Development of Reproductive Tracts Flashcards

1
Q

What is cloaca

A
  • Urinary, GI and reproductive tracts share a common caudal opening
  • Hindgut ends in a dilated structure called the cloaca
  • Cloaca closed to the outside by the cloacal membrane - no mesoderm
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2
Q

What is the urogenital ridge

A
  • Region of intermediate mesoderm giving rise to both the embryonic kidney and the gonad
  • Gonad derived from intermediate mesoderm plus primordial germ cells (extragonadal)
  • Migrate into gonad and direct development of reproductive tract
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3
Q

What are primordial germ cells

A
  • Special population of cells that act as the ‘seed’ for the next generation
  • Allocated shortly after initiated of the current generation
  • Arise in the yolk sac and migrate into the retroperitoneum along the dorsal mesentery
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4
Q

Briefly explain how the male development pathway occurs

A
  • Expression of SRY region on Y chromosomes drives development of male
  • Develops testes
  • Production of testicular hormones (androgens)
  • Develops internal genitalia (male duct system)
  • Mesonephric (Wolffian) duct will dominate
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5
Q

Briefly explain how the female development pathway occurs

A
  • Primordial germ cells do not carry Y chromosome, leading to development of female
  • Develops ovary
  • Develops internal genitalia (tubes and uterus)
  • Paramesonephric (Mullerian) duct will dominate
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6
Q

Describe the development of the mesonephric/ paramesonephric ducts in male

A
  • Testis produce Mullerian inhibiting hormone
    • Suppresses Mullerian (paramesonephric) duct development
  • Testis produces androgens
    - Supports Wolffian (mesonephric) duct but disappears after its job
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7
Q

Describe the development of the mesonephric/ paramesonephric ducts in female

A
  • No testis producing Mullerian inhibiting hormone
    • No suppression of Mullerian (paramesonephric) duct development
  • No testis producing androgens
    - Wolffian (mesonephric) duct degenerates
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8
Q

Describe the mesonephric ducts

A
  • Develop in both male and female embryos
  • Develop into embryonic urinary tract (kidneys)
  • Drains into urogenital sinus, which later will become urinary bladder
  • Surplus to requirement once true kidney develops
  • Mesonephric duct maintained by testis derived androgens
    • Converted into vas deferens and epididymis
      • Migrates with the testis as it descends
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9
Q

Describe the paramesonephric ducts

A
  • Develop in both male and female embryos
  • Appear as invaginations of the epithelium of the urogenital ridge
  • Caudally - make contact with the cloaca (urogenital sinus)
  • Cranially - open into the abdominal cavity
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10
Q

What composes the external genitalia

A
  • Genital tubercle (GT), genital folds and genital swelling

- Urogenital sinus formed as cloacal membrane rupture within the genital fold

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11
Q

Outline how the external genitalia in a male develops

A
  • In the male, the genital tubercle elongates and genital folds fuse to form the spongy urethra
  • Genital tubercle develops into glans penis
  • Genital swelling develops into scrotum
  • Influence by testis-derived androgen hormones (eg. Dihydrotestosterone)
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12
Q

Outline how the external genitalia in a female develops

A
  • No fusion of genital folds occurs
  • Development of labia majora and labia minora from genital swelling
  • Genital tubercle develops into clitoris
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13
Q

Describe the descent of the testis

A
  • Testis are retroperitoneal so pass behind the peritoneum
  • Contraction of gubernaculum guides descent
  • Processes vaginalis develops but is cut off from peritoneum once testes have descended
    - Forms the tunica vaginalis
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14
Q

Describe the descent of the ovary

A
  • Gubernaculum attaches ovary inferiorly to labio-scrotal folds
  • Ovary descends to the pelvis
  • Developed uterus prevents further descent
  • Round ligament of the uterus in inguinal canal - remnant of gubernaculum
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15
Q

Describe the problem if testosterone-treated female

A
  • There is exogenous androgen which supports Wolffian (mesonephric) duct
  • However there is no testis, so no Mullerian inhibiting hormone, which causes Mullerian ducts to develop
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16
Q

Explain the concept of androgen inhibiting syndrome

A
  • Receptors for testosterone do not work
  • Wolffian ducts do not survive - don’t respond to androgen
  • But MIH present so Mullerian ducts degenerate
  • Male patients look female but no female development