In humans, the nervous system is induced during the third gestational week
by molecular signals coming from the mesoderm, which modulate the temporal
and spatial expression of specific genes in the cells of the dorsal ectoder
m. The induced neural plate closes to form the neural tube where the cells
actively proliferate in the germinal zone. The neuroblasts which have compl
eted their last division migrate along the fibers of the radial glia to whi
ch they adhere, and this movement is essential to establish the normal cere
bral organization.
The regional identity of the developing brain is governed by the expression
of homeobox genes, and the main central structures are clearly delineated
by the end of the fifth week. The cerebral cortex begins to form on the sev
enth week, and the early specification of the cortical areas, which is unde
r genetic control, would be modulated later on by environmental influences.
When the neurons have reached their final position, they extend an axon, us
ing surface molecules or diffusible molecules present along its pathway as
cues to reach the appropriate target and form a synapse, and this process i
s a critical step for the establishment of neuronal relationships. The matu
ration and stabilization of neural networks is characterized by the apoptic
death of roughly 50% of the neurons, due to insufficient neurotrophic supp
ort, and by the remodeling of the initial synaptic connections in the survi
ving neurons. These regressive events occur late in development and depend
on both the interactions with the environment and the resulting neuronal ac
tivity. (C) 2001 Editions scientifiques et medicales Elsevier SAS.