For the non-species specific developmental stage, see Blastula. For the single-celled parasite, see Blastocystis.
File:Blastocyst English.svg
Blastocyst just before implantation
File:Human blastocyst.jpg
A human blastocyst, with inner cell mass at upper right
Latin Blastocystis
Carnegie stage 3
Days 5-9
Precursor Morula
Gives rise to Gastrula and Inner cell mass
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Anatomical terminology

The blastocyst is a structure formed in the early development of mammals. It possesses an Inner cell mass (ICM) which subsequently forms the embryo. The outer layer of the blastocyst consists of cells collectively called the trophoblast. This layer surrounds the inner cell mass and a fluid-filled cavity known as the blastocoele. The trophoblast gives rise to the placenta.

In humans, blastocyst formation begins about 5 days after fertilization, when a fluid-filled cavity opens up in the morula, a ball consisting of a few dozen cells. The blastocyst has a diameter of about 0.1-0.2 mm and comprises 200-300 cells following rapid cleavage (cell division). After about 1 day (5-6 days post-fertilization), which is the time usually required to reach the uterus, the blastocyst begins to embed itself into the endometrium of the uterine wall where it will undergo later developmental processes, including gastrulation. Embedding of the blastocyst into the endometrium requires that it hatches from the zona pellucida, which prevents it from adhering to the oviduct as it makes its way to the uterus.The blastocyst is completely embedded in the endometrium only 11-12 days after fertilization.

The use of blastocysts in in-vitro fertilization (IVF) involves culturing a fertilized egg for five days before implanting it into the uterus. It can be a more viable method of fertility treatment than traditional IVF. The inner cell mass of blastocysts is also a source of embryonic stem cells.

Development cycle

During human embryogenesis, the blastocyst arises from the morula in the uterus, 5 days after fertilization. The early embryo undergoes cell differentiation and structural changes to become the blastocyst. It is then prepared for implantation into the uterine wall 6 days after fertilization. Implantation marks the end of the germinal stage of embryogenesis.[1]

File:Human Fertilization.png
Early development of the embryo from ovulation through implantation in humans. The blastocyst stage occurs between 5 and 8-9 days following conception.

Blastocyst formation

The morula, which precedes the blastocyst, is an early embryo composed of 16 undifferentiated cells. Shortly following the morula's entry into the uterus from the Fallopian tube, the morula becomes the blastocyst through cellular differentiation and cavitation. The morula's cells differentiate into two types: an inner cell mass growing on the interior of the blastocoel and trophoblast cells growing on the exterior.[2] The animal pole refers to the side of the blastocyst where the ICM resides, while the vegetal pole is on the opposite side. Cavitation is the process by which a fluid cavity forms inside the embryo. The trophoblast cells pump sodium ions into the center of the embryo, which causes water to enter through osmosis. This forms an internal fluid-filled cavity called the blastocoel. This distinguishable blastocoel cavity in addition to cellular specification are both hallmark identities of the blastocyst.[3]


Implantation is critical to the survival and development of the early embryo. It establishes a connection between the mother and the early embryo which will continue through the remainder of the pregnancy. Implantation is made possible through structural changes in both the blastocyst and endometrial wall.[4] The zona pellucida surrounding the blastocyst breaches, referred to as hatching. This removes the constraint on the physical size of the embryonic mass and exposes the outer cells of the blastocyst to the interior of the uterus. Furthermore, hormonal changes in the mother, specifically a peak in luteinizing hormone (LH) prepares the endometrium to receive the blastocyst and envelope it. Once bound to the extracellular matrix of the endometrium, trophoblast cells secrete enzymes and other factors to embed the blastocyst into the uterine wall. The enzymes released degrade the endometrial lining, while autocrine growth factors such as human chorionic gonadotropin (hCG) and insulin-like growth factor (IGF) allow the blastocyst to further invade the endometrium.[5]

Implantation in the uterine wall allows for the next step in embryogenesis, gastrulation, which includes formation of the placenta from trophoblastic cells and differentiation of the ICM into the amniotic sac and epiblast.


The blastocyst is made up of cells from the inner cell mass and the blastocoel.

There are two types of blastomere cells:[6]

  • The inner cell mass, also known as the embryoblast, gives rise to the primitive endoderm and the epiblast.
    • The primitive endoderm develops into the amniotic sac which forms the fluid-filled cavity that the embryo resides in during pregnancy.[7]
    • The epiblast gives rise to the three germ layers of the developing embryo during gastrulation (endoderm, mesoderm, and ectoderm).
  • The trophoblast is a layer of cells forming the outer ring of the blastocyst that combines with the maternal endometrium to form the placenta. Trophoblast cells also secrete factors to make the blastocoel.[8]

The blastocoel fluid cavity contains amino acids, growth factors, and other necessary molecules for cellular differentiation.[10]

Cell specification

Multiple processes control cell lineage specification in the blastocyst to produce the trophoblast, epiblast, and primitive endoderm. These processes include: gene expression, cell signaling, cell-cell contact and positional relationships, and epigenetics.

Once the ICM has been established within the blastocyst, this cell mass prepares for further specification into the epiblast and primitive endoderm. This process of specification is determined in part by fibroblast growth factor (FGF) signaling which generates a MAP kinase pathway to alter cellular genomes.[11] Further segregation of blastomeres into the trophoblast and inner cell mass are regulated by the homeodomain protein, Cdx2. This transcription factor represses the expression of Oct4 and Nanog transcription factors in the trophectoderm.[12] These genomic alterations allow for the progressive specification of both epiblast and primitive endoderm lineages at the end of the blastocyst phase of development preceding gastrulation.

Trophoblasts express integrin on their cell surfaces which allow for adhesion to the extracellular matrix of the uterine wall. This interaction allows for implantation and also triggers further specification into the three different cell types, preparing the blastocyst for gastrulation.[13]

Clinical implications

Pregnancy tests

Levels of human chorionic gonadotropin secreted by the blastocyst during implantation is the factor measured in a pregnancy test. HCG can be measured in both the blood and urine to determine if a woman is pregnant. More hCG is secreted in a multiple pregnancy. Blood tests of hCG can also be used to check for abnormal pregnancies.[14]

In vitro fertilization

In vitro fertilization is an alternative to traditional in vivo fertilization for fertilizing an egg with sperm and implanting that embryo into a female’s womb. For many years the embryo was inserted into the fallopian tube two to three days after fertilization. However at this stage of development it is very difficult to predict which embryos will develop best, and several embryos were typically implanted. Several implanted embryos helped to guarantee that there would be a developing fetus but it also led to the development of multiple fetuses. This was a major problem and drawback for using embryos to IVF.

A recent breakthrough for in vitro fertilization is the use of blastocysts. A blastocyst would be implanted five to six days after the eggs had been fertilized.[15] After five or six days it is much easier to determine which embryos will result in healthy live births. Knowing which embryos will succeed allows just one blastocyst to be implanted, cutting down dramatically on the health risk and expense of multiple births. Now that the nutrient sources for embryonic and blastocyst development has been determined, it is much easier to give embryos the correct nutrients in order to sustain them into the blastocyst phase. Blastocyst implantation through in vitro fertilization is a painless procedure in which a catheter is inserted into the vagina, guided through the cervix via ultrasound, into the uterus where the blastocysts are inserted into the womb.

Blastocysts also offer an advantage because they can be used to genetically test the cells to check for genomic problems. There are enough cells in a blastocyst that a few trophectoderm cells are able to be removed without disturbing the developing blastocyst. These cells can be tested for chromosome aneuploidy using preimplantation genetic screening (PGS).

See also


This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

  1. ^ Sherk, Stephanie Dionne (2006). "Prenatal Development". Gale Encyclopedia of Children's Health. Retrieved 2013-12-07. 
  2. ^ Clinic, Mayo (2012). "Fetal development: The first trimester". Mayo Foundation for Medical Education. Retrieved 2013-12-07. 
  3. ^ Gilbert SF. Developmental Biology. 6th edition. Sunderland (MA): Sinauer Associates; 2000. Early Mammalian Development. Available from:
  4. ^ Zhang, Shuang; Lin, Haiyan; Kong, Shuangbo; Wang, Shumin; Wang, Hongmei; Wang, Haibin; Armant, D. Randall (2013). "Physiological and molecular determinants of embryo implantation". Molecular Aspects of Medicine 34 (5): 939–80. PMID 23290997. doi:10.1016/j.mam.2012.12.011. 
  5. ^ Srisuparp, Santha; Strakova, Zuzana; Fazleabas, Asgerally T (2001). "The Role of Chorionic Gonadotropin (CG) in Blastocyst Implantation". Archives of Medical Research 32 (6): 627–34. PMID 11750740. doi:10.1016/S0188-4409(01)00330-7. 
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  8. ^ James, J. L; Stone, PR; Chamley, LW (2005). "Cytotrophoblast differentiation in the first trimester of pregnancy: Evidence for separate progenitors of extravillous trophoblasts and syncytiotrophoblast". Reproduction 130 (1): 95–103. PMID 15985635. doi:10.1530/rep.1.00723. 
  9. ^ Vićovac, L; Aplin, JD (1996). "Epithelial-mesenchymal transition during trophoblast differentiation". Acta anatomica 156 (3): 202–16. PMID 9124037. doi:10.1159/000147847. 
  10. ^ Gasperowicz, M.; Natale, D. R. C. (2010). "Establishing Three Blastocyst Lineages--Then What?". Biology of Reproduction 84 (4): 621–30. PMID 21123814. doi:10.1095/biolreprod.110.085209. 
  11. ^ Yamanaka, Y.; Lanner, F.; Rossant, J. (2010). "FGF signal-dependent segregation of primitive endoderm and epiblast in the mouse blastocyst". Development 137 (5): 715–24. PMID 20147376. doi:10.1242/dev.043471. 
  12. ^ Strumpf, D.; Mao, CA; Yamanaka, Y; Ralston, A; Chawengsaksophak, K; Beck, F; Rossant, J (2005). "Cdx2 is required for correct cell fate specification and differentiation of trophectoderm in the mouse blastocyst". Development 132 (9): 2093–102. PMID 15788452. doi:10.1242/dev.01801. 
  13. ^ C.H. Damsky; Librach, C; Lim, KH; Fitzgerald, ML; McMaster, MT; Janatpour, M; Zhou, Y; Logan, SK; Fisher, SJ (1994-12-01). "Integrin switching regulates normal trophoblast invasion". Development 120 (12): 3657–66. PMID 7529679. 
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  15. ^ Fong, C. Y.; Bongso, A.; Ng, S. C.; Anandakumar, C.; Trounson, A.; Ratnam, S. (1997). "Ongoing normal pregnancy after transfer of zona-free blastocysts: Implications for embryo transfer in the human". Human Reproduction 12 (3): 557–60. PMID 9130759. doi:10.1093/humrep/12.3.557. 

External links

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