Reproduction: Physiology and Biochemistry Flashcards

1
Q

Key Reproductive hormones (6)

A
GnRH (gonadotrophin releasing hormone) 
LH (luteinizing hormone)
FSH (follicle stimulating hormone) 
Oestrogen 
Progesterone
Testosterone
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2
Q

Gonadotropic Hormones (2) released by pituitary gland

A

Follicle Stimulating Hormone

Luteinizing Hormone

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3
Q

Follicle Stimulating Hormone role

A

male: causes testes to produce sperm (spermatogenesis)

Female: causes growth of ovarian follicles (oogenesis) and causes ovary to secrete oestrogen

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4
Q

Luteinizing Hormone role

A

male: causes testes to release testosterone

Female: causes ovulation and it causes progesterone production by the corpus luteum (progesterone produced from cholesterol)

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5
Q

Gonadotrophin Releasing Hormone (GnRH) role

A

Responsible for the release of LH and FSH from the anterior pituitary

Its a neuropeptide hormone synthesised and released from GnRH neurons within hypothalamus

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6
Q

GnRH release

A

Released in a pulsatile manner

Males: secreted in pulses at constant frequency

Females: frequency of pulses varies during menstrual cycle

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7
Q

High frequency GnRH pulses

A

Stimulates LH release

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8
Q

Low frequency GnRh pulses

A

FSH release

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9
Q

Effect of oestrogen on GnRH pulsatility

A

Oestrogen concentration above a certain threshold will increase pulsatility
- drive release of LH

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10
Q

Effect of progesterone on GnRH pulsatility

A

Progesterone increase reduces pulsatility

- drive release of FSH

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11
Q

Pubertal maturation on GnRH pulsatility

A

Onset of pubertal maturation results in a steady acceleration in GnRH pulsatility

Activation of GnRH pulse frequency in central mechanism associated with delayed puberty

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12
Q

GnRH regulation

A

Regulated by kisspeptin

GnRh neurons do not contain a receptor for oestrogen or progesterone

Oestrogen and progesterone influence kisspeptin neurons that then subsequently release GnRH neurons.

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13
Q

menstrual cycle phases

A

Follicular Phase

  • proliferative phase
  • variable
  • typically 14 days +/- 7 days
  • Characterised by follicular growth

Ovulation

Luteal Phase

  • secretory phase
  • Constant at 14 days
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14
Q

Menstrual Cycle - stages

A

FSH stimulates growth of ovarian follicles (associated with increased oestrogen)

Rising oestrogen levels exert a negative feedback regulation to lower FSH levels.

Once oestrogen reaches a certain concentration it exerts a positive feedback regulation

  • Increase FSH levels
  • Increase LH (LH surge)

LH surge eventually leads to ovulation and regulates formation of corpus luteum and progesterone production and secretion

Increasing progesterone decrease LH secretion by influencing GnRH pulsatility

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15
Q

Follicle

A

Consists of an oocyte surrounded by follicular cells (granuloma and theca)

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16
Q

Follicle Growth

A

Increase in number of follicular cells
Accumulation of follicular fluid

–> Increase in diameter and overall size of follicle
(Oocyte remains dormant)

17
Q

Oestrogen impact on endometrium

A

Endometrium thickens

18
Q

Progesterone impact on endometrium

A

Endometrium becomes a secretory tissue

19
Q

Follicluogenesis

A

Early stages of growth occur independently of gonadotrophin

Once follicle reaches certain size (2-5mm in diameter) it becomes gonadotrophin dependent

Number of follicles will continue to grow under influence of FSh but only 1 will be selected for ovulation

Totally dependent on FSH levels (if removed follicles are lost)

20
Q

Theca cell

A

LH hormones cause theca cells to convert cholesterol to androgens

21
Q

Granuloma cell

A

FSH hormones cause granuloma cells to convert androgen to oestrogen (requires aromatase)

22
Q

LH surge

A

LH surge precedes ovulation by 34-36 hours

23
Q

LH surge requirements

A

Threshold of oestrogen (200pg/ml) us required for an increase in GnRH pulsatility and therefore LH surge

24
Q

LH surge and progesterone

A

Increase LH levels leads to increase in progesterone levels

Crucial for ovulation as progesterone stimulates expression of enzymes that help breakdown follicular wall to release oocyte.

25
Formation of corpus luteum
Occurs under influence of LH Granulosa and theca cells transform to luteal cells Increase in progesterone production - LH stimulates angiogenesis - LH stimulates enzymes involves in conversion of cholesterol --> progesterone
26
Oestrogen functions (4)
Increase thickness of vaginal walls Regulate LH surge Reduce vaginal pH through increase in lactic acid production Decrease viscosity of cervical mucus to facilitate sperm production
27
Progesterone functions (4)
Pro-gestration: maintain pregnancy Maintains thickness of endometrium Responsible for. infertile thick mucus (prevent sperm transport and help prevent infection) Relaxes myometrium ( smooth muscle), Finctional progesterone withdrawal through to regulate parturition (birth)
28
Sperm Production
Spermatogenesis Occurs within the testes
29
Spermatogenesis: hormones
LH FSH Testosterone
30
Spermatogenesis process duration
Takes 70 days
31
Testicular Organisation
Extratubular Compartment - interstitial - intravascular Intratubular compartment - basal - adluminal - Sertoli cells - Germ Cells
32
Hormone Action: Male reproductive tract
Endocrine Factors - LH and FSH Paracrine Factors - Testosterone - Inhibin
33
Testosterone release
Testosterone is also released into the circulation | - Taken up by Sertoli cells (90%)
34
Testosterone during spermatogenesis
Maintains integrity of blood-testes barrier Release of mature spermatozoa from Sertoli cells by influencing peritubular myeloid cells
35
LH and testosterone
LH stimulates testosterone secretion Testosterone decreases release of GnRH and LH
36
FSH and testosterone
FSH stimulates spermatogenesis together with testosterone Inhibit decreases secretion of FSH
37
Sertoli cells
Sertoli cell in seminiferous tubule secretes androgen binding globulin (ABG) and inhibit
38
Dihydrotestosterone
Enlargement of male sex organs Secondary sexual characteristics Anabolism