7. Male physiology Flashcards

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1
Q

What are the main components of the male preproductive tract?

A

Sperm travels through:
1. Testes
2. Epididymis
3. Seminal vesicles+prostate -> Vas deferens
4. Urethra
5. Penis

TESVUP

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2
Q

What is the function of testes?

A

Spermatogenesis occurs in tissue of semineferous tubules of testes - testes inside scrotum - outside the body lower temp for spermatogenesis

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3
Q

Explain how spermatogenesis occurs?

A

Spermatogonium maturation from basal -> apical membrane of semineferous tubules -> released into the lumen - travels to epididymis

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4
Q

What tissue supports spermatogenesis?

A

Seminiferous tubules inside testes

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5
Q

What tissue supports steroidogenesis in testes?

A

Interstitium - Leydig cells - produces hormones

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6
Q

What are Sertoli cells and where are they found?

A

Sertoli cells - somatic cells - support the maturation of sperm cells - spermatogenesis - located in seminiferous tubule epithelium - very large cells - stretch all way from basal to apical membrane of the seminiferous tubule epithelium

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7
Q

What are the functions of Sertoli cells?

A

Sertoli functions:
- structural: Sertoli are scaffold for germ cells to move basal -> apical in seminiferous tubule epithelium
- protective: Sertoli form blood testis barrier - immunologically privelleged site - immune system can’t attack
- secretory: Sertoli secrete fluid to seminiferous tubule lumen + androgen binding protein to transport androgens
- phagocytic: Sertoli absorb waste organelles of developing germ cells
- stimulatory: between Sertoli - sperm gap junctions allow signalling
- receive and transmit endocrine and paracrine signals: Sertoli have receptors for FSH, testosterone - germ cells don’t - signal to germ cells the needed signal in response to the hormone

SSSEPPP

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8
Q

What defines the number of Sertoli cells?

A

Sertoli stop dividing at puberty - no increase after - each Sertoli cell supports a fixed number of germ cells - ratio is species dependent

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9
Q

What is the composure of the intestitium?

A

The interstitium composes:
- blood vessels - seminiferous tubules avascular - molecules travel in blood diffuse into maturing sperm from interstitium
- Leydig cells - steroidogenic
- supporting cells
- fibroblasts - secrete ECM

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10
Q

What is secreted by Leydig cells?

A

Leydig cells secrete testosterone

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11
Q

What is testosterone required for?

A

Testosterone required for:
- spermatogenesis: destruction of Leydig cells in the interstitial tissue - no testosterone - gradual degeneration of spermatogenesis -> spermatogenesis restored when testosterone restored

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12
Q

What moves the sperm out of the testes?

A

Peritubular myoid cells (PTM cells) - contractile - smooth muscle cells - outside of seminiferous tubules -> push sperm out of seminiferous tubule lumen into epididymis

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13
Q

What makes peritubular myoid cells contract?

A

Peritubular myoid cells (PTM) cells contract after receiving a signal from Sertoli cells - ET-1 - binds to dimer receptor on PTM cells => seminiferous tubules contract and push sperm out into epididymis

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14
Q

How long is epididymis and how it fits into testis?

A

Epidydimis - 6m long - very coiled to fit inside the scrotum on top of testis

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15
Q

What is the function of epididymis?

A

Epididymis function:
- sperm concentration - sperm becomes more concetrated - majority of liquid absorbed
- movement
- structural maturation
- sperm storage before ejaculation - also stored in vas deferens

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16
Q

What is an important epididymis environment condition for sperm maturation?

A

More acidic epididymis pH important for sperm tail development - pH change into more alkaline causes sperm tail malformations - C-ros gene responsible for acidic pH

17
Q

What epididymis structure helps concentrate the sperm?

A

Epididymal stereocilia help concentrate the sperm - on the apical epithelial cell surface - stereocilia - increase SA for absorption of testicular fluid

18
Q

What is required for normal epididymis function?

A

Androgens (testosterone) required for normal development and function of the epididymis - testosterone KO epididymis shriveled

19
Q

What is the function of vas deferens?

A

Vas deferens provides contractile power for ejaculation and stores some of the sperm along epididymis

20
Q

How is sperm moved through vas deferens?

A

Vas deferens - straight muscular tube - thick muscular layers contract in peristalsis - move sperm along in ejaculation

21
Q

What is a surgical contraceptive for males?

A

Vasectomy - ligation of vas deferens - sperm can’t pass thorugh - sperm phagocytosed - reabsorbed by the system

22
Q

What is a popular anatomical target for male contraception?

A

Vas deferens: vasectomy + vasalgel – new method being developed:
- gel injected into vas deferens - forms a block - allows fluids to pass thorugh but not sperm cells - reversible by injection of sodium bicarbonate

23
Q

What is congenital bilateral absence of vas deferens (CBAVD)?

A

CBVAD - vas deferentia (pl) don’t develop properly - common in men with cystic fribrosis - CFTR gene mutation - severity of phenotype depends on type and position of CFTR gene mutation

24
Q

What is the composition of semen?

A

Semen composition:
- 4% sperm
- 70% nutrients (fructose)
- 25% alkaline solution - for sperm to survive in acidic uterine environment
- 15 lubricant

Semen plasma secreted by prostate + seminal vesicle

25
Q

What are the two organs producing seminal fluid?

A

Accessory glands: prostate gland + seminal vesicle - attached to vas deferens - mix with sperm

26
Q

What are the components of seminal fluid produced by the seminal vesicle?

A

Seminal vesicle produces ~70-85% of semen plasma - second part of ejaculate - contains fructose + proteins - semenogelin I + II - make semen co-agulate - become more thick

27
Q

Explain how seminal fluid changes it viscosity

A

Semen changes its viscosity:
- semen coagulates after ejaculation: PSA+Zinc ions from prostate + semenogelin from seminal vesicles crosslink
- semen liquidifies in female tract: Zinc binds semenogelin - PSA activate - breaks down crosslinking - semen liquidifies - better motility sperm + stays in female tract longer

28
Q

What are the components of seminal fluid produced by the prostate gland?

A

Prostatic fluid mixes with sperm - first part of ejaculate - alkaline + contains Zn ions

29
Q

Explain what is benign prostatic hyperplasia (BPH)?

A

Benign prostatic hyperplasia (BPH) - non-cancerous enlargement of prostate due to cell multiplication - normally happens at older age

30
Q

Explain what is prostate specific antigen (PSA)

A

Prostate specific antigen (PSA) - kallikrein 3 (klk3) - antigen produced by prostate cells - cleaves semenogelin proteins to liquidify semen in female reproductive tract - levels may increase with prostate cancer/BPH - can be used as diagnostic test

31
Q

What is required for normal prostate function?

A

Androgens - when no androgens prostate shrivels - lumen decreases

32
Q

What structure makes the penis erect?

A

Penis erects when corpus cavemosum enlarges - cavernosal spaces expand

33
Q

What is the mechanims behind penis erection to deliver sperm into female tract?

A

cGMP levels relax smooth muscle which makes the penis erect - viagra inihbits cGMP degradation - erect for longer

34
Q

Lecture summary

A