Male Reproductive Endocrinology - IN Flashcards

1
Q

what does the SRY gene encode

A

TDF = testis determining factor

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2
Q

what factors determine phenotypic males

A

development of accessory sex organs, external genitalia that require DHT, and secondary sex characteristics

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3
Q

what cells produce androgens

A

Leydig cells

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4
Q

what do androgens promote

A

differentiation of wollfian duct to vas deferens, seminal vesicels, ejaculatory duct
differentiation of mesonephros to the epididymis
prostate development

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5
Q

what happens to mullerian ducts

A

they degenerate in response to anti-mullerian hormone from sertoli cells

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6
Q

what does DHT accomplish

A

stimulates formation of male external genitalia from undifferentiated structure

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7
Q

what happens to GnRH at pooberty?

A

frequency and amplitude of pulses increases and the sensitivity of the hypothalamus/pituitary to testosterone decreases, testosterone increases, spermatogenesis begins

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8
Q

what is the progression of spermatogenesis

A

1ary spermatocyte -> 2dary spermatocyte -> spermatid -> spermatozoa

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9
Q

what happens when FSH binds to sertoli cells

A

increased transcription of androgen binding protein, p450 aromatase, and inhibins

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10
Q

why does LH bind to leydig cells

A

to stimulate testosterone

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11
Q

what compounds regulate the pattern of androgens

A

E2, T, DHT

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12
Q

what happens to your balls when you take steroids

A

High peripheral T causes LH levels to drop, and thus testes are no longer making T, and it’s not able to be bound to the ABPs to keep them in high concentrations in the testes…-> Shrinkage.

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13
Q

what causes male pseudohermaphroditism

A

any deficit in androgens
5-a-reductase deficiency
androgen insensitivity syndrome

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14
Q

what are androgenic actions

A

Maturation of sex organs, development of secondary sexual characteristics (voice deepening/hair)

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15
Q

what are anabolic actions

A

Promoting protein synthesis, muscle growth/inc in strength, increase in bone density/strength (the maturation occurs more slowly in men since it’s mediated by estradiols; this is another reason girls go through their growth spurts first).

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16
Q

when do levels of testosterone begin to decrease

A

after age 40, along with FSH & LH levels leading to “andropause” but no abrupt loss of fertility

17
Q

what is kennedy’s disease

A

spinobulbar muscular atrophy, an x linked disease caused by mutation in androgen receptor

18
Q

how do leydig and sertoli cells “crosstalk”

A

Leydig produce testosterone to (+) Sertoli, and b-endorphins which inhibit Sertoli cell proliferation
Sertoli cells make estrogens/growth factors which act on Leydig cells.

19
Q

how does viagra work

A

keeps your cGMP levels high by blocking phosphodiesterase, so dont take viagra if you take nitrates for chest pain as this may cause an unsafe drop in blood pressure (how many fucking viagra commercials do you think ive seen? 10000? 10000000? fuck you espn)

20
Q

what is one treatment for male pattern baldness

A

block DHT - ie finasteride and propecia, but these can lead to depression, impotence, and abnormal ejaculation

21
Q

where does testosterone come from prenatally

A

Leydig cells which are producing these sex hormones are dependent on maternal hCG in early development, and LH in late development.