Session 4- Puberty and the HPG axis Flashcards

1
Q

What is puberty

A

A stage of human development when sexual maturation adnd growth are completed and result in ability to reproduce

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2
Q

What is adenarche

A

Maturation and increase activity of the adrenal glands prior to puberty

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3
Q

Gonadarche

A

Activation of reproductive glands by the pituitary hormones FSH and LH

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4
Q

Thelarche

A

The onset of breast development occurring near the beginning of puberty in girls

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5
Q

Pubarche

A

Onset of the growth of pubic hair

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6
Q

Menarche

A

Teh onset of menstruation at puberty

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7
Q

What is thought to have an important influence on puberty

A

The pineal gland as disorders of this gland can cause early onset puberty

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8
Q

What is the SMR

A

Tanner developed a scale in 1962 that divides the sexual maturity ratings into 5 classes based on Pubic hair and breast in females and pubic and genitalia in males

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9
Q

What is the first sign f puberty

A

Testicular enlargement- males

Breast development - females

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10
Q

When does female puberty start

A

8-13

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11
Q

When does male puberty start

A

9-14

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12
Q

What does acccelerated somatic growth depend on

A

Growth hormone + IGF-1 and sex steroids in both sexes

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13
Q

How does accelerated somatic growth end in males

A

Fusion of epiphysis

Oestrogen closes epiphysis earlier in girls

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14
Q

What ones the HPG axis consist of

A

Hypothalamus

Pituitary

Gonad

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15
Q

Describe the HPG axis

A

Hypothalamus releases GnRH which acts on the pituitary to produce LH and FSH which acts on the gonads to produce androgen and Oestrogen

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16
Q

Where is teh GNRH receptor

A

Anterior pituitary

17
Q

Why is GnRH released in pulsate

A

Teh receptors will become insensitive to teh GnRH if it is constantly secreted and the cascade will stop

18
Q

When do LH nd FSH levels increase

A

9-12 years old

19
Q

How does LH work in males

A

It stimulates Leydig cells in testis which produce testosterone which affects

20
Q

The HPG axis in males

A

FSH stimulates Sertoli cells which initiate spermatogeneis and causes the developing gametes to produce inhibin. Negative feedback on anterior pituitary - FSH- and possible hypothalamus

LH stimulates Leydig cells
-testosterone released. Negative feedback on hypothalamus and anterior pituitary

21
Q

What cells are present in seminiferous tubules

A

Supporting cells
Spermatogenic cels
Sertoli cells
-provide nutrition and hormonal support to germ cells allowing sperm formation
-sensitive to FSH
-secreted inhibin by developing gametes- negative feedback on AP FSH

22
Q

The HPG axis- female

A

FSH stimulates granulosa cells
As follicles envelop get release inhibin which inhibit FSH only.
Granulosa cells a covert androgens to oestrogen

LH stimulates theca interna cells

  • release androgens. Converted to oestrogen by granulosa cells
  • LH surge is required for ovulation
  • LH maintains corpus luteum after ovulation
23
Q

How does oestrogen affect the release of GnRH i females

A

Moderate tires of oestrogen reduce GnRh secretion
-negative feedbacks

High titres of oestrogen alone promote GnRH secretion

  • positive feedback
  • LH surge
24
Q

How does progesterone affect FSH nd LH

A

Increases inhibitory effects of moderate oestrogen
Progesterone prevents positive feedback of high oestrogen
Oestrigen reduces GnRH per pulse, progesterone frequency of pulses

25
What does inhibin do in the female
Inhibits the secretion of FSH and has a small inhibitory effect on LH
26
Where is inhibin produced
Granulosa cells of corpus luteum sertoli cells
27
Central precocious puberty
Precocious puberty with elevated GnRH | -idiopathic cause/ CNS lesions/ pituitary gonadotropin-secreting tumours
28
pathophysiology of central precocious puberty
premature activaion of the hypothalamo-hypophyseal axis-> abnormally early initiation of pubertal changes -> early development of secondary sexual characteristics and gonarche
29
pathophysiology of central precocious puberty
premature activaion of the hypothalamo-hypophyseal axis-> abnormally early initiation of pubertal changes -> early development of secondary sexual characteristics and gonarche
30
what is peripheral precocious puberty
precocious puberty without elevated GnRH
31
What is delayed onset of puberty
Absent to incomplete development of secondary sex characteristics by the age of 14 in boys or 13 8i. Girls
32
What is Constitutional growth delay
A temporary delay in growth and onset of puberty that is not caused by any pathological process It is a cause of delayed onset of puberty
33
what is the sequence of pubery events in girls
``` thelarche- breast bud development pubic hair growth spurt menarche pubic haor becomes coarser breast development ```
34
what is the sequence of evenst of puberty in males
``` genital development pubic hair growth spermatogenesis growth spurt genital enlargement pubic hair ```