1. Neurodevelopment Mon, June 20 th

2. How Does the Nervous System Develop? Neural crest specification: migrating into genomics. Laura S. Gammill & Marianne Bronner-Fraser Nature Reviews Neuroscience 4, 795-805 (October 2003)

3. Nervous System Beginnings Embryos are initially made of a single sheet of cells. This cell layer undergoes gastrulation, an inward folding that produces 3 cell layers: –Ectoderm (outside) –Mesoderm (middle) –Endoderm (inside)

4. The Notocord Gastrulation forms the notocord (a tube of mesoderm cells). Above the notocord lies the ectoderm that gives rise to the nervous system (neuroectoderm) The notochord also sends signals to make certain neuroectodermal cells become neural precursor cells, a process called neurulation.

5. Neurulation BMP, Wnt, retinoic acid, Sonic Hedgehog, and FGF are all important signaling molecules for neurulation. The neuroectoderm cells exposed to these signals thicken into the neural plate on approx. day 16 of development.

6. Nervous System Formation The neural plate folds inward to create the neural tube on approx. day 21. This is the basis for the brain & spinal cord. Some of the neural precursors will create neuroblasts; these are the basis for neurons. Neural Tube

7. Neural Crest The cells at the dorsal (“top”) part of the neural tube are called the neural crest cells. These cells form the basis for sensory relay neurons to the thalamus. At the ventral (“bottom”) portion is the floorplate. These cells form primary motor neurons sent to the muscles.

8. But How Do These Cells Know What to Become? BMP and Wnt chemical signals are expressed at high levels at the dorsal neural crest cells. Sonic Hedgehog (Shh) is expressed in high levels at the ventral region (floorplate). These chemicals form a concentration gradient from high to low. From Lecture by Pete Wenner, Emory University, 2007

9. Dorsoventral Patterning The amount of the chemicals that a cell is exposed to influences how it develops. The effects of this concentration gradient on development is called dorsoventral patterning. From Lecture by Pete Wenner, Emory University, 2007

10. Summary Gastrulation creates an inward folding of cells to create three layers, and forms the notocord. Above the notocord, neuroectoderm cells give rise to the nervous system. In neurulation, chemical signals from the notochord make certain neuroectodermal cells become neural precursor cells. These neural precursor cells thicken into the neural plate. The neural plate folds inward to create the neural tube (brain & spinal cord). Neuroblasts will continue to become neurons. The dorsal end of the neural tube contains neural crest cells. The ventral end of the neural tube contains the floorplate. High levels of BMP and Wnt signals at the neural crest influence the development of sensory cells. High levels of Sonic hedgehog signals at the floorplate influence the development of motor neurons. This concentration gradient of BMP, Wnt, and Shh and its effects on development is called dorsoventral patterning.

11. The Formation of Brain Subdivisions http://faculty.washington.edu/chudler/dev.html

12. How Does the Brain Form? The rostral (“front”) part of the neural tube undergoes several folds and changes to shape it into: –Prosencephalon (Forebrain) –Mesencephalon (Midbrain) –Rhombencephalon (Hindbrain) Neuroscience. 2nd edition. Purves D, Augustine GJ, Fitzpatrick D, et al., editors. Sunderland (MA): Sinauer Associates; 2001.

13. Prosencephalon Telencephalon –Cerebral Cortex –Hippocampus –Basal Ganglia Diencephalon –Thalamus –Hypothalamus –Optic Cups

14. Mesencephalon Superior Colliculus Inferior Colliculus Midbrain Tegmentum Mesencephalon Future cerebral aqueduct

15. Rhombencephalon Metencephalon –Cerebellum –Pons Myencelencephalon –Medulla

16. And How Do These Regions Know What to Become? Once again, a concentration gradient. This time, it’s a gradient of FGF and Retinoic acid, which affect the expression of homeobox (Hox) transcription factors. This is known as rostrocaudal patterning. http://faculty.pnc.edu/pwilkin/homeobox.html

17. What If Things Go Wrong? Changing the expression of even just one homeobox transcription factor can have a huge effect! Matsuo et al, 1995

18. Summary The rostral neural tube forms the basis for the brain’s subdivisions. Prosencephalon (Forebrain) –Telencephalon Cerebral Cortex, Hippocampus, & Basal Ganglia –Diencephalon Thalamus & Hypothalamus, Optic Cups Mesencephalon (Midbrain) –Superior & Inferior Colliculi, Midbrain Tegmentum Rhombencephalon (Hindbrain) –Metencephalon Cerebellum & Pons –Myelencephalon Medulla A concentration gradient of FGF and Retinoic acid help direct the development of these subdivisions. This gradient affect the expression of homeobox (Hox) transcription factors, and the process is known as rostrocaudal patterning. Changes in even one Hox transcription factor can have devastating results.

19. Developmental Disorders http://embryology.med.unsw.edu.au/

20. Anencephaly Absence of a large portion of the scalp, skull, and brain, particularly the frontal cortex Often do not survive birth Are blind, deaf, unconscious, and unable to feel pain

21. Holoprosencephaly Severe skull and facial deformities that often result in death before birth Severity depends on degree of malformation May also experience seizures & language, vision, or hearing problems Griffiths, Paul D., Variend, Dick, Evans, Margaret, Jones, Angharad, Wilkinson, Iain D., Paley, Martyn N. J., Whitby, Elspeth. Postmortem MR Imaging of the Fetal and Stillborn Central Nervous System. AJNR Am J Neuroradiol 2003 24: 22- 27

22. Hydrocephalus Symptoms: –Increased head size & downward gaze –Seizures –Separation of bones of the skull –Abnormal Reflexes http://www.seattlechildrens.org/medical-conditions/chromosomal-genetic-conditions/hydrocephalus/

23. Spina Bifida Associated with orthopedic deformities, and sometimes below- average intelligence, depression, and gastrointestinal difficulties “Split spine”

24. Rett Syndrome Characterized by deficits in “learning, speech, sensory sensations, mood, movement, breathing, cardiac function, and even chewing, swallowing, and digestion” May also include seizures More common in females From RettSyndrome.org

25. Tourette’s & Tic Disorders Repeated vocal & motor tics (involuntary movements or vocalizations) More common in males Extremely high co-morbidity with other developmental disorders Likely inherited From tsa-usa.org

26. Autism Spectrum Disorder Significant Impairments in social interactions and verbal & non-verbal communication –Restricted patterns of behavior, interest, and activities Repetitive behaviors & insistence on routine May also exhibit sensory problems or sensitivity Symptoms usually develop before 3 years of age

27. Asperger’s Syndrome Specific type of Autism Spectrum Disorder –Show significant social impairments –Restricted and repetitive stereotyped behaviors –May be clumsy –Often quite verbal & usually very intelligent Affects about 1 to 36 persons per 10,000 people http://static.open.salon.com/files/dustin_hoffman_rain_man121823 6383.jpg

28. Fetal Alcohol Syndrome Intellectual and learning disabilities Attention deficits & hyperactivity Delayed language Coordination deficits Sensory problems Wattendorf, D. J. and M. Muenke (2005). "Fetal alcohol spectrum disorders." American family physician 72(2): 279-282, 285.

29. Tragic Choices: Autism, Measles, and the MMR Vaccine

30. Debate: To Vaccinate or Not to Vaccinate?