Male Reproductive System Histology Lecture (Dr. Cole) Flashcards

1
Q

Functions

A
  • Production and storage of SPERMATOZOA
  • Synthesis and Secretion of Male Sex Hormones (ANDROGENS)
  • TESTES: Production and Synthesis
  • EFFERENT DUCT SYSTEM:
    a) Epididymis
    b) Ductus Deferens
    c) Ejaculatory Duct
    d) Urethra
  • Three Accessory Glands
    1) Seminal Vesicle
    2) Prostate
    3) Bulbourethral Gland
  • Penis
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2
Q

Seminiferous Tubules

A
  • 1 to 4 in EACH LOBULE
  • 40 to 70 cm in Length
  • Walls composed of THREE LAYERS

1) TUNICA PROPRIA
2) BASAL LAMINA
3) SEMINIFEROUS EPITHELIUM

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3
Q

Sertoli (Supporting) Cells

A
  • Tall, branched Columnar Cells that rest on Basement Membrane
  • PALE OVAL Nucleus with a PROMINENT NUCLEUS
  • Protect developing Spermatids
  • Respond to FSH
  • Margins poorly defined yet bound TIGHTL (Occluding Junctions)
  • Forms a continuous sheaths round the Lumen
  • BLOOD-TESTIS BARRIER!!!!!!!
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4
Q

Function of Sertoli Cells

A

1) PHYSICAL SUPPORT: Extensive Cytoplasmic Ramifications of Sertoli Cells
2) PHAGOCYTOSIS of Residual Bodies
3) SECRETION: Fluid for Sperm Transport, Androgen- Binding Protein (ABP), Inhibit (Negative Feedback on GnRH and FSH Secretion), Antimullerian Hormone and Activin (Positive Feedback on FSH Secretion)
4) NUTRITIONAL REGULATION: Isolation of Developing SPERMATOZOA from Blood, Spermatogenic Cells depend upon Sertoli Cells for exchange of Nutrients

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5
Q

Protection: Blood Testis Barrier

A
  • Sexual Maturity occurs long after development of IMMUNOCOMPETENCE
  • Prevent developing SPERMATOZOA from being recognized as Foering (Sperm Specific Proteins) and provoking a Immunological Response
  • Continuous Belt of occluding Junctions joining lateral surfaces of ADJACENT Sertoli Cells
  • Separates SEMINFEROUS TUBULE into TWO Functional Compartments
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6
Q

Sertoli Cell Only Syndrome (SCOS)

A
  • GERMINAL CELL APLASIA or DELL CASTILE SYNDROME
  • Spermatogenic Cells ABSENT!!!!!
  • LEYDIG Cells: REINKE CRYSTALLOIDS (Also seen in LEYDIG Cell TUMORS)!!!!!!!!
  • PERMANENT and IRREVERSIBLE AZOOSPERMIA
  • Congenital or Acquired (Radiation, Chemo, Trauma)
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7
Q

Spermatogenesis

A
  • Multistep Differentiation to produce MATURE SPERMATOZOA

Three Phases:

1) Spermatocytogenesis
2) Meiosis
3) Spermiogenesis

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8
Q

Division of Spermatogonia to form Primary Spermatocytes via MITOSIS

A
  • 3 groups based on Nuclear Morphology:
    1) A dark (Ad)
    2) A pale (Ap)
    3) B
  • Stem Cells: Ad, undergo Mitosis to produce Ad and Ap. Ap divide to form Type B
  • B undergo further Mitosis to form Primary Spermatocytes
  • Resistant to Radiation and CA Chemotherapy
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9
Q

Spermatogenesis: Meiosis

A
  • SECOND STAGE or Spermatogenesis
  • PRIMARY SPERMATOCYTES: DIPLOID for Chromosome Number but TETRAPLOID for DNA (46, 4n)!!!!!!!!!!!!!!!!!!
  • Several Stages (5) Based on Changing patterns of Nuclear Chromatin
  • Ends with FIRST Meiotic Division with formation of SECONDARY SPERMATOCYTES!!!!!!
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10
Q

Meiosis I: Prophase

A
  • Takes about 22 Days
  • Most PRIMARY SPERMATOCYTES are seen in PROPHASE!!!!!
  • Largest Spermatogenic Cells
  • Characterized by CHROMOSOMES in Various Stages of Coiling (Nuclear Morphology will vary)
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11
Q

Secondary Spermatocytes

A
  • Primary Spermatocytes UNDERGO the FIRST Meiotic Divison to form SECONDARY SPERMATOCYTES
  • Closer to the Lumen
  • Smaller in Size (HAPLOID for CHROMOSOME Number but DIPLOID for DNA)
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12
Q

Spermatids

A
  • Products of Second Meiotic Division
  • HAPLOID for BOTH Chromosome Number (23) and DNA
  • SMALL CELSL WITH HERTEROCHROMATIC NUCLEI!!!!!!
  • LOCATED CLOSER TO THE LUMEN!!!!!!
  • ROUND: EALRY SPERMATIDS!!!!!
  • Sz: Spermatids or LATE Spermatids
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13
Q

Spermatozoa (Sz)

A
  • LOCATED IN THE LUMEN OF SEMINIFEROUS TUBULES
  • Final Product of SPermiogenesis
  • Dark, Flattened Nuclei
  • Have long Flagella
  • Haploid for BOTH CHROMOSOME Number (23, n) and DNA
  • Also called SPERMTIDS
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14
Q

Review of Spermatid formation

A

1) Germ cells that are the Origin of Sperm cells are DIPLOID CELLS (Containing 46 Chromosomes, or 23 pairs) called SPERMATOGONIA. Mitotic Divisions of these cells produce a NEW GERM CELL and a COMMITTED CELL. The Committed cell is a PRIMARY SPERMATOCYTE
2) The FIRST meiotic Division begins in the DIPLOID Primary Spermatocytes. The HAPLOID CELLS (Containing 23 Chromosomes Only) Produced by the FIRST Meiotic Division are called SECONDARY SPERMATOCYTES
3) The SECOND Meiotic Division originates with the SECONDARY SPERMATOCYTES and produces SPERMATIDS
4) The process of SPERMATOGENESIS begins with Spermatids and results in Morphological changes needed to form Sperm that will be MOTILE

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15
Q

Spermatogenesis: 4 Major Events

A

1) Development of the FLAGELLUM
2) Development of the ACROSOME (4 Phases)
3) Development of the MACHETE
4) NUCLEAR CONDENSATION (Protamines)

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16
Q

Cap Phase

A
  • SPECIALIZED LYSOSOME
  • Contains a variety of HYDROLYTIC ENZYMES
  • Aid in PENETRATION the OVUM during Fertilization
17
Q

Acrosomal Phase

A
  • FLAGELLUM emerges from Axonemal Complex of one Centriole to FORM TAIL
  • The other Centriole forms FIBROUS RINGS (9) that surround AXONEME
  • Band of MICROTUBULES surrounds Nucleus (MANCHESTER)
18
Q

Maturation Phase

A
  • Nucleus flattens and ELONGATES
  • Mt MIGRATE IN
  • Residual body PHAGOCYTOZED
  • Sperm released into the Lumen

***Nuclear Shaping and Condensation

*** Somatic HISTONES replaced by Sperm Specific Histones (PROTAMINES)

19
Q

Primary Ciliar Dyskinesia or Immotile Cilia Syndrome

A

KARTAGENER’S SYNDROME:

- NO DYNEIN ARMS!!!!!!!!!

20
Q

Semen

A
  • 20 to 40 Million/ mL

- OLIOSPERMIA

21
Q

Leydig Cells

A
  • Occur in Clusters between the Tubules

- Secrete TESTOSTERONE on Stimulation by LH!!!!

22
Q

Clinical Considerations

A
  • Temp: Maintain at 34-35 Degrees Celsius
  • CRYPTOCHIDISM: UNDESCENDED Testes. Issued for FERTILITY and Increased risk of TESTICULAR Cancer!!!!!!!
  • MUMPS: 20 to 30% Incidence of ACUTE ORCHITIS
  • TORSION: Cut off ARTERIAL SUPPLY ad VENOUS DRAINAGE. Untreated leads to HEMORRHAGIC INFARCTION and NECROSIS of Testes
  • VARICOCELE: Dilation of Veins in Spermatic Cord. DECREASE in Sperm Production
23
Q

Genital Duct System

A
  • Sperm MATURAITON Pathway
  • Continuous with SEMINFEROUS TUBULES
  • Extends from Straight Tubules/ RETE TESTIS to the Urethra
  • Intratesticular and Excretory portions
  • Important in Maturation, Storage, and Transport of SPERMATOZOA
  • TESTOSTERONE necessary for Normal Function
24
Q

Flow of Sperm out of the Penis

A

1) STRAIGHT TUBULES/ RETE TESTIS:
- Low CUBOIDAL Cells, Fibroblasts and Myoid for PERISTALSIS

2) EFFERENT DUCTULES:
- Mixed Epithelium of TALL CILIATED Columnar (Propel Sperm) and Low Cuboidal. Microvilli Principal Cells (Absorb Testicular Fluid)

3) EPIDIDYMIS:
- PSEUDOSTRATIFIED CILIATED COLUMNAR Epithelium and Principal Cells/ Stereocilia; Sheath of Circular Smooth Muscle.
- PERISTALTIC Contractions PROPEL Sperm towards DUCTUS DEFERENS

25
Q

Epididymis: Three Main Functions

A

1) Sperm transport to TAIL for STORAGE
2) STORAGE until Ejaculation
3) MATURATION: Acquire Forward Motility Pattern and Acquire specific Surface Proteins

26
Q

Ductus (Vas) Deferens

A

” Water under the Bridge”

  • From Epididymis to PROSTATE Gland
  • 30cm
  • Derived from MESONEPHRIC DUCT (From Mesonephros or 2nd Kidney)
  • Surrounded by Smooth Muscle (3 Layers)
  • Contractions MOVE Sperm
  • Found in Spermatic Cord
27
Q

Seminal Vesicles

A
  • Separated from Rectum by RECTOVESICAL POUCH (Space between the RECTUM and BLADDER) and Rectovesical Septum (CT)
  • Enlarged Vesicles may be PALPATED through RECTUM
28
Q

Seminal Vesicles COnt

A
  • Secrete ALKALINE (Neutralize Acid in Female), Viscous Fluid
  • Rich in FRUCTOSE which is used for ATP production by SPERM
  • Fluid also contains Citrate, PROSTAGLANDINS and Several proteins necessary for Coagulation of Semen
  • Secretions make up 60 to 70% of Human Ejaculate
29
Q

Prostate

A
  • Surrounded by HIGHLY VASCULARIZED, Capsule of DICT and Smooth Muscle and is pierced by URETHRA and EJACULATORY DUCTS!!!!!!!!
30
Q

Prostate Secretions and Function

A

1) SECRETORY:
- Provides 30% of the VOLUME of SEMINAL FLUID

  • Provides NUTRIENTS for the Sperm
  • PROSTATIC ACID PHOSPHATASE (PAP)
  • Proteases such as PSA (Chymotrypsin-like) maintain SEMEN FLUIDITY (Fibrinolysis) by acting as an ANTICOAGULANT
  • Antibiotic Function of some secretions from CENTRAL ZONE
  • Formation, Synthesis and Release regulated by DIHYDROTESTOSTERONE (DHT)

2) MUSCULAR PUMP:
- Smooth Muscle surrounding the GLnds forces EJECTION of Prostatic Fluid to mix into Seminal Fluid during EJACULATION

31
Q

How do you definitely recognize the Prostate?

A

** CORPORA AMYLACEA!!!!!!!!!***

  • Lameallated Bodies that form by Precipitation of Secretory Material around Cell Fragments

May become CALCIFIED!!!!!

32
Q

Clinical Considerations: Prostate

A
  • The Adult Prostatic PARENCHYMA is commonly Clinically divided into Four Zones
    1) PERIPHERAL
    2) CENTRAL
    3) TRANSITIONAL
    4) PERIURETHRAL
  • Anatomically: Lobes
  • BPH: Central ZONE!!!!!!!!!!!
  • Prostate Cancer: PERIPHERAL ZONE!!!!!!!!!!!!!
33
Q

Benign Prostatic Hyperplasia

A
  • Nonmalignant Enlargement of the Prostate Gland
  • Most common Benign Neoplasm among Men
  • Its incidence INCREASES Steadily with Age
  • Up to 20% of Men between 40 to 64 and 40% of Men older than 65 are afflicted
  • Histologic BPH is found in 50% of Men older than 60 and up to **% of Men older than 80!!!!!!!
34
Q

BPH/ Prostate Adenocarcinoma

A
  • Urethral Obstruction leads to HYPERTROPHY of the DETRUSOR to compensate for INCREASED RESISTANCE
  • Detrusor will eventually Decompensated, Blatter tone DECREASES and the Bladder will DIALTE, DIVERTICULA may form
  • VESICOURETHRAL REFLUX, Ureteral Dilation, Increased UTI
35
Q

Bulbourethral Glands

A
  • Superior to Perineal Membrane, embedded within Sphincter Urethra
  • Open in SPONGY URETHRA
  • Mucus like secretions LUBRICATE the URETHRA