H-AP-Gonad axis Flashcards

1
Q

outline the pathway of GnRH (male)

A

Hypothalamic hormone is GnRH

Anterior Pituitary Hormones are FSH and LH which act on the endocrine cells of the gonads

The endocrine cells of the gonads secrete androgen and targets germ cells of the gonads

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2
Q

what do the testes produce ?

A

They produce sperm (Sertoli cells) and testosterone (leydig cells)

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3
Q

where does testosterone act ?

A

Testosterone is secreted by the leydig cells located between seminiferous tubules.

fetal; masculinizes tract and external genitalia

Puberty & adulthood; -growth, maturation and maintenance of male reproductive system

  • sex drive
  • secondary sex characteristics (hair growth, voice, skin, body shape)
  • bone, muscle
  • brain (cognition, behaviour)
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4
Q

Why is there increased risk of inferticlity in males taking anabolic steroids?

A

AAS mimic the effects of testosterone

Excess testosterone shuts down pathway;

  • testes stop producing sperm
  • stop producing testosterone
  • decrease libido and fertility
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5
Q

outline the pathway of GnRH (female)

A

Hypothalamic hormone is GnRH

Anterior Pituitary Hormones are FSH and LH which act on the endocrine cells of the gonads

The endocrine cells of the gonads secrete estrogen and progesterone and targets germ cells of the gonads

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6
Q

What is the cycle of hormones that the female reproductive physiology endures ?

A

Anterior pituitary hormones act on the ovaries

ovaries produce eggs

ovaries produce hormones that act on the uterus

uterus gets ready for pregnancy, then is stripped of lining if implantation doesnt occur

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7
Q

what is responsible for mentrual bleeding ?

A

Endometrial spiral arteries are responsible for mentrual bleeding

** animals that lack arteries do not bleed when they shed their endometrium

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8
Q

What is special about the female reproductive cycling of hormones?

A

Complex coupling of two cycles

  1. Ovarian cycle - regulated by FSH, LH
  2. Uterine (Mentrual) cycle - estrogen and progesterone

these occur simultaneously, coupled by GnRH from the Hypothalamus, and FSH/LH from the anterior pituitary

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9
Q

what occurs in stage 0 of female cycle ?

A

HPG - axis : Gonadotropin secretion from the anterior pituitary

Ovaries : FSH influences several ovarian follicles to being maturation

Uterus : Day 1 of menstrual bleeding begins

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10
Q

what occurs in stage 1 of female cycle ?

A

HPG-axis : early - estrogen inhibits GnRH, FSH, LH (prevents more follicles from same cycle)

Ovaries : FSH declining, LH increasing

Uterus : estrogen stimulates endometrial growth

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11
Q

what occurs of stage 2 of female cycle ?

A

Ovulation

Ovulation REQUIRES an LH surge, stimulated by estrogen

Mature follicle dissolves its matrix, ruptures

egg released

> what’s left forms the corpus luteum

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12
Q

What occurs in stage 3 of the female cycle ?

A

Early/Mid luteal phase

HPG-axis : - Corpus luteum produces progesterone, estrogen

  • Negative feedback on HPG-axis (suppress gondaotropins)

Ovaries : Early - corpus luteum develops

Later - corpus luteum regresses

Uterus : Early - Endometrium anticipating pregnancy

Progesterone - cervical mucosal barrier thickens

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13
Q

what occurs in the stage 4 of the female cycle ?

A

Late luteal-menstruation

HPG-axis : estrogen, progesterone down - removes negative feedback on HPG : FSH & LH up

Ovaries : Corpus luteum lives 12 days then apoptosis

Uterus : Endometrium requires progesterone or else vasculature contracts and dies, sloughs off, menstruation starts (@14 days post ovulation)

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14
Q

What is the significance in the the raise in body temperature for women ?

A

Starting at 1 day after LH peak, basal body temperature sharply rises.

This is due to an increase in progesterone

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15
Q

why do women get PMS ?

A
  • Decreased mood, anxiety, bloating, breast tenderness, weight gain, difficulty concentrating

> temporal correlation with luteal phase

> requires ovulation & formation of corpus luteum

> link with neorutransmitter actions with HPG hormones

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16
Q

What are contraceptive pills ?

A

Synthetic estrogen & Progesterone

Elevation of these ovarian hormones (by the pills) leads to negative feedback inhibition of gonadotropin section, so ovulation never occurs

simulates a false luteal phase

17
Q

What happens at menopause ?

A

Estrogen is important for health : cardiovascualr, bone and behaviour

At menopause ovaries depleted of follicles, stop secreting estrogen (change is at ovarian, not pituiary level)

Weak form of estrogen made in adipose tissue (women with adipose tissue have higher levels & less propensity to osteoporosis)

18
Q

what are the health risks associated with hormone replacement therapy for menopause ?

A

Menopause associated with increased risk of osteoporosis, hot flashes, aging

Estrogen-Progesterone study (16, 000 postmenopausal)

> Increased breast cancer risk

> Increased cardiovascular complications

Estrogen Only (11, 000 postmenopausal, hysterectomy)

> Increased stroke risk