L10: Endocrine Control of Testis Function Flashcards

1
Q

What are the hormones required for optimal spermatogenesis?

A
  • Testosterone and FSH
  • Testosterone is released from testicular Leydig cells, stimulated by LH released by the pituitary
  • FSH is released by the pituitary act on Sertoli cells (doesn’t act directly on germ cells)
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2
Q

What is LHCGR? Where is it expressed?

A

Luteinising hormone/chorionic gonadotrophin receptor is expressed in Leydig cells

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3
Q

What is the predominant pathway of testosterone production in humans? in rodents?

A

In humans: delta-5 pathway
In rodents: delta-4 pathway

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4
Q

What and how stimulates steroidogenesis in Leydig cells?

A

LHCGR signalling:
- induces phosphorylation and activation of StAR (StAR moves cholesterol from cytoplasm of the cell into the mitochondria)
- upregulates transcription of steroidogenic enzymes
- binding of LH receptor produces large amounts of cAMP
- if not stimulated by LH, steroidogenesis will happen, just at the very low pace

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5
Q

What are the effects of inactivating LH-beta and LHCGR mutations in humans? (external genitalia, puberty, testosterone, LH) What does it suggest?

A

LH-beta -/-
external genitalia at birth: male
puberty: delayed
testosterone: low
LH: absent

LHCGR -/-
external genitalia at birth: female
puberty: absent
testosterone: low
LH: high

  • Suggests LH is not required for male sexual differentiation (HCG can substitute) but its receptor is
  • Postnatal testicular development and spermatogenesis is, however, dependent on pituitary LH signalling through LHCGR
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6
Q

What are the differences in levels of testicular testosterone and circulating testosterone?

A

Testicular testosterone levels are much higher than circulating, around 100X more concentrated, because essential for spermatogenesis.

Testosterone can be converted to DHT in peripheral tissues by action of the enzyme 5-alpha reductase, it has very strong action, that’s why lower conc is enough, DHT mostly acts on post-pubertal characteristics

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7
Q

Which receptors do androgens act through?

A
  • Through nuclear steroid hormone receptors, they are unique because they have the ability to act as both a receptor and transcription factor
  • Ligand (steroid hormone) diffuses into the cell, binds to the receptor protein, translocates to the nucleus and then it can actually bind to promoters in genes
  • AR gene is on X chromosome, so inherited from mothers
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8
Q

Which phases is testosterone produced in humans?

A

In three phases:
- embryonic surge: development of male reproductive tract (epididymis, vas deferens and seminal vesicles) testicular descent
- neonatal surge: no info yet, doesn’t occur in rodents
- continuous post-puberty: spermatogenesis, male secondary sexual characteristics

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9
Q

What is Complete Androgen Insensitivity Syndrome (CAIS)? What is the phenotype of people with CAIS?

A

Humans with inactivating mutations in androgen receptors.
XY chromosomes but have:
- ‘female’ external phenotype but no ovaries
- small, abdominal testes with no spermatogenesis
- no Wolffian-duct derived structures (producing testosterone normally, however no spermatogenesis)
- but also a short vagina, and no uterus, due to continued AMH production by testicular Sertoli cells
- infertile

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10
Q

What is the animal model for CAIS?

A

Total androgen receptor knockout (ARKO) mice.
When no functional androgen receptor is present in all cells in the body:
- testes are undescended (cryptorchid)
- spermatogenesis is absent beyond spermatogonia
- Wolffian duct-derived structures do not develop

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11
Q

How does androgen signalling control spermatogenesis?

A
  • Peritubular myoid (PTM) cells: contractile interface between tubules and interstitium
  • Sertoli cells: intratubular nurse of spermatogenesis
  • Developing sperm: no AR
  • Leydig cells: produce testosterone
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12
Q

What is the conditional AR knockout mice animal model?

A

Gene knock-out only in one cell type not in every single cell
uses the Cre/loxP transgenic system to make a knockout of your gene of interest ONLY in one particular cell type

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13
Q

What is the Sertoli cell-specific ARKO (SCARKO) model? what are the results?

A

Conditional knock-out of sertoli cells androgen receptors
- normal testis descent, normal reproductive organs
- but infertile with a block in spermatogenesis at meiosis
- blood-testis barrier disruption
- De Gendt et al.

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14
Q

What is the PTM (Peritubular Myoid cells) cell-specific ARKO (PTM-ARKO) animal model? what are the results?

A
  • Normal testis descent, normal reproductive organs
  • infertile with a reduction of sperm at all stages of spermatogenesis (but not a block)
  • later found that androgens act on PTM cells to stimulate GDNF production
  • Welsh et al.
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15
Q

What is the Leydic cell-specific ARKO (LCARKO) animal model? what are the results?

A
  • Knockout in approx. 80% of adult Leydig cells
  • normal testis descent, normal reproductive organs
  • NOT infertile, but Leydig cells do not develop properly: apoptosis as the mouse reaches adulthood
  • had normal testosterone levels, maybe overcompensating from other Leydig cells
  • O’Hara et al.
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16
Q

What is the enzyme converting testosterone to DHT?

A

5-alpha-reductase

17
Q

How is DHT important?

A
  • 3x greater affinity for AR
  • DHT needed for masculinisation of organs distal to the testes where testosterone concentrations are lower
  • Required for foetal development as well as secondary sexual characteristics
18
Q

What happens in 5-alpha-reductase type II deficiency?

A
  • XY genotype with mutation in Srd5a2 gene
  • since Srd5a2 is required for external fetal masculinisation, babies are identified as female at birth
  • testes and reproductive tract develop normaly but are cryptorchid
  • at puberty androgen levels are enough for pubertal masculinisation and testis descent
  • penis does not usualy develop enough for intercourse to be possible, but sperm is often mature enought for artificial insemination to be possible
  • ‘eggs at 12’ syndrome
19
Q

Where are FSH receptors expressed?

A

FSH receptor (FSHR) is expressed by Sertoli cells on the membranes

20
Q

What are the actions of FSH on Sertoli cells?

A
  • stimulates fetal/neonatal Sertoli cell mitosis (terminally differentiated at puberty)
  • stimulates Sertoli cells to signal to and support developing germ cells
  • stimulates production of androgen binding protein (ABP) which concentrates testosterone in seminiferous tubule fluid
  • stimulates inhibin production (negative feedback)
21
Q

What are the effects of inactivating FSHR and FSH-beta mutations in humans? What does it suggest?

A

FSH-beta -/-
testis size: smaller
sertoli: fewer
spermatogonia: fewer
mature spermatozoa: none
fertility: infertile

FSHR -/-
testis size: smaller
sertoli: fewer
spermatogonia: fewer
mature spermatozoa: fewer
fertility: variable phenotype, some infertile but not all

Implies FSH signalling is essential for normal human spermatogenesis but this is only partially mediated by the known FSHR

These are very rare mutations

22
Q

How does gonadal feedback at the hypothalamus and pituitary regulate gonadotrophin production?

A
  • Negatively regulates gonadotrophin production.
  • In castrated rats, plasma FSH and LH levels are much higher than in control
  • Steroid negative feedback in the hypothalamus is at kisspeptin neurons, GnRH neurons do not have FSH/LH receptors
  • Females have lots of neurons in AVPV and arcuate nucleus, however males have very few Kiss1 neurons in AVPV, but mainly have neurons in arcuate nucleus. Usually, females get LH surge through AVPV
23
Q

What is the function of Inhibin?

A

represses FSH release

24
Q

What is the structure of Inhibin B? What are the different parts responsible for?

A

Inhibin B is a heterodimer:
- alpha subunit produced by Sertoli cells in response to FSH
- beta-B subunit produced mainly by maturing sperm cells

25
Q

How does male contraceptive injection work?

A

Male contraceptive injection trials are based on the negative feedback of the HPG axis.
- injections of slow release testosterone results in hyp/pit suppression of endogenous LH production
- LC produce less T
- T injected into periphery does not keep testicular concentrations high enough for spermatogenesis
- spermatogenesis stops, testicular shrinkage