Development of Reproductive System Flashcards

1
Q

What is the normal number of chromosomes and the genotype for males and females?

A
  • human cells have 22 pairs of autosomes and 1 pair of sex chromosomes
  • female (46, XX): homogametic
  • males (46, XY): heterogametic
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2
Q

What is the genetic determinant of sex?

A
  • the presence or absence of a Y chromosome
  • Y leads to male gonads (although many genes needed for it are found on the X)
  • absence of Y leads to female gonads
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3
Q

How do the genes on the Y chromosome indirectly cause male gonadal development?

A

contains a regulatory gene (transcription factor) that binds DNA and controls some genes important for testes development on the other chromosomes

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4
Q

How can some females have an XY and some men have an XX genotype?

A
  • Y chromosome retains regions of homology with X chromosome that permits pairing during meiosis but errors can occur
  • part of short arm of Y chromosome is missing or mutates in females
  • males with XX have section of Y chromosome translocated to an autosome or X chromosome
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5
Q

Describe the role of the SRY gene

A
  • encodes a transcription factor that regulates expression of genes on the other chromosome
  • turning on genes for testes differentiation, turning off ovarian genes
  • responsible for sex determination
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6
Q

What makes up the male and female gonads?

A
  • somatic mesenchyme

- primordial germ cells

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7
Q

Describe the formation of the sex cords in early gonadal differentiation

A

a genital ridge is formed by the proliferation of the surface epithelium and condensation of mesenchyme forming sex cords

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8
Q

Describe the movement and events of the primordial germ cells in early gonadal differentiation

A
  • they migrate to genital ridge driven by chemotaxis

- by week 6 they invade genital ridges and are surrounded by the primitive medullary sex cords

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9
Q

Describe the male gonadal differentiation path

A
  • under influence of SRY primitive sex cords differentiate and penetrate medulla forming testis cords
  • they become looped, make contact with the ingrowing mesonephric tubule called rete testis and PGCs reside in developing testis cords
  • mesodermal cells differentiate into sertoli cells in cords under influence of SRY
  • mesenchyme tissue in interstitial space develop into Leydig cells and start to secrete testosterone by week 8
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10
Q

Describe the female gonadal differentiation path

A
  • in the absence of Y chromosome, leads to degeneration of medullary cords
  • cortical cords form from proliferating surface epithelium forming distinct cell clusters
  • epithelial cells proliferate around each oogonium forming primordial follicles
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11
Q

Describe the formation of the genital ducts

A
  • 7-8 weeks, embryos acquire dual ductal systems that are precursors to internal genitalia
  • Wolffian (mesonephric) ducts give rise to male genital ductal system
  • Mullerian (paramesonephric) ducts give rise to female genital ductal system
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12
Q

Describe the genes involved in the development of the internal genitalia

A

Males:

  • SRY induces expression of SOX9 (which inhibits WNT4 preventing female pathway activation)
  • activates SF1 and other genes
  • promotes differentiation of testes
  • promotes medullary cord development
  • inhibits cortical cords

Females:

  • WNT4 induces expression of DAX1 (inhibits male pathway) and other genes
  • promotes differentiation of ovaries
  • promotes cortical cord development
  • degenerates medullary cords
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13
Q

Describe the formation of internal genitalia in females

A
  • lower vagina forms from paramesonephric tubercle
  • 2 envaginations grow out from pelvic side and proliferates forming vaginal plate
  • 20 weeks, vaginal outgrowth is complete and expands around end of uterus
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14
Q

What is the determinant of the developmental path of the external genitalia?

A

depends on presence or absence of androgens

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15
Q

Describe Turner’s Syndrome

A
  • chromosomal disorder
  • (45, X0)
  • oocytes degenerate since 2 X chromosomes are needed for full chromosomal development
  • streaky ovary
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16
Q

What are the consequences of Turner’s Syndrome?

A
  • deficiency in ovarian steroids
  • lack of secondary sex characteristics and infertility
  • short, webbed neck, skeletal deformities
17
Q

Describe Klinfelter Syndrome and its consequences

A
  • (47, XXY)
  • develop testis
  • incomplete virilisation (development of male physical characteristics) and breast enlargement after puberty
  • small testes with decreased spermatogonia
18
Q

Describe pseudohermaphroditism

A
  • individual with gonads appropriate to their genotype but external genitalia of opposite sex
  • abnormality in endocrine signalling between gonads and developing tissues
19
Q

Describe Androgen-Insensitivity Syndrome

A
  • (46, XY)
  • testes initially normal but tissues lack androgen receptor so unable to respond to testosterone
  • mesonephric ducts degenerate without support of androgens
  • testes secrete normal amounts of AMH so female ducts degenerate so no ducts
  • female external genitalia develops but have undescended testes
20
Q

Describe congenital adrenal hyperplasia

A
  • XX genotype, ovaries develop
  • overactive foetal adrenals
  • secrete large amounts of steroid hormones
  • some have androgenic action
  • causes development of mesonephric ducts and formation of male external genitalia
  • no AMH is secreted therefore female ducts persist so both ductal systems present