HRR: male repro I Flashcards

1
Q

Which gonadotropin predominates in stimulation of Sertoli cells?

A

FSH

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2
Q

Which gonadotropin predominates in stimulation of Leydig cells?

A

LH

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3
Q

What are the 3 negative feedback players in male sex hormones in order of strength?

A

Testosterone, E2 (estradiol), DHT

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4
Q

What does negative feedback to hypothalamic-pituitary-testes axis result in?

A

Fewer GnRH pulses and pulses of lower amplitude

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5
Q

What is the main player in hypothalamic pituitary testes feedback?

A

Estradiol

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6
Q

What does inhibin B do?

A

Inhibit FSH

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7
Q

How are hormones able to cause negative feedback to GnRH?

A

Through KNDY neurons! These have receptors for the hormones, while GnRH neurons do not

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8
Q

What is GPR54?

A

Same as Kiss1 receptor; kisspeptin binds here to regulate GnRH secretion

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9
Q

Where does the majority of DHT come from?

A

Peripheral tissues, NOT testes

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10
Q

What enzyme converts testosterone to estradiol?

A

Aromatase

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11
Q

When is the concentration of plasma testosterone highest?

A

Around 6-8 am, but it follows circadian cycle! This means if ‘nighttime’ is our morning, testosterone would be higher at night. Basically, before whenever we wake up.

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12
Q

Someone needs their testosterone checked. When should they come in?

A

In the morning, when it should be most abundant

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13
Q

What are the mechanisms of biologic action of testosterone?

A
  1. Can bind to androgen receptor
  2. Can be converted to DHT by 5a-reductase
  3. Can be converted to estradiol by aromatase
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14
Q

What are the types of 5a reductase and where do we find them?

A

Type 1: liver, non-genital skin
Type 2: androgen target tissues (prostate, epididymis, genital skin, liver)

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15
Q

Is aromatase unidirectional or bidirectional?

A

Unidirectional

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16
Q

Describe DHT binding a receptor.

A

It has a much higher affinity than testosterone and has slow dissociation. This is because the receptor essentially folds over DHT.

17
Q

Which is more potent in the fetus: testosterone or DHT?

A

DHT! It is needed for development of male external genitalia!

18
Q

What elements in the male reproductive system is DHT directly responsible for the development of?

A

Penis, urethra, scrotum, prostate

19
Q

What hormone is appropriate for growth plate fusion?

20
Q

What is ABP?

A

Made in the testes by seminiferous tubules and helps keep testosterone locally, because it’s super important for local functioning.

21
Q

What are major functions of Sertoli cells?

A

Maintain seminiferous tubules, provide nutrients and growth to germ cells, release sperm and secrete fluids, and produce hormones like ABP.

22
Q

What is anti-mullerian hormone?

A

Hormone made by Sertoli cells that is needed to suppress development of female characteristics in males.