Lecture 3: Female tract, oogenesis and endocrine 1 Flashcards

1
Q

What is oogenesis?

A

The formation and development of an ovum

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2
Q

Different stages of follicle development?

A
  • Primordial
  • Primary (30-50 for 2-3 months)
  • Secondary (15-20 for 2 weeks rapid growth) -loss by atresia
  • Tertiary Follicle (1-2)
  • Release of a secondary oocyte within corona radiata
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3
Q

Oogonia/oocyte number throughout life?

A
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4
Q

Formation of oocytes from oogonia?

A

Following the mitotic division that forms a large number of germ cells (oogonia) , Meiosis begins but is not completed

Meiosis halts just prior to metaphase 1 at the end of prophase and these are now called oocytes

These oocytes remain arrested until ovulation (12-50 years later)

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5
Q

The ovarian cycle begins with?

A
  • Three months before ovulation many primordial follicles become activated (recognisable by the number of granulosa calls that surrond the oocyte) = Follicular wave
  • It takes about 85 days from activation to antrum formation
  • They compete with each other to become the dominant follicle in terms of growth with the others dying.
  • Ovulation occurs from one ovary at a time (unknown mechanism)
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6
Q

Primordial follicle structure

A
  • Very thin almost invisible zona pellucida
  • Flat granulosa cells with stromal cells surrounding
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7
Q

Primary and Secondary follicle structure?

A
  • Granulosa cells proliferate slowly and then rapidly
  • Theca cells develop outside the basement membrane that are LH receptive and produce androgens
  • Granulosa cells are receptive to FSH and produce: oestrogen, inhibin and AMH
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8
Q

Steriod Pathway?

A

Progesterone is converted to

Androgen that is aromatosed to

Oestrogen

  • These pathways can go both forward and backwards mostly
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9
Q

Two theories of follicular steriodogeneis?

A
  • Theca cells in response to LH are making progesterone and androgens
  • Granulosa cells then convert these to Oestrogens (most potent being oestradiol)
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10
Q

Tertiary Follicle structure?

A
  • Follicular fluid filled Antrum forms
  • Granulosa cells still miltilayerd and cuboidal
  • Theca interna and externa visible
  • cumulus oophorous - granulosa cells currounding oocyte
  • mural granulosa cells lining the wall of the antrum
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11
Q

Zona Pellucida structure, formation and function?

A
  • Protein ZP1 is present in primordial follicles
  • ZP2 and ZP3 are added to the activated follicles
  • Very important for filtering normal sperm in and blocking polyspermy as well as fertilisation from other species sperm.
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12
Q

Formation and role of AMH and FSH?

A
  • AMH - Antimullerian hormone
  • Produced in the granulosa cells of larger tertiary follicles
  • Supresses follicular recruitment and development
  • FSH drives proliferation of Granulosa cells so at the secondary and tertiarty follicular levels it becomes gonadotrophin-dependent growth (antral growth opposed to preantral) Before this (eg. primordial) is non-gonadotrophin dependent
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13
Q

How is the egg released?

A
  • A dominant follicle is said to be about 15mm
  • Estrogen feedback flips and causes a surge in LH
  • 12-24h after LH peak you get ovulation
  • A part known as the Stigma pushes out from the side of the ovary.
  • The oocyte then must get into the fillopian tube and theca cells begin to leutinise
  • The corpus luteum forms and produces progesterone and estrogen before regressing to corpus albicans
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14
Q

Fillopian tube regions?

A
  1. Infundibulum (with fimbrae)
  2. ampulla
  3. isthmus
  4. intramural/interstitial portion
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15
Q

Fillopian tube structure?

A
  1. Epithelial lining
  2. muscular coat -inner circular, outer longitudinal
  3. serosal coat

Epthelium:

  • (i) Ciliated
  • (ii) secretory
  • Responsive to steroids
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16
Q

effects of E2 (estrogen) of the FT?

A

E2 Promotes:

  • increase in cilia
  • increase in secretory activity
  • increase in muscular activity

Thus the early peak in E2 gets the FT ready for the oocyte

17
Q

Effects of P4 (progesterone) in the FT?

A

P4 Promotes:

  • Decreased in muscular activity
  • decrease in cilia BUT increase in the beat frequency after estrogen priming
  • Decrease in volume of secretions