Male repro Flashcards

1
Q

Gonadal sex determinant in males

A

-SRY gene encodes testis determining factor (leads to production of androgens)

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2
Q

XX male

A
  • SRY gene translocates to the X chromosome during meiosis

- Will develop into male but normal testes never produced

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3
Q

Androgens produced by the Leydig cells promote:

A
  • Differentiation of Wolffian duct

- Prostate development

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4
Q

Anti Mullerian hormone

A
  • From sertoli cells

- Causes mullerian ducts to degenerate

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5
Q

What hormone does wolffian duct development require?

A

Testosterone

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6
Q

What hormone does prostate development require

A

DHT

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7
Q

What stimulates formation of male external genitalia?

A
  • DHT

- Begins at about 10 weeks gestation

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8
Q

How does GnRH work?

A

-Binds G protein coupled gonadotroph receptors and activates PLC which ultimately causes Ca release, DAG production, and protein kinase C activation

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9
Q

Effects of a constant supply of GnRH

A
  • Downregulation of GnRH receptors

- Decreased secretion of LH and FSH

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10
Q

Leydig cells

A
  • Sensitive to hCG and LH

- Produces testosterone

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11
Q

Sertoli cells

A
  • Respond to FSH

- Produce aromatase, growth factors, and inhibin

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12
Q

Negative feedback routes

A
  • Testosterone can inhibit GnRH release from hypothalamus and LH release from anterior pituitary
  • Inhibin can work on anterior pituitary to inhibit FSH release
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13
Q

Kallmann syndrome

A
  • Hypogonadotropic hypogonadism
  • Lack LH and FSH due to lack of GnRH neurons
  • Also have congenital anosmia
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14
Q

5-alpha reductase

A

-Converts testosterone to DHT

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15
Q

Desmolase

A
  • Converts cholesterol to pregnenolone
  • Rate limiting step
  • Upregulated by LH
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16
Q

Male pseudohermaphroditism

A
  • 5alphareductase deficiency: DHT levels reduced, prostate won’t develop correctly and neither with external genitalia
  • Androgen insensitivity syndrome: androgen receptors defective
17
Q

Androgenic effects of angrogens

A
  • Maturation of sex organs

- Development of secondary sex characteristics

18
Q

Anabolic effects of androgens

A
  • Promote protein synthesis and growth of tissues
  • Muscle growth
  • Increase in bone density
19
Q

What causes a higher hematocrit in men?

A

-Androgens increase the expression of erythropoeitin from kidneys

20
Q

What regulates male sex behavior

A

-Estrogens

21
Q

Kennedy’s Disease (Spinobulbar muscular atrophy)

A
  • Mutation in androgen receptors
  • Lower motor neuron disease
  • Expansion of CAG repeat
  • Toxic gain of function
  • X linked
22
Q

Senesence (andropause)

A
  • No abrupt loss of fertility
  • Testosterone decreases
  • Quantity and quality of sperm also decreases
  • FSH and LH increase
23
Q

Finasteride (propecia)

A

-Blocks production of DHT, used to treat male pattern baldness

24
Q

Spermatogenesis

A
  • Initiated at puberty by FSH via sertoli cells

- Further supported by LH driven increases in testosterone and sertoli cell growth factors

25
Emission and ejaculation controlled by:
-Sympathetic nervous system
26
Erection controlled by
-Parasympathetic nervous system