Normal Sexual Differentiation Flashcards

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1
Q

What is sexual determination?

A
  • Genetically controlled process dependent on the ‘switch’ on the Y chromosome.
  • Chromosomal determination of male or female.
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2
Q

What is sexual differentiation?

A

The process by which internal and external genitalia develop as male or female.

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3
Q

What is the SRY gene?

A
  • Sex determining region
  • Only found on the Y chromosome
  • Switches on briefly during embryo development to turn the gonad into testis
  • Ovaries develop in its absence
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4
Q

Which cells are developed in the testis and what hormones do they produce?

A
  • Sertoli cells -> make anti-Mullarian hormone (AMH)

- Leydig cells -> make testosterone

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5
Q

Where in the testis are Leydig and Sertoli cells found?

A
  • Sertoli cells are found in the seminiferous tubules

- Leydig cells are found adjacent to the seminiferous tubulues

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6
Q

What happens when SRY is activated

A
  • SRY is a DNA binding protein that acts as a transcription factor
  • SRY turns off many ovarian genes and turns on testicular genes
  • It binds upstream of itself, it’s a transcription factor for itself
  • The site of DNA binding is upstream of SOX9 which is also a transcription factor.
  • SOX9 can bind its own upstream activation site so its levels remain high even if SRY declines. This is a positive feedback mechanism.
  • SOX9 turns off a lot of ovarian genes and turns on many testicular genes
  • SOX9 then acts to stimulate the expression of further downstream genes.
  • Both SRY and SOX9 are essential for the development of sertoli cells
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7
Q

How does SOX9 achieve its effects?

A
  • Stimulates production of prostaglandin D2 (PGD2) by the pre-sertoli cells. PGD2 acts as a paracrine hormone to stimulate further SOX9 production in these cells. This second positive feedback mechanism serves to re-enforce all precursor cells along the sertoli pathway.
  • SOX9 stimulates production of fibroblast growth factor 9 (FGF9). FGF9 acts as a chemotactic factor for cell migration into the developing testis. It also further stimulates the production of SOX9 a third positive feedback mechanism.
  • SOX9 stimulates the production of anti-Mullerian hormone (AMH).
  • Inhibition of female transcription factors WNT4 and FOXL2
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8
Q

What are the effects of activation of SOX9?

A
  • Positive feedback pathway for itself
  • Cause the development of sertoli cells from precursor cells
  • Inhibition of WNT4 and FOXL2 (female transcription factors)
  • Cell migration into developing testis
  • Stimulate the production of AMH
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9
Q

What are gonads after fertilisation?

A

Bipotential

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10
Q

Where are the gonads derived from?

A

They are derived from the genital ridge primordia on posterior wall of lower thoracic lumbar region.

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11
Q

What do genital ridge’s become?

A

Testis or ovaries

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12
Q

What do the Mullerian and Wolffian ducts form?

A
  • Mullerian ducts becomes the uterine tubes and the upper 3rd of the vagina
  • Wolffian ducts becomes the vas deferens and the internal genitalia connecting the testis to the urethra
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13
Q

What cells invade the genital ridge?

A
  1. Primordial Germ Cells – become Sperm (male) or Oocytes (female).
  2. Primitive Sex Cords – become Sertoli cells (male) or Granulosa cells (female).
  3. Mesonephric Cells – become blood vessels and Leydig cells (male) or Theca cells (female).
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14
Q

Describe primordial germ cell migration.

A
  • An initially small cluster of cells in the epithelium of the yolk sac expands by mitosis at around 3 weeks.
  • They then migrate to the connective tissue of the hind gut, to the region of the developing kidney and on to the genital ridge – completed by 6 weeks.
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15
Q

Describe how primitive sex cords invade the genital ridge

A
  • Cells from the germinal epithelium that overlies the genital ridge mesenchyme migrate inwards as columns called the primitive sex cords
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16
Q

How do the primitive sex cords differ in men and women

A
  • In men: they penetrate medullary mesenchyme and surround primordial germ cells to form testis cords (precursors of seminiferous tubules)
  • Due to SRY presence
  • Eventually become sertoli cells
  • In women: No SRY
  • Sex cords are ill defined and do not penetrate deeply
  • Sex cords condense in the cortex as small clusters around primordial germ cells (all of this is the precursor of an ovarian follicle)
  • Eventually become granulosa cells
17
Q

Where do mesonephric cells originate?

A

These originate in the mesonephric primordium which are just lateral to the genital ridges.

18
Q

What do mesonephric cells form?

A

In males they act under the influence of pre-sertoli cells (which themselves express SRY) to form:
• Vascular tissue
• Leydig cells (synthesize testosterone, do not express SRY) – mainly become this
• Basement membrane – contributing to formation of seminiferous tubules and rete-testis

In females without the influence of SRY they form:
• Vascular tissue
• Theca cells – produce oestrogen but later (not in the embryo)
• In the female no hormone that affects their development

19
Q

What do primordial germ cells, primitive sex cords and mesonephric cells form in men?

A
  • primordial germ cells: Spermatozoa
  • primitive sex cords: Sertoli cells
  • mesonephric cells: Leydig cells and blood vessels
20
Q

What do primordial germ cells, primitive sex cords and mesonephric cells form in women?

A
  • primordial germ cells: Oocytes
  • primitive sex cords: Granulosa cells
  • mesonephric cells: Theca cells and blood vessels
21
Q

What causes the Mullerian duct to regress?

A

AMH (anti-mullerian hormone) made by Sertoli cells

22
Q

What causes Wolffian duct to regress?

A

Lack of stimulation by testosterone

23
Q

What is the hormone that affects male internal sexual differentiation?

A

Testosterone

24
Q

What is 5 alpha reductase?

A
  • An enzyme found in the genital skin of both men and women

- converts testosterone into dihydrotestosterone (DHT)

25
Q

Why doesn’t 5 alpha reductase make DHT in females?

A

Because they don’t have testosterone

26
Q

What receptor does DHT bind to?

A
  • Binds to the testosterone receptor

- More potent than testosterone

27
Q

What does DHT do?

A

DHT causes differentiation of the male external genitalia:
• Clitoral area enlarges into penis
• Labia fuse and become ruggated to form scrotum
• Prostate forms

28
Q

How does external differentiation happen?

A
  • Genital tubercle becomes the phallus which becomes the glans penis – happens due to the presence of the DHT
  • In women the genital tubercle becomes the clitoris – due to the absence of DHT
29
Q

What is gender identity?

A

self-representation or identification as male or female (or neither).

30
Q

What are gender roles?

A

expression or portrayal of psychological characteristics that are considered sexually dimorphic within the general population (eg. toy preferences / physical aggression etc).

31
Q

What is psychosexual neutrality?

A

the view that gender assignment of a newborn with ambiguous genitalia can be made regardless of the endocrine history.

32
Q

What is neural bias?

A

the idea that a tendency for male or female is already present in neonates as a result of prenatal factors such as the hormonal milieu in utero.