LECTURE 28 - fertilisation and contraception Flashcards

1
Q

What is the role of the Bulbourethreal Gland (Cowper’s gland)?

A
  • pre-ejaculate
  • lubrication
  • neutralisation
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2
Q

What is ovulation?

A

Cumulus-oocyte complex is picked up by ciliated fimbriae on the end of the uterine tube

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3
Q

How is sperm transported in the female tract?

A
  • ~200 million sperm deposited in upper vagina
  • seminal plasma = short term buffering
  • cervical mucus is least vicious during the 9-16 days of menstrual cycle
    ~100,000 sperm enter the uterus
    ~1000 sperm enter the uterine tube with 50% chance of choosing uterine tube with oocyte
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4
Q

Where does fertilisation occur and when can it occur?

A
  • occurs in ampulla region of uterine tube
  • sperm remain capable of fertilisation for ~5 days within female tract
  • oocyte remains viable for ~24 hours
  • ovulation prediction kits (OPSKs) - looking for LH as huge surge occurs before ovulation
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5
Q

Describe the sperm interaction with egg vestments

A
  1. remote detection of oocyte-cumulus complex
  2. penetration of cumulus
  3. zona binding
  4. acrosome reaction
  5. zona penetration
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6
Q

Explain penetration of the cumulus

A
  • approx. 3,000 cells embedded in gelatinous matrix (hyaluronic acid)
  • closely apposed cells form tight, organised layers
  • sperm penetrate and can disperse the cumulus
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7
Q

What is the zona pellucida?

A
  • extracellular protein matrix which surrounds all mammalian eggs
  • 4 glycoproteins in humans (ZP1-4)
  • important for sperm-egg binding and induction of acrosome reaction (AR)
  • persists post-fertilisation
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8
Q

What is the acrosome reaction?

A
  • permits zona penetration
  • exposes new membrane for oocyte fusion
  • only capacitated sperm can undergo AR
  • hyper activated motility
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9
Q

What is fusion?

A
  • sperm penetrates ZP and occupies the perevitelline space
  • equatorial segment of sperm head fuses with oocyte plasma membrane
  • sperm nucleus is encased by a vesicle composed of internalised oocyte membrane
  • large increase in the free [Ca2+] - sweeps across egg from point of sperm fusion
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10
Q

What is izumo?

A
  • sperm membrane receptor for fusion
  • detectable on sperm surface only after AR
  • KO completely abolishes fusion
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11
Q

What is Juno?

A
  • receptor for Izumo on the oocyte plasma membrane

- KO abolishes function

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12
Q

How are oocytes activated?

A
  • within 1-3 mins of fusion - large rise in [Ca2+] which sweeps across egg from point of sperm entry - lasts 2-3 mins
  • followed by Ca2+ oscillations every 3-15 mins which may last hours
  • Ca triggered by phospholipase C zeta - sperm specific PLC
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13
Q

How does oocyte activation cause the release of meiotic block?

A
  • M-phase Promoting Factor (MPF) = cyclin-dependent kinase (cdk1) plus cyclin B - blocks metaphase to anaphase transition
  • MPF is stabilised by Cytostatic Factor (CSF)
  • raised Ca levels suppress CSF activity and destroy cyclin B by activating anaphase-promoting complex/cyclosome (APC/C) - causes expression of ubiquitin (E3) ligase which targets cyclin B for destruction and once lost meiosis can continue
  • as well as this, cohesion protein complexes (hold sister chromatids together - oppose pulling force of microtubules
  • scc1 subunit of cohesin is cleaved by separase
  • securin - inhibits separase activity until ubiquitinated by APC/C (caused by increased Ca levels)
  • resumption of cell cycle in the oocyte and completion of meiosis II
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14
Q

How does black to polyspermy occur?

A
Polyspermy = more than one sperm fertilises an egg 
Fast block
- electrical 
- membrane depolarisation
- takes minutes

Slow block

  • cortical reaction = cortical granules fuse and release a mixture of enzymes (inc. proteases) which diffuse into zona pellucida => induces zona reaction
  • triggered by increased [Ca2+]
  • takes 1hr+
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15
Q

What is the Zona reaction?

A
  • the alteration in the structure of the zona pellucida catalysed by proteases from cortical granules
  • cleavage of ZP2 by ovastacin protease
  • sperm can no longer bind or penetrate
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16
Q

What happens as a result of loss of Juno?

A
  • Juno protein is shed from oocyte plasma membrane with the cortical granules
  • undetectable within 40 minutes of fusion
  • no further sperm can fuse
17
Q

What do the sperm and oocyte contribute?

A

Sperm

  • haploid male genome - sex of the baby
  • centriole - the oocyte does not have one, forms spindle for first cell division

Oocyte

  • haploid female genome
  • cytoplasm
  • all organelles
  • mitochondria; maternally inherited
18
Q

What is the zygotic/ pronucleate (2PN) stage of fertilisation?

A
  • decondensation of sperm DNA (protamine/ histone exchange)
  • male and female pronuclei replicate their DNA
  • pronuclei migrate towards each other
  • guided by sperm aster - microtubules radiating from centrosome, essentially capture other pronucleus
19
Q

What is syngamy?

A
  • combination of male and female genetic material
  • occurs 18-24 hours after fusion
  • pronuclear membrane break down
  • chromatin intermixes
  • nuclear envelope reforms around zygote nucleus
  • cleavage begins - end of fertilisation/ beginning of embryogenesis
20
Q

What are cleavage stages?

A
  • occurs over next two weeks after fertilisation
  • zygote cleaves to form 2 blastomeres (cells of embryo)
  • 4-cell, 8-cell stages: pre-implantation genetic testing (PGT) - embryo transfer occurs in IVF
  • morula: 16-32 cells - solid ball near end of uterine tube
  • no cytoplasmic synthesis so blastomere size decreases with each division
  • ZP still in place around zygote
21
Q

What is blastocyst formation?

A
  • late day 4/5
  • blastocoel = fluid filled cavity
  • distinct ICM and single-layered trophoblast
  • embryonic (next to mass) and abemryonic pole
  • embryo transfer in modern IVF occurs at this stage because embryonic genome activated and past stage of totipotency
22
Q

What is hatching?

A
  • late day 6 onwards
  • blastocyst expands out of hole in ZP - abemryonic pole
  • implantation
23
Q

Describe the structure of the endometrium

A
  • thick muscular myometrial later
  • uterine lining = endometrium made of 2 layers
    1. Basal layer - attached to myometrium; remains intact during menstruation
    2. Functional layer - undergoes proliferation then shedding (menstruation). reconstituted out of the underlying basal layer
24
Q

What is the follicular phase of menstruation?

A
  • follicular = proliferative
  • after menstruation, endometrium is very thin and consists only of few layers of cells (basal layer)
  • in the first ~14 days, endometrial cells proliferate due to a rise in oestrogen
25
Q

What is the luteal phase of menstruation?

A
  • luteal = secretory phase
  • after ovulation, ovaries produce progesterone
  • progesterone stimulates synthesis of secretory material by the glands - rich in glycogen, glycoproteins and amino acids => provides nutrition for blastocyst
    => receptive endometrium that is ready for implantation
26
Q

What are the 5 classes of contraception?

A
  1. hormonal
  2. barrier
  3. IUDs
  4. permanent
  5. natural
27
Q

What are the hormonal methods of contraception?

A
  • mimic hormonal levels during luteal phase - feedback inhibition on HPG axis
  • constant exposure to progesterone suppresses ovulation
  • progesterone also causes thickening of the cervical mucus and decreases endometrial receptivity
  • oestrogen exerts addition -ve feedback and induces PR expression increasing effect of progesterone
  • -> improves cycle control - irregular bleeding
28
Q

What are the barrier methods of contraception?

A
  • prevent pregnancy by blocking the egg and sperm from meeting
  • barrier methods have higher failure rates than hormonal methods due to design and human error
    Examples
    Condom
  • most common and most effective (85-98%)
  • used in prevention of pregnancy and spread of STIs

Diaphragm and cap

  • latex barriers placed inside vagina before intercourse
  • spermicidal jelly before insertion
  • effectiveness = 84-94%
29
Q

What are intrauterine devices (IUDs)?

A
  • placed in uterus - copper (presence increases spermicidal effect)
  • lasts 5-12yrs (LARC = long-acting reversible contraception)
  • extremely effective without use of hormones >99%
  • release of leukocytes and prostaglandins by endometrium - hostile to both sperm and embryos
  • post-fertilisation mechanisms contribute to effectiveness (emergency contraception option 2)
  • side effects = heavy periods

Mirena IUS

  • lasts 5 years
  • acts as IUD plus continuously releases small amounts of progestin (atrophy of endometrium)
  • thickening of cervical mucus, may suppress ovulation
  • reduction in menorrhagia and dysmenorrhea
  • 99.9% effective
30
Q

What are the permeant methods of contraception?

A
  • permanent sterilisation
  • Female = uterine tubes (99.5%)
  • Male = vasectomy - vas deferens (99.8%)
31
Q

What are the natural methods of contraception?

A
  • rhythm method (menstrual cycle ~75%)
  • fertility awareness method (temp, cervical mucus and position: 75-95%)
  • coitus interruptus/ withdrawal (73%)
  • natural family spacing
    • lactational amenorrhea
    • prolactin
    • 6 months post part, breaks feeding exclusively with gaps
    • up to 98% effective but unpredictable
  • abstinence (100%)