pack Flashcards

(43 cards)

1
Q

What is the order of potency of Estrone, estradiol, and estraiol from most potent to least potent?

A

Potency
Estradiol> Estrone > Estriol

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2
Q

What is the order of potency of others, DHT, and testosterone from most potent to least potent?

A

Potency
DHT > Testosterone > others

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3
Q

Where is 5a-reductase found and what is its function?

A

Found in: peripheral tissues adipose, prostate and skin

Function: Converts Testosterone into 5a-Dihydrotestosterone

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4
Q

What intiates male growth in an embryo?

A

by sex-determining region of the Y chromosome (SRY gene).

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5
Q

What is the first thing that begins the development of the testis and from where does it develop?

A

The SRY transcription factor begin development of the testis - from medulla of primordial gonad.

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6
Q

What does testosterone stimulate the development of?

A

Testosterone stimulate development of epididymis, vas deferens, and seminal vesicle from Wolffian ducts.

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7
Q

What does DHT stimulate the development of?

A

DHT stimulate development of male external structures – prostate, penis, penile urethra and scrotum.

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8
Q

What would happen if there was an absence in the SRY gene?

A

Absence SRY gene, gonads develop into ovaries

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9
Q

What happens when there is a deficeny in 5a-reductase in an embryo?

A

Clinical Box
5α-reductase deficiency—inability to convert testosterone into DHT → normal male internal genitalia, ambiguous external genitalia until puberty (when ↑ testosterone levels cause masculinization)

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10
Q

What would be the consequence of fever on spermatogenesis and steroidogenesis?

A

Spermatogenesis: failure

Steroidogenesis: uneffected

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11
Q

What forms the blood-testis barrier?

A

The tight junctions between Sertoli cells form the blood–testis barrier

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12
Q

What is located between sertoli cells other than tight junctions?

A

dividing germ cells

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13
Q

What is spermiation and what does it require in order for it to take place?

A

It is: the detachment of mature spermatozoa from the Sertoli cell into the lumen.

Requires: conversion of plasminogen to plasmin.

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14
Q

What do sertoli cells synthesize that is related to iron?

A

large amounts of transferrin for sperm development

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15
Q

What two hormones do sertoli cells bind?

A

Testosterone and FSH

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16
Q

What is the mechanism of signaling that FSH uses with sertoli cells?

A

FSH receptors are linked to adenylyl cyclase via G protein which activate cAMP and PKA

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17
Q

What does FSH stimulate the synthesis of in sertoli cells?

A

androgen-binding protein [ABP], plasminogen activator, inhibin, follistatin, and activin

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18
Q

What conversion does FSH indirectly induce?

A

It induces aromatase that converts androgens to estrogens

19
Q

Q: What receptors do Leydig cells have, what do they stimulate, and how do they stimulate it?

A

A: Leydig cells have LH receptors that stimulate steroidogenesis through the nuclear transcription factor SF-1, which activates genes encoding CYP enzymes.

20
Q

What stimulates steroidogenesis in the fetus instead of LH?

A

human chorionic gonadotropin (HCG)

21
Q

What is the signaling mechanism that LH receptors use to induce steroidogenesis?

22
Q

What other receptors do leydig cells have and what is their effect on them?

A

Estrogen receptors in Leydig cells reduce the proliferation and activity of these cells.

23
Q

Q: What is the role of testosterone in Sertoli cells?

A

A: In Sertoli cells, testosterone acts as a precursor for estradiol production, modulating responses to LH.

24
Q

What is the full signaling process that occurs in leydig cells after LH binds to its receptors to induce steroidogenesis?

A

Luteinizing hormone (LH) stimulate cAMP-PKA which activate cholesterol release from cellular stores.

Cholesterol enters mitochondria, via the steroidogenic acute regulatory protein (StAR), to form pregnenolone.

Pregnenolone is transported to the smooth ER for steroid synthesis.

Testosterone is the end-product, which diffuses into the extracellular fluid.

25
How does cystic fibrosis affect spermatogenesis?
Men with cystic fibrosis have normal spermatogenesis but have azoospermia. **They have congenital bilateral absence of vas deferens.**
26
What do the seminal vesicles release?
Produces viscous alkaline seminal fluid Fructose [substrate for glycolysis], ascorbic acid, coagulating enzyme (vesiculase), and prostaglandins 70% of the volume of semen
27
What two ducts join to form the ejaculatory duct?
Duct of seminal vesicle joins the ductus deferens to form the ejaculatory duct
28
What does the prostate release?
Secretes milky, slightly acid fluid: Contains **citrate**, enzymes, and **prostate-specific antigen** (PSA) Function in activation of sperm **Fibrinolysin** liquefies the coagulated semen 15 to 30 minutes after ejaculation
29
What do the bulbourethral glands release?
مذي Pea-sized glands inferior to the prostate Prior to ejaculation, **produce thick, clear mucus** Lubricates the glans penis Neutralizes acidic urine in the urethra
30
What is the minimum volume of semen considered normal?
Greater than 1.5 ml.
31
What is the minimum pH level for normal semen?
Greater than 7.2.
32
What is the minimum total sperm number per ejaculate for normal semen?
40 million sperm or more.
33
What percentage of normal forms is required for normal sperm morphology?
Greater than 4 percent.
34
What is the minimum vitality percentage for live sperm?
Greater than 58%.
35
What is the minimum percentage required for progressive motility of sperm?
Greater than 40%.
36
What is the norm for sperm agglutination in a normal semen analysis?
No sperm agglutination.
37
What is the maximum viscosity for normal semen after liquefaction?
Less than 2 cm.
38
What gas helps with inducing erection in males?
**Nitric oxide (NO)**, from the nerve terminals of the corpora cavernosa.
39
What signaling mechansim does it use?
NO activates guanyl cyclase → cGMP, lowering intracellular Ca++ causing smooth muscle relaxation.
40
How does viagra work?
Sildenafil [Viagra] inhibits **PDE5** [phosphodiesterase] → ↑cGMP allowing a sustained erection.
41
What is emission and what are the nerves that control it?
**It is:** Movement of the sperm and associated fluids from the cauda epididymis and vas deferens into the urethra. **Nerves:** adrenergic sympathetic (hypogastric) nerve stimuli from T11 - L2
42
What nerve is responsible for ejaculation?
pudendal nerve
43
What nerves are responsible for erection?
pelvic splanchnic nerves, S2-S4