sex steroids Part 2 Flashcards

1
Q

What are the 2 ways the androgen/AR complex can generate signals and describe briefly how they work

A
  1. DBD signalling –> direct gene transcription
  2. Non-DBD signalling –> causes signalling cascade
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the levels of testerone during foetal, puberty, adulthood and senescence stages of life

A

foetal: cyclic and low production

puberty: increase in testosterone production

adulthood: starts to decline in production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are 2 examples

A

Add testosterone into body for people with hypogonadism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is oestradiol-17B

A

most potent oestrogen found naturally in women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is progesterone

A

most important naturally occurring progestin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the main functions of the ovaries

A
  1. produce oocytes
  2. produce sex hormones oestrogen and progesterone in response to LH and FSH

(LH and FSH are pituitary gonadotrophins)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a single ovarian follicle composed of and what is the inner and outer layer composed of?

A
  • a germ cell surrounded by cluster of endocrine cells organised into 2 layers separated by a basal membrane
  • Inner layer surrounding oocyte: granulosa cells
  • outer layers: theca cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Outline how estriol is generated starting with estradiol

A

Estradiol in the liver oxidized by 17B-hypxysteroid dehydrogenase type II (17BHSD) to estrone and then to estriol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What molecule controls 17BHSD activity and therefore androstenedione production in theca cells

A

LH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What molecule controls CYP19 (P450arom) activity in the granulosa cells and therefore estradiol production

A

FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what does oestrogen deficiency do in boys

A

diminishes the pubertal growth spurt and delays skeletal maturation and epiphyseal closure so linear growth continues into adulthood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what does oestrogen do mid puberty

A

exerts positie feedback on GnRH secretion leading to increased LH and FSH productoin eventually leading to the begining of the menstrual cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 2 receptor types for oestrogens

A
  • Estrogen receptor alpha (ERa)
  • estrogen receptor Beta (ERb)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the genomic mechanism of action for oestrogen

A
  1. enters cell by passive diffusion and binds to an ER in nucleus
  2. ER (inactive monomer) bound to heatshock protein 90 dissociates from it after oestrogen binds to it resulting in receptor dimerisation with hormone.
  3. ER dimer binds to EREs usually located in the promoter region of target genes

ERE = estrogen response elements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is non-genomic mechanism of action for oestrogen

A
  1. interaction of hormones with oestrogen receptors located on plasma membrane of cells
  2. membrane localized ERs mediate the rapid activation of proteins like MAPK and rapid increase in cyclic AMP due to the hormone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are 6 therapeutic uses of oestrogen

A

Hormonal Replacement Therapy (HRT)

Delayed puberty in girls

17
Q

What thing secretes progesterone and when is it produced

A
  • secreted by corpus luteum of ovaries during second half of menstrual cycle
18
Q

Outline how progesterone is expelled from the body

A
  1. rapidly metabolised by liver
  2. converted to pregnanediol
  3. conjugated to glucuronic acid in liver
  4. pregnanediol glucuronide then excreted in urine
19
Q

What are 3 physiological actions of progesterone on the reproductive tract

A

primes reproductive tract for fertilisation and the menstrual cycle

can go back to slide 36 of “Sex Steroids” lecture for more infomation

20
Q

what does progesterone do to the mammary gland

A

gets glands ready for lactation

21
Q

what does progesterone do to the CNS

A

depresses several actions to ready body for pregnancy

22
Q

what metabolic effects does progesterone have?

A
  • alters fat deposition
  • allows for additional energy needed
23
Q

how does progesterone affect the neuroendocrine axis

A
  • inhibitor gonadotrophin secretion weakly
24
Q

outline the progestone mechanism action

A
25
Q

what are 3 therapeutic uses for progesterone

A
  • contraception
  • Hormone replacement therapy
  • dysfunctional uterine bleeding and endometriosis