01 Development and defects Flashcards
Chromosomal sex
Determined at fertilization by the type of sex chromosome contributed by the sperm. Drives gonadal differentiation
Gonadal sex
determined by the presence or absence or the Sry gene of the Y chromosome. Testes or ovaries
Phenotypic sex
determined by the substances produced in the testes or the absence of the testes. Regulate the development of external genitalia
Primordial germ cells originate in the yolk sac and migrate to the
genital ridge
The genital ridge is the
precursor of the gonad (undifferentiated)
Wolffian/mesonephric ducts
will form the epididymis, ductus deferens, and other structures in the presence of testosterone or regress in its absense
Mullerian/ Paramesonephric ducts
Will form the oviducts, uterus, cervix and cranial vagina in females or will regress in males under the presence of MIH/AMH
Bipotential
means the gonads can turn into either testes or ovaries
Sry
gene on the Y chromosome that produces HY antigen (aka ‘SRY protein’ or testis determining factor’
Anti-Mullerian hormone (AMH)
produced by sertoli cells. Causes the regression of the Mullerian duct system
What causes the regression of the development and maintenance of the Wollfian duct system
The testosterone produced in the Leydig cells
DHT
dihydrotestosterone. Is a hormone that is converted from testosterone by the enzyme 5-a-reductase. It acts like testosterone but is 10 times as potent
Monosomy X (XO)
Turners syndrome. Patients are often small in stature, infertile, and usually have hypoplastic female reproductive tracts. External genitalia may be normal or underdeveloped
XXY-syndrome
Klinefelter’s Syndrome. Phenotypically male due to the presence of Sry of the Y gene but extra X causes abnormal phenotype. Testicular development and spermatogenesis is inhibited resulting in small flaccid testes and azoospermia. The testes may be retained or descended. Penis may be normal or smaller than usual. Libido and sexual behavior is typically normal. Low testosterone may be noted
XXX
Female phenotype but abnormal. Internal genitalia will often be abnormal