1 - Reproductive Endocrinology and the Menstrual Cycle Flashcards
What are the 2 main groups of molecules involved in human development?
Steroids and Glycoproteins
What are 5 features of steroids?
- Lipids
- 4 fused rings
- 27C skeleton
- Small
- Central core molecule is cholesterol
What are 3 types of steroids?
- Oestrogen
- Progestagens
- Androgens
What are the 3 types of Oestrogen?
E1 - Oestrone
E2 - Oestradiol (main oestrogen)
E3 - Oestriol (only in pregnancy)
Where is testosterone synthesised?
Leydig cells of testes in males
Ovary in females
Where is DHT synthesised?
Sertoli cells of testes in males
Where is Progesterone synthesised?
Adrenals in males
Ovary/Placenta in females
Where is oestradiol synthesised?
Ovary/placenta in females
Where is androstenedione synthesised?
Leydig cells
Where is DHEA synthesised?
Leydig cells
Where are oxidative enzymes located and what is the 1st step in steroid synthesis?
- Mitochondria and endoplasmic reticulum
- Conversion of cholesterol to pregnenolone
What are the 6 steps of steroid synthesis in males?
- GnRh in the hypothalamus stimulates FSH and LH from anterior pituitary
- LH stimulates testosterone production from leydig cells
- Target of testosterone and FSH is Sertoli cells
- Sertoli cells have the enzyme 5a reductase which converts testosterone to DHT
- Sertoli cells secrete ABP
- ABP binds to testosterone and carries it to seminiferous tubule to stimulate spermatogenesis
What are the 6 steps of steroid synthesis in females?
- GnRH stimulates FSH and LH from AP
- LH stimulates testosterone by THECA cells in the ovarian follicle
- Testosterone enters GRANULOSA cells surrounding oocyte
- Converted into oestrogen by aromatase
- Oestradiol stimulates formation of LH receptors on granulosa cells
- Enables follicle to respond to LH and cause ovulation
What is the potency of DHT, Testosterone, Androstenedione and DHEA?
DHT - 100%
Testosterone - 50%
Androstenedione - 8%
DHEA - 4%
What is the action of androgens?
Maintain male somatic tissue differentiation
Induce male secondary sexual characteristics
Support spermatogenesis
Influence sexual and aggressive behaviour (male & female)
Promote protein anabolism, somatic growth & ossification
Regulate gonadotrophin secretion (testosterone)
Induce body hair (in females – pubic & axillary)