22. Ueno S, Yamada S, Uwabe C, Männer J, Shiraki N, Takakuwa T, The digestive tract and derived primordia differentiate by following a precise timeline in human embryos between Carnegie stages 11 and 13, Anatomical Rec 2016, 299, 439-449, DOI: 10.1002/ar.23314s, (概要)
N. Kaigai, A. Nako, S. Yamada, C. Uwabe, K. Kose and T. Takakuwa
Anat RecはAmerican Association of Anatomists (AAA)の公認雑誌で、100年以上の発行歴のある由緒ある雑誌です。永く世界の医学、解剖学、発生学の分野を牽引してきました。本雑誌は、さらに、最近のe-Page技術を取り入れたWOWという雑誌を本号から採用しました。これは、ビデオが論文の結果として重要な役割を果たす際にそのビデオが永久に保存できるようにしたものです。その第１号の論文として、海外君の胃の形態形成と動きについての論文が選ばれました。
Our rationale for imaging the human stomach during development.
“All of the authors are well-versed with the fact that the stomach develops as the local widening of the foregut at Carnegie Stage (CS) 13, as well as the morphology and position of the stomach in adults. But what are the developmental dynamics from the former to the latter? While I (Dr. Takakuwa) was a university student, I read a textbook that explained that the developmental dynamics of the stomach follow the order of linear movement along the caudal direction, rotation around the longitudinal (Z) axis, and rotation around the dorsoventral (X) axis. This explanation aroused my curiosity with regard to the position of the abdominal organs around the stomach, such as the esophagus, pancreas, and duodenum, which are restricted in their positions after CS17. For example, around CS20, movement of the stomach is restricted at both its entrance (cardia) and the exit (pyloric antrum) near the mid-sagittal plane.
We designed our study to sort out the dynamic process that places the stomach in its definitive position in the abdomen. Accordingly, we analyzed the external morphology and morphometry of the human embryonic stomach, as well as documented its precise 3D movements, using magnetic resonance (MR) imaging data of human embryos in the “Kyoto Collection”. We discovered that the line connecting the cardia and the pyloric antrum of the stomach does not rotate around the dorsoventral (X) axis, as widely believed, but rotates around the transverse (Y) axis. The stomach “appears” to move towards the left, laterally and caudally, as deflection and differential growth progresses. We found that the developmental morphology of the three-dimensionally reconstructed stomach was not “analogous” to that of adults or as described in recent textbooks. Rather, we found that the stomach’s developmental morphology is as documented in a study a century before (Lewis 1912), in which the stomach was precisely hand drawn by a special artist [note added by Editor: Lewis studied the stomachs of five human embryos that were 10 mm and 45 mm in length; Harvard Embryological Collection, Series 1000]. We are gratified that our MR imaging data of embryos enhance the value of the Kyoto Collection, not only as archives of historical specimens but also as useful research resources for the future.”
Contributed by Kaigai and colleagues, Kyoto University, Graduate School of Medicine.
8. Morphogenesis and three-dimensional movement of the stomach during the human embryonic period,
2014 May;297(5):791-7. doi: 10.1002/ar.22833.
377例の胚子MR画像を用いて、CS16-23の胃の形態形成と動きを検討
stageごとに特徴的な形態
CS18; 胃角、胃底部の隆起
CS18-20; 胃角は90度程度であったが、それ以降鋭角
CS20; 噴門、幽門の分化がみられた。
大弯(M)の３次元的な動き(M), は噴門(C)、幽門(P)の動きと大きく異なる。
C、PはCS16-23の間正中矢状面上にほぼ存在
Mは尾側、左側にCS22まで大きく移動
CPは左右軸を中心に回転
胃の最大平面CPMはおもに頭尾軸を中心に回転
胃の偏位とdifferential growthにより胃は左側、尾側に移動するように見えると推察
CS22の胃; 左から、胃の立体像、 最大断面像、解剖学的観察点、空間座標内の表示
本研究の立体画像元データの一部はMorphoMuseuMに受諾されました。
20. Nako A, Kaigai N, Shiraki N, Yamada S, Uwabe C, Kose K, Takakuwa T, 3D models related to the publication: Morphogenesis of the stomach during the human embryonic period, MorphoMuseuM, in press
ABSTRACT
The stomach develops as the local widening of the foregut after Carnegie stage (CS) 13 that moves in a dramatic and dynamic manner during the embryonic period. Using the magnetic resonance images of 377 human embryos, we present the morphology, morphometry, and three-dimensional movement of the stomach during CS16 and CS23. The stomach morphology revealed stage-specific features. The angular incisura and the cardia were formed at CS18. The change in the angular incisura angle was approximately 90° during CS19 and CS20, and was <90° after CS 21. The prominent formations of the fundus and the pylorus differentiate at around CS20. Morphometry of the stomach revealed that the stomach gradually becomes “deflected” during development. The stomach may appear to move to the left laterally and caudally due to its deflection and differential growth. The track of the reference points in the stomach may reflect the visual three-dimensional movement. The movement of point M, representing the movement of the greater curvature, was different from that of points C (cardia) and P (pyloric antrum). The P and C were located just around the midsagittal plane in all the stages observed. Point M moved in the caudal-left lateral direction until CS22. Moreover, the vector CP does not rotate around the dorsoventral axis, as widely believed, but around the transverse axis. The plane CPM rotated mainly around the longitudinal axis. The data obtained will be useful for prenatal diagnosis in the near future.
