Lecture 30- Hypothalamic Regulation of Reproductive Function Flashcards

1
Q

What is the basic hypothalamus- pituitary axis corresponding to changes in the gonads?

A

Hypothalamus= GnRH
Anterior Pituitary= LH/FSH
Target organ= Gonads which produce testosterone or estrogen (note: there are other hormones produced this just the basic idea)

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2
Q

What two processes do LH and FSH effect in the gonads?

A

gametogenesis: sperm production in the
testes and ova development in the ovary

steroidogenesis: hormone production

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3
Q

What hormones are produced in the female gonads as opposed to the male gonads?

A

male: testosterone and inhibin
female: estrogen, progesterone, inhibin

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4
Q

What feature of GnRH neurons means it’s easy for hormones to enter the blood stream to the anterior pituitary?

A

They are highly fenestrated

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5
Q

How does the release of GnRH hormone differ between male and females?

A

Pulsatile for males

More of a surge present for females

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6
Q

In the Hypothalamo-Pituitary-Gonadal (HPG) axis what hormones provide feedback to the brain? How is this feedback special?

A

estrogen, progesterone, testosterone feedback to the hypothalamus
Special as this can either be positive or negative feedback depending on the circumstances

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7
Q

Where in the testes is sperm stored once it is made?

A

Epididymis

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8
Q

Where does spermatogenesis (the production of sperm) occur in the testes?

A

Seminiferous tubules

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9
Q

What cell types are there in the seminiferous tubules of the male teste? What are each of their basic roles? What percentage of each cell type is there?

A

80% = sertoli cells= support cells

20%= leydig cells= testosterone production

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10
Q

Draw the hormone loop/ feedback mechanism invovled in male reproduction….

A

Answers on slide

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11
Q

What interaction occurs between the Leydig and Sertoli cells/ the processes occurring in each cell….

A

Leydig cell:
LH binds to a receptor
Causes the production of adenylyl cyclase
This means ATP can be converted to cyclic AMP
PKA is then formed which then enters the nucleus
This allows for new proteins to be synthesized one of which is an enzyme that aids the conversion of cholesterol to testosterone

Sertoli cell:
FSH binds to a receptor
Follows same process as before leading to the production of the protein aromatase
Aromatase converts testosterone (which has come from the Leydig cell) to estradiol
Estradiol then diffuses back across to the Leydig cell to enhance protein production from the nucleus (i.e. enzyme production that promotes conversion to testosterone)

Therefore, in this way both cells support each other and are required cause it’s the interaction that produces testosterone and estradiol.

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12
Q

How do androgen receptors work in the recognition of testosterone i.e. what needs to happen for testosterone to be recognized + have an effect?

A

-Testosterone is not potent by itself so converted to dihydrotestosterone
via the enzyme 5 alpha reductase
-Dihydrotestosterone has higher infinity to the androgen receptor so have larger effect of testosterone on gene expression
-Enters nucleus results in activation of target genes

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13
Q

Do testosterone levels remain stable throughout the day?

A

No, they are pulsatile

highest between midnight and noon

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14
Q

How does testosterone secretion differ across a lifetime?

A
  • Large spike after feralization determines the sex of the baby
  • There is also a spike right after birth although the reason for this is not well understood
  • Spikes at puberty and remains high throughout adulthood
  • Declines as get older but never as low as it was before puberty
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15
Q

Describe follicular development in females….

A
  • At birth we have 2 million primordial follicles, most undergo atresia though
  • These differentiate to primary follicles, then secondary follicles then to tertiary (Graafian) follicles which are a mature and contain an egg
  • Only one of these follicles will be the dominant and enter the ovulatory phase
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16
Q

What are the names of the cells that exist around follicles? What is the basic function of these

A

Granulosa and Theca cells

The cells produce hormones!

17
Q

What happens to the mature follicles after ovulation?

A

Once egg leaves the mature follicles collapse and the granulosa cells enlarge to from the corpus luteum

18
Q

What hormones does the corpus luteum produce?

A

The corpus luteum secretes estrogen, progesterone and inhibin

19
Q

What happens to the corpus luteum if feralization doesn’t occur and under what time frame?

A
  • If fertilization does not occur, the corpus luteum degenerates after ~10 days
  • Corpus luteum degeneration leads to menstruation
20
Q

What are the two phases invovled in female reproductive anatomy?

A
  • Follicular phase: follicle development (prior to ovulation)
  • Luteal phase: corpus luteum active (after ovulation)
21
Q

Draw a flow diagram/ hormone feedback loop showing the hormonal control of the ovary during the early and middle follicular phases…

A

Answers in slides

22
Q

What interaction occurs in the production of testosterone and estradiol in theca + granulosa cells?

A

-Theca cells (no aromatase):
LDL binds to receptor cause cholesterol to be converted to pregnenolone with aid of cyclic AMP (comes from LH leading to adenylyl cyclase production in similar way to males)
Series of changes then occurs (progesterone to 17a-OH progesterone to androstenedione) and get testosterone release at the end

-Granulosa cells:
Starts off similar way LDL binds to receptor and causes cholesterol to be converted to pregnenolone with aid of cyclic AMP (comes from LH leading to adenylyl cyclase production)
Difference is that after pregnenolone still get progesterone, but not 17-a hydroxylase. Just go straight to Androstenedione instead.
Due to this aromatase is required to convert to testosterone and estrone and then again to estradiol
Note: FSH stimulates the production of Aromatase

Refer to diagram in slides!

23
Q

Explain the diagram in slides relating to the link between the ovarian and menstrual cycles…

A

Refer to hubs 192 content+ PHSL231 slides

24
Q

Outline the steps in the hormonal control of the menstrual cycle…

A

1) low estrogen: LH and FSH increase so multiple
follicles develop
2) estrogen (from follicles) rises
3) dominant follicle: secretes estrogen and inhibin
4) increased estrogen and inhibin reduce FSH
5) estrogen ‘switch’ to positive feedback
6) LH surge
7) ovulation
8) corpus luteum forms
9) corpus luteum secretes estrogen and
progesterone
10) FSH and LH are inhibited
11) corpus luteum degenerates so estrogen and
progesterone decrease
12) FSH and LH levels rise

25
Q

Draw the feedback/ hormone loop involved during the preovulatory LH surge… describe the estrogen ‘switch’ that occurs…

A

Answers in slides…
The estrogen switch describes the swap to positive feedback leading to the the LH surge (kisspeptin neurons play some role)

26
Q

How do oral contraceptives prevent pregenancy?

A
  • Several different types of ‘the pill’ exist; generally, they all contain synthetic estrogen and progesterone that:
  • Prevent ovulation by maintaining negative feedback
  • Make the uterus less likely to accept implantation
  • Thicken the mucus in the cervix
27
Q

What are some side effects/ risks with oral contraceptives?

A

-Oral contraceptives may influence coagulation
-Increase the risk of deep vein thrombosis (DVT), pulmonary embolism,
stroke and myocardial infarction (heart attack)

28
Q

What is the role of prolactin?

What is the role of oxytocin?

A
Prolactin= Milk synthesis
Oxytocin= Milk ejection
29
Q

How is prolactin release controlled…

A
  • Dopamine neurons exist in hypothalamus and protect to the medial eminence
  • There prolactin is produced (in anterior pituitary)
  • Suckling leads to activation of long loop via the spinal cord and get inhibition of dopamine
  • Reduction of dopamine results in prolactin travels to breast
30
Q

Describe the milk ejection reflex i.e. how is oxytocin controlled?

A

Diagram in slides

31
Q

Where is oxytocin released from?

A

The posterior pituitary