wk 13, lec 1 Flashcards

1
Q

Efferent ductules, vas deferens, ejaculatory duct, urethra

fucntion

A

move spermatozoa, fluid reasborption

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2
Q

epididymis function

A

H+ secretion, acidify luminal fluid

incapacitate spermatozoa; glycoconjugation

resevoir for mature sperm

phagocytosis of aging sperm

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3
Q

seminal vesicle function

A

secrete and store fructose rich product (energy substrate for sperm), prostaglandins, ascorbic acid, fibrinogen like and thrombin like proteins

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4
Q

prostate function

A

secrete and store fluid rich in acid phosphatase and protease

prostate specific antigen (PSA) to dissolute seminal fluid coagulation following ejaculation

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5
Q

bulbourethral (Cowper) glands function

A

secrete mucus (lubricant) into urethra upon arousal

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6
Q

cells in the testes

A

sertoli cells
leydig cells
germ cells

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7
Q

Sertoli cells functions

A

supports developing germ cells in spermatogenesis

create barrier to seperate germ cells from bloodstream (BTB)

phagocytose apoptotic germ cells to maintain quality of delveoping sperm

provides AMH during fetal development; helps to regress mullein ducts and differentiate male reproductive structures

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8
Q

Sertoli cells provide which hormone in fetal development

A

AMH

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9
Q

leydig cells -which hormones?

A

make testosterone

respond to LH

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10
Q

leydig cells

A

make and secrete testosterone

response to LH from anterior pituitary

regulate male secondary sexual characteristics

support spermatogenesis via andogenic environment

sexual function

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11
Q

germ cells are precursors of

A

spermatozoa

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12
Q

germ cells undergo devleopment in

A

spermatogenesis

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13
Q

germ cells include

A

spermatogonia, spermatocytes,
spermatids, and spermatozoa.

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14
Q

blood testis barrier

A

protect developing germ cells from immune attack

special envo for spermatogenesis

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15
Q

spermatogenesis

A

germ cell – spermatozoa

@ puberty

compartmentalized via blood testes barrier

FSH regulated

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16
Q

what hormone regulates spermatogenesis

A

FSH

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17
Q

controllers of spermatogenesis

A

controlled by FSH and testosterone

increase spermatogonia proliferation
increase sertoli angdrogen binding protein

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18
Q

4 stages of spermatogenesis

A
  1. proliferation of spermatogonia (stem cells)
  2. meiosis: spermatocytes –> spermatids (23 chromosomes)
  3. speriogenesis: maturation and development –> spermatozoa (sperm)
  4. spermiation: release of mature sperm
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19
Q

spermatogenesis
1. Proliferation of Spermatogonia
Gives Rise to Spermatocytes

A

stem cells (spermatogenonia) in seminiferous tubule

originate at puberty (gonocytes proliferate)

1 or 2 divisons of spermatogonia to maintain stem cell pool

some stay in resting pool and other proliferate to give rise to primary spermatocytes

resting spermatogonia are dormant then join new proliferation cycle
–> always residual pool in testis to make sperm

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20
Q

spermatogenesis
2 & 3. Meiosis of Spermatocytes
Yields Spermatids

A

primary spermatocytes undergo 2 divisions

meiosis 1: makes 2 seocndary spermatocytes

meiosis 2: make spermatids (haploid cells; 23 chromosomes)

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21
Q

spermatogenesis
4. Spermiogenesis

A

maturation of spermatids into spermatozoa (via nuclear and cytoplasmic changes)

  1. spermatid condensation of nuclear material
  2. formation of the acrosome
  3. repositioning of the spermatid to allow formation and elongation of tail structures
  4. mitochondrial spiral formation
  5. removal of extraneous cytoplasm
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22
Q

acrosome development in sperm for

A

secretory vesicle - has enzymes for mucus penetration and fertilization

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23
Q

mitochondrial sheath around flagellum of sperm for

A

provide energy (fructose derived ATP) for flagellar movement

24
Q

Spermatogonia, spermatocytes,
spermatids, and spermatozoa

A

spermatogonia (germ cells under mitosis)

spermatocytes (diploid germ cells undergo meiosis)

spermatids (haploid via meiosis II)

spermatozoa (mature gametes that can be fertilized)

25
Q

factors effecting spermatogeneiss

A

temperature
radiation
chemical expsoures

diet
exercise
stress

hormonal imabalnce
genetic disorders
infections

26
Q

hormonal regulation of speramtogensis

hypothalamus? AP? testes?

A

GnRH in hypothalamus

FSH and LH in anteriori pituitary

testosterone and inhibin B in testes

27
Q

FSH binds which cells in testes

A

Sertoli cells –> activated –> proliferate and differentiate of spermatogonia

28
Q

negative feedback of FSH via

A

inhibin in Sertoli cells when sperm production at optimal levels

29
Q

LH acts on

A

leydig cells

30
Q

LH vs FSH act on

A

LH- leydig cells
FSH- sertoli cells

31
Q

LH impact on sperm

A

bind leydig cells which make testosterone

testosterone needed for spermatogenesis and secondary sex characteristics

32
Q

testosteorne functions

A

spermatogenesis
libido
erectile function
secondary sex characteristics

33
Q

hypothalamic-pituitary-gonadal (HPG) axis regulates testosterone

A

inhibits GnRH and LH secretion when high

stimulates FSH and LH secretion when levels are low

34
Q

modulators of spermatogenesis

A

growth factors: IGF1, FGF, ECF

cytokines (tissue develop): ILs, TNFa

paracrine/autocrine signals: retinoid acid and prostaglandins;

35
Q

micronutrients for sperm

A

Zinc, selenium, and vitamin D needed in
spermatogenesis, sperm motility, and DNA integrity

36
Q

scrotal pain

A

many causes

pt history: onset, pain location , after sex? at night? trauma?

sx: fever? N/V? discharge?

37
Q

causes of scrotal pain

A

non acute w mass: cyst, cancer
non acute w no mass: prostatitis, epipdymzitis

acute w trauma: testicular rupture or torsion
acute >20yoa, fever, ab pain: appendicitis
acute >20yoa, fever, dysuria: epidymsitis, prostatitis

acute <20yoa, sudden: testicular torsion

ETCCC chart on slide 34

38
Q

testosterone–> estradiol via what enzyme and whats the effect

A

CYP19 aromatase

acts on bone; epiphyseal closure, icnreased density

libido

39
Q

testosterone–> dihydrotestosterone via what enzyme and whats the effect

A

5 alpha reductase

external genitialia: differentiation during gestation, maturation during puberty, adulthood prostatic disease

hair follicles: increase growth during puberty

40
Q

testosterone act on androgen receptors; what impact

A

internal genitlaia: wolfing development during gestation

skeletal muscle: increased mass and strength during puberty

erythropoiesis, bone growth

41
Q

which cells make testosterone

A

leydig cells

42
Q

what stimulates leydig cells to make testosterone

43
Q

testosterone production rhythms

A

circadian- peak in early morning

44
Q

hypogonadiam

A

low testosterone

Causes impaired spermatogenesis and
dysfunction of male reproductive system

decreased libido, erectile
dysfunction, erectile dysfunction, infertility, and
fatigue, decreased bone density, increased body fat

45
Q

primary (hypergonadotrophic) vs secondary (hypogonadotropic) hypogonadism

A

primary: testicular failure;
–> genetic disorders (i.e.
Klinefelter’s) testicular trauma,
chemotherapy, radiation therapy, or
infections

secondary: from dysfunction of hypothalamus or pituitary (decreased GnRH, LH, FSH)
–>pituitary tumours,
hypothalamic dysfunction, head
trauma, and certain medications

46
Q

hormones in primary vs secondary hypogonadism

A

primary: increase GnRH, LH, FSH and decrease sex steroids (estrogen, progesterone, testosterone)

secondary: primary: decrease GnRH, LH, FSH and decrease sex steroids (estrogen, progesterone, testosterone)

47
Q

testosterone and metabolic function

A

low T has central adiposity
low T has insulin resistnace
high T to increase muscle mass

T changes gene expression, improves glucose uptake, promotes lipolysis

TRT to help with obesity and insulin

48
Q

testosterone to make male sex differentation

A

Male Genitalia: T stimulates the
differentiation of the genital tubercle into the penis,
the urogenital folds into the penile urethra, and the
labioscrotal swellings into the scrotum

Wolffian Duct Development: T induces the
differentiation and development of the Wolffian ducts
into the epididymis, vas deferens, and seminal
vesicles. DHT is particularly important for the
differentiation of the prostate gland

49
Q

Androgen Insensitivity Syndrome (AIS):

A

XY chromosomes but external genitialia appear female or ambiguous despite having testes internally

50
Q

Congenital Adrenal Hyperplasia (CAH):

A

overproduce adrenal androgens –> virilization of external genitialia in females

51
Q

5-alpha-reductase Deficiency

A

cant convert testosterone into DHT –> ambiguous genitalia at birth that may virile during puberty

52
Q

FSH acts on

A

Sertoli cells –> make cells produce growth factors and proteins for sperm maturation

53
Q

testostostone made by and acts on

A

made by leydig cells (spermatogenesis)

act on Sertoli cells and germ cells for proliferation, differentiation, and maturation of
sperm cells

54
Q

sperm cell development stages and impact of androgens

A

spermatogonial phase: androgens to proliferate and maintain spermatogonia (stem cells for sperm)

meiotic phase: androgens for divison and progression of spermatocytes to spermatids

spermiogenesis: androgen to regulate gene expression and protein synthesis (i.e. nuclear condensation, acrosome formation, tail elongation)

55
Q

testosterone biosynthesis pathway

A

cholesterol –> pregnenolone –> progesterone –> 17alpha-hydroxyprogesterone –> androstenedione –> testosterone –> DHT (via 5a-reductase)