HPG and Steroids Flashcards

1
Q

repro problems can occur on what 3 levels?

A

hypothalamic

pituitary

gonadal

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2
Q

what 2 major hormones are released from the pituitary?

A

oxytocin

ADH

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3
Q

what does GnRH do?

A

binds to receptors on the anterior pituitary to have LH and FSH released

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4
Q

where does gnrh come from?

A

the hypothalamus

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5
Q

which 2 pituitary signals help secrete FSH?

A

inhibins

activans

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6
Q

what does follistatin do?

A

inhibits FSH release

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7
Q

what is the end result of stress in the “circhoral oscillator”?

A

stress causes gnrh to no longer be released in pulses, so FSH and LH are not released normally

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8
Q

what do gnrh agonists do?

A

release gnrh chronically, so cause decreased gonadal steroids (“chemical castration”)

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9
Q

what do gnrh antagonists do?

A

cause an immediate decrease in fsh/lh

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10
Q

what are the 3 classes of gonadal hormones

A

progestins

andorgens

estrogens

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11
Q

how are gonadal steroids synthesizdd?

A

a) from acetate
b) from cholesterol

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12
Q

what is the precursor to all steroids?

A

pregnenolone

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13
Q

what 2 parts of the body are known for making steroids?

A

gonads

adrenal cortex

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14
Q

what enzyme must be present for steroids to be made?

A

cytochrome p450

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15
Q

if there is a steroid imbalance, what in general could be going on?

A

a) primary steroid synthesis problem
b) change in conversion from 1 steroid to another

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16
Q

are steroids present at higher or lower levels in the serum compared to cholesterol?

A

lower

17
Q

what hormone helps free steroids to bind?

A

sex hormone binding globulin (SHBG)

18
Q

what 2 steroids does SHBG NOT help to bind?

A

progestins and cortisol

19
Q

what do you order for a patient with high or low androgens?

A

plasma SHBG

20
Q

what is the free androgen index (FAI)?

A

ratio of serum testosterone/SHBG

21
Q

what can cause low SHBG (and therefore high testosterone?)

A

liver disease

22
Q

where are steroid hormone receptors located?

A

intracellularly

23
Q

what happens to these receptors when ligands bind?

A

they change shape and recognize hormone-response elements (HRE) then begin transcription