Department of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.
Present address: Department of Anatomy, Mahidol University, Bangkok, Thailand.
Adv Exp Med Biol. 2024;1441:3-55. doi: 10.1007/978-3-031-44087-8_1.
Many aspects of heart development are topographically complex and require three-dimensional (3D) reconstruction to understand the pertinent morphology. We have recently completed a comprehensive primer of human cardiac development that is based on firsthand segmentation of structures of interest in histological sections. We visualized the hearts of 12 human embryos between their first appearance at 3.5 weeks and the end of the embryonic period at 8 weeks. The models were presented as calibrated, interactive, 3D portable document format (PDF) files. We used them to describe the appearance and the subsequent remodeling of around 70 different structures incrementally for each of the reconstructed stages. In this chapter, we begin our account by describing the formation of the single heart tube, which occurs at the end of the fourth week subsequent to conception. We describe its looping in the fifth week, the formation of the cardiac compartments in the sixth week, and, finally, the septation of these compartments into the physically separated left- and right-sided circulations in the seventh and eighth weeks. The phases are successive, albeit partially overlapping. Thus, the basic cardiac layout is established between 26 and 32 days after fertilization and is described as Carnegie stages (CSs) 9 through 14, with development in the outlet component trailing that in the inlet parts. Septation at the venous pole is completed at CS17, equivalent to almost 6 weeks of development. During Carnegie stages 17 and 18, in the seventh week, the outflow tract and arterial pole undergo major remodeling, including incorporation of the proximal portion of the outflow tract into the ventricles and transfer of the spiraling course of the subaortic and subpulmonary channels to the intrapericardial arterial trunks. Remodeling of the interventricular foramen, with its eventual closure, is complete at CS20, which occurs at the end of the seventh week. We provide quantitative correlations between the age of human and mouse embryos as well as the Carnegie stages of development. We have also set our descriptions in the context of variations in the timing of developmental features.
心脏发育的许多方面在空间上都很复杂,需要进行三维(3D)重建才能理解相关形态。我们最近完成了一部全面的人类心脏发育入门指南,该指南基于对组织切片中感兴趣结构的第一手分割。我们对 12 个人类胚胎进行了可视化,这些胚胎的出现时间从受孕后的第 3.5 周开始,到第 8 周胚胎期结束。模型以校准的、交互式的 3D 可移植文档格式(PDF)文件呈现。我们使用这些模型按阶段描述了大约 70 种不同结构的外观和随后的重塑过程。在本章中,我们从描述单个心管的形成开始,该心管形成于受孕后第四周的末期。我们描述了它在第五周的环化,第六周心脏腔室的形成,以及最终在第七和第八周将这些腔室分隔成物理上分开的左右循环。这些阶段是连续的,尽管部分重叠。因此,基本的心脏结构在受精后 26 至 32 天之间建立,并被描述为卡内基分期(CS)9 至 14 期,出口部分的发育落后于入口部分。心静脉窦的分隔在 CS17 时完成,相当于近 6 周的发育。在 CS17 和 18 期,即第七周,流出道和动脉干经历了重大重塑,包括将流出道的近端部分纳入心室,以及将主动脉下和肺动脉下通道的螺旋形通道转移到心包内动脉干。室间隔孔的重塑及其最终关闭在 CS20 时完成,此时为第七周结束。我们提供了人类和小鼠胚胎的年龄以及发育的卡内基分期之间的定量相关性。我们还将我们的描述置于发育特征时间变化的背景下。