Set 11 (Part I) Flashcards
Why should we care about reproduction?
- Having a family
- Preventing pregnancy
- Preserving fertility
- Preventing birth defects and disease
How has the number of chemicals registered for commercial use changed since 1979?
30% increase
How are we exposed to chemicals?
Through industrial releases, contaminated food, household products and cosmetics, and the workplace
What does the increase in exposure to chemicals coincide with?
- Increased rates of infertility
- Decreasing sperm counts
- Higher rates of birth defects
What is early puberty in women correlated with?
The increased risk for hormone-driven cancers
What are phthalates and BPA found?
Toys, food containers, cosmetics, and many other consumer products
Where are PBDEs found?
- Flame retardants
- Household furniture
- Electronics
What abnormalities concerning male reproduction has increased in the past century?
- Fewer baby boys are born
- Increased number of penis abnormalities
- Increased number of mental disorders
- Average sperm count of men is half of what it was
- 85% of sperm is DNA damaged
- Damaged sperm is associated with testicular cancer
What are organochlorines?
- Industrial compounds (PCBs)
- Combustion products
- Pesticides (DDT)
The use of organochlorines has been restricted since the 1970s, but their use persists. Can you provide examples?
- Continued use of DDT to combat malaria in certain countries
- They are still used in Mexico and South Africa
What causes organochlorine accumulation?
They are liposoluble, and thus capable of bioaccumulating and biomagnifying
How do organochlorines exert their effects?
- Endocrine disruptors
- They are estrogen receptor agonists, enhancing the effects of estrogen
What are the three consequences of organochlorines as endocrine disruptors?
1) Antiandrogenic activities
2) Bind the aryl hydrocarbon receptor, modulating estrogen-dependent transcription
3) Bind thyroid hormone binding protein, reducing the effects of thyroid hormone
Which ecosystems contain unusually high levels of environmental contaminants?
- Northern ecosystems
- Organochlorines, such as PCBs and pesticides
- They bioaccumulate in the Arctic food chain
What is a complex disease?
Disease that cannot be attributed to genetics alone, and must be environmentally-caused as well
How does the consumption of PCBs in Inuit populations compare to Canadian populations? What is observed to be elevated in the blood and breast milk of Inuit mothers?
- Inuit consume 40X more PCBs than Canadians
- Elevated organochlorines are found in the blood and breast milk of Inuit mothers
- High rates of diabetes, stillbirths, birth defects, and other complex diseases
When is the body particularly sensitive to endocrine disruption?
During early development
What are the effects of maternal consumption of PCB-contaminated fish during pregnancy?
- Retarded gestational development
- Low birth weights
- Small head circumference
- Neurodevelopmental delays
- Weaker immune response
To measure the effects of organochlorine in rats, how was the exposure administered? Why?
- Through the mouth by food
- To mimic exposure of women in Northern communities
Describe the study design to determine the effects organochlorines in the reproductive functions of male rats.
1) Female rats were exposed to varying levels of organochlorines
2) Breeding with male rats that had never been exposed
3) Breeding between the rats
4) Three weeks of lactation without additional OC treatment
5) A) Some pups were sacrificed
5) B) Remaining pups were fed commercial rat chow, and aged to either 60 or 90 days
What were the effects of higher doses of organochlorides (PCBs) in rats?
- Fewer pups per litter
- Fewer number of implantation sites
- Increased post-implantation mortality
- Fewer male pups
- Fewer percentage of male offspring
What were the effects of organochlorides on reproductive organ development of male rats?
Affected the testes, epididymis, ventral prostate, and seminal vesicles
How did maternal exposure to organochlorides affect sperm from adult male offspring?
Decreased motility and less progressive
How does the health of the father affect the placenta?
The development and function of the placenta is governed by PATERNAL genes
What abnormalities in foetuses were produced from organochloride-exposed rat parents?
- Heart on the right side
- Unilateral cryptorchidism (single testes descending)
What are the two main parts of the uterus? What shape is it?
- Pear-shaped
- Cervix and the body
What does the uterus body cavity’s apex constitute? What does that open into?
- Internal os
- Opens into the cervical canal
What is the cervical canal form at the lower end? What is that open to?
- Lower os
- Opens into the vagina
What is an ectopic pregnancy? Where does it normally occur?
- Development of the fetus in a location other than the uterus
- Occurs in the fallopian tubes 95% of the time
What do ovarian follicles contain?
The developing oocyte
What is oogenesis?
Process that results in the formation of a mature egg
What endocrine organs secrete the female sex hormones? What are they?
- The ovaries
- Estrogens and progesterone
Where do oocytes grow? What is that structure surrounded by?
- Grow in a follicle
- The follicle is surrounded by granulosa cells
What allows the granulosa cells to divide and proliferate?
Rising levels of estrogen
Describe the names of the follicles during maturation.
- Primary follicle
- Secondary follicle (multiple layers of granulosa cells and a fluid-filled center with growth hormones)
- Graafian follicle (mature) (fluid-filled center called the antrum)
What is the most important factor to occur to allow for ovulation to happen?
The rise of estrogen
What are the three divisions of the uterine tubes?
- Isthmus
- Ampulla
- Infundibulum
Where does fertilization normally occur?
IA (ampulla/isthmus) junction
What kind of epithelial cells are contained within the uterus?
Ciliated columnar epithelium
What is pelvic inflammatory disease? How may it be treated?
- Swelling of the oviduct due to a pelvic infection
- May be treated with antibiotics
What happens if a pelvic inflammatory disease persists?
- Block the passage of the oviducts
- Scar tissue
- Pus outside of the tube can spread the infection to other organs
- Results in an ectopic pregnancy 25% of the time
What are the three phases of the ovarian cycle? How long does each last?
1) Follicular phase (1-14)
2) Ovulation
3) Luteal phase (14-28)
What are the three phases of the uterine cycle? How long does each last?
1) Menses (1-7)
2) Proliferative phase (7-14)
3) Secretory phase (14-28)
What occurs during menstruation? How long do menses typically last?
- Spongy uterine wall breaks down
- Degeneration of tissue, blood, and unfertilized egg are passed out as menstrual flow
- 4 to 7 days
What occurs during the follicular phase of the ovarian cycle?
1) FSH (anterior pituitary) begins to rise at the end of the luteal phase, and induce the proliferation of granulosa cells
2) Granulosa cells are stimulated to increase production of estrogen
3) Estrogen promotes the thickening (proliferation) of the uterine lining
4) The peak estrogen positively feeds back to the hypothalamus, causing the release of GnRH, and subsequently LH and FSH
5) The high peak of LH and FSH finishes off the maturation of the oocyte, causing ovulation
How should the rise in FSH in the follicular phase appear on the graph?
Should appear in waves
Why does estrogen promote the thickening of the uterine lining?
To support an embryo if fertilization occurs
What occurs during the luteal phase of the ovarian cycle, assuming there is no fertilization?
1) Under the influence of LH, the remaining granulosa cells in the ovary luteinize
2) Become progesterone-secreting luteal cells, forming the corpus luteum
3) Progesterone levels rise and negatively feedback to the hypothalamus, decreasing production of GnRH, and subsequent release of LH and FSH
4) If there is no fertilization, the corpus luteum regresses, decreasing progesterone levels
5) The hypothalamus is induced to secrete GnRH, and the increasing levels of FSH work on the maturation of another follicle to produce the rise in estrogen, re-starting the cycle
What happens during ovulation?
The mature egg is released from the follicle
What is the key to induce ovulation? What may potentially block ovulation through this mechanism?
- A spike in LH
- Constant high levels of estrogen block the LH surge and block ovulation
What do estrogen and inhibin instruct the pituitary to do?
- Inhibit FSH
- At the same time, release LH
What occurs to the uterine lining during the luteal phase?
Continued growth so that it supports a pregnancy should the oocyte be fertilized
LH stimulates the corpus luteum to produce what?
Progesterone and estrogen