Endocrine Feedback Mechanisms Flashcards

(43 cards)

1
Q

Control of the reproductive hormones during the menstrual cycle is centered upon a delicate endocrine feedback mechanism between

A

the hypothalamus, the pituitary , and the ovarian hormones .

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2
Q

The gonadotropins stimulate estrogen and progesterone production that is controlled, in turn, through the actions of

A

estrogen and progesterone to suppress the tonic secretion of the gonadotropins.

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3
Q

This relationship between the gonadotropins and steroids is an example of a

A

classic endocrine negative feedback system.

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4
Q

The feedback regulation between the pituitary and ovary is very complex. In its simplest terms it can be viewed as involving the following sequence of events:

A

a. As the levels of the gonadotropins increase the production and release of estrogen and progesterone increases.

b. As the systemic concentrations of estrogen and progesterone increase these steroids begin to inhibit gonadotropin secretion that leads to a diminution in gonadotropin secretion.

c. The drop in gonadotropins would decrease the production of the steroids.

d. As the systemic concentrations of estrogen and progesterone decrease the negative inhibition of the gonadotropins is removed. Gonadotropin concentrations would increase again and the cycle of negative feedback control would repeat.

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5
Q

This oscillating cycle is the basis of the endocrine mechanism used to control the

A

menstrual cycle.

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6
Q

However, secretion levels of the sex steroids vary throughout the menstrual cycle due to

A

the constantly changing ovarian follicle development.

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7
Q

Furthermore, the inhibitory actions of estrogen and progesterone upon the gonadotropins differ:

A
  1. Estrogen inhibits the synthesis and release of LH at the level of the pituitary.
  2. Progesterone, on the other hand, appears to act primarily on the hypothalamus by decreasing the duration and amplitude of GnRH release.
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8
Q

The control of FSH secretion by steroids differs from LH in that the

A

tonic secretion of FSH is more sensitive to negative feedback by estradiol.

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9
Q

Therefore, small concentrations of estrogen can

A

selectively inhibit FSH release.

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10
Q

Pituitary FSH may also be controlled by non-steroidal ovarian hormones such as

A

inhibin, activin, follistatin and antimullerian hormone (AMH).

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11
Q

Activins, inhibins and AMH are structurally related proteins and are functionally antagonistic members of the

A

TGFB superfamily of extracellular signaling molecules.

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12
Q

Activin and inhibin are chemically composed of

A

two disulfide-linked dimers.

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13
Q

The dimers are peptide subunits designated as alpha and beta subunits. There are ___________ forms of activin and __________ forms of inhibin.

A

3, 2

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14
Q

Inhibins antagonize activin by

A

binding to receptors and preventing activin from forming active signaling complexes.

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15
Q

They can also antagonize BMP activity by

A

competing for endocrine receptor binding.

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16
Q

They are principally produced in the ovary by

A

the granulosa and thecal cells and selectively inhibit the secretion of FSH by the pituitary suggesting that inhibin plays a role in the ovarian negative feedback control of FSH secretion.

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17
Q

Somatic (thecal, granulosa, luteal) cells express the inhibin co-receptor

A

betaglycan.

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18
Q

The data available confirm that inhibin B is mainly produced in the follicular phase by pre- antral and small antral follicles, while inhibin A appears to

A

be the predominant form produced during the late follicular and luteal phases by preovulatory follicles and corpus luteum, respectively.

19
Q

Early follicular phase inhibin B levels decrease with age, reflecting the increase in

A

early follicular phase FSH levels and recruitment of diminished cohorts of follicles with ovarian ageing. The roles of activin, follistatin and AMH are less clear.

20
Q

Inhibin regulates FSH levels by preventing the

A

upregulation of GnRH receptors on pituitary gonadotropes.

21
Q

Activins were first isolated from ovarian follicular fluid of cows and pigs and have pleiotropic reproductive and metabolic actions. They share 65% homology and overlapping biological activities but also display some divergent functions due to

A

differential expression and receptor utilization and affinities.

22
Q

They are also produced by a wide range of extra-gonadal tissues and are primarily considered to act as

A

local autocrine and paracrine signaling molecules.

23
Q

In the ovary, activins are recognized as important factors in

A

the induction and maintenance of the FSHR.

24
Q

Activin A has been measured during the normal menstrual cycle with higher levels in the

A

early follicular phase, at midcycle, and in the late luteal phase suggesting that activin A may contribute to the increase in FSH levels during these particular periods.

25
Ovarian somatic cells express
activin receptors and signaling receptors.
26
The activins stimulate FSH secretion by the pituitary, as well as
follicular development and function, and inhibit thecal cell androgen production.
27
They exert their stimulatory action on FSH levels through
paracrine mechanisms in the pituitary.
28
Follistatin is a single chain glycoprotein found throughout the body and may act simply as a binding protein and serve to
modulate the interactions of activins with their signaling receptors.
29
In the developing embryonic ovary, changes in follistatin-activin signaling may have clinically important implications in
determining the size of the primordial follicle pool.
30
In the adult ovary, follistatin inhibits
FSH secretion and is therefore involved in folliculogenesis and ovarian steroidogenesis regulation primarily by modulating activin activity.
31
AMH is produced exclusively by
the GC in preantral and small antral follicles (4-6 mm).
32
AMH levels vary across the menstrual cycle based on
"ovarian age" rather than "chronological age."
33
Lower levels that show minimal variation are found in the "aging ovary " and higher levels with a rise in AMH during the follicular phase are measured in the "younger ovary" (Prunskaite-Hyyrylainen et al., 2014). AMH levels are therefore thought to reflect the
size and quality of the ovarian reserve and have been used as a diagnostic measure of treatment prognosis for infertility patients.
34
AMH may be measured
at any time during the menstrual cycle and has been shown to correlate with oocyte yield and clinical pregnancy rates and live birth (Ligon et al., 2019).
35
AMH has been proposed to have a role in regulating primordial follicle activation in mice. Other evidence indicates that both AMH and inhibin B can act as
paracrine modulators of follicular development and dominant follicle selection.
36
The role of AMH in the ovarian negative feedback system, however, has
not been established clearly (reviewed in Sowers et al., 2009).
37
The TGFB family members BMPs and GDF9 have also emerged as important players in ovarian physiology and female fertility. BMPs contribute to
folliculogenesis by inhibiting luteinization of GCs whereas GDF9 suppresses LH receptor expression in GCs (Otsuka et al., 2011).
38
Most endocrine systems are modulated by negative feedback. However, the LH surge is controlled
by what appears to be a positive feedback mechanism.
39
As with the negative feedback of LH, _____________is also the primary hormone responsible for the LH surge.
estrogen
40
Sustained high levels of estrogen seen in the late follicular phase of the menstrual cycle
stimulate a neuro-endocrine reflex release of LH (Messinis, 2006).
41
This action of estrogen is at both the level of the hypothalamus (.e., GnRH release) and the pituitary. Since a sustained elevation in estrogen only occurs in the menstrual cycle as a result of the development of the Graafian follicle, the LH surge will only naturally occur
in the presence of the preovulatory follicle.
42
Progesterone does not have the ability to stimulate an LH surge; in fact, progesterone antagonizes the positive feedback effect of estrogen. This action guarantees that an LH surge does not occur during
the luteal phase of the menstrual cycle or during pregnancy, when progesterone is increasing.
43
This inhibition of the LH surge is also thought to be the major mechanism of action for
oral progestin contraceptives.