Wednesday, 23 December 2015

Conception to Birth

Your father's sperm determines your gender. If it contained an X chromosome, you are female (XX); if it contained a Y chromosome, you are male (XY). Occasionally people are born with other combinations (XXY, XXYY, XYY, XXX and X) which give rise to specific medical conditions.

Month 1: In the very first few days human embryos hatch out of the fertilised egg, and a new theory is that not hatching properly probably leads to the creation of identical twins, triplets and quadruplets.

At six days old, you are just a clump of cells already transferred to your mother’s womb, needing to implant yourself into its lining. Only healthy embryos are worth nourishing for nine months; they release a chemical signal showing they are developing properly. Around two-thirds of embryos fail at this stage or soon after and are lost.

At four weeks the shape of body and limbs emerges. At eight weeks an embryo becomes a foetus. A foetus’ age is the duration of its gestation – two weeks more than time since conception.

Month 2: Fingers and toes start to develop under the direction of the 'Sonic Hedgehog' gene. If there are mutations in this gene, you can end up with more than 10 fingers or toes.

Over the next few weeks, 14 different structures come together to make a scaffold for intricate layers of tissue to form the face. No two faces are exactly the same; your face is the result of your genes, and the precise timing of when they were switched on and off during this critical process. Failure to align correctly produces conditions such as hare lip and cleft palate.

Month 3: Foetuses show a handedness preference at 11 weeks, long before the brain shows any right-left differences, perhaps due to how the left and right arms are built. Nine out of ten foetuses become right-handed, one out of ten choose the left, and fewer than 1% are ambidextrous – equally comfortable using both sides. Left-handers do tend to be a bit shorter and more prone to dyslexia, migraines and autism, but have the same life expectancy as right-handers. The proportion of left and right handedness seems to be stable at 10%; archeologists find 10% of left handed tools in excavations.

At 12 weeks the layers of skin around the fingers begins to wrinkle, pushing against the amniotic fluid surrounding them. This interaction helps mould a unique combination of arches, loops and whorls in the fingertips. Even identical twins experience slightly different pressures from the amniotic fluid and develop subtly different patterns. By 17 weeks, your 10 fingerprints were complete.

Month 4: Skin is initially transparent, but now develops a fine fur-like hair called "laguno", sweat glands develop and melanocytes (that give the skin its colour) colonise the skin from the tissue beneath. An albino is someone who has no melanin; they are prone to skin cancer.

By 14 weeks you were making human leukocyte antigen (HLA) proteins, which help your immune system recognise bacteria and viruses. There are thousands of possible combinations of HLAs – you inherited your set from your parents. One theory suggests that HLA proteins change our aroma to other adults, and that we choose a sexual partner with a very different HLA makeup, and therefore smell, to our own.

Month 5: From 15 weeks, male foetuses receive a big surge in testosterone, created in their testicles. Female foetuses receive a much lower dose from their mother and their adrenal gland. Around this time, aspects of personality are being connected in the brain. Exposure to high levels of testosterone is thought to contribute to more ‘male-type’ behaviours like risk-taking. People exposed to higher testosterone in the womb also have a longer ring-finger relative to their index finger.

It is thought that the surges of testosterone affect the brain with feelings of being male or female (gender). Humans can therefore have disparate 'settings' for (a) brain sex, (b) body sex and (c) attraction. The transgender ratio is estimated to be 1 in 10,000.

If the 'wrong' testosterone (dihydro-) is produced, males do not develop a penis. They are usually brought up as girls, but puberty surges of ordinary testosterone stimulates the growth of the penis. The condition is unusual but can be common in some populations.

Month 6: Bones are initially formed as cartilage that slowly hardens to bone as pregnancy progresses. Bone cells create hard bone, laying it down like cement. At this stage most of the bones have calcified but all still have soft parts that allow you to keep growing.

The fat used by muscles starts to be laid down at 23 weeks. Carnitine transports fatty acids so they can be broken down to generate energy for the muscles; supplied in the womb by the mother, after birth is produced by your kidneys and liver and derived from meat and dairy products. Carnitine transporter disease affects parts of the process; it is 100 times more common in the isolated population of the Faroe Islands than the 1 in 40,000 times in populations elsewhere.

Month 7: Most of the brain's growth is now about wiring; fatty sheaths are wrapped around the brain cells, insulating them so they can send signals around your head. Around 100 billion new connections are made every day and the brain starts to lay the foundation for memory. Hearing is the first of the senses to develop.

By 28 weeks brain and body are well developed. Two eyes lined with colour-sensing cone cells have developed. Pigments that could detect short (blue), medium (green) or long (red) wavelengths of light arre being produced. Most people can detect 10 million different colours once born. But 8% of males and 0.5% of females are born colour-blind, without all the necessary pigments. Some people are born with a fourth type of pigment that senses wavelengths between red and green, so they see colours even more vividly.

Month 8: The foetus gains weight rapidly, building up a big fat reserve. Size at birth depends on many things, including race, gender and genes. But external factors like mother’s diet, stress levels and smoking status also play a role. Evidence suggests that the environment in your mother’s womb might have changed chemical markers within your DNA that control how your genes were switched on and off as you grew, and that this might impact aspects of your health later in life, such as body mass index, risk of diabetes and cognitive performance. It seems that when a mother's diet is low in calories (fat & sugar), the foetus becomes very efficient in extracting nourishment, setting the body to do the same life long.

Month 9: Your lungs are the last organs to form, as they are not needed in the womb. They grow while still encased in liquid but need to function in air as soon as you are born. Unborn babies practise breathing, inhaling and exhaling the amniotic fluid that surrounds them and must get rid of that fluid to draw the first breath.

Michael Mosley in Radio Times 12-18 Sep. 2015. This is based on Mosley's Countdown to Life: the Extraordinary Making of You programme broadcast on BBC2 14, 21 and 28 Sep. 2015.
and
BBC website: Nine things that shape your identity before birth