Male Reproductive Flashcards

(41 cards)

1
Q

What are the endocrine and exocrine functions of testes?

A

endocrine - produce steroid hormones (testosterone)

exocrine -produce spermatozoa

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2
Q

Testes is made of an outer layer of tunica vaginalis and a tunica albuginea. Describe their histological features and where they are.

A

Tunica vaginalis

  • extension of abdominal peritoneum
  • covers anterolateral surface
  • consists of inner visceral layer (adheres to tunica albuginea) and outer parietal layer
  • simple squamous epithelium

Tunica albuginea
-capsule of dense irregular CT

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3
Q

What is the mediastinum testis?

A

it is a thickening of the tunica albuginea on posterior surface. Vessels and ducts pass thru the mediastinum testis and it projects inward to form incomplete septa dividing testis into lobules.

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4
Q

What divides testis into lobules? What are the 2 components of testicular lobules?

A

The mediastinum testis (a thickening of tunica albuginea) forms incomplete septa to divide testis into lobules. The testicular lobules consist of semniferous tubules and interstitial tissue.

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5
Q

List 4 structures in testis

A
  1. semniferous tubules
  2. tubuli recti
  3. rete testis
  4. ductuli efferentes
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6
Q

The semniferous tubules are lined with stratified germinal epithelium composed of what 2 cell types? Also there’s a tunica propria with what 2 cells?

A

stratified germinal epithelium -> spermatogenic cells and sertoli cells

tunica propria -> myoid cells and fibroblasts

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7
Q

Spermatogenesis is making spermatozoa from spermatogonia. Where does it occur? How long does it take? Is there a hormone requirement?

A

Spermatogenesis forms spermatozoa which involves mitotic divison of spermatogonia, then meiotic division of spermatocytes. Then the spermatids will differentiate into spermatozoa (spermiogenesis).

This occurs in semniferous tubules (inward direction from basal lamina toward lumen) and takes 64 days and requires testosterone

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8
Q

Type A spermatogonia vs Type B spermatogonia

A

Type A –> stem cells

Type B –> progenitor cells that differentiate into primary spermatocytes

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9
Q

Explain spermatogenesis in terms of whether mitosis or meiosis is occurring and the chromomsome content.

A

type A spermatognia –> mitosis –> primary spermatocytes (2N)

primary spermatocytes (2N) –> first meiotic division/reduction division –> secondary spermatocytes (N)

secondary spermatocytes (N) –> second meiotic division –> spermatids (N)

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10
Q

What is the final step of spermatogenesis? Does it involve cell division? This process occurs when bound to which cells?

A

The final step is known as spermiogenesis (spermatids –> spermatozoa). it involves NO CELL DIVISION (just DIFFERENTIATION) and occurs while spermatids are bound to sertoli cells.

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11
Q

What is spermiation?

A

release of spermatozoa into lumen

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12
Q

What are sertoil cells histologically? What do they do for the spermatogenic cells. Are sertoli cells connected with each other?

A

Sertoli cells are tall columnar epithelial cells that sit on basal lamina and extend to lumen.
Their apical and lateral processes envelope spermatogenic cells. They have euchromatic nucleus with prominent nucleolus. They are tightly connected to neighboring sertoli cells via occluding/tight junctions

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13
Q

Briefly discuss the 4 main functions of sertoli cells.

A

1) support, protection, nutrition for germ cells
- mediate exchange of nutrients & metabolities
2) phagocytosis
- residual bodies
- degenerating spermatogenic cells
3) secretion
- testicular fluid
- ANDROGEN BINDING PROTEIN
- INHIBIN
4) blood-testis barrier
- protects sperm from blood-borne toxic agents
- isolates antigenic germ cells from immune system

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14
Q

The testis is composed of 2 components: the semniferous tubules which is the site of spermatogenesis and the interstitial tissue. This tissue is btw semniferous tubules. What does it contain?

A

1) nerves
2) blood vessels
3) lymphatics
4) CT: leydig cells, fibroblasts, macrophages, mast cells.

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15
Q

Leydig cells are found in the CT of intersitital tissue btw semniferous tubules of testes. Explain histological appearance of leydig cells and what is their function?

A

Leydig cells produce 95% of testosterone. It is active for 4 months in male fetuses then quiescent until puberty.

Histologically, they are large round/polygonal cells with central nuclei
Eosinophilic cyto rich in smooth ER and lipid droplets

cytoplasm may contain yellow-good lipofuscin which increase with age

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16
Q

The testis has semniferous tubules, tubuli recti, rete testis, and ductuli. The tubuli recti, rete testis and ductili efferentes are intratesticular ducts. Describe their function and histology

A

sperm will go from tubuli recti –> rete testis –> ductuli efferentes

tubuli recti (straight tubules) - these are short tubules w/in mediastinum that connects semniferous tubules with rete testis

rete testis - anastomatic network of channels in mediastinum

ductuli efferentes (efferent ductules) - 10-20 ducts that connect rete testis to epididymis

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17
Q

Does the tunica vaginalis (a serous sac made of simple squamous epithelium) cover all of the tunica albuginea?

A

No, it does not cover the thickening of the tunica albuginea which is known as the mediastinum testis

18
Q

Explain the steps of spermiogenesis outlined below:

1) acrosome formation
2) flagellum formation
3) nuclear changes
4) change in orientation
5) spermiation

A

1) acrosome formation -granules accumulate in golgi and coalesce into a large acrosomal vesicle adj to nuclear envelope. Condensing nucleus forms acrosome which has hydrolytic enzymes that dissociate cells of corona radiata and digest zona pellucida
2) flagellum formation -centrioles migrate from next to nucleus to a position opposite the acrosome. One centriole initiates assembly of microtubules forming flagellum. mitochondria aggregate around proximal part of flagellum forming middle piece where swimming movement is generated
3) nuclear changes - nucleus condenses, elongates, and moves anteriorly displacing cytoplasm (very little cytoplasm is left)
4) change in orientation -halfway thru spermiogenesis, spermatid reorients itself so head points towards basal lamina and developing flagellum extends into lumen
5) residual body (excess cytoplasm) is released and phagocytosed by sertoli cells. spermatids are released from sertoli cells and from each other into lumen as spermatozoa (spermiation)

19
Q

What cells secrete androgen binding protein? What is the effect of ABP?

A

sertoli cells secrete ABP which will concentrate testosterone in semniferous tubules

20
Q

from ductulis efferentes, explain the order in which sperm will go.

A

semniferious tubules –> tubuli retes –> rete testis –> ductuli efferentes –> epididymis –> vas deferens –> ejaculatory ducts –> penile urethra

21
Q

Epididymis has a head, body region (histologically similar) and a tail. Describe the epithelium that lines the epididymus and the 2 cells that it has.

A

epididymis is a highly coiled tube lined with pseudostratified columnar epithelium. It has basal cells (stem cells) and principal cells. Principal cells are tall columnar cells with stereocilia and basally located nuclei

22
Q

describe the smooth muscle cells found in head, body, tail of epididymis.

A

head & body –> thin circular layer of smooth muscle (helps move sperm; rhythmic contractions)

tail –> inner and outer longitudinal muscles and circular muscles (expels sperm; few rhythmic contractions)

23
Q

Briefly describe the 5 functions of epididymis

A
  1. maturation of sperm
    - acquire motility
    - addition of DECAPACITATION FACTOR
  2. reabsorption of remaining testicular fluid
  3. phagocytosis of remaining residual bodies and degenerating sperm
  4. principal reservoir for mature sperm (in tail region)
  5. contraction of smooth muscle layers in tail expel sperm during ejaculation
24
Q

Where does sperm acquire the ability to fertilize an egg?

A

in the ductus epididmyis, the sperm will acquire surface-associated decapacitation factor. Capacitation occurs in female reprod tract prior to fertilization

25
The vas deferens is a straight tube with thick muscular wall. It ascends along posterior border of testis and enters abdomen as part of spermatic cord. it will empty into prostatic urethra via ejaculatory duct. Describe histological features.
-narrow lumen -pseudostratified columnar epithelium with stereocilia -lamina propria rich is elastic fibers -mucosa is folded near distal end -smooth muscle divided into inner and outer longitudinal and middle circular layers (produces strong contractions during ejaculation)
26
When is sperm transport passive? When does it become active?
passive: semniferous tubules - ductuli efferentes active: ductili efferentes - urethra
27
Which accessory genital glands contribute 70% of the volume of ejaculant?
seminal vesicles
28
What forms the ejaculatory duct?
seminal vesicles + ampulla of vas deferens = ejaculatory duct
29
Describe the secretion from seminal vesicles
pale yellow viscous alkaline substance rich in fructose
30
Which is the largest accessory genital gland? What is is composed of?
The prostate is the largest accessory genital gland and is composed of a cluster of tubuloalveolar glands.
31
What are the 3 clinically distinct zones of the prostate?
1) transition zone - near prostatic urethra - site of origin of BPH - origin of 20% of prostate cancer 2) central zone - surrounds ejaculatory duct - origin of 1-5% of prostate cancer 3) peripheral zone - makes up most of gland volume - contains main prostatic glands - -origin of >70% of prostate cancer - palpable during digital exam of rectum prostatis can be observed in all 3 zones
32
What kind of glands are present in prostate?
tubuloalveolar glands
33
What kind of epithelium does prostate have? What are the cells?
-pseudostratified epithelium with basal cells, columnar secretory cells, and neuroendocrine cells (rare).
34
What is responsible for expulsion of fluid during ejaculation in the prostate?
fibromuscular stroma surrounds the prostate glands and responsible for expulsion
35
What are prostatic concretions?
calcifcations in prostate that can be seen in the lumen; increase with age
36
Describe prostatic secretions
- thin milky fluid produced by tall columnar epithelial cells - rich in citric acid and acid phosphatase - contains proteolytic enzymes that liquefy semen - contains serine protease known as prostate specific antigen
37
Which clinical zone does BPH originate from?
-transition zone leads to compression of urethra
38
How to treat advanced prostate cancer with metastases?
androgen suppression b/c these cells are dependent on testosterone
39
Where does semen get secretions from?
``` ductus epididymis bulbourethral glands (cowpers) glands of littre (periurethral) prostate seminal vesciles ```
40
Explain the ejaculatory sequence of glands contributing to semen
1) bulbourethral glands and periurethral glands (glands of littre) 2) prostatic fluid and sperm 3) seminal vesicle fluid
41
The only true cilia in the male reproductive system is?
the tall columnar cells found in ductuli efferentes (distinugishable by scalloped appearance due to tall columnar cells and cuboidal cells.