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Systems Final Exam
Female Reproduction I & II
27
Medical
Graduate
04/26/2009

Additional Medical Flashcards

 


 

Cards

Term
The inner layer of thecal cells, the theca interna, contains abundant smooth ER to accomodate what?
Definition
Steroid production
Term
What is the purpose of the basement membrane in early follicle development?
Definition
Seperates the oocyte and granulosa cells from the highly vascularized thecal cells; serves as a vascular barrier
Term
What is the name of the emcompassing granulosa cells of the ripe preovulatory follicle?
Definition
Corona radiata
Term
During the luteal phase, what do granulosa and thecal cells differentiate into?
Definition
Luteal cells
Term
When does the corpus luteum regress?  What is it replaced with?
Definition

The corpus luteum regresses after 2 weeks

 

It is replaced with fibrous tissue and is called the corpus albicans

Term
What are the primary ovarian steroid hormones synthesized in the thecal and granulosa cells and the corpus luteum?
Definition
Progesterone and the estrogens 17B-estradiol and estrone
Term
What is the rate limiting step in steroid biosyntheis?
Definition

Conversion of C27 cholestrol to C21 pregnenolone by the cholestrol side chain cleavage

 

This occurs in mitochondria

Term
Where does the conversion of progestogens to androgens to estrogens take place?
Definition
Endoplasmic reticulum
Term
What causes the androgens androstenedione and testosterone to be converted into estrone or 17B-estradiol?
Definition
The aromatase complex
Term

Where is estrone converted to estriol?

 

What is more potent:  estrone, 17B-estradiol, or estriol?

Definition

Estrone is converted to estriol in the liver

 

Potency:  17B-estradiol > estrone > estriol

Term
Most estrogens circulate bound to what?
Definition

Albumin

 

Most estrogens are not bound to sex steroid-binding globulin (SSBG) because they have a lower affinity for SSBG than androgens; estrogens actually have a higher affinity for SSBG than albumin

Term
Where are estrogens degraded?
Definition
Liver
Term
What is the primary physiologically active androgen in women?
Definition
Testosterone
Term
Where are androgens produced?
Definition

Ovaries and the adrenals

 

Dehydroepiandrosterone - adrenals

 

Androstenedione - ovary and adrenals

 

Testosterone - ovary, adrenals, and conversion from other steroids in the peripheral tissues

Term
What is most testosterone in circulation bound to?
Definition
SSBG (97%)
Term
What is progesterone secreted by?
Definition
The corpus luteum and adrenals
Term
In circulation, what is progesterone bound to?
Definition
Albumin (low affinity) or corticosteroid binding globulin (high affinity)
Term
Where are relaxin and inhibin produced and what are their functions?
Definition

Relaxin - produced by the corpus luteum; relaxes the myometrium in humans

 

Inhibin - produced by granulosa cells during the preovulatory period; inhibits FSH secretion

Term
True or False:  Follicle development can procede to the preantral stage without the pituitary
Definition

True

 

Beyond the antral stage, FSH and LH are required; FSH and LH are required for ovulation, luteinization, and steroid hormone formation by the follicle and corpus lutem

Term
Where are FSH receptors expressed in women?  What does their stimulation cause?
Definition

FSH receptors are only expressed on the granulosa cells in the ovary

 

FSH causes the granulosa cells to proliferate and secrete estrogen; FSH stimulates the synthesis of the aromatase complex in granulosa cells, which converts the androgens produced by thecal cells into estrogens

Term
Where are LH receptors found in women?  What do they cause?
Definition

LH receptors before antrum formation are only expressed on theca interna and stromal cells

 

LH stimulates the synthesis and secretion of steroids; LH can cause the hypertrophy of stromal cells

 

LH stimulates the synthesis of androstenedione and testosterone in thecal cells

Term
How does estradiol affect granulosa cells?
Definition

Estradiol stimulates granulosa cell and possibly theca interna cell proliferation; it increases granulosa cell responsiveness to FSH, by increasing the expression of FSH receptors - this is a positive feedback mechanism

 

As the follicle matures, it becomes more sensitive to FSH and concomitantly has a greater capacity for producing estradiol; estradiol increases its own production

Term
Where is gonadotropin releasing hormone (GnRH) produced?  What does it control?
Definition

GnRH is released by the neurons of the arcuate nuclei and medial preoptic area of the hypothalamus

 

FSH and LH are controlled by GnRH

Term
What surges 16 hours before ovulation?
Definition

LH

 

A modest increase in FSH also occurs

Term
What stimulates the development of the corpus luteum?
Definition

LH

 

Causes proliferation and differentiation of the granulosa and thecal cells from the ruptured follicle into luteal cells; LH stimulates the secretion of quantities of progesterone and some estrogen by the corpus luteum

Term
What happens to the corpus luteum if there is no signal that an ovum has been fertilized (in regards to LH and FSH interactions)?
Definition
The combined presence of estrogen with elevated progesterone inhibits GnRH release from the hypothalamus; this, in turn, diminishes LH and FSH secretion from the pituitary; the corpus luteum becomes less sensitive to LH and regresses about one week after ovulation
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