Evolution and Development of the Atrial Septum

被引:31
|
作者
Jensen, Bjarke [1 ]
Wang, Tobias [2 ]
Moorman, Antoon F. M. [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Med Biol, Amsterdam, Netherlands
[2] Aarhus Univ, Dept Biosci, Zoophysiol, Aarhus, Denmark
关键词
atrial septum; evolution; development; congenital malformations; PATENT FORAMEN OVALE; INFERIOR VENA-CAVA; 2ND HEART FIELD; COMPARATIVE ANATOMY; DUCTUS VENOSUS; VENOUS POLE; BLOOD-FLOW; MOLECULAR ANALYSIS; PULMONARY VEIN; CARDIAC-OUTPUT;
D O I
10.1002/ar.23914
中图分类号
R602 [外科病理学、解剖学]; R32 [人体形态学];
学科分类号
100101 ;
摘要
The complete division of the atrial cavity by a septum, resulting in a left and right atrium, is found in many amphibians and all amniotes (reptiles, birds, and mammals). Surprisingly, it is only in eutherian, or placental, mammals that full atrial septation necessitates addition from a second septum. The high incidence of incomplete closure of the atrial septum in human, so-called probe patency, suggests this manner of closure is inefficient. We review the evolution and development of the atrial septum to understand the peculiar means of forming the atrial septum in eutherian mammals. The most primitive atrial septum is found in lungfishes and comprises a myocardial component with a mesenchymal cap on its leading edge, reminiscent to the primary atrial septum of embryonic mammals before closure of the primary foramen. In reptiles, birds, and mammals, the primary foramen is closed by the mesenchymal tissues of the atrioventricular cushions, the dorsal mesenchymal protrusion, and the mesenchymal cap. These tissues are also found in lungfishes. The closure of the primary foramen is preceded by the development of secondary perforations in the septal myocardium. In all amniotes, with the exception of eutherian mammals, the secondary perforations do not coalesce to a secondary foramen. Instead, the secondary perforations persist and are sealed by myocardial and endocardial growth after birth or hatching. We suggest that the error-prone secondary foramen allows large volumes of oxygen-rich blood to reach the cardiac left side, needed to sustain the growth of the extraordinary large offspring that characterizes eutherian mammals. Anat Rec, 302:32-48, 2019. (c) 2018 The Authors. The Anatomical Record published by Wiley Periodicals, Inc. on behalf of American Association of Anatomists.
引用
收藏
页码:32 / 48
页数:17
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