Week 3 Flashcards

(67 cards)

1
Q

What are the key receptors affecting the onset of puberty?

A

Kisspeptin/GPR54
NeurokininB
PROKR2

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2
Q

What is puberty?

A

The period when the endocrine and gametogenic functions of the gonads have first developed to the point where reproduction becomes possible

Puberty in females is defined as the age at which they first express oestrus with ovulation
This leads to a transformation of the infertile juvenile to the potentially fertile adult

Puberty = a state of transition

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3
Q

What are some factors affecting the timing of puberty?

A
  1. Photoperiod/Season
  2. Nutrition/Growth rate
  3. Genetics
  4. Social cues
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4
Q

What is photoperiod?

A

A clear change in the day length

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5
Q

How does photoperiod affect puberty? Use lambs as an example.

A

Spring born lambs ovulated for the first time in Autumn, age 26-35 weeks

Autumn born lambs ovulated for the first time in Autumn age 48-50 weeks

Autumn born lambs kept in reverse photoperiod (light conditions in barns maintained as if spring) ovulated for the first time in summer, aged 33-37 weeks

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6
Q

How does body mass affect puberty?

A

Age of menarche has decreased over the last hundred years

The mean body weight at menarche has remained steady at 47kg

Suggestion is that a critical body weight has to be attained prior to the activation of the H-P-G axis

Moderately obese girls experience earlier menarche than thin girls, malnutrition is associated with delayed menarche

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7
Q

What are the steps of female puberty?

A

Anteroventral periventricular nucleus
Kiss1 and Kiss1R
(Other neutral inputs e.g. GAPA (-), glutamate (+)

Arcuate nucleus
KNDy neurons, KISS1, NKB, Dyn

Hypothalamus
GnRH

Pituitary
LH/FSH

Ovaries
AMH, Inhibin –> Ovulationg
Growth spurt (direct action on growth plates. Indirect action: activation of GH)
Secondary female sexual characteristics
OESTROGEN

Positive feedback to Anteroventral periventricular nucleus

Negative feedbakc to arcuate nucleus

Positive/Negative feedback to Pituitary gland

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8
Q

What are the steps of male puberty?

A

Anteroventral periventricular nucleus
Kiss1 and Kiss1R
(Other neutral inputs e.g. GAPA (-), glutamate (+)

Arcuate nucleus
KNDy neurons, KISS1, NKB, Dyn

Hypothalamus
GnRH

Pituitary
LH/FSH

Testes
AMH, Inhibin B –> Spermatogenesis
Growth spurt (direct action on growth plates. Indirect action: activation of GH)
Secondary male sexual characteristics
TESTOSTERONE

Negative feedback to anteroventral periventricular nucleus, arcuate nucleus and Pituitary

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9
Q

What do we know about clinical heterogeneity in GnRH deficiency?

A

If they have anosmia: Kallmann syndrome

Normal sense of smell: nIHH

No puberty/Partial puberty

Associated phenotypes:
- Cryptorchidism/microphallus
- Synkinesia
- Hearing loss
- Renal agenesis
- Cleft lip/palate
- Obesity
- Adrenal insufficiency

Male preponderance 5:1

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10
Q

What is IHH?

A

Classifically defined by a failure to go through puberty and subsequent infertility.

Patients are undervirilised with small genitalia. However, the majority of IHH patients lack any evidence of puberty.

Spontaneous partial puberty occurred in 25% of the cases. Moreover, there is a high percentage of DP among family members with IHH

IHH can occur with anosmia (Kallmann’s syndrome (KS)) or normal olfaction (normosmic IHH (nIHH)).

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11
Q

What are the mechanisms of GnRH stimulation?

A
  1. Development and migration
  2. Homeostasis and GnRH secretion
  3. Gonadotrophin stimulation

Olfactory placode and GnRH neuron precursors
–>
Olfactory axons
–>
Cribriform plate
–>
Olfactory bulb
–>
Olfactory tract
–>
GnRH neuron
–>
Pituitary

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12
Q

How is the GnRH neuron regulated?

A

The KNDy neurons

Kisspeptin/NKB/Dyn (KNDy) neurons in the ARC form a neural circuit

NKB/NK3 signalling plays the role of accelerator, whereas Dyn/KOR signalling serves as a brake on activation of kisspeptin/NKB/Dyn neurons

Reciprocal actions of NKB-NK3 and Dyn/KOR signalling generates rhythmic oscillation of neural activity in KNDy neurons

This induces pulsatile kisspeptin release at the ME and hence pulsatile GnRH release into the portal circulation

Thus, ARC kisspeptin/NKB/Dyn neurons would act as the GnRH pulse generator through the coordinated interaction between three peptides

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13
Q

What are the two sources of kisspeptin?

A

Next to GnRH neuron

Preoptic area kisspeptin neuron
- LH increases to a peak after some hours

Arcuate kisspeptin neuron
- Consistent pulsatile LH release

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14
Q

How are kisspeptin and puberty linked?

A

GABA, Glutamate and other going to GnRH neuron

Activation by NKB?

Arcuate kisspeptin neuron

Slight increase in GnRH from arcuate kisspeptin neuron at birth.

Suppression of arcuate kisspeptin neuron as a juvenile. Possibly from dynorphin?

Peripubertal small peaks of GnRH from arcuate kisspeptin neuron

Pubertal large peak of GnRH from preoptic area kisspeptin neuron. Gives a big bolus where puberty kicks off

(This surge is necessary for a male songbird to start to sing (mating call))

Arcuate kisspeptin neuron maintains the small peaks of GnRH

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15
Q

What do we know about a KISS1R mutation?

A

KISS1R mutation (Leu148Ser) is associated with IHH

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16
Q

What is central precocious puberty?

A

Early maturation of the HPG axis

Development of secondary sexual characteristics before the age of 8 years in girls and 9 years in boys

Female predominance, and 90% of cases in girls are considered idiopathic

Prevalence of familial central precocious puberty of over 25% suggests genetic basis

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17
Q

What happens to the R386P KISS1R activating mutation associated with Central precocious puberty?

A

It undergoes a reduced rate of desensitisation in vitro

Increase in GnRH
–>
Increase in PIP2, IP and Ca
–>
Increase in GnRH

With R386P there is an increase in IP accumulation compared to WT

Potential PKC phosphorylation site?

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18
Q

What do we know about Desensitisation and trafficking of the prototypical GPCR?

A
  1. Activation and signalling
  2. Phosphorylation and desensitisation
    GRK, Arrestin
  3. Targeting to CCP and internalisation
    Clathrin, AP-2, PIP2/PIP3
    Dileucine and tyrosine motifs
    ARF, GEF, GAP, PI3K, p38 MAPK

Persistent signalling

  1. Sorting (or signalling)
    Phosphorylation
    Ubiquitination
    Vps proteins
    Rab GTPases

5a. Degradation
Ubiquitination
SNX1
GASP

or

G protein coupled signalling

5b. Recycling
PDZ-domain ligand
NSF
NHERF/EBP50

Desensitisation

Regulation of G protein–coupled receptor (GPCR) trafficking by G protein–coupled receptor kinases (GRKs) and arrestins. Agonist binding to GPCRs leads to receptor activation, G protein coupling, and signal transduction (step 1). GRKs then phosphorylate the agonist-activated GPCR on intracellular domains, initiating arrestin recruitment. Arrestin binding to the receptor inhibits G protein coupling and terminates signaling, a process termed desensitization (step 2). Receptor/arrestin complexes are then targeted to clathrin-coated pits, where arrestin forms a multicomponent complex with clathrin, adapter protein-2 (AP-2), and phosphoinositides, resulting in receptor internalization (step 3). Internalized GPCRs are sorted (step 4) to either degradation (step 5a) or recycling (step 5b) compartments.

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19
Q

What do we know about NK3R?

A

Receptor
Loads of mutations associated

TACR3 and TAC3 mutations in familial hypogonadotropic hypogonadism reveal a key role for Neurokinin B in the central control of reproduction

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20
Q

What are KNDy neurons?

A

Neurons expressing Kisspeptin, Neurokinin B and Dynorphin

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21
Q

What is NKB?

A

A regulator of Kisspeptin/GnRH/Gonadotropins

NKB acts in an autocrine manner

Binds to the same neuron

Prolonged production of kisspeptin = precocious puberty

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22
Q

What are NKB and GnIH?

A

Novel regulators of gonadotropin in man

Kisspeptin (kiss) released from kisspeptin neurons within the hypothalamus is known to control the secretion of GnRH from GnRH neurons through interaction with its cognate receptor (KissR/GPR54)

Secretion of GnRH from these neurons then leads to secretion of gonadotropins (LH/FSH) from pituitary gonadotropes

NKB is colocalised in Kisspeptin neurons and is postulated to be a novel regulator of GnRH secretion either through direct interaction with GnRH neurons or through autocrine interactions with kisspeptin neurons

GnIH is a potent inhibitor of GnRH stimulation of gonadotropin secretion from cultured gonadotropes but may also operate by inhibiting the activity of GnRH neurons

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23
Q

What are Prokr1 and Prokr2?

A

Receptors that belong to the g-protein coupled receptor family

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24
Q

What is seen in a prokr2 deficient mouse (Prokr2-/-)?

A

Hypoplastic olfactory bulbs

GnRH deficiency

GnRH production not there as the olfactory bulb is faulty

GnRH deficiency = small gonads etc

Hypogonadotropic hypogonadism

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25
What plays a critical role in olfactory bulb morphogenesis and GnRH secretion?
Physiological activation of the prokineticin pathway
26
What do we know about Prok2 and its GPCR Prokr2 in patients with Kallmann syndrome (KS) and normosmic hypogonadotropic hypogonadism?
Inactivating mutations in prokineticin 2 (Prok2) and its G protein-coupled receptor (GPCR) Recently reported a PROKR2 mutation localised in the first intracellular loop (C1) of PROKR2, R80C in a patient with KS. Additional mutations in the ICL1 of PROKR2, R85C and R85H have also been reported
27
What do we know about GPCR intracellular domains?
In GPCRs, the ICL2, ICL3 or C-terminal domain are usually coupled to G proteins
28
What is the function of Intercellular loop 1 (ICL1)?
Acts as a G-protein activation region - GnRHR and CCK-AR: ICL1 binds to Gs Is important for cell surface expression - Thromboxane A2 receptor Regulates ER export - A conserved Leu is important for alpha2AR trafficking These intracellular loops are interesting because Extracellular = ligand interaction Production of G proteins etc dependent on overall structure
29
What do we know about R80C PROKR2?
It has reduced ligand binding and signalling Reduced IP accumulation Reduced ERK activation/ luciferase activity
30
What does R80C PROKR2 do to WT PROKR2 in vitro?
Exerts a dominant negative effect The R80C PROKR2 mutant targets the WT receptor to degradation The identification of asymptomatic first-degree relatives carrying the R80C PROKR2 mutation suggests that the manifestation of the HH phenotype may depend on additional factors The extent of the dominant negative effect was dependent on the proportion of WT to R80C PROKR2 in vitro Activity of the PROKR2 degradation pathways, differences in the relative expression of the two alleles of the PROKR2 gene, and polymorphisms in regulatory genes may also determine the manifestation of the HH phenotype The presence or extent of the dominant negative effect in vivo may likewise depend on the relative amounts of WT and R80C mutant receptors Binding and signalling issue present Multiple ways that function can be affected
31
What genes are implicated in GnRH regulation?
1. DEVELOPMENT AND MIGRATION KAL1/FGF8/FGFR1 PROK2/PROKR2 CHD7 NELF 2. HOMEOSTASIS AND GnRH SECRETION DAX1, PC1, LEP/LEPR, GnRH1, KISS1/KISS1R, FGF8/FGFR1, PROK2/PROKR2, TAC3/TACR3 3. GONADOTROPE STIMULATION DAX1, GNRHR
32
What happens if you don't get GnRH?
You dont get the olfactory tract = Anosmia
33
What is the steps of an ovarian follicle?
1. Primordial follicle 2. Primary follicle 3. Secondary follicle 4. Tertiary follicle
34
What do we know about the number of follicles in the ovary?
The number of follicles declines with age and reproductive senescence occurs when they are completely depleted
35
What do we know about meiosis during female gametogenesis?
Oogonia expand by mitosis during foetal life to provide a stock of egg precursors Eventually all of the oogonia enter meiosis, becoming oocytes Oocytes progress through meiosis I but arrest before completing first division Remain arrested until just before ovulation (>50 years in some mammals) Complete meiosis one, enter 2nd meiosis, become arrested again at MII stage
36
What happens in prophase of Meiosis I (Prophase I)?
LEPTOTENE - Duplicated chromosomes start to condense ZYGOTENE - Synapsis begins PROPHASE I PACHYTENE - Synapsis complete; crossing over occurs DIPLOTENE - Synaptonemal complex disappearing; chiasma visible DIAKINESIS - Bivalent ready for metaphase
37
What is folliculogenesis?
The growth and development of ovarian follicles from the primordial to ovulatory stages of development
38
Components of a follicle (mature)?
Oocyte Antrum Granulosa Theca
39
What changes occur during follicle growth from primordial to primary?
Follicles begin as primordial follicles which consist of one primary oocyte surrounded by a single layer of pre-granulosa cells Development from the primordial follicle stage into a primary follicle is characterised - By an increase in the size of the oocyte - The surrounding of the oocyte by a single layer of cuboidal granulosa cells - The separation of the oocyte from the granulosa cells by a thick layer of material, the zona pellucida
40
Components of a primary follicle?
Endothelial cells Granulosa cells Early zona pellucida formation Oocyte
41
What changes occur during follicle growth from primary to secondary?
The primary follicle will grow into a secondary follicle The granulosa cells proliferate into multiple layers and at the end of this stage the oocyte is fully grown (~120µm in diameter) Events that characterise this transition are: - The theca layer which eventually will be organised into the theca interna and the theca externa - Vascularisation of the theca Connective tissue cells surrounding the granulosa cells differentiate to form layers of Theca cells
42
What are the main components of a secondary follicle?
Oocyte Membrana granulosa Basement membrane Theca interna
43
What do theca cells do?
Produce androgens
44
What do androgens from theca cells do?
Act as substrates for the synthesis of oestrogens by the granulosa cells Granulosa cells secrete: - 17b-oestradiol - Inhibit - Progesterone (small amounts) Despite the presence of the zona pellucida the inner granulosa cells are able to communicate with the oocyte through gap junctions
45
What changes occur during follicle growth from secondary to tertiary?
Following formation of the theca cells, the primary oocyte reaches full size Granulosa cells secrete fluid resulting in the formation of a fluid-filled space, the antrum, a characteristic of antral (tertiary) follicles Other characteristics are: - Development of gap junctions - Differentiation of theca interna cells into steroidogenic cells Antral follicles are responsive to gonadotrophins (mainly FSH) At the beginning of each cycle, a few pre-antral follicles (primary follicles) begin to develop into antral follicles What causes these particular follicles to be selected remains a mystery despite much research! Paracrine action of growth factors eg. EGF, IGFs
46
What are the components of a tertiary follicle?
Oocyte Antrum Membrana granulosa Basement membrane Theca interna Theca externa
47
What changes occur during follicle growth from tertiary to dominant (Graafian)?
A further selection process occurs whereby a single follicle, termed the dominant follicle, is selected for continued development What causes a single dominant follicle to be chosen is not known Hypophysectomy will prevent complete antral development i.e. for complete antral development need BOTH LH and FSH. The rest of the follicles which had started to enlarge undergo a degenerative process termed atresia
48
What are the components of a Graafian follicle?
Oocyte Zona pellucida Granulosa cells Follicular cavity Theca
49
What changes occur during follicle growth from a graafian to ovulatory follicle
The Graafian follicle enlarges, mainly as a result of its expanding antrum and its growth is dependent on LH as the granulosa cells have now acquired LH receptors Ovulation will occur as a result of a dramatic increase in LH levels
50
What do we know about the process of bovine follicular development?
Lengthy process lasting up to several months in cattle and sheep During the preantral stages the oocytes increase dramatically in volume and the granulosa cells multiply to for several layers During these stages thecal cells differentiate from the surrounding stroma and these three cell types (oocyte, GC and TC) form the follicular unit Once germ cells in the foetus stop mitotically dividing, they form associations with a small number of pre-granulosa cells to form primordial follicles. The germ cell enters meiosis, proceeds to the DIPLOTENE stage of prophase I before meiosis is arrested. The primordial follicle is around 35 microns, with an oocyte diameter of 20 to 30 microns. The oocyte is surrounded by a single layer of flattened cells The primary follicle is around 50 microns with an oocyte diameter of around 30 microns. The oocyte is surrounded by a single layer of cubodal GCs The diameter of the secondary follicle is around 100 microns. Oocyte diameter is around 45 microns and several layers of cubodal GCs surround the oocyte. The ZP forms with gap junctions. As the follicle and oocyte grow so the number of gaps junctions between the oocyte and surrounding corona cells increase – largely a function of surface area. Early tertiary follicles (< 1mm) see the formation of the antrum and oocytes are typically between 60 to 80 microns. The oocyte is located within the cumulus oophorus. During these early stages the oocyte is intrinsically incompetent to resume meiosis – due to lack of MPF activity. This will be discussed later, suffice to say at present that at this stage in development the oocyte has not yet synthesised the cell cycle regulatory molecules essential for meiosis progression in sufficient quantities and/or these molecules are not yet positioned correctly within the oocyte. Tertiary follicles (small antral, 1-3 mm), oocyte diameter is between 80 to 110 microns Late tertiary follicles (medium to large follicles, > 3 mm), oocyte diameter > 110 microns Transcriptional activity increases during the secondary follicle stage and remains high until the late tertiary stage. Many of the transcripts necessary to complete the final stages of oocyte maturation and post-fertilisation development are laid down during this period. The resumption of meiosis following ovulation or follicular aspiration induces transcriptional arrest.
51
What are some factors involved in the early stages of folliculogenesis?
BMP: Bone Morphogenetic Protein PTEN: Phosphatase and tensin homolog deleted on chromosome 10 LIF: Leukaemia inhibitory factor GDF-9: Growth differentiation factor-9 NGF: Nerve growth factor KGF: Keratinocyte-growth factor AMH: Anti-mullerian hormone FGF-2: Basic fibroblast growth factor
52
What controls folliculogenesis?
Entry into meiosis marks the transition of oogonia to oocytes, which occurs between 8 and 13 weeks of gestation, well before the formation of primordial follicles. The oocyte is arrested at the diplotene stage of prophase after proceeding through the leptotene, zygotene and pachytene stages. At the time of ovulation the first meiotic division is completed in which the oocyte finally assumes the haploid stage, albeit still possessing 2c DNA. Then the oocyte proceeds to the second meiotic division and is arrested at metaphase. The second meiotic division is completed at the time of fertilization resulting in 1n chromosomes and 1n with reestablishment of the diploid state. The first primordial follicles begin to appear at around 16 weeks of gestation, and their formation is complete by 6 months after birth in the human ovary. Our current understanding suggests that the earlier stages of follicle growth, from primordial follicle formation to pre-antral–antral stage, are mainly controlled by ligands of several different signaling pathways acting at the paracrine–autocrine level, such as the TGF-β superfamily (scale bars 25 microns). BMP, bone morphogenetic protein; PTEN, tumor suppressor gene (phosphatase and tensin homolog deleted on chromosome 10); LIF, leukaemia inhibitory factor; GDF-9, growth differentiation factor-9; NGF, nerve growth factor; KGF, keratinocyte-growth factor; AMH, anti-Mullerian hormone; FGF-2, basic fibroblast growth factor.
53
What are some potential signalling interactions for a primordial follicle becoming a primary follicle?
Kit ligand (KL) and basic fibroblast growth factor (bFGF) secreted by pre-granulosa cells and oocyte respectively, have mutual stimulatory effects on oocytes and granulosa cells; they also promote recruitment of theca cells from the surrounding stromal/interstitial cell population. Stromal/interstitial cells and theca cells secrete BMP-4 and BMP-7, which promote follicle activation and survival. GDF-9 and/or BMP-15 secreted by the oocyte of the activated follicle promote granulosa cell proliferation, KL expression and theca formation. Granulosa cells of growing follicles secrete AMH that appears to act as a ‘brake’ on primordial follicle recruitment.
54
What happens in activation of the PI3K pathway?
Activation of the PI3K phosphorylates and activates AKT Phosphorylation and activation of FOXO3 Translocation of FOXO3 from the nucleus to the cytoplasm inactivates it, therefore allowing follicle development to progress PTEN is a negative regulator of the PI3K pathway AKT phosphorylates and inactivates TSC, a negative regulator of mTOR As a result, mTOR pathway becomes activated, leading to signals that regulate protein translation and follicle development to progress.
55
What is Tuberous Sclerosis Complex 1 (Tsc1)?
A tumour suppressor gene that plays a key role in maintaining the dormancy of primordial follicles in mammalian ovaries
56
What is the Ovarian Cycle?
Termed either oestrus or menstrual cycles Oestrus Cycles - Oestrus is an easily identifiable external marker Menstrual Cycles - Menses is an easily recognised external marker Both oestrus and menstrual cycles consist of a follicular phase and a luteal phase The cycles are dated on the basis of the identifiable external marker i.e. oestrus and menses Hence, day of oestrus and start of menstruation are day 0 in the oestrus and menstrual cycles
57
How is the oestrus cycle classified?
Based on changes in the cytology of the endometrium Proliferative phase is oestrogen dominant Secretory phase is progesterone dominant
58
When in the oestrus cycle is estradiol highest?
Follicular phase
59
When in the oestrus cycle is progesterone highest?
Luteal phase
60
When in the oestrus cycle is LH highest?
Ovulation
61
What is the amount of atresia associated with all stages of folliculogenesis?
Pool of primordial; quiescent; low atresia Committed: no turning back; low atresia Antrum forms Gonadotrophin-responsive follicles: Development may continue in the absence of LH and FSH BUT gonadotrophins can influence the process; some atresia Gonadotrophin-dependent: Become atretic if FSH falls below 1 ng/ml; high atresia Ovulatory follicles: granulosa cells have LH receptors and can survive if FSH falls below 1ng/ml OVULATION IN THE PRESENCE OF AN LH SURGE OR ATRESIA AFTER ABOUT 72HRS
62
What is atresia?
Follicle death
63
What is the hormonal control of ovarian function?
Hypothalamus secretes GnRH to the anterior pituitary. The anterior pituitary secretes FSH to the granulosa cell, producing oestradiol 17-ß which feeds back to the hypothalamus and anterior pituitary. The granulosa cell feeds back inhibin to the FSH to have a negative effect. The anterior pituitary also secretes LH to the theca cells of the ovary which secrete androgens to the granulosa cell , producing oestradiol 17-ß which feeds back to the hypothalamus and anterior pituitary. The granulosa cell feeds back inhibin to the FSH to have a negative effect. THIS IS THE FOLLICULAR PHASE The anterior pituitary also secretes LH to the luteal cell which produces progesterone. This negatively feeds back to the anterior pituitary and hypothalamus THIS IS THE LUTEAL PHASE
64
What do we know about follicular growth leading to ovulation?
Early-mid follicular phase plasma oestradiol (E2) exerts a negative-feedback on gonadotrophin secretion It acts mainly at the hypothalamus Therefore, FSH levels start to fall The inhibitory effects of E2 occur only whilst the plasma E2 concentration is below a certain threshold value In contrast, when the plasma concentrations rise above the threshold value as occurs during the E2 peak in late follicular phase, it acts on the pituitary to stimulate gonadotrophin secretion The high level of oestradiol ultimately gives rise to the surge of LH
65
What do we know about the LH surge?
The appearance of apex or stigma on ovary wall The LH surge causes a sets changes within the follicle which leads to ovulation i.e. the release of the egg As a consequence, oestradiol production then falls and progesterone production starts to increase The follicle cells that remain within the ovary are transformed through a process called luteinisation into luteal cells
66
How is the Corpus luteum (CL) formed?
The CL is formed from proliferation and differentiation of granulosa and theca cells of the ruptured follicle The number of CL formed are directly equal to the number of oocytes released In several species including man, two types of luteal cells have been described - Large cells are thought to arise from granulosa cells - Small cells are thought to arise from theca cells CL is the main source of progesterone production during luteal phase to prepare uterus for embryo implantation Progesterone (P4) is essential for the establishment and maintenance of pregnancy
67
What is the mode of action of luteinising hormone (LH)?
LH binds to RLH (LH receptor) ↓ Adenylate cyclase ↓ Cyclic AMP ↓ Protein Kinases ↓ Phospho-proteins ↓ Protein synthesis ↓ StAR ↓ Cholesterol ↓ P450 scc in the mitochondrion ↓ Pregnenolone ↓ 3ßHSD PROGESTERONE