2-6 DSA Male Hormones in Development and Reproduction Flashcards

1
Q

How do GnRh levels change over time? (In males, this whole card deck is obviously a sausage fest.)

A

Typically tends to have tonic release in males

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2
Q

What is the source of sec steroid production in the testes?

A

Leydig cells

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3
Q

What promotes early increase in number of Leydig cells?

A

maternal hCG - up to 26 weeks

fetal LH

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4
Q

What happens, generally, when androgen receptors are absent?

A

sexual ambiguity

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5
Q

What kind of receptor is an androgen receptor?

A

homodimer nuclear receptor

- trx factor, binds hormone response elements

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6
Q

What enzyme converts testosterone to DHT?

A

5-alpha-reductase

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7
Q

How is DHT functionally different from testosterone in peripheral tissues?

A

DHT binds receptor with affinity ~100x higher than testosterone

DHT-receptor binds chromatin more tightly

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8
Q

What makes MIS?

A

Sertoli cells

MIS = antimullerian hormone

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9
Q

What 2 major roles do androgens play in development of the male phenotype?

A
  1. trigger conversion of the wolffian ducts to ejaculatory system
  2. direct differentiation of the urogenital sinus and external genitalia
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10
Q

What male genital developmental processes depend on testosterone? DHT?

A

testosterone - wolffian phase, wolffian duct lack 5-alpha-reductase

DHT - virilization of the urogenital sinus, prostate, penile urethra, and external genitalia during embryogenesis
- also req. for puberty

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11
Q

What is an important protein secreted by Sertoli cells? Why is it important?

A

Androgen Binding Protein

Creates high local levels of testosterone

  • stimulates medulla of gonad to differentiate into rete testes,
  • stimulates wolffian duct to differentiate into epididymis, vas deferens, seminal vesicles, and ejaculatory duct
  • promotes development of prostate
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12
Q

What is congenital adrenal hyperplasia?

A

Ambiguous genitalia in females from missing enzymes in adrenal cortex
- most often 21-alpha-hydroxylase

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13
Q

What is male pseudohermaphroditism?

A

Any defect in the way androgens act on target tissues

affected have 46 XY genotype and unambiguous male gonads but ambiguous external genitalia

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