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26 Cards in this Set

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  • Back
What three transcription factors are necessary for normal gonadal development?
SF-1 (steroidogenic factor 1): needed for normal adrenals and gonads

WT-1: Wilms Tumor Gene 1 required for urogenital dev't

SRY: Testis determining factor on Y chromosome; regulates Anti-Mullerian Hormone--near centromere, common site of mutation (crossing-over)--bad
(SOX9: Partner of SRY)
What role do Sertoli Cells play in the development of male genitalia? How does this differ in women?
At 6 weeks of development, early testis (Sertoli Cells) release AMH which suppress Mullerian ducts in men. Testosterone synthesis determines male internal/external genitalia.

Women don't produce AMH, produce estrogen, women's genitalia develops.
By what week of gestation will the bipotential genital tubercle no longer be bipotential?

What would happen if a developing female were exposed to androgens prior to this period?
By 12 weeks, raphe will be closed on boys, stay open on girls (fusion beigins at 9 weeks), and will be able to tell them apart.

If women exposed to androgens before this time, will virilize
What hormone changes allow for the onset of puberty?
At puberty, pulsatile GnRH synthesized and secreted from hthal; stimulates pit:LH, FSH-->
Ovary; E, PG, ovulation
Testis: Testosterone
Kisspeptin:
Role
Regulated by?
Increases at puberty, binds GPR54 on GnRH-secreting neurons, stimulates LH, FSH release

Regulated by leptin (made in fat)--if you have no body fat-->delayed puberty, delayed menses

If lack GPR54-->no puberty
Describe the fluctuation of FSH, LH beginning with birth, peri-puberty and puberty.
After birth, FSH>LH, declines by 2 years, inhibition of GnRH

Peri-puberty: GABA inhibition decreases as Kisspeptin increases

Puberty: Peripheral signals leptin and IGF-1 promote GnRH-->FSH/LH
What effect do FSH and LH have on girls undergoing puberty?
Increase ovarian E2, stimulate follicle development, ovulation, menses

Note: Ovarian E2 promotes breast and uterine growth, bone maturation, liver protein synthesis
What layers of the ovarian follicle produce E2?
Granulosa and theca cells

(PUBIC HAIR HAS NOTHING TO DO WITH OVULATION)
Describe the follicular phase of menstruation.
Follicular phase dominated by FSH

FSH: stimulate growth of 8-12 follicles, theca cells; stimulates granulosa cells to produce E2, Inhibin B (inhibits FSH to allow E2 to rise and for dom follicle to grow)

LH: stimulates theca cells produce ANDROGENS; stimulates granulosa cells produce PG (late follic phase)

Dominant follicle emerges, E2 production inhibits FSH
E2 increases LH, small inc in FSH-->LH SURGE, PG Production
Follicle swells, ruptures, discharges ovum post-LH surge
Describe the luteal phase of menstruation.
Luteal phase dominated by LH

Collapsed follicle forms corpus luteum (follicle sans ovum)

Corpus luteum makes Inhibin A, PG, E2

Without fertilization, corpus luteum involutes, E2, PG decline, WITHDRAWAL BLEEDING
Describe endometrial changes during menstruation.
E2 promotes proliferation of cells, glands, vasculature

Post-ovulation, secretion of mucus, nutrients for fertilized egg

Loss of PG, E2-->necrosis of cells, vessels, desquamation, menses
How does birth control prevent ovulation?
Tonic level E, never stimulate LH--it's negative feedback

PG in pills allows for withdrawal bleed

When hit placebo pills, mimics PG/E decline
Describe the effects of LH and FSH on the testes.

Describe regulatory points.

What hormones are required for spermatogenesis?
GnRH-->LH/FSH
LH/FSH-->Leydig Cells: Testosterone, E2 (negative regulators at pit (LH, FSH) and Hth (GnRH)

FSH-->Sertoli Cells: Inhibin B (regulates pit LH/FSH), Activin stimulates FSH

Spermatogenesis req FSH, Test
How do Leydig and Sertoli secretions differ as a fetus and in puberty? How do their effects differ?
Sertoli cells (fetus): AMH to inhibit mullerian dev't

Sertoil cells (puberty): Androgen Binding Protein--get testosterone to developing sperm cell

Leydig Cell (fetus): Testost to regulate (ALLOW WOLFFIAN!) wolffian duct dev't; DHT controls ext genitalia dev't

Leydig Cell (puberty): Test increases, converted to DHT, controls virlization, spermatogenesis begins
Testosterone is converted in peripheral tissues to ______ which then ________.
T-->DHT or E

DHT-->Virilization
E-->Close epihphyses, promote breast dev't in 50% pubertal boys
Sex Hormone Binding Globulin has a large binding affinity for _____, allowing for its transport.
T (less so for E)

If too much bound, not enough Free T.

60% T/DHT/E2 bind SHBG, rest binds albumin with low affinity
How does SHBG expression change in puberty in boys? in girls?
Free T:SHBG decreases at puberty

Increase in testosterone in boys at puberty decreases SHBG (or won't have enough Free T!)

Increase in estrogen in girls at puberty increases SHBG
Androgen receptors are encoded on the ___ chromosome and have a higher affinity for ___.
X chrom, higher affin for DHT
AR expression is highest in _______.
Reproductive organs>skin>muscle
AR is a steroid receptor and is UNBOUND in the ______.
Nucleus
How is spermatogenesis regulated?
Hthal: GnRH-->Pit: LH/FSH
LH-->Leydig: T-->DHT
FSH-->Sertoli: ABP

ABP binds DHT, carries to spermatagonia
Girls have a growth spurt at the _____ of puberty, where as boys have it at the _____ of puberty.
Girls: middle of puberty
Boys: end of puberty
Libido is the ________ and depends on ______.
Desire/interest in sex
Testosterone
How do the roles of the parasympathetic and sympathetic nervous systems differ in sexual function?
Psymp: Arousal: NO, ACh increases blood flow to erectile tissue (penis, clitoris)

Symp: Orgasm: emission and ejaculation in males, emission and contraction in females) via NE release in spinal cord reflex centers
Drugs affecting orgasm.
Serotonin
Beta-blockers
Arrow relationships for:
Arousal
Desire
Orgasm
Desire<-->Arousal-->Orgasm