Independent: Ovary Flashcards

1
Q

FSH targets what cells?

LH targets what cells?

A

FSH - granulosa cells

LH - theca & granulosa

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2
Q

Effects of FSH during the early follicular phase?

A

Acts on the primary follicle (NOT the primordial) to induce..

  • Mitosis & cell proliferation
  • FSH receptors
  • Gap junction formation
  • Aromatase to produce estradiol
  • Inhibin B synthesis in granulosa cells
    • -> Stimulates androgen production by theca interna
    • -> Decrease FSH secretion
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3
Q

Inhibin B is synthesized by ___ to do what?

A

Synthesized by granulosa cells to

Stimulates androgen production by theca interna

Decrease FSH secretion

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4
Q

FSH in the late follicular phase (high estrogen)

A

Induces LH receptors on granulosa cells –> low progesterone production

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5
Q

LH in the early vs late follicular phase

A

Note: the steps are cholesterol > progestins > androgen > estrogen

so in the late follicular phase, they just stop at progesterone

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6
Q

Why does the peak of LH coincide with the drop in estrogen?

A

LH surge: High occupancy of LH receptor on theca cells blocks androgen precursors needed for estradiol synthesis

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7
Q

When estradiol is high but not at its peak anymore, what does it do to FSH?

A

When it’s not at its peak anymore, estradiol facilitates the decline of FSH & LH.

So the process is:

  1. Peak estrogen positive feedbacks FSH & LH
  2. LH surge turns down estrogen
  3. Lower lvl estrogen negative feedbacks FSH & LH
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8
Q

Steroidogenesis in the ovary (estradiol)

A
  1. Theca interna - LH stimulates androgen synthesis (androstendione & testosterone)
  2. Granulosa cells - FSH stimulates
    1. inhibin B to stimulate androgen synthesis
    2. aromatase expression –> converts androgens to estradiol
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9
Q

Explain estradiol synthesis according to this photo

A

LH in the theca interna stimulates androgen synthesis

Androgens enter the granulosa cells, where FSH-stimulated aromatase (CYP19) turns it into estradiol

Estradiol can then leave and go out the ovary

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10
Q

How does LH stimulate androgen synthesis?

A

It stimulates side chain cleavage enzymes:

remember: the steps are cholesterol > progestins > androgen > estrogen

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11
Q

Positive estradiol feedback leads to LH surge through what two ways?

A
  • Increasing the pulse frq of GnRH
  • Increases responsiveness of gonadotrophs to GnRH
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12
Q

What does the LH surge do to the follicle?

A
  • Oocyte completes first meiotic division –> secondary oocyte & 1st polar body
  • Increase in progesterone production transforms granulosa cells into lutein cells
  • Activation of proteolytic enzymes that degrade the follicular wall + formation of stigma (area through which Graafian follicle will burst thru)
  • Oocyte with cumulus detaches from the wall of the follicle and floats in the liquor folliculi
  • Rapid accumulation of fluid in antrum
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13
Q

What cells make up the corpus luteum?

4 stages of corpus luteum development

A

Granulosa lutein cells from the granulosa cells

Theca lutein cells from the theca cells

This differentiation was caused by LH

Corpus luteum of cycle; menstruation; albicans; and pregnancy

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14
Q

When does progesterone start rising? What cells are making it? What impact does it have on other hormones?

A

At the very end of the follicular phase, granulosa cells start producing progesterone

Then, in the luteal phase, they become lutein cells and start producing a ton of progesterone

Progesterone & inhibin A negative feedbacks the other hormones

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15
Q

LH does what to the theca lutein cells and the granulosa lutein cells during the luteal phase?

A

Stimulates theca lutein cells to produce weak androgens

Stimulates granulosa lutein cells to produce progesterone & estradiol -> prep for fertilization and implantation

NOTE: androgens from theca lutein are still sent to granulosa lutein to become estradiol; but the progesterone is created right in the granulosa lutein cells.

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16
Q

FSH during the luteal phase

A

Low FSH stimulates granulosa lutein cells to synthesize inhibin A

–> reduce FSH by negative feedback

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17
Q

What is this and what is it producing?

A

Corpus luteum making lots of steroi dhormones

18
Q

What kind of cell is the black arrow pointing at in the folds of this corpus luteum?

A

Theca lutein cells just in the folds; everything else granulosa lutein

19
Q

Which are larger, theca or granulosa lutein cells?

A

Granulosa

20
Q

Why does LH fall in later luteal phase?

What does this do to the corpus luteum?

A

Negative feedback from progesterone decreasing GnRH pulse frq and downregulating GnRH receptors on gonadotrophs

This kills the corpus luteum –> corpus albicans

21
Q

What is the key feature to identify corpus albicans histologically?

A

No nuclei because the cells are dead

22
Q

Corpus luteum of pregnancy - how does it form and what does it do?

A

Forms when hCG from the implanting blastocyst rescues the corpus luteum; acts like LH

Continues progesterone & estrogen production to maintain the endometrial lining

23
Q
A
24
Q

Inhibin B vs Inhibin A

A

Inhibin B: from granulosa cells; suppresses FSH-secreting gonadotrophs; follicular phase

Inhibin A: from granulosa lutein cells; suppresses LH and FSH-secreting gonadotrophs; luteal phase

25
Q

In the follicular phase, LH causes cholesterol > progesterone>androgens in the theca cell, then the androgens go to the granulosa cell where FSH activates aromatase to turn it into estradiol (pictured).

What happens in the luteal phase?

A

Same thing happens in the theca lutein cell (LH turns cholesterol>androstenedione), and the granulosa lutein cells still turn that androstenedione into estradiol to release, but now the granulosa lutein cells can also respond to LH:

Take up LDL > cholesterol > progesterone, but dont have the enzymes to turn that progesterone into androgens, so they send progesterone directly into the blood.

26
Q

Ovarian cyst

A

Non-neoplastic fluid-filled cavities that originate from unruptured Graafian follicles

27
Q

Polycystic ovary syndrome

A

High androgens & LH but low FSH

–> bilateral ovarian enlargement with multiple follicular cysts

28
Q

Ovarian tumors can originate from

A

surface epithelium, oocytes, follicular cells, or stromal cells

29
Q

Menopause (~50yo)

A

Cessation of menses; follicles dont develop in response to FSH/LH

  • > reduced estradiol, progesterone, and inhibin B –> loss of negative feedback on hypothalamus/pituitary
  • > high FSH & LH
30
Q

Most menopausal symptoms (bone loss, hot flashes, increased coronary artery disease) are the result of what?

A

Estrogen deficiency.

Only low estrogen levels are produced in adipose tissues from androgen precursors

31
Q

Function of the oviduct

What are its regions?

A
  • It’s where the ovum discharges into
  • Provides proper environment for fertilization and development of preimplantation embryo
  • Conducts preimplantation emrbyo to the uterus

intramural part, isthmus, ampulla, infundibulum, fimbria

32
Q

Components of the oviduct wall

A

Mucosa

  • Simple columnar epithelium - cilitated cells & secretory cells
  • Lamina propria - highly cellular & vascular

Muscularis - ​Inner circular, outer longitudinal smooth muscle

Serosa/adventitia - blood vessels & loose ct

33
Q
A
34
Q

Estrogen has what impact on the serosa and muscularis of the ampulla?

A
35
Q

What do the ciliated simple columnar cell do?

What do the secretory / peg cells do?

A
36
Q

Name these cells in the blue vs the black brackets

A

Black= ciliated

Blue = peg

37
Q

As you go from infundibulum to isthmus, what histological changes do u see?

A

Smaller lumen

Less folds in the mucosa

Thicker muscularis

38
Q

Estradiol on the epithelium, lamina propria, and muscularis of the oviduct

A
39
Q

Progesterone on the oviduct

A
40
Q

Fertilization occurs in what region of the oviduct?

A

Ampulla

41
Q

What happens during fertilization of the secondary oocyte?

A
  • Zona pellucida has sperm receptors and will initiate the acrosome reaction: acrosomal enzymes digest a path thru the zona pellucida
  • Cortical reaction: egg releases granules to ZP inpenetrable to sperm (prevents polyspermia)
  • Entry of sperm nucleus triggers completion of second meiotic division –> mature ovum & second polar body
  • Nuclei of ovum and sperm fuse to form a zygote