REB 14. Biochemistry of the Main Gonadal Hormones Flashcards

1
Q

What are the gonads?

A

Gonads: bifunctional organs that produce germ cells and the sex hormones
e.g. ovaries and testes

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2
Q

What are the 2 types of gonadal hormones that are present in females?

A

[1] Oestrogens
[2] Progestogens
- progesterone is the most common progestogen

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3
Q

How are the female gonadal hormones released?

A
  • monthly cycle of hormone levels
  • all germ cells present at birth (around 1 to 2 mllion)
  • no new ovums are produced
  • around 400 ova are ovulated in the span of a woman’s life
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4
Q

What are the gonadal hormones that are present in males?

A

Androgens - testosterone + DHT (dihydrotestosterone)

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5
Q

What is DHT?

A

Dihydrotestosterone - a potent metabolite of testosterone

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6
Q

How are the male gonadal hormones released?

A
  • constant levels of hormones

- continuous production of sperm

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7
Q

What produces ova?

A

Ovaries

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8
Q

What produces spermatozoa?

A

Testes

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9
Q

What hormone contains an aromatic ring?

A

Estrogens are the only hormones that contain an aromatic ring

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10
Q

What is the name of the axis that controls the hormones that controls the female reproductive system?

A

Hypothalamic-Pituitary-Gonado Axis

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11
Q

What are the 4 stages of the menstraul cycle?

A

[1] Menses (day 1 to day 5)
- shedding of endometrium

[2] Follicular Phase (day 5 to day 13)

  • ovum maturation + proliferation endometrium
  • estrogen levels gradually increase

[3] Ovulation (day 14)
- surge in LH

[4] Luteal Phase (day 15 to day 28)

  • increase in progesterone
  • decrease in LH and FSH
  • if no implantation, progesterone secretion stops, inducing menses
  • if fertilization (implantation), corpus luteum secretes progesterone
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12
Q

What does the corpus luteum secrete?

A

progesterone

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13
Q

What is Inhibin? What is its role?

A

a hormone that is secreted by the granulosa cells (in ovary)

- inhibits secretion of FSH by anterior pituitary gland

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14
Q

Where is estrogen synthesized?

A

[1] ovary
[2] placenta
[3] testes (small amount)

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15
Q

What is the primary roles of estrogen?

A

[1] development + maintenance of secondary sex characteristics
[2] control the reproductive cycle
[3] stimulate the linear bone growth - puberty

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16
Q

What are the secondary sex characteristics that are developed and maintained in females?

A
  • enlargement of breasts
  • growth of body hair
  • greater development of thigh muscles behind femur
  • widening of hips
  • secretions of oil and sweat glands
  • changed distribution in weight and fat
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17
Q

What are the 3 main endogenous estrogens?

A

[1] Estrone (E1)
[2] Estradiol (E2/17beta-estradiol)
[3] Estriol (E3)

18
Q

What is the most common endogenous estrogen? Where is is synthesized and what is it regulated by?

A

Estradiol (E2) - 80%

  • synthesized by ovary (non-pregnant)
  • regulated by FSH
  • can also be made peripherally (aromatization)!
19
Q

What is aromatization?

A

It is the creation of estrogen peripherally

20
Q

What 2 processes is the aromatase enzyme responsible for (crucial part of)?

A

[1] conversion of testosterone to estradiol in the ovary in premenopausal women

[2] conversion of androstenedione to estrone on peripheral adipose tissue in postmenopausal

21
Q

Why are aromatase inhibitors used?

A

they are frequently used as estrogens may promote some cancers
- e.g. anastrozole + letrozole

22
Q

What hormone controls the timing of the follicular phase?

A

Estradiol (E2)

23
Q

What are the actions of Estrogen? (on other hormones, metabolic actions, lipids…)

A

refer to slide 14

24
Q

From what things is progesterone secreted from?

A

[1] corpus luteum
[2] placenta during pregnancy
[3] small amounts by testes and adrenal cortex (both sexs

25
What are the hormonal effects that progesterone has? [2]
[1] maturation of the endometrium | [2] supports gestation and embryogenesis
26
What are the gonadotrophins?
[1] FSH [2] LH [3] bonus: Human Chorionic Gonadotropin (HCG)
27
Where are the gonadotropins produced and secreted?
[1] Anterior Pituitary | [2] Chorion + Placenta
28
Describe the structure of the gonadotrophic hormones (the subunits).
All the gonadotropins have an alpha and beta subunit (they are dimeric) - alpha subunits are all the same - beta subunit differs between the 3 (biological activity resides here) *side note: the HCG and LH beta subunit is very similar (same target tissue + same cellular response)
29
What hormone does the hypothalamus secrete to stimulate the gonadotrophic hormones? In what type of manner?
hypothalamus secreted GnRH in a pulsatile manner
30
What characteristics of GnRH pulses alters the FSH and LH synthesis and secretion?
[1] Size [2] Frequency of the GnRH pulses
31
If there are low-frequency GnRH pulses, this leads to...
FSH release
32
If there are high-frequency GnRH pulses, this leads to...
LH release
33
Compare and contrast the GnRH pulse frequency in women, men and children.
WOMEN: - pulse frequency varies during the menstrual cycle - large surge before ovulation MEN: - GnRH is secreted in pulses at a constant frequency CHILDREN: - GnRH activity is very low - activated at puberty
34
What is ICSH? What is it a "replacement" hormone of?
ICSH = Interstitial Cell Stimulating Hormone | - older version of LH
35
What is Dihydrotestosterone (DHT)?
Testosterone is a precursor to this - DHT | - it is a very potent androgen
36
What specific/special cells produces testosterone, a major testicular androgen?
Interstitial Cells of Leydig
37
Explain the process of how testosterone is converted to Dihydrotestosterone (DHT). (enzymes and other molecules)
converted by the 5alpha-reductase enzyme + in the presence of NADPH - occurs in certain tissues (prostate gland, seminal vesicles, epididymides, skin, hair follicles, liver + brain)
38
What are the 3 major things testosterone is converted to?
[1] 10% DHT [2] 0.3% Estradiol (via aromatase) [3] 90% Inactive Metabolites
39
What is Androstenedione? Where is it produced?
- produced by Adrenal Cortex - far less potent than testosterone - major source of androgenic activity in females
40
List the male secondary sex characteristics.
[1] growth of facial + body hair [2] greater mass of thigh muscles in front of femur (in females it is behind it) [3] enlargement of larynx (deepening of voice) [4] increased stature [5] heavier skull and bone structure [6] increased muscle mass and bone structure [7] broadening of shoulders and chest [8] increased secretion of oils + sweat glands [9] higher waist to hip ratio
41
Explain what happens when there is an inherited deficiency of 5alpha-reductase?
- important enzyme converting testosterone to DHT - during embryogenesis, DHT plays an important role in formation of male external genitalia - the affected boys are born with ambiguous external genitalia - BUT, testes and internal Wolffian ducts structures are present and fine - full virilization takes place at puberty!
42
What are the deficiencies that lead to Congenital Adrenal Hyperplasia (CAH)?
[1] 21-alpha-Hydroxylase [2] 11beta-Hydroxylase - corticosteroid synthesis is blocked, the progestogens are overproduced and diverted into androgen synthesis (a) life-threatening electrolyte imbalance (sodium and water balance) (b) ambiguous external genitalia in girls, precocious puberty in boys --- e.g. enlarged clitoris (may look like penis)