Male Reproductive Physiology Flashcards

1
Q

When it comes to the expression of the a and b chains of LH and FSH, what seems to determine of rate of gene expression respectively?

A

The “Rhythm” of GnRH secretion

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2
Q

As a Leydig cell within the teste, the ability to secrete testosterone is facilitated by what component of the cell? Stimulating hormone?

A

LH receptor; LH

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3
Q

As a Sertoli cell in the teste, the ability to produce androgen binding protein is facilitated by what component of the cell? Stimulating hormone?

A

FSH receptor; FSH

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4
Q

What is the hormone which facilitates negative feedback of anterior pituitary, produced by the sertoli cell? What hormone is it inhibiting the synthesis of in the anterior pituitary?

A

Inhibin; FSH

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5
Q

What hormone produced by leydig cells is able to negatively regulate its own production?

A

Testosterone; inhibits GnRH and LH release

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6
Q

As it pertains to the HPT axis, there only need be a low amount of testosterone in circulation compared to the extremely high concentration of it within the seminiferous tubules of the testes (intra-testicular). That said, if an individual receives a dosing of exogenous steroids, this actually decreases endogenous testosterone production. How/why?

A

Bc the amount of circulating testosterone is maintained at a relatively low level, the HPT axis is acutely sensitive to an increase in this level. As a result, this will lead to the inhibition of GnRH and activity of pituitary gonadotrophs (meaning decreased LH production).

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7
Q

In addition to androgen binding protein (AR) and anti-mullerian hormone, what else do sertoli cells produce?

A

Aromatase *converts testosterone to estrogen which supplies sperm w/estrogen bc sperm have ER*

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8
Q

In men what is the primary source of estrogen production?

A

peripheral (in adipocytes) conversion of testosterone to estrogen

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9
Q

What is the process of spermiation?

A

releasing of spermatozoa into seminiferous tubule

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10
Q

In adults, as long as there is sufficient levels of testosterone there need not be overly high levels of what 2 hormones in order to maintain sufficient spermatogenesis?

A

LH and FSH

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11
Q

The whole process of sperm maturation takes 74 days whereby about 50 of those days are spent in the seminiferous tubule whereas the other 24 are spent where?

A

Epididymis

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12
Q

We know already that the middle piece of the spermatozoa is where flagellar motion originates. What about the head, principle, and end piece?

A

Head: - Acromosomal cap which contains hydrolytic and proteolytic enzymes Principle piece: - Stores ATP End piece or tail: - Flagellum

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13
Q

The temperature of the scrotum is required to be 1-2 degrees (C) cooler than the core body temp in order to promote spermatogenesis. In an effort to facilitate this need, the scrotum has two different muscles which will simultaneously contract or relax depending on the weather. What are the names of these muscles?

A

Tunica Dartos External Cremaster *contract to pull testes closer to body in cold weather and relax to have testes fall away in warm weather

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14
Q

What is the first sign of puberty?

A

Pulsatile release of GnRH from the hypothalamus during REM sleep

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15
Q

Once the pulsatile release of GnRH by the hypothalamus is recognized by the anterior pituitary, this stimulates the production/release of LH and FSH. Why does increased release of GnRH facilitate a more ideal environment for puberty?

A

GnRH decreases sensitivity of both hypothalamic and gonadotrophic cells to circulating sex steroids. Therefore a greater concentration of sex steroids is needed to create negative feedback.

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16
Q

Once the pulsatile release of GnRH has begun, there are two distinct processes which signify the onset of puberty. What are the names and properties of these processes?

A

Gonadarche: -Physical and functional maturation of the gonads -Produced by increased production of LH and FSH -Earliest sign of gonadarche is an increase in testicular volume between ages 9-14 Adrenarche: -Increase in adrenal androgens that induce pubarche (growth of pubic hair)

17
Q

At what age is there the greatest overall increase in circulating testosterone?

A

14-17 years of age

18
Q

At what age range is circulating testosterone the highest?

A

25-35 years of age

19
Q

What would be an example of an androgenic secondary sex characteristic(s)?

A

-Pubertal growth spurt -Penile growth and pubic hair -Growth of beard, lowering voice, etc.,

20
Q

What be an example of an anabolic secondary sex characteristic(s)?

A

-Growth promoting effects on somatic tissue -Muscle development and growth

21
Q

When hormones such as testosterone and DHT bind the androgen receptor in the cytoplasm of cells what happens as a result of this binding?

A

Nuclear translocation of androgen-AR complex, dimerization and binding to androgen response element. Results in transcription

22
Q

How does the increased concentration of testosterone in circulation affect lipid profiles?

A

Increased VLDL

Increased LDL

Decreased HDL

23
Q

How is DHT involved in the changes of secondary sex characteristics?

A

sebacious glands; hair growth patterns

24
Q

In addition to its peripheral conversion to estrogen in adipose tissue, testosterone is also converted to estrogen where in the body? What role does estrogen play in males?

A
  • The liver
  • Bone maturation

*=> Lack of estrogen or its receptors results in tall stature due to delay in epiphyseal plate closure and leads to osteoperosis*

25
Q

In addition to increased LH and FSH stimulating the gonadal function the products of the growth hormone axis do as well. What are these products? What else do they stimulate?

A
  • GHRH–>GH–>Insuling growth factor-1 (IGF)–> Body growth
    • GH => Gonadal Function
    • IGF-1 => Gonadal function, GnRH
26
Q

REMINDER LOOK AT SLIDE 29 BEFORE EXAM

A

DO IT

27
Q

Break down the respective percentages/contents which comprise seminal fluid (semen)

A

10% : Sperm

60% seminal vesicle fluid comprised of fructose (fuel) and prostaglandins (decrease viscosity)

30%: epididymal fluid and secretions from bulburethral/prostate glands

28
Q

It is mentioned that the bulburethral (cowper’s) gland secretions are a part of the semen composition. What 3 functions does it have here?

A
  • Neutralizes acidity of urine residue in urethra
  • Neutralizes acidity of vagina (sperm survival)
  • Provides some lubrication for the tip of the penis during intercourse
29
Q

What is the order of sperm travel starting with the seminiferous tubule and ending with ejaculation?

A

Seminiferous tubule

Rete testes

Epididymis (stored until ejaculation)

Vas deferens

Ampulla of vas deferens

Urethra

(seminal vesicle, prostate gland, bulbourethral gland)

Penile urethra

Ejaculation

30
Q

What are the general steps of sperm delivery mechanism?

A
  • Erection (PSNS)
  • Emission (SNS) => Movement of semen into proximal portion of urethra
  • Ejaculation (Spinal reflex) => reflex which is triggered when semen enters bulbous urethra from prostatic urethra
31
Q

Describe the mechanism by which NO promotes an erection?

A
  • Sexual stimulation initates release of NO from nerve endings and (endothelial) cells inside penis
  • NO binds to smooth muscle cells resulting in increased levels of cGMP
  • cGMP causes the smooth muscle around the penile arteries to relax (dilate)
  • This increases penile blood flow which promotes erection
32
Q

What is the mechanism of viagra?

A

PDE-5 is an enzyme which digests cGMP very quickly. If the cGMP is inhibited from enacting its relaxatory effect on the smooth muscle, this weakens/takes away the erection.

=> Viagra is a PDE-5 inhibitor