracted. Then in case the stomach is over-filled it
may be emptied, and the edges washed with the antiseptic and
carefully sutured with sterilized catgut. The usual care must be taken
to turn the mucosa inward and bring the muscular and serous coats
in accurate opposition. Finally the abdominal wound is closed by a
continued suture of silk or catgut.
The greatest care must be taken to prevent the escape of any of the
gastric contents into the abdominal cavity, to render both wounds
aseptic and to protect the external wound especially against
infection. A wash of carbolic acid (1:100) with a little of some intense
bitter (quassia) will often succeed in preventing licking or gnawing.
Even greater care must be given in the matter of diet. At first a few
teaspoonfuls of cold water only need be given. After twenty-four
hours a little well strained beef tea; later milk or gruel may be added,
and by degrees more solid food. In three weeks the ordinary food
may usually be resumed.
In case the foreign body has escaped into the peritoneal cavity, the
same method may be pursued, the edges of the gastric or intestinal
wound being made raw, treated antiseptically and carefully sutured,
and the abdomen washed out with an antiseptic solution (aluminum
acetate solution) and closed.
TUMORS OF THE STOMACH.