11. Sexual Differentiation Flashcards

(34 cards)

1
Q

sex determination

A

occurs at fertilisation

inheritance of X/Y from father

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2
Q

3 main events in determining boy or girl

A

sex determination
differentiation of gonads
differentiation of internal and external genital organs

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3
Q

gonad origin

A

week 2: primordial germ cells (PGCs) arise from epiblast = pluripotent
PGCs migrate to yolk sac
PGCs then return to genital ridge: become indifferent gonad

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4
Q

gonad differentiation

A

at genital ridge
XX PGCs replicate at cortex
XY PGCs replicate at medulla

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5
Q

gonad gender decision relies on

A

genetic switches

hormones

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6
Q

genetic switches

A

general transcription factors (e.g. Wt1, Sf1)
specific promotors of testosterone development (e.g. Sry, Sox9)
specific promotors of ovarian development (e.g. (Wnt-4, FoxL2)

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7
Q

fate of female gonad cell lines

A

PGCs - oogonia (primary oocytes)
sex cord cells - granulosa
cortex - layer of thecae cells (secrete androgens)

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8
Q

fate of male gonad cell lines

A

PGCs - spermatogonia
Sry influences definition and identity of Sertoli cells - secrete AMH
AMH suppresses female development pathway and induces cells in intermediate mesoderm to become Leydig (secrete testosterone)

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9
Q

kidney development origin

A

intermediate mesoderm (same as reproductive system)

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10
Q

kidney development location

A

between somites and lateral playte (either side of aorta)

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11
Q

3 stages of kidney development

A

ponephros - disappears soon after
mesonephros - leaves remnants
metanephros - become kidney

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12
Q

development of internal genital organs

A

begin differentiation at ~8 weeks
formed from priori identical primordial structures
embryos of both sexes possess 2 sets of pairs

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13
Q

internal organ development in female embryo

A

Müllerian duct is kept, due to absence of AMH

Müllerian duct becomes: oviduct, uterus, cervix, upper part of vagina

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14
Q

internal organ development in male embryo

A

AMH causes Müllerian duct regression
testosterone promotes Wolffian duct differentiation
Wolffian duct becomes:
epididymis, vas deferens, seminal vesicle

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15
Q

external genitals in both sexes

A
elevated midline swelling = genital tubercle 
tubercle consists of:
urethral groove 
paired urethral folds
paired labioscrotal swellings
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16
Q

external genitals in male embryo

A
some testosterone is converted to DHT
DHT stimulates development of urethra, prostate and external genitals 
genital tubercle -> penis 
urethral folds fuse -> spongy urethra
labioscrotal swellings -> scrotum
17
Q

external genitals in female embryo

A
absence of DHT
genital tubercle -> clitoris 
urethral folds remain open -> labia minora
labioscrotal swellings -> labia majora
urethral groove -> vestibule
18
Q

abnormalities in sexual differentiation

A
chromosomal 
hermaphroditism 
gonadal dysfunction 
tract abnormalities 
gonadal descent 
external genitalia
19
Q

chromosomal abnormalities in sexual differentiation

A

Turner’s Syndrome

Klinefelter’s Syndrome

20
Q

Turner’s syndrome

A

monosomy: XO
1:2500 females
99% non viable embryos
survivors fail to sexually mature at puberty
several physical abnormalities

21
Q

signs/symptoms of Turner’s syndrome

A
low hairline
short stature
poor breast development 
small finger nails 
underdeveloped ovaries 
aortic coarctation 
no menstruation 
frown spots (nevi) 
widely spaced nipples 
shield shaped thorax
22
Q

Klinefelter’s syndrome

A
XXY
1:600-1000 male births
birth: appear normal 
become infertile 
exhibit some features associated with female development
23
Q

signs/symptoms of Klinefelter’s syndrome

A
taller than average 
reduced facial hair/male pattern hair growth 
breast development 
osteoporosis 
feminine fat distribution 
small testes (atrophy)
24
Q

hermaphroditism

A

true hermaphrodites
female pseudohermaphrodite
male pseudohermaphrodite

25
true hermaphrodites
very rare born with both ovarian and testicular tissue (ovotestis) external genitalia may be ambiguous, or appear to be male/female possible cause - 2 fertilised eggs fuse to form tetragametic chimera
26
female pseudohermaphrodite
46 XX with virilisation - due to androgens internal sex organs are normal external appearance = male features: fusion of labia, enlarged clitoris may be caused by exposure to male hormones prior to birth
27
male pseudohermaphrodite
46 XY with undervirilisation external genitals: incompletely formed, ambiguous or female features: blind-ending vagina, absence of breast development, amenorrhoea testis: normal, malformed or absent main causes = defective androgen synthesis or action
28
androgen insensitivity syndrome (AIS)
testicular feminisation 1:20000-64000 male births male hormones are normal receptor is dysfunctional
29
leydig cell hypoplasia
leydig cells do not secrete testosterone (maybe insensitive to LH) external genitalia = normally female/slightly ambiguous no internal female genitalia develop (uterus)
30
Swyer's syndrome
gonadal dysfunction - XY gonadal dysgenesiys associated with XY karyotype caused by alteration to Sry gene external appearance = female non functional gonads (no testicular differentiation) gonad may develop into malignancy
31
tract abnormalities
uterine, eg. uricornuate uterus vagina, eg. genesis ductus deferens: unilateral or bilateral absence, failure fo mesonephric duct to differentiate
32
cryptorchidism
may be unilateral/bilateral occurs 30% premature, 3-4% full term males descent may take place during year 1
33
undescended ovaries
quite rare | detected in clinical fertility assessment
34
male hypospadia
external genitalia abnormality 1:125 live male births failure of male urogenital folds to fuse outcome = proximally displaced urethral meatus