Diplopodia

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Diplopodia is a congenital anomaly in tetrapods that involves duplication of elements of the foot on the hind limb. It comes from the Greek roots diplo = "double" and pod = "foot". Diplopodia is often found in conjunction with other structural abnormalities[1] and can be lethal.[2] It is more extreme than polydactyly, the presence of extra digits.[3]

The affected leg usually has one foot that is in an approximately normal position.[3] The extra foot is composed of at least some metatarsal or tarsal bones and extra digits, though it is usually not complete.[3] The feet can be joined together, so that the limb appears to have one large foot,[3] or the extra foot can be joined to the limb separately, usually above the level of the other foot.[4] Diplopodia affects one or both of the hind limbs.[3]

Causes

Recessive alleles of some genes involved in embryonic limb patterning produce bilateral diplopodia,[2][5] and diplopodia can be experimentally induced in early embryos.[6] Many instances of diplopodia in humans have no apparent cause.[1][7]

People have been able to produce diplopod limbs by increasing sonic hedgehog (shh) signaling in the limb buds of embryos. The zone of polarizing activity (ZPA) in the proximal posterior mesoderm of a tetrapod limb bud is responsible for maintaining the anterior-posterior axis of the growing limb.[8] The ZPA secretes shh protein, which induces formation of the distal segment of the limb, or autopod, with its posterior side facing the ZPA.[9] When ZPA cells,[6][8] non-ZPA cells made to express shh,[9] or simply shh protein-soaked beads[10] are implanted in the anterior side of a limb bud, the end of the resulting limb is duplicated, as in diplopodia. The posterior autopod on that limb has the normal orientation, and the extra, anterior autopod has a reversed anterior-posterior axis.[6][8] This is because the original ZPA and the added source of shh signaling each induce the formation of an autopod.[8]

Diplopodia in humans

Diplopodia is often found in combination with aplasia or hypoplasia of the tibia.[1][3] Sometimes, the tibia is replaced by another fibula[1][7][11] The extra foot is almost always joined to the normal foot,[3] though a case was described where a nearly complete extra foot joined to the back of the ankle.[12]

Diplopodia in chickens

See also

References

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