Male Anatomy / Histology Flashcards

1
Q

How are seminiferous tubules arranged?

A
  • Surrounded by fibrous tunica albuginea w/ invaginations that form septa –> 250-400 lobules
  • Ea lobule has 2-4 seminiferous tubules –> start and end in common straight seminiferous tubule –> rete testis –> connects to head of epididymis via efferent ductules
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2
Q

Role and Location of Sertoli Cells

A

Location - BM of seminiferous tubules - direct contact w/ germ cells - maintain microenvironment

  • FSH –> Sertoli proliferation and seminiferous tubule elongation b/f puberty (more sertoli cells = greater sperm output)
  • FSH stimulation of Sertoli cells is not NEEDED for spermatogenesis but supports it
  • Sertoli cells themselves are NEEDED for spermatogenesis
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3
Q

Blood Testis Barrier

A

-Created by Sertoli cells w/ tight junctions

  • Adluminal side - protected / immune-privileged; undergoing meiosis
    - Immune-privilege can lead to auto-antibody formation on differentiating germ cells –> immune response (orchitis)
  • Basal side - exposed to circulation; mitosis
  • If endocrine factors cannot cross border then Sertoli cells release paracrine factors that can
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4
Q

Role and Location of Leydig Cells

A
  • In interstitial space outside seminiferous tubules

- LH binds Leydig cells (in interstitial space b/n seminiferous tubules); major source of testosterone

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5
Q

Progression of Male Gametes

A

MOVE FROM BASAL TO LUMINAL

  • Spermatogonia - mitosis (“keep going thru mitosis - gonia”)
    • A dark - non mitotic reserve
    • A pale - stem cells undergoing mitosis
    • B - mitosis but incomplete cytokinesis so clump together
  • Primary spermatocyte - 4N; meiosis I (takes 24 days)
  • Secondary spermatocyte - 2N; meiosis II (happens very quickly)
  • Spermatid - 1N; final product of meiosis; round cell; formation is called spermatogenesis
  • Spermatazoa - 1N; matures into sperm shape; elongated w/ head, acrosome and tail (“zoa b/c zoom w/ flagella”); formation is called spermiogenesis
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6
Q

Testes on Histo

A
  • Tubules surrounded by basement membrane, lined w/ Sertoli cells and gametes in center
  • Sertoli - euchromatic; run all the way from BM to lumen
  • Gap junctions b/n them creates mitotic compartment in base (basal) & others
  • Myoepithelial cells outside BM can contract to help force sperm out of lumen
  • Interstitial space is connective tissue are w/ vessels and Leydig cells
  • Can see all stages of sperm maturation above
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7
Q

Testosterone Production

A
  • 95% produced in Leydig cells
  • Take in cholesterol via LDL and HDL from circulation or from de novo synthesis from acetate or cholesterol esters stored in cellular lipid droplets
  • LH stimulation –> cAMP –> testosterone synthesis and release into circulation
  • Rate limiting step = transporting hydrophobic cholesterol into inner mito membrane; but acute LH stimulation –> steroidogenic acute regulatory protein which transports the cholesterol
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8
Q

DHT

A
  • From testosterone via 5-alpha reductase
  • Needed for scotum, penis and urethra development in utero
  • Also needed for effects on prostate and sebaceous glands of skin
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9
Q

5 Steps of Sperm Transport

A
  • 1- Sertoli cells secrete fluid into seminiferous tubule lumen (including nutrients and sex hormone binding protein w/ testosterone); this fluid then carries sperm to rete testis
  • 2- Rete testis –> efferent ductules –> epididymis
  • 3- Sperm conc in epididymis by resorption of water and mature here for 15 days until acquire forward motility
  • 4- Moved as dense mass to vas deferens by muscle contraction of epididymis and vas deferens (not swimming - too dense)
  • 5- Removed w/ urine or w/ seminal fluid if ejaculation
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10
Q

Contributions to Seminal Fluid

A
  • Seminal vesicles, prostate, ampulla and Cowper’s gland all contribute to seminal fluid
  • Seminal vesicles provide 60% esp fructose and clotting substance
  • Prostate provides 30% including PSA (coagulase to free clotted semen) and PAP (prostatic acid phosphatase); alkalize
  • Cowper’s glands (pea-sized below prostate) provide lubrication
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11
Q

Erection Process

A
  • Inc blood flow in (NO in walls of precapillary arterioles and sinusoids of corpus cavernosum –> inc cGMP–> relaxation and dilation)
  • Expanded corpus cavernosum also presses on tunica to dec blood flow out via venous system
  • Viagra = PDE5 inhibitor
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12
Q

Sperm Structure

A
  • Head - condensed haploid genome
  • Acrosomal compartment - on anterior head; filled w/ hydrolytic enzymes
  • Midpiece - mitochondria; energy for tail locomotion
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13
Q

Capacitation

A
  • In female tract
  • Destabilize sperm head membrane to prepare for acrosome reaction; makes it more fluid and permeable to Ca++
  • Inc Ca++ in –> inc cAMP –> hyperactive motility
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14
Q

Fertilization

A
  • In fallopian tube
  • ZP3 glycoprotein of zona pellucida binds sperm –> acrosome reaction (acrosome releases enzymes which drill thru zona pellucida w/ help of driving force of sperm tail) –> fuses w/ plasma membrane of oocyte –> egg cont meiosis and stimulates granule contents of egg into zona pellucida including proteases that alter zona pellucida/destroy ZP3 so no further penetration by additional sperm
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15
Q

How is male infertility determined and defined?

A
  • 2 semen samples wks apart after 2-5 days abstinence
  • Normal count > 20 mill sperm / ml ejaculate w/ 75% viability, 40% mobility and 30% normal shape and form
  • Oligospermic - < 20 mill / ml
  • Azoospermia - no sperm in ejaculate; obstructive or non-obstructive
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16
Q

Causes of Male Infertility

A
  • 50% idiopathic
  • Varicocele
  • ID or inflammation (mumps)
  • Kallman
  • Immune disorders
  • Environmental
  • Genetics - CF (absence of vas deferens), Noonan Syndrome, myotonic dystrophy, hemachromatosis, XX reversal, male pseudohermaphroditism (androgen insensitivity), XXY Klinefelters, deletions in Y chromosome
17
Q

4 Prostate Zones

A
  • Anterior
  • Transitional - around urethra; responsible for BPH
  • Central - around seminal vesicles
  • Peripheral - 70% prostate cancer
18
Q

Prostate Histology

A
  • Highly folded lumen w/ smooth muscle
  • Corpora amylacea - layered concentrations that inc w/ age; including lactoferrin
  • Epithelium of basal layer of cuboidal cells and apical layer of columnar cells
  • Do cytokeratin stain; if pos then shows normal (epithelium anchored down into BM)
19
Q

Progression of Prostate Neoplasia

A
  • Normal –> proliferative inflammatory atrophy (PIA) –> prostatic intraepithelial neoplasia (PIN) –> localized cancer (adenocarcinoma) –> metastasize
20
Q

Gleason Score

A
  • Score of 1-5 based on abnormality of 12 specimens
  • Then add worst + best + most predominant scores
  • For prostate cancer
21
Q

3 Roles of Oxytocin in Males

A
  • Up-regulates 5 alpha reductase –> more DHT
  • Maintains prostate tone / inc smooth muscle contraction at ejaculation
  • Empathy, social learning, mate bonding, parent-child bonding