Exam 2: Fertilization/ Implantation Flashcards

(32 cards)

1
Q

sperm structure

A

head
mid piece
tail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

sperm head

A
  • haploid
  • nuc with highly condensed chromatin wrapped around protamines
  • protamines= specialized basic histone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

sperm acrosome

A
  • ant 1/2 or 1/3 of sperm head
  • thin, double layered membrane sac
  • hydrolytic enzymes critical for fertilization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

sperm tail

A
  • 9+2 axoneme microtubule structure
  • distributed on either side for movement, gives tail pattern

**kartagener’s= defective cilia, immotile sperm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

normal semen analysis values

A

vol >1.5ml
concentrations > 15x10^6/ml
motility > 32%
morphology 4%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

female fertility eval

A

to test how many eggs are available: US, blood draw for FSH, E2, AMH
***cannot do with someone on birth control

euploid embryos decrease with maternal age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when does woman have peak # of oocytes?

A

20 weeks gestation

exponential decay after that

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

primary oocytes are arrested at _______

A

prophase I –> after LH surge, become secondary oocyte + 1 polar body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Zona pellucida

A
  • shell like structure that surrounds oocytes
  • glycoprotein sheet made up of protein, hexose, sialic acid, sulfate
  • GPs: Z1, Z2, Z3
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

T/F: mutated or inactivated zone proteins is a cause of infertility?

A

True. They act as the “sperm receptors”.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

quick, run through the steps of sperm-oocyte fusion

A

1) ovulation, collection of oocyte
2) deposition of sufficient # sperm
3) sperm capacitation
4) sperm traverse cumulus oophorus
5) sperm meet ZP
6) acrosomal rxn
7) plasma mem fusion
8) oocyte activation/ cortical reaction
9) male pronuclei formation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

sperm capacitation

A
  • “activation” to be able to undergo acrosomal rxn
  • acq ability to capacitate in distal genital tract of male
  • req Ca, ATP, etc
  • capacitated sperm display HYPERMOTILITY—–> go and bind the egg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where on the oocyte do capacitated sperm bind?

A

Z3 on zona

“sperm receptor”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

acrosomal reaction

A

outer mem of acrosome region fuses with plasma mem of sperm

fusion of membranes –> release hyaluronidase and acrosin –> complete fusion of sperm with oocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

whats the protein that facilitates fusion of sperm and egg?

A

fertilin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cortical reaction

A

occurs as soon as first sperm fuses

  • release cortical granules
  • changes ZP3, which makes oocyte impenetrable
  • prevents polyspermy
17
Q

male pronuclei formation

A
  • protamine unwinds –> SS bond reduced by oocyte glutathione
  • sperm nuclei decondense
  • form male/female pronuclei!
18
Q

day 4 embryo

A

morula

-it is a morula usu by the time it reaches uterus

19
Q

day 5 embroy

A

blastocyst

  • trophoectoderm –> becomes placenta
  • inner cell mass –> becomes fetus
20
Q

implantation timeline

A
  • 6-7 days after conception

- req interaction of trophectoderm and primed lining of uterine cavity

21
Q

where does implantation most commonly occur?

A

posterior wall, midsagittal plane

but it can implant anywhere

22
Q

blastocyst hatching

A
  • blasto “escapes” from ZP (day 6-7)

- unfertilized eggs do NOT hatch

23
Q

can you have implantation without hatching?

24
Q

decidualization

A
  • morphological and biochemical differentiation of uterine stromal cells
  • critical for:
    1) trophoblast invasion
    2) placental formation
25
decidualization is dependent on what signals?
progesterone, estrogen, cAMP
26
what does decidualization start?
day 23 of cycle | -if implantation occurs, process expands to remaining stromal cells
27
what is the window of implantation?
SMALL (days 20-24) - when epithelium lining of utereus is ready to accept - dependent on progesterone being secreted from corpus luteum
28
what are the 3 stages of implantation?
apposition - loose, unstable connection of trophoectoderm/endo lining adhesion- integrins, L selectin, hep sulfate proteoglycans invasion - buries into endometrium
29
placenta previa
implantation occurs near cervix - can be obstructing --> Csection - vascular--> causes bleeding
30
placenta accreta
implantation at site of prior uterine scar - can be traumatic birth - can req hysterectomy at birth
31
medical treatment of ectopic pregnancy
methotrexate --> chemotherapy drug that targets rapidly dividing cells
32
surgical treatment of ectopic pregnancy
if too big for drugs - salpingectomy --> removal of FT (usu preferred) - salpingostomy --> surgical unblocking of FT