ERS20 Development Of Reproductive System Flashcards

1
Q

Male reproductive system

A
  1. Testis
    - germ cell production
    - hormone production
  2. Epididymis
    - reservoir for sperm (sperm maturation)
  3. Vas deferens, Ejaculatory duct
    - transport organ for sperm
  4. Urethra
    - transport organ for sperm
    - urinary organ
  5. Accessory sex glands (Prostate, Seminal vesicles, Bulbourethral gland)
    - production of secretions (semen)
  6. Penis
    - copulatory and urinary organ
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2
Q

Female reproductive system

A
  1. Ovary
    - germ cell production
    - hormone production
  2. Uterine tube
    - site of conception
    - transport organ for zygote
  3. Uterus
    - organ of incubation parturition
  4. Greater and Lesser vestibular glands
    - production of secretions
  5. Vagina
    - copulatory organ
    - parturition
  6. Labia majora and minora, Clitoris
    - copulatory organs
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3
Q

Development of gonads

A

Indifferent / Bipotential stage (Morphologically identical, Primitive gonads)
1. Endoderm
—> endodermal cells from Allantois / Yolk sac migrate (active ameboid movements)
—> via Gut tube, Dorsal mesentery
—> to Gonadal ridges
—> become Primordial germ cells (earliest undifferentiated reproductive cells, large, spherical)
—> settle in between Gonadal cords
—> Sperms, Oocytes

  1. Mesoderm
    —> Gonadal ridge (part of Urogenital ridge (i.e. from Intermediate mesoderm))
    —> 2 types of somatic cells:
  2. Mesenchymal cells (multipotent embryonic CT)
  3. Epithelial cells:
    - **Gonadal cords —> finger-like extensions formed from proliferation of epithelial cells between mesenchymal cells
    - **
    Mesodermal epithelium —> posterior abdominal wall —> cover Mesenchyme

Differentiation stage

  1. Primordial germ cells (Endoderm)
    —> Spermatogonia / Oogonia
    —> Spermatozoa / Ovum
  2. Gonadal cords (Epithelial cells)
    —> Seminiferous cords (male) / Primordial follicles (female)
    —> Sertoli cells (male) / Granulosa cells (female)
  3. Mesenchymal cells
    —> Interstitial cells (supporting germ cells)
    —> Leydig cells, other interstitial cells, Tunica albuginea, Interlobular septa, Mediastinum testis (male)
    —> Theca cells, other interstitial cells, Tunica albuginea (female)
  4. Mesodermal epithelium
    —> Mesothelium
    —> Visceral layer of Tunica vaginalis (male) / Germinal epithelium (female)
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4
Q

Development of Genital ducts and Accessory organs

A

Indifferent stage
1. Upper part:
Nephrogenic cord (part of Urogenital ridge, from Intermediate mesoderm)
—> Mesonephric ducts (Wolffian ducts) + Paramesonephric ducts (Mullerian ducts)

  1. Lower part:
    Cloaca (from Endoderm)
    —> Urogenital sinus

Differentiation stage
1. Mesonephric ducts (Wolffian ducts)
—> Transformation (male) / Degeneration (female)
—> Ducts: Efferent ductules, Epididymis duct, Vas deferens, Ejaculatory duct (male)
—> Glands: Seminal glands (male)

  1. Paramesonephric ducts (Mullerian ducts)
    —> Degeneration (male) / Transformation (female)
    —> Ducts: Uterine tubes, Uterus, Upper Vagina
  2. Urogenital sinus
    —> Distal urethra (male) / Uterovaginal primordium (female)
    —> Penile urethra, Prostate, Bulbourethral glands (male)
    —> Lower Vagina (with hymen), Greater vestibular glands (of Bartholin) (female)
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5
Q

Development of external genitalia

A

Indifferent stage

  1. Genital tubercle (just above Cloacal membrane)
  2. Urogenital folds
  3. Labioscrotal swellings

Differentiation stage
1. Genital tubercle
—> Primordial phallus (long) / Primordial phallus (short)
—> Glans penis, Shaft of penis / Clitoris

  1. Urogenital folds
    —> fuse along ventral side of penis / NOT fuse
    —> Penile urethra / Vestibule, Labia minora
  2. Labioscrotal swellings
    —> Scrotal folds fuse / NOT fuse, Labial folds
    —> Scrotum / Labia majora
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6
Q

Homology

A

Development of organs in embryo

  • in same manner
  • from same origin (primordia)
  • but look / perform differently

Examples:

  • Testis, Ovary
  • Scrotum, Labia majora
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7
Q

Gonads development: Indifferent stage

A

Upper lumbar spine
Urogenital ridge (bulge)
1. Gonadal ridge (origin of gonads)
2. Nephrogenic cord (origin of gonadal ducts + urinary system, contain Mesonephric duct + Paramesonephric duct)

Gonadal ridge:

  • Mesothelium (posterior abdominal wall, covering Mesenchyme)
  • Mesenchyme
  • Gonadal cords —> finger-like extensions formed from proliferation of epithelial cells between mesenchymal cells

Endodermal cells
—> migrate from Allantois / Yolk sac (active ameboid movements)
—> via Gut tube, Dorsal mesentery
—> to Gonadal ridges
—> become Primordial germ cells (earliest undifferentiated reproductive cells, large, spherical)
—> settle in between Gonadal cords
—> Sperms, Oocytes

Overall:
Gonad = Mesothelium + Gonadal cords + Mesenchyme + Primordial germ cells

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8
Q

Male Gonads development: Differentiation stage

A

7th week:
Gonadal cords (enlarge, well-defined) + Germ cells
—> elongate
—> Seminiferous cords (no lumen until puberty)
—> Seminiferous tubules (area with Germ cells), Straight tubules (distal part without Germ cells)
—> Straight tubules continuous with Rete testis (from Mesonephric duct)

Seminiferous tubules
—> ***Sertoli cells

Mesenchyme
—> Interstitial cells (e.g. ***Leydig cells, Myoepithelial cells), Tunica albuginea (thick layer underneath Mesothelium), Interlobular septa, Mediastinum testis

Mesothelium
—> cover developing testes
—> Tunica vaginalis

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9
Q

Female Gonads development: Differentiation stage

A

7th week:
Gonadal cords (shorter) + Germ cells
—> Follicular / **Granulosa cells (from epithelium) + Oogonia (active cell division during fetal life, many degenerate before birth, no after birth —> become Primary oocytes)
—> **
Gonadal cord break up
—> Primordial follicles (isolated cell clusters)
—> Gonadal cord extends into medulla (i.e. Rete ovarii)
—> rudimental Ovary
—> Rete ovarii (network of canals) degenerate (Ovary no relationship with Mesonephros)

Mesenchyme
—> ***Theca cells, other interstitial cells, Tunica albuginea (female)

Mesothelium
—> cover developing ovaries
—> Germinal epithelium (female)

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10
Q

Genital ducts and Accessory ducts development: Indifferent stage

A

Nephrogenic cord (Intermediate mesoderm)

Upper part (Genital ducts):

  1. Mesonephric (Wolffian) ducts (paired) (form Mesonephros with Nephron-like tubule)
    - initially urinary function, later superseded by Metanephros
  2. Paramesonephric (Mullerian) duct (paired)
    - open cranially into abdominal cavity

—> Both ducts grow caudally open into Cloaca

Lower part:
Cloaca (Endoderm):
- common space at the end of digestive tract for release of both excretory and genital products
- initially closed by Cloacal membrane (no opening initially) —> later rupture
- split by Urorectal septum into Urogenital sinus (anterior) + Rectum (posterior)
- Urogenital sinus —> Urinary bladder + Urethra
- Allantois —> Urachus

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11
Q

Male Genital ducts and Accessory ducts development: Differentiation stage

A

8th week:
Mesonephric duct (Wolffian)
—> **Anti-Mullerian hormone (AMH) (from Testis)
—> cause Müllerian ducts to disappear
—> Mesonephric tubules fuse with Rete testis —> Efferent tubules (屬於Mesonephric duct)
—> **
Testosterone (from Testis)
—> converts Mesonephric duct (becomes thick smooth muscle, narrow lumen)
—> Epididymis, Vas deferens, ***Seminal vesicle, Ejaculatory duct (open into Urogenital sinus)
—> DHT controls Prostate development

Urogenital sinus
Upper portion: Urinary bladder
Lower portion: Distal urethra
—> Penile urethra, **Prostate, **Bulbourethral glands

記住:

  • Seminal vesicle —> Mesoderm (Mesonephric duct)
  • Prostate, Bulbourethral glands —> Endoderm (Cloaca)
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12
Q

Female Genital ducts and Accessory ducts development: Differentiation stage

A
8th week:
Paramesonephric duct (Mullerian)
—> ***Absence of Testosterone
—> cause Mesonephric duct to degenerate
—> ***Absence of Anti-Mullerian hormone
—> Paramesonephric ducts grow caudally
—> Fallopian tube, Uterus (fused Paramesonephric ducts at midline), Upper vagina (Lower vagina from Urogenital sinus)

Paramesonephric ducts
—> partially fuse with Uterine septum (disappear later)
—> fuse with Sinus tubercle (Cloaca)
—> Sinovaginal bulb (Uterovaginal primordium)

Urogenital sinus (Urinary bladder moved aside)
—> a mass of cells form Sinus tubercle
—> fuse with Paramesonephric ducts
—> Sinovaginal bulb (Uterovaginal primordium)

***Sinovaginal bulb (Uterovaginal primordium)
—> centre degenerate —> a space
—> space enlarges —> a lumen
—> Vagina (with hymen), Greater vestibular glands (of Bartholin)

A mass of cell/tissue progressively grows caudally (向下劈開)
—> split Urogenital sinus
—> separate Urethra opening from Vagina opening
—> Urethra and Vagina separated

Cloacal membrane rupture
—> forming different openings
—> Urethra (superior), Vagina (open into Vestibule), Anus (posterior)

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13
Q

Congenital abnormalities of Uterus

A
  1. Paramesonephric ducts do not fuse
    —> Double uterus
  2. Uterine septum does not disappear
    —> present in adult
  3. One part of reproductive system underdeveloped / degeneration of one Paramesonephric duct
    —> Rudimentary horn / Absent of half of uterus
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14
Q

External genitalia development: Indifferent stage

A

Just above Cloacal membrane (anterior of embryo)
—> Genital tubercle (proliferating Mesenchyme (Mesoderm) —> visible small bulb, origin of external genitalia)
—> rapidly elongate
—> Phallus

Each side of Cloacal membrane
—> **Urogenital folds x2 (中間) (Rectum and Urogenital sinus not separated yet) + Labioscrotal folds / swellings x2 (側面)
—> Urogenital folds pulled by elongating Phallus (become oval shape)
—> space between Urogenital folds: **
Urethral groove (posterior wall formed by Cloacal membrane —> rupture to become Urogenital + Anal openings)

Anal folds (below Urogenital folds)
—> form Anus
—> fuse together around Anal opening

  • Distinguishing sexual characteristics begin to appear during 9th week
  • External genitalia not fully differentiated until 12th week
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15
Q

Male External genitalia development: Differentiation stage

A

10-12th week:
Genital tubercle
—> Primordial phallus (long)
—> Glans penis, Shaft of penis
—> Tip of Glans penis
—> Ectodermal / Endodermal cord grows towards Spongy urethra
—> Canalise and join Penile urethra
—> dilated part: Navicular fossa
—> move External urethral orifice to tip of Glans penis
—> fold of skin at base of Glans penis grow distally and surround entire Glans
—> Prepuce (包皮)

Urogenital folds
—> fuse
—> Inferior aspect closing Urethral groove

Urethral groove (Cloacal membrane)
—> extend on ventral side of Phallux
—> Penile urethra (meeting line visible as Perineal raphe)

Labioscrotal swellings
—> Scrotal folds fuse
—> Scrotum (meeting line visible as Perineal raphe)
—> 2 compartments separated by Median septum

Perineal raphe
- Fusion zone visible from Anus to apex of Phallus on underside of penis

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16
Q

Female External genitalia development: Differentiation stage

A
10-12th week:
Genital tubercle
—> curves centrally, lack development
—> Primordial phallus (short)
—> Clitoris (Glans of Clitoris)

Uregenital folds
—> NOT fuse
—> Labia minora

Urethral groove
—> shorten, widen
—> Vestibule

Labioscrotal swellings
—> meet in front of anus
—> creating Posterior commissure
—> NOT fuse, Labial folds
—> Labia majora
17
Q

Congenital abnormalities of Penis

A

Hypospadias
- Ectopic location of urethral meatus and not open at tips of Glans
—> urine comes out at different locations along ventral penis (as far as within scrotum close to anus)
—> Incomplete fusion of urethral groove (an arrest in normal development but not a deformation anomaly)

Other signs:

  • Incomplete development of the prepuce (dorsal hooded foreskin)
  • Ventral skin deficiency / penile curvature
18
Q

Relocation of Testes

A

Testes descend **retroperitoneally (behind Mesothelium) from Posterior abdominal wall to **Deep inguinal rings by 26 weeks

By end of 2nd month of Gestation:
Gonads, Mesonephros anchored to Posterior abdominal wall
—> **Gubernaculum (fibromuscular band) extend from both sides of developing Gonads
—> lower pole of Gonads attached to SC tissue of Labioscrotal swelling through developing muscular layer of anterior abdominal wall
—> Male: upper part of Gubernaculum degenerates (finally become Scrotal ligament)
—> Testes dragged down
—> leaves abdominal cavity through **
anterior abdominal wall
—> descend into Scrotum (Testes remain in ventral end (lip) of inguinal canal until 7th month)
—> pass Inguinal canal behind **Vaginal process (outpouch of peritoneum of anterior abdominal wall which continues through inguinal canal)
—> Vaginal process lines Scrotum
—> 2 layers at upper part of Vaginal process fuse completely
—> **
Tunica vaginalis (disconnect from Abdominal cavity)
—> reaches scrotal sac by end of 8th month (26 weeks)

19
Q

Relocation of Ovaries

A

7th week:
Gubernaculum attach to Ovaries
—> absence of Male hormones
—> Gubernaculum does not shorten (stop descending at pelvis)
—> persists as ligament
—> cranial part of Guberculum —> Round ligament of ovary (connecting ovary to uterus)
—> caudal part of Guberculum —> Round ligament of uterus (connecting uterus to labia majora)

20
Q

Congenital abnormalities of Relocation of Testes

A
  1. ***Cryptorchidism (bilateral / unilateral)
    - Retention of testes in abdomen / Arrest of descent at any point along pathway
  2. Ectopic testes
    - Testes does not follow Gubernaculum —> abnormal position
  3. ***Congenital indirect Inguinal hernia
    - connection between Abdominal cavity and Vaginal process in scrotum not obliterated (remain open)
    —> intestines descend into scrotum
  4. Hydrocele of testes
    - Incomplete obliteration of connection between Abdominal cavity and Vaginal process in scrotum / Defective absorption of fluid secreted by Tunica vaginalis
    —> small fluid secreting cyst persists between parietal and visceral layer of Tunica vaginalis