Endocardial cushions

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Endocardial cushions
Gray465.png
Interior of dorsal half of heart from a human embryo of about thirty days.
Details
Carnegie stage 14
Days27
Precursor Lateral plate mesoderm [1]
Gives rise to Septum intermedium
Identifiers
Latin tubera endocardiaca atrioventricularia
MeSH D054089
TE cushions_by_E5.11.1.6.0.0.4 E5.11.1.6.0.0.4
Anatomical terminology

Endocardial cushions, or atrioventricular cushions, refer to a subset of cells in the development of the heart that play a vital role in the proper formation of the heart septa.

Contents

They develop on the atrioventricular canal [2] and conotruncal region of the bulbus cordis. [3]

During heart development, the heart starts out as a tube. As heart development continues, this tube undergoes remodeling to eventually form the four-chambered heart. The endocardial cushions are a subset of cells found in the developing heart tube that will give rise to the heart's primitive valves and septa, critical to the proper formation of a four-chambered heart. [4]

Development

The endocardial cushions are thought to arise from a subset of endothelial cells that undergo epithelial-mesenchymal transition, a process whereby these cells break cell-to-cell contacts and migrate into the cardiac jelly (towards the interior of the heart tube). These migrated cells form the "swellings" called the endocardial cushions seen in the heart tube.

Upon sectioning of the heart the atrioventricular endocardial cushions can be observed in the lumen of the atrial canal as two thickenings, one on its dorsal and another on its ventral wall. These thickenings will go on to fuse and remodel to eventually form the valves and septa of the mature adult heart.

Clinical significance

A problem in endocardial cushion development or remodeling is thought to be associated with atrioventricular septal defect.

See also

Related Research Articles

<span class="mw-page-title-main">Mesoderm</span> Middle germ layer of embryonic development

The mesoderm is the middle layer of the three germ layers that develops during gastrulation in the very early development of the embryo of most animals. The outer layer is the ectoderm, and the inner layer is the endoderm.

<span class="mw-page-title-main">Heart valve</span> A flap of tissue that prevent backflow of blood around the heart

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<span class="mw-page-title-main">Ostium primum atrial septal defect</span> Medical condition

The ostium primum atrial septal defect is a defect in the atrial septum at the level of the tricuspid and mitral valves. This is sometimes known as an endocardial cushion defect because it often involves the endocardial cushion, which is the portion of the heart where the atrial septum meets the ventricular septum and the mitral valve meets the tricuspid valve.

<span class="mw-page-title-main">Congenital heart defect</span> Defect in the structure of the heart that is present at birth

A congenital heart defect (CHD), also known as a congenital heart anomaly, congenital cardiovascular malformation, and congenital heart disease, is a defect in the structure of the heart or great vessels that is present at birth. A congenital heart defect is classed as a cardiovascular disease. Signs and symptoms depend on the specific type of defect. Symptoms can vary from none to life-threatening. When present, symptoms are variable and may include rapid breathing, bluish skin (cyanosis), poor weight gain, and feeling tired. CHD does not cause chest pain. Most congenital heart defects are not associated with other diseases. A complication of CHD is heart failure.

<span class="mw-page-title-main">Atrioventricular septal defect</span> Medical condition

Atrioventricular septal defect (AVSD) or atrioventricular canal defect (AVCD), also known as "common atrioventricular canal" or "endocardial cushion defect" (ECD), is characterized by a deficiency of the atrioventricular septum of the heart that creates connections between all four of its chambers. It is a very specific combination of 3 defects:

<span class="mw-page-title-main">Interatrial septum</span> Wall of tissue separating atria of human heart

The interatrial septum is the wall of tissue that separates the right and left atria of the heart.

<span class="mw-page-title-main">Bulbus cordis</span>

The bulbus cordis is a part of the developing heart that lies ventral to the primitive ventricle after the heart assumes its S-shaped form. The superior end of the bulbus cordis is also called the conotruncus.

<span class="mw-page-title-main">Septum secundum</span>

The septum secundum is a muscular flap that is important in heart development. It is semilunar in shape, and grows downward from the upper wall of the atrium immediately to the right of the septum primum and ostium secundum. It is important in the closure of the foramen ovale after birth.

<span class="mw-page-title-main">Primary interatrial foramen</span>

In the developing heart, the atria are initially open to each other, with the opening known as the primary interatrial foramen or ostium primum. The foramen lies beneath the edge of septum primum and the endocardial cushions. It progressively decreases in size as the septum grows downwards, and disappears with the formation of the atrial septum.

The proper development of the atrioventricular canal into its prospective components to create a clear division between the four compartments of the heart and ensure proper blood movement through the heart, are essential for proper heart function. When this process does not happen correctly, a child will develop atrioventricular canal defect which occurs in 2 out of every 10,000 births. It also has a correlation with Down syndrome because 20% of children with Down syndrome have atrioventricular canal disease as well. This is a very serious condition and surgery is necessary within the first six months of life for a child. Half of the children who are untreated with this condition die during their first year due to heart failure or pneumonia.

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<span class="mw-page-title-main">Aorticopulmonary septum</span> Anatomical entity

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<span class="mw-page-title-main">Human embryonic development</span> Development and formation of the human embryo

Human embryonic development or human embryogenesis is the development and formation of the human embryo. It is characterised by the processes of cell division and cellular differentiation of the embryo that occurs during the early stages of development. In biological terms, the development of the human body entails growth from a one-celled zygote to an adult human being. Fertilization occurs when the sperm cell successfully enters and fuses with an egg cell (ovum). The genetic material of the sperm and egg then combine to form the single cell zygote and the germinal stage of development commences. Embryonic development in the human, covers the first eight weeks of development; at the beginning of the ninth week the embryo is termed a fetus. The eight weeks has 23 stages.

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T-box transcription factor 2 Tbx2 is a transcription factor that is encoded by the Tbx2 gene on chromosome 17q21-22 in humans. This gene is a member of a phylogenetically conserved family of genes that share a common DNA-binding domain, the T-box. Tbx2 and Tbx3 are the only T-box transcription factors that act as transcriptional repressors rather than transcriptional activators, and are closely related in terms of development and tumorigenesis. This gene plays a significant role in embryonic and fetal development through control of gene expression, and also has implications in various cancers. Tbx2 is associated with numerous signaling pathways, BMP, TGFβ, Wnt, and FGF, which allow for patterning and proliferation during organogenesis in fetal development.

<span class="mw-page-title-main">Atrioventricular septum</span>

The atrioventricular septum is a septum of the heart between the right atrium (RA) and the left ventricle (LV).

The endocardial tubes are paired regions in the embryo that appear in its ventral pole by the middle of the third week of gestation and consist of precursor cells for the development of the embryonic heart. The endocardial heart tubes derive from the visceral mesoderm and initially are formed by a confluence of angioblastic blood vessels on either side of the embryonic midline. The endocardial tubes have an intimate proximity to the foregut or pharyngeal endoderm.

Neural crest cells are multipotent cells required for the development of cells, tissues and organ systems. A subpopulation of neural crest cells are the cardiac neural crest complex. This complex refers to the cells found amongst the midotic placode and somite 3 destined to undergo epithelial-mesenchymal transformation and migration to the heart via pharyngeal arches 3, 4 and 6.

<span class="mw-page-title-main">Heart development</span> Prenatal development of the heart

Heart development, also known as cardiogenesis, refers to the prenatal development of the heart. This begins with the formation of two endocardial tubes which merge to form the tubular heart, also called the primitive heart tube. The heart is the first functional organ in vertebrate embryos.

References

PD-icon.svgThis article incorporates text in the public domain from page 512 of the 20th edition of Gray's Anatomy (1918)

  1. Maschhoff KL, Baldwin HS (2000). "Molecular determinants of neural crest migration". Am. J. Med. Genet. 97 (4): 280–8. doi:10.1002/1096-8628(200024)97:4<280::AID-AJMG1278>3.0.CO;2-N. PMID   11376439.
  2. "endocardial cushions" "at Dorland's Medical Dictionary
  3. Sadler, T. W. (Thomas W.) (2004). Langman's medical embryology. Langman, Jan. (9th ed.). Philadelphia, Pa.: Lippincott Williams & Wilkins. ISBN   0-7817-4310-9. OCLC   51258190.
  4. Carlson, Bruce M. (2014-01-01), "Development of the Heart", Reference Module in Biomedical Sciences, Elsevier, doi:10.1016/b978-0-12-801238-3.05460-x, ISBN   978-0-12-801238-3 , retrieved 2020-12-05