Lecture 12: Estrogens Flashcards

1
Q

Estrogens

A

-development and maintenance of female reproductive tissues
-regulation in CNS (temp, mood)
-effects in peripheral tissues (bone, cardiovascular, liver)

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2
Q

Progesterone

A

-development/maintenance of female tissues
-maintenance of pregnanct
-effects in other tissues (brain)

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3
Q

17B-estradiol

A

-most potent estrogen
-produced mostyl in ovaries of premenopausal women
-synthesized most in placenta during pregnancy

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4
Q

17B-estradiol plasma levels

A

-varies with menstrual cycle
-5-85 ng/dL

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5
Q

17B-estradiol states

A

-most bound to SHBG
-free (2%)

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6
Q

Granulosa cells

A

-produce estrogen

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7
Q

corpus luteum

A

-produces estrogen and progesterone

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8
Q

Menstrual Cycle

A
  1. early follicular phase
  2. late follicular phase
  3. luteal phase
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9
Q

early follicular phase

A

-estrogen suppresses FSH

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10
Q

late follicular phase

A

-estrogen stimulates LH and FSH surge
=ovulation
=forms corpus luteum

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11
Q

luteal phase

A

-estrogen and progesterone suppress LH and FSH

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12
Q

If pregnancy does not occur,

A

-corpus luteum degenerates
-estrogen and progesterone production by corpus luteum declines
=menstruation

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13
Q

if pregnancy occurs,

A

-embryo secretes hCG
-hCG acts like LH
=stimulates corpus to produce progesterone during first trimester

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14
Q

high progesterone levels support

A

maintenance of endometrium

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15
Q

pregnancy tests

A

-chromatographic immunoassays of hCG in urine

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16
Q

Estrone and Estiol synthesis

A

-synthesized in liver and peripheral tissues
-from androstenedione
-aromatase

17
Q

17B-estradiol synthesis

A

-in ovaries
-from testosterone
-aromatase

18
Q

types of estrogens

A

-natural
-synthetic
-phyto
-environmental

19
Q

natural estrogens

A

-17B-estradiol (most potent)
-estrone
-estriol (least potent)

20
Q

Synthetic estrogens

A

-drugs with estrogenic activities
-steroidal or nonsteroidal

21
Q

phytoestrogens

A

-estrogen-mimetic compounds in plants
-“flavonoids”

22
Q

environmental estrogens

A

-compounds used to make plastic
-bisphenols, alkylphenols, phthalate phenols

23
Q

Metabolism of estrogen

A

-in liver
-hydroxylation in A ring

24
Q

Excretion of estrogen

A

-to bile then to urine
-conjugated estrogens in bile can be hydrolyzed and reabsorbed

25
oral estrogens
-high ratio of hepatic to peripheral effects
26
physiological effects of estrogen
-female maturation -endometrial -metabolic and cardiovascular -enhance blood coagulation -CNS (mood)
27
Role of estrogen in female maturation
-development of vagina, uterus, uterine tubes -breast growth -accelerated growth phase and epiphyseal closure -grow hair -alter body fat distribution -pigment skin (nipples, genitals)
28
endometrial effects of estrogen
-develop endometrial lining -prolonged exposure = hyperplasia and abnormal bleeding
29
Metabolic effect of estrogen
-decrease bone reabsorption rate -synthesize transcortin and SHBG -increase HDL -decrease LDL
30
osteoporosis cause
estrogen deficiency
31
Clinical uses of estrogens
-hormone replacement therapy (postmenapause) -osteoporosis -contraception -replacement therapy in hypogonadism
32
Hormone replacement therapy in postmenapausal women
-relieve CNS effects (hot flashes) -relieve urogenital atrophy symptoms (dry cooch) -relieve mood, insomnia, depression, nervousness
33
osteoporosis
-post-menapausal only -estrogens decrease rate of bone reabsorption
34
Replacement therapy in patients with primary hypogonadism
-no ovaries -chromosomal disorders (turner syndrome) -castration (oophorectomy)
35
turner syndrome
absence of one or all sex chroosomes
36
Adverse effects of estrogens
-uterine bleeding -endometrial carcinoma -breast cancer -nausea, headache, retention, weight gain
37
Uterine bleeding due to estrogen
-endometrial hyperplasia -estrogen should be given cyclically -prevent by admin of progestin each cycle
38
Progestin effect on estrogen adverse effects
-prevent uterine bleeding -reduce risk of endometrial carcinoma -not effective for breast cancer