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58 Cards in this Set

  • Front
  • Back

What cell maintain germ pool and produce primary spermatocytes ?

Spermatogonia

What is the location of spermatogonia ?

Line seminiferous tubules

It is activated by follicle-stimulating hormone (FSH) and has FSH-receptor on its membranes

Sertoli cells

Which substances are secreted by Sertol cells?

Inhibin


Androgen-bindng protein


MiF

What cells are located in line seminiferous tubules?

Spermatogonia


Sertoli cells

What substance inhibit FSH ?

Inhibin

What substance maintain local levels of testosterone?

Androgen-binding protein

Inhibit development of internal female sex organs

MIF

Secrete testosterone in the presence of LH

Leydig cells

What cell is located in the interstitium ?

Leydig cell

Increase temperature in the sertoli cells can produce

Decreases in sperm production and inhibin


What is the process in which spermatozoa are produced from male primordial germ cells by way of mitosis and meiosis.

Spermatogenesis

What process occurs in seminiferous tubules?

Spermatogenesis

How many chromatids do primary spermatocyte have?

4 chromatids

How many chromatids do secondary spermatocyte have?

2 chromatids

In what part of the spermatogenesis you can find primary spermatocyte?

Meiosis 1

In what part of the spermatogenesis you can find secondary spermatocyte?

Meiosis 2

What hormone can induce the release of GnRH?

GnRH agonists (pulsatile)

What hormone can inhibit the release of GnRH?

GnRH antagonist

What drugs can inhibit the release of testosterona ?

ketoconazole


spironolactone

What drug can inhibit the enzyme 5-alfa-reductase?

Finasteride

What drugs can inhibit dihydrotestosterone and androgen-receptor complex?

Flutamide


Cyproterone


Spironolactone

Androgens produced by the testes

DHT (Dihydrotestosterone )


Testosterona


Androgen producesd by the adrenal glands

Androstenedione

Testosterona is converted to DHT by what enzyme?

5-alfa-reductase

In the male, androgens are converted to estrogen by

cytochrome P-450 aromatase

Aromatase is the key enzyme in the conversion of

Androgens to estrogen

is a metabolite of testosterone, and a more potent androgen than testosterone

DHT (Dihydrotestosterone)

What are the functions of testosterone?

Differentation of epididymis, vas deferens, seminal vesicles


Growth spurt: penis, seminal vesicles, sperm, muscle, RBCs


Deepening of voice


Closing of epiphyseal plates


Libido

What are the functions of DHT?

Early-differentiation of penis, scrotum, prostate


Late-prostate growth, balding, sebaceous, gland activity

Agonist at adrogen receptors

Testosterone


methyltestosterone


What are the clinical uses of testosterone and methyltestosterone?

Treats hypogonadism and promotes development of secondary sex characteristics, stimulation of anabolism to promote recovery after burn or injury


ER+ breast CA

What are the SE of testosterone and methyltestosterone?

Causes masculinization in females


decrease intratesticular testosterone in males


Gonadal atrophy


Premature closure of epiphyseal plates


increase LDL


Decrease HDL

Useful in BPH. also promotes hair growth

Finasteride

A nonsteroidal competitive inhibitor of androgens at the testosterone receptor

Flutamide

Used in prostate carcinoma

Flutamide

Inhibits steroid synthesis (inhibits 17,20 desmolase)

Ketoconazole

Are used in the treatment of polycystic ovarian sybdrome to prevent hirsutism

Ketoconazole


Spironolactone

Inhibits steroid binding, 17-alfa-hydroxylase, and 17,20-desmolase

Spironolactone

What are the SE of Ketoconazole and Spironolactone?

both have SE of gynecomastia and amenorrhea

Ovaries present, but external genitalia are virilized or ambiguous

Female pseudo-hermaphrodite(xx)

Due to excessive and inappropriate exposure to androgenic steroid during early gestation

Female pseudo-hermaphrodite(xx)

Congenital adrenal hyperplasia or exogenous administration of androgens during pregnancy can cause

Female pseudo-hermaphrodite(xx)

Testes present, but extrenal genitalia are female or ambiguous

Male-pseudo-hermaphrodite(xy)

What is the most common form of Male-pseudo-hermaphrodite(xy)

Androgen insensitivity syndrome

Inability to synthesize estrogens from androgens

Aromatase deficiency

Defect in androgen receptor resulting in normal-appearing female, chromosomely males, MIF present

Androgen insensitivity syndrome

Female external genitalia with rudimentary vagina; uterus and fallopian tubes generally absent

Androgen insensitivity syndrome

Inability to convert testosterone to DHT. Ambiguous genitalia until puberty

5-alfa-reductase deficiency

Failure to complete puberty; a form of hypogonadotropic hypogonadism

Kallman syndrome

Decrease synthesis of GnRH in the hypothalamus, anosmia, decreases GnRH, FSH, LH, testosterone, and infertility

Kallman syndrome

What disease has XXY chromosome?

Klinefelter syndrome

What diseases are consider (true hermaohroditism)

Klinefelter syndrome


Turner syndrome


Double Y males


True hermaphoditism

What disease has XO chromosome?

Turner syndrome

What disease has XYY chromosome?

Double Y males

Testicular atrophy, eunuchoid body shape, tall, log extremities, gynecomastia, female hair distribution

Klinefelter syndrome

Short stature, ovarian dysgenesis, shield chest, biscuspid aortic valve, preductal coartation, lymphatic defects, horseshoe kidney

Turner syndrome

Phenotypically normal, very tall, severe acne, antisocial behavior, normal fertility

Double Y males