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medical reproductive physiology
n/a
55
Physiology
Graduate
01/28/2013

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Cards

Term
What are number of carbons for : cholesterol, androgens, progestins, estrogens?
Definition
C27: Cholesterol
C21: progestins
C19: androgens
C18: estrogens
Term
what class of molecules is pregnenolone an example of ?
Definition
progestins
Term
identify the associations of the following with the androgen receptor:
testosterone, test cypionate, flutamide, dihydrotestosterone, finasteride
Definition
test activates AR, cypionate is longer-lived, flutamide is competitive inhibitor, DHT is more potent activator, finasteride blocks T->DHT (no AR action)
Term
What is finasteride/propecia used for?
Definition
Stopping DHT-driven male-pattern baldness
Term
what does tamoxifen bind to?
Definition
The estrogen receptor
Term
what is the biochemical basis for AIS
Definition
Androgen insensitivity syndrome is caused by a mutation in the androgen receptor
Term
What converts Testosterone to DHT?
Definition
5a-reductase
Term
What is the effect on male phenotype if there's no 5a-reductase?
Definition
ambiguous genitalia - loss of most active form of testosterone, gain of estrogens (aromatase works on testosterone but not DHT)
Term
Which hormones bind SHBG? CBG?
Definition
SHBG: androgens, estrogens
CBG: progesterone, and other sex hormones to a lesser extent
Term
What are the two pools of bioavailable testosterone?
Definition
SHBG-bound and albumin-bound - because albumin has fairly low affinity for testosterone
Term
What hormone do activin and inhibin regulate by feedback? What secretes activin and inihibin?
Definition
Sertoli cells make inhibin, anterior pituitary makes activin; both have effects on FSH.
Term
What's PSA?
Definition
A glycoprotein that lowers semen viscosity, allowing for sperm motility - also used as a test for prostate cancer (not technically an antigen)
Term
What sort of drug could limit prostate growth?
Definition
a drug that blocks 5a-reductase
Term
What are the names of the glandular structures in the prostate?
Definition
Tubuloalveolar glands
Term
What zone (not lobe) of the prostate has the most cancer risk?
Definition
The peripheral zone
Term
What is the difference between spermatogenesis and spermiogenesis?
Definition
Spermatogenesis is the formation of spermatids (seminiferous tubules). Spermiogenesis is the formation of sperm (epidymal)- the almost fully mature type that is ejaculated.q1
Term
What is the division that causes spermatagonia -> 1ary spermatocytes? (mitosis, meiosis I,II?)
Definition
mitosis - its merely prolifferentiation of gamete-commited type B spermatogonia
Term
What is the difference between spermatids and spermatogonia?
Definition
Spermatids are still connected by cytoplasmic bridges
Term
What hormone do sertoli and leydig cells produce, and what are their effects on embryogenesis?
Definition
Anti-mullerian hormone from sertoli cells causes mullerian duct degeneration, testosterone from leydig cells causes wolffian duct retention
Term
what does FSH do to sertoli cells?
Definition
testes size, sperm production, ABG production, aromatase production
Term
How in what state are eggs at birth?
Why don't they develop further?
Definition
They're arrested in late prophase I, surrounded by a primordial layer of follicular cells. The cells secrete oocyte maturation inhibitor.
Term
What is the name of the outer layer of the ovaries?
Definition
germinal epithelium
Term
What cells in the ovary produce estrogens? Androgens?
Definition
1) interstitial cells -> E2 2) Hilus cells -> androgens
Term
What do follicles need to develop?
Definition
FSH, calcium, EGF, IGF
Term
What is a cumulus oophorus?
Definition
A bridge, made of granulosa cells, between the egg and the rest of the granulosa cells. Found in a 2ndary (antral) follicle
Term
what is the corona radiata?
Definition
The cumulus oophorus cells surrounding the oocyte
Term
Which receptor determines which follicle becomes dominant?
Definition
FSH
Term
which cells make estrogen in the follicular stage of a dominant follicle?
Definition
Theca interna cells make androgens, granulosas convert to E2
Term
What is the direct signal for ovulation? Which enzymes physically cause ovulation?
Definition
Prostaglandins (in response to LH) cause the ovulation, which is mediated by proteases and colleginases
Term
What is the zona pellucida made of?
Definition
glycoproteins
Term
Which cells make steroids in the luteal stage of a follicle?
Definition
Both theca lutein cells and granulosa lutein cells - but the granulosa cells make the majority of the E2 and P.
Term
How does the corpus luteum suppress pregnancy?
Definition
Its P and E2 secretions inhibit (feedback-wise) LH and FSH (reminder : it also produces inhibin).
Term
What is the signal that causes corpus luteum degeneration?
What keeps it intact during pregnancy?
Definition
1) decreasing FSH, LH (because of P, E2 feedback)
2) HCG from the embryotrophoblasts (reminder: same alpha subunity as LH)
Term
In the female cycle, which cells produce inhibin to inhibit which hormone secretion when?
Definition
Granulosa lutein cells produce inhibin to inhibit FSH secretion during the luteal phase of the cycle.
Term
What is the normal site of fertilization for an egg?
Definition
the ampulla of the uterine tubes
Term
Which hormones affect the cells of the uterine tubes?
Definition
Progesterone causes peg (secreting) cells to proliferate; estrogen causes ciliated cells to proliferate. (Note that estrogen also causes higher/more active peg cells)
Term
What are the layers of the uterine tubes?
Definition
Muscularis (outer long, inner circ), Mucosa ( highly folded - epithelium + CT)
Term
What are the layers of the uterus? Cell types in epithelium?
Definition
Myometrium (inner long/outer circ [poor definition]), endometrium ( CELLULAR submucosa, mucosa). Epithelium has both ciliated and secretory cells. Perimetrium - serosa/adventitia (depending on where it is!)
Term
What is endometriosis?
Definition
Ectopic endometrial tissue - most common in ovaries
Term
what hormone causes myometrium growth during pregnancy?
Definition
estrogen(s)
Term
During which years is a pap smear diagnostic for cervical dysplasia?
Definition
During the reproductive years. In the non-reproductive years, the transitional zone is inside the cervical os.
Term
What is the name for the nuclei seen in normal pap smear cells?
Definition
pyknotic - small and darkly staining (apoptotic)
Term
why is the vagina acidic?
Definition
Sloughed cells have glycogen stores, which feed lactic acid-fermenting commensal bacteria
Term
What is the location of capacitation?
Definition
In the oviduct
Term
What is the acrosome reaction?
Definition
The sperm head releases enzymes that digest the zona pellucida
Term
what is the perivitelline space?
Definition
The space between the oocyte and the zona pellucida
Term
what is the name and mechanism of the way oocytes prevent polyspermia?
Definition
the cortical reaction - cortical granules are released following ZP3-induced Ca++ influx. These hydrolyze ZP3 receptors, preventing other sperm from binding.
Term
when does an oocyte undergo meiosis I and II?
Definition
meiosis I almost immediately before ovulation (reminder: 1ary oocyte is in a 2ndary follicle for most of the follicle's duration) meiosis II is after fertilization
Term
Where do the polar bodies reside in an oocyte/zygote?
Definition
in the paravitelline space
Term
What is the effect of hCG on the embryo?
Definition
In the male, it binds to leydig cell LH receptors, stimulating them to make testosterone for Sertoli cell use (AMH), Wolffian duct retention, and external genitalia development (if 5a-reductase is present)
Term
what prevents early labor?
Definition
progesterone (from corpus luteum of pregnancy, stimulated by hCG)
Term
name effects of pregnancy estrogen levels on mother.
Definition
1) myometrium growth
2) breast PL insensitivity
3) breast duct growth
Term
What are the estrogens/sources that dominate before week 8?
Estrogens/ sources after week 8?
Definition
1) E2 from corpus luteum
2) E3 . DHEA from liver, adrenal glands is converted to E3 by syncytiotrophoblast
Term
what is the physiologic barrier that is the basis of the blood-testes barrier
Definition
the junctional complexes between adjacent sertoli cells
Term
what are the layers of the ovary covering?
Definition
interior - tunica albuginea
exterior - germinal layer (cuboidal or squamous epithelium)
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