Male Gonad Physiology Flashcards
___ stimulates leydig cells in testes to make testosterone.
LH
HPG (T) axis
hypothalmic gnrh –> anterior pituitary lh, fsh –> testosterone and inhibin in testes
___ stimulates sertoli cells in testes to promote sperm development
FSH
___ forms inhibin in testes which is a mode of negative feedback
FSH
____ feedsback at the pituitary from the testes
inhibin
____ feedsback at the pituitary and hypothalamus from the testes
testosterone
____ syndrome results from low production of gnrh in parvi-cellular hypothalamic neurons due to failure of cell precursors to migrate to the hypothalamus
kallman’s
GnRH is secreted into the ____ portal.
hypothalamo-hypophyseal
T/F GnRH levels in serum are too low for detection
T
Target of GnRH
gonadotrope cells in anterior pituitary
Circadian output of GnRH is regulated by _____ which results in highest levels of GnRH when?
melatonin –> peak in morning (highest level of LH and testosterone as well)
T/F stress and other similar changes may inhibit gonadtropin release
T
Higher frequency pulsatile gnrh release favors ___ secretion
LH
Excessively frequent pulsation/pathologic or continuous GnRH initially increases LH and FSH in a ____ effect but leads to GnRH receptor downregulation with resulting low LH/FSH. This can be mimicked by treatment with a GnRH agonist like ____
flare effect –> downregulation –> leuprolide
The process by which GnRH binding sites increase during troughs of GnRH pulses is called______
self priming
GnRH analog like leuprolide results in high/low LH
low
T/F LH and FSH are stored in separate granules
T
LH is metabolized by the ___
liver
LH/FSH has a longer serum half life.
FSH = 2 hours vs 20 mins
___ residues on FSH inhibit its metabolism
sialic acid
negative feedback on FSH is mediated by ____
inhibin b
negative feedback on lh is mediated by ____
testosterone
in early fetal development _____ controls development of testes and wolffian ducts
placental hcg
in late fetal development ____ controls testes development as fetal HPG axis matures
pituitary lh
In infancy, the hypothalamus is very sensitive to ___ negative feedback.
steroid