HUMAN BIOLOGY

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Development anD aging 333

FOCUS ON HEALTH

after cleavage, What next developmental
steps lead to implantation of the embryo?


  • A blastocyst develops from the morula.

  • About 7 days after fertilization, the blastocyst implants as cells
    of its outer layer of epithelium invade the endometrium of the
    uterus.

  • Implantation usually is complete by 2 weeks after the original
    oocyte was ovulated.


taKe-Home message

1 7. 3


in the uterus. As time passes it will sink into the connective
tissue of the uterus, and the endometrium will close over it.
Occasionally a blastocyst implants in the wrong place—
in the oviduct or in the outer surface of the ovary or in the
abdominal wall. The result is an ectopic (tubal) pregnancy. It
can’t go to full term and must be terminated by surgery.
Implantation is complete 2 weeks after the original
oocyte was ovulated. Menstruation, which would begin
at this time if the woman were not pregnant, does not
occur because the implanted blastocyst secretes HCG
(human chorionic gonadotropin). HCG stimulates the
corpus luteum to continue secreting estrogen and proges-
terone, which prevent the uterus lining from being shed. By
the third week of pregnancy, HCG can be detected in the

endometrium

actual
size

inner cell mass

E Days 6–7.
Some of the blastocyst’s
surface cells attach
themselves to the
endometrium and start to
burrow into it. Implantation
has started.

D Day 5.
A fluid-filled cavity forms in
the morula. By the 32-cell
stage, differentiation is
occurring in an inner cell
mass that will give rise to
the embryo. This embryonic
stage is the blastocyst.

C Day 4.
By 96 hours there is a ball
of 16 to 32 cells. This is the
morula. Cells of the surface
layer will function in
implantation and will give
rise to a membrane, the
chorion.

inner cell mass

fertilization

implantation

blastocoel

fluid

endometrium

uterine
cavity

B Day 3.
After the third
cleavage, cells
form a compact
ball.

trophoblast (surface
layer of cells of the
blastocyst)

A Days 1–2.
The first cleavage
furrow extends
between the two
polar bodies.


a Baby times two


as Section 17.2 mentioned, fraternal twins result when two
eggs are fertilized at once, and identical twins result when a
very early stage embryo splits into two. We now know more
about some patterns of twinning, such as twins “running in
families” and cases of conjoined twins.
Conjoined twins form when an embryo partially splits after
day 12 of development. the twins remain joined, typically
at the chest or abdomen, although other configurations also
are possible (Figure 17.6a). Doctors usually try to surgically
separate conjoined twins early in life so that each twin can
develop as normally as possible.
a high level of the hormone FSh, which stimulates the
maturation of a woman’s eggs (Section 16.2), increases
the likelihood of fraternal twins. genetic quirks explain
why twinning runs in some families and is more common
in some ethnic groups. a woman who herself is a fraternal
twin has double the average chance of giving birth to
fraternal twins, and once she does her odds triple for
having a second set. the Yoruba people of africa have
the world’s highest fraternal twinning rate. Yoruba women
have unusually high levels of FSh. Unfortunately, many
Yoruba mothers lack access to good medical care and half
of twins die soon after birth (Figure 17.6B).

F i g u r e 17. 4 A blastocyst implants in the endometrium of the
uterus. In this image the blastocyst is colored gold.

© Yorgos Nikas/Wellcome Images

F i g u r e 17. 5 A home pregnancy test measures HCG.

test area; line
here indicates
that HCG is
control area; line present in urine
here indicates
that the test is
working

© iStockphoto.com/RonTech2000

Figure 17.6 Twinning may bring health issues. A These
Guatemalan sisters were joined at the head until doctors
at UCLA’s Mattel Hospital separated them. B This grieving
Yoruba mother of twins carries a doll as a ritual point of
contact for one of her infants, who died.

A B
Top left: © Amy Waddell/UCLA’s Mattel Children’s Hospital; Bottom left: Jorge Silva/Reuters/Landov; Right: © Marilyn Houlberg

mother’s blood or urine. Home pregnancy tests use chemi-
cals that change color when the woman’s urine contains
HCG (Figure 17.5).

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