4 Flashcards
What is puberty?
- a stage of morphological, physiological and behavioural development when sexual maturation and growth are completed and result in ability to reproduce
- primary sexual characteristics established before birth
- but reproductive system inactive until puberty
Which gender starts and ends puberty first?
Girls
What secondary sexual characteristics develop in girls and when?
- usually around 9 to 13 years
- breast bud (thelarche)
- pubic hair growth (thelarche)
- begins (adrenarche)
- growth spurt
- onset of menstrual
- cycles (menarche)
- pubic hair at end stage (more coarse)
- breasts at end stage
Define primary sexual characteristics
- sexual characteristics at birth (i.e. before puberty has begun)
- includes the anatomy of the internal and external genitalia
Define secondary sexual characteristics
-characteristics that develop after puberty i.e. pubic hair, breast or genital development/enlargement, and menstruation in females
What is thelarche?
- “breast bud” development
- first sign of puberty in girls
What influences the development of pubic hair?
Testosterone in both boys and girls
What is menarche?
Initiation of the menstrual cycle, with a girl’s first period
Describe the secondary sexual characteristics in males
- start at around 10-14 years old
- genital development; testicular volume enlargement
- begin pubic hair growth
- spermatogenesis
- begin growth spurt
- genital enlargement; testes and external male genitalia continue to increase in size and volume until adult external genitalia has developed
- pubic hair; becomes much coarser
What is the tanner scale?
Marks pre-puberty to adult scale
Describe the accelerated somatic growth in both sexes
- occurs in both
- depends on growth hormone, IGF-1, and sex steroids in both sexes
- earlier and shorter in girls
- men larger b/c growth spurt longer and slightly faster
- genital development in boys depends on testosterone
- ended in both sexes by epiphyseal fusion
- oestrogen closes epiphyses earlier in girls
- closing of epiphyseal plates is caused by oestrogen in both sexes
- process is called aromatization and occurs in the periphery tissues
- can convert testosterone into oestrogen in males
Why does puberty occur earlier nowadays?
- Back then average age was 17 but now 13
- in girls, critical weight is 47kg
- if below 47kg then menstrual cycle will cease
- body weight is an important factor: nutrition
- leptin may be involved in signalling
Explain the role of the HPG axis in puberty
- hormonal changes occurs before physical
- puberty initiated by the brain (hypothalamus)
- leptin levels cause the initial stimulation of the hypothalamus to release GnRH
- Nocturnal GnRH pulsatile release happens much earlier before physical changes
- GnRH release causes realease of LH and FSH in the anterior pituitary
- GnRH release from hypothalamus to pituitary is paracrine signalling
- LH and FSH release from pituitary to gonad is endocrine signalling
- FSH and LH stimulate Gonads to release oestrogen and androgens which drive the development of secondary Sertoli cells
Even though most parts of the reproductive system can work before normal puberty age, why dont they?
- low GnRH secretion
- not a substantial amount of the needed hormones
How can we remember the influence of FSH and LH on the genitalia anatomy?
Male
- Sertoli cells produce Sperm under the influence of fSh
- Leydig cells produce testosterone under the influence of Lh
Female
- granuloSa cells respond to fSh
- tHeca cells respond to lH
What are the characteristics of GnRH?
- secretion in pulses tied to internal biological clock (synchronized by external signal i.e. by light)
- act on specific membrane receptors
- transduce signals via second messengers
- stimulate release of stored pituitary hormones
- stimulate synthesis of pituitary hormones
- stimulates hyperplasia and hypertrophy of target cells
- regulates its own receptor
What environmental factors influence puber
- breeding is seasonal
- new “puberty” each year
- triggered by changes in day length
- involvement of pineal gland
- secretion of melatonin
- pineal tumours can influence puberty in humans (pernicious puberty)
- leptin important for sustaining reproduction
What is the GnRH-1 gene
- lack of this gene results in no puberty
- primarily responsible for mammalian GnRH
- GnRH-1 gene exclusively expressed in discrete population of neurons in the hypothalamus
- treating prepubertal primates with pulsatile GnRH alone induces puberty
- lack of gonadotrophin synthesis and secretion and reproductive development occurs if GnRH is BLOCKED
- treatment of infertile male HPG-mice with synthetic GnRH induces spermatogenesis and in females similar treatment causes ovarian maturation and can lead to established pregnancy
- therefore critical role of GnRH in reproductive maturation established
What is adenohypophysis (aka AP)
- aka anterior pituitary
- not nervous tissue
- connected to the hypothalamus by superior hypophyseal artery
- an amalgam of hormone producing glandular cells
- AP produced 6 hormones: prolactin, GH, TSH, ACTH, FSH, LH
- FSH, LH and prolactin most significant for reproduction
How does GnRH affect the anterior pituitary?
- secretion of gonadotrpin-releasing hormone (GnRH) by the hypothalamus stimulates the AP gland gonadotrophs to secrete two gonadotropic hormones: FSH and LH
- one releasing hormone: GnRH is a 10 AA peptide
- GnRH release is pulsatile
- released every 1-3 hours
- intensity of GnRH stimulus is affected by frequency and intensity of release
- GnRH travels to pituitary hypophysial portal system
Explain how LH and FSH increase during puberty
- in young children, LH and FSH levels are insufficient to initiate gonadal function
- between 9-12 years, blood levels of LH and FSG increase in pulses
- amplitude of pulses increases, especially during sleep (nocturnal activity)
- high levels of LH and FSH initiate gonadal development
Explain the sleep dependent nocturnal rise in LH
- in adolescent boys the sleep related LH increase
- stimulates a nocturnal rise of testosterone
- androgen levels increase could account for some of the early pubertal changes seen in males
- similar pattern seen in females with concomitant (accompanied) increase in oestrogen
Explain the negative feedback system between the AP and hypothalamus in regards to androgens and oestrogen
- hypothalamus produces GnRH
- GnRH causes pituitary to produce LH and FSH
- LH and FSH causes gonads to produce androgens and oestrogen
- androgens and oestrogens negatively act on the hypothalamus, preventing production of GnRH
- in turn halts the whole cycle
Explain androgen production in males
- LH stimulates Leydig cells in testis
- produce steroid hormone (from cholesterol): testosterone
- greatest amount produced from testis
- once production starts in the medium, long term testosterone levels remain constant (doesn’t change for a long time)
- there is an effect of circadian rhythm (levels highest in the early morning)
- effects of environmental stimuli (both driven by brain)