1.3.3 Male Reproductive Endocrinology Flashcards

(39 cards)

1
Q

Name three factors that stimulate GnRH release

A

Leptin, norepinephrine (NE), neuropeptide Y (NPY)

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2
Q

Where is the majority of estradiol produced? How?

A

Adipose; aromatization of testosterone

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3
Q

What does inhibin level correlate with?

A

total sperm count and testicular volume

index of spermatogenesis

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4
Q

What is the main function of inhibin B from sertoli cells?

A

Suppress FSH secretion from pituitary

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5
Q
A
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6
Q

ABP produced and released?

A

Produced by sertoli cells and released into the lumen of the seminiferous tubules

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7
Q

What are the three principal hormones produced by the gonads?

A

Testosterone and Estradiol (Leydig cells)

Inhibin B (Sertoli)

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8
Q

What is andropaus

A
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9
Q

Along with secondary sex characteristic development, what occurs during puberty?

A

Growth

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10
Q

What do sertoli cells release in the negative feedback loop on FSH?

A

Inhibin B

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11
Q

What factors inhibit the release of GnRH? (5)

A

GABA, dopamine (DA), IL-1, beta-endorphin, prolactin

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12
Q

How does gonadotrophins (LH and FSH) work?

A

Bind G protein receptors, activate AC, production of cAMP, activation of protein kinase A (PKA)

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13
Q

What does testosterone control?

A
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14
Q

What is activin?

A

locally (pituitary) produced peptide that antagonizes inhibin B resulting in the stimulation of FSH release

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15
Q

What are the key steps in testerone synthesis and metabolism?

A
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16
Q

Draw out the pituitary axis of LH/FSH with the reproductive system

17
Q

Shortly after birth, what happens to newborn baby boys?

A

Huge stimulation of LH leading to high levels of testosterone

18
Q

What receptors are present on sertoli cells? (2)

A

FSH and androgen receptors

19
Q

How does testerone act?

A

Passively diffuses through cells

Inactivate cytosolic androgen receptor

Ultimately, activate gene txn

20
Q

What type of cells responds to LH?

21
Q

What are some of the characteristics of someone with Klinefelter’s syndrome?

22
Q

What could cause precocious puberty?

23
Q

What does degradation occur?

24
Q

What protein plays a key role in the first step of steriod hormone biosynthesis?

A

Steriodogenic acute regulatory (StAR) protein

25
When does androgen production peak during fetal development?
2nd trimester
26
Leydig cells produce what which has negative feedback on LH/FSH production?
Testosterone
27
What typically binds to testosterone?
SHBG (sex hormone binding globulin) and albumin
28
Describe the pattern of testosterone production?
Diurnal pattern with early morning peak
29
What are the two classes of testosterone deficiency?
30
What are the two types of precocious puberty?
Gonadotrophin dependent/independent
31
What transcription factor (peptide) upregulates LH/FSH?
GnRH
32
What is Finasteride? What is its usage?
5-alpha-reductase inhibitor; BPH and prostate cancer
33
What are some of the products of Sertoli cells? (3)
Anti-Mullerian hormone, androgen binding protein, inhibin B
34
What is the effect of testosterone on the bone?
Strengthens bone
35
What type of cells respond to FSH?
Sertoli
36
What is adrenarche?
early sexual maturation (b/t 6-11 y/o), often associated with puberty
37
What occurs during puberty?
The amount of testosterone rise and will stay high for rest of life
38
During the pubertal stage, when does LH levels primarily begin to surge?
Nocturnally, leading to morning wood
39
What is an important enzyme in testosterone metabolism?
aromatase or 5-DHT/5 alpha-reductase