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Androgens and Testicular Function  the functions of the genitalia, prostate and
                                       seminal vesicle (see below), testosterone also
       Androgens (male sex hormones) are steroid  induces the secondary sex characteristics that
       hormones with 19 C atoms. This group in-  occur in males around the time of puberty, i.e.,
       cludes potent hormones like testosterone (T)  body hair distribution, physique, laryngeal size
       and 5α-dihydrotestosterone (DHT) and less  (voice change), acne, etc. In addition, testos-
       potent 17-ketosteroids (17-KS) such as DHEA  terone is necessary for normal sex drive (li-
       (! p. 294). In males, up to 95% of testosterone  bido), procreative capacity (fertility) and coital
       is synthesized by the testes (! A2) and 5% by  capacity (potentia coeundi) in the male. Testos-
       the adrenal cortex (! Al). The ovaries and  terone also stimulates hematopoiesis and has
    Hormones and Reproduction  proteins (albumin and sex hormone-binding  e.g., cause aggressiveness.
                                       anabolic properties, leading to increased
       adrenal cortex synthesize testosterone in
                                       muscle mass in males. It also has central
       females. The plasma testosterone conc. in
       males is about 15 times higher than in females,
                                       nervous effects and can influence behavior—
       but decreases with age. Up to 98% of testos-
       terone circulating in blood is bound to plasma
                                       Sexual development and differentiation. The
                                       genetic sex (! B) determines the development of the
       globulin, SHBG; ! A2).
                                       sex-specific gonads (gamete-producing glands). The
                                       germ cells (spermatogonia; see below) then migrate
       The testes secrete also small quantities of DHT and
                                       into the gonads. The somatic sex is female when the
       estradiol (E 2). Larger quantities of DHT (via 5-α-re-
       ductase) and estradiol are synthesized from testos-
                                       entiation occurs in the absence of testosterone
       terone (via aromatase) by their respective target
                                       (! C). Male development requires the presence of
    11  cells. A portion of this supply is released into the  subsequent somatic sex development and sex differ-
                                       testosterone in both steps (! C) with or without the
       plasma. DHT and testosterone bind to the same in-
       tracellular receptor. Estradiol influences many func-  aid of additional factors (e.g., calcitonin gene-related
       tions in the male, e.g., epiphyseal cartilage and  peptide, CGRP?) in certain stages of development
       ejaculate formation and pituitary and hypothalamic  (e.g., descent of testes into scrotum). High conc. of
                                       testosterone, either natural or synthetic (anabolic
       activity.
                                       steroids), lead to masculinization (virilization) of the
       Testosterone  secretion  is  regulated  by  female (! C).
       luteinizing hormone (= LH, also called ICSH,  Testicular function. Spermatogenesis occurs in
       ! p. 269), the pulsatile secretion of which is  several stages in the testes (target organ of tes-
       controlled by Gn-RH at 1.5- to 2-hourly inter-  tosterone) and produces sperm (spermatozoa)
       vals, as in the female. LH stimulates the release  (! A3). Sperm are produced in the seminifer-
       of testosterone from Leydig’s cells (interstitial  ous tubules (total length, ca. 300 m), the
       cells) in the testes (! A2), whereas testos-  epithelium of which consists of germ cells and
       terone and estradiol inhibit LH and Gn-RH  Sertoli cells that support and nourish the sper-
       secretion (negative feedback).  matogenic cells. The seminiferous tubules are
         Gn-RH also induces the release of FSH,  strictly separated from other testicular tissues
       which stimulates the secretion of inhibin and  by a blood–testis barrier. The testosterone re-
       induces the expression of androgen-binding  quired for sperm maturation and semen pro-
       protein (ABP) in Sertoli cells of the testes  duction (! p. 308) must be bound to andro-
       (! A3). Testosterone cannot induce spermato-  gen-binding protein (ABP) to cross the barrier.
       genesis without the help of ABP (see below).
       FSH also induces the formation of LH receptors  Spermatogonia (! B) are primitive sex cells. At
       in the interstitial cells of Leydig. Testosterone,  puberty, a spermatogonium divides mitotically to
       DHT, estradiol and inhibin inhibit the secretion  form two daughter cells. One of these is kept as a life-
       of FSH (negative feedback; ! A). Activin, the  time stem cell reservoir (in contrast to oogonia in the
                                       female; ! p. 298). The other undergoes several divi-
       physiological significance of which is still un-  sions to form a primary spermatocyte. It undergoes
       clear, inhibits FSH secretion.  a first meiotic division (MD1) to produce two second-
         Apart from the important effects of testos-  ary spermatocytes, each of which undergoes a sec-
       terone on male sexual differentiation, sper-  ond meiotic division (MD2), producing a total of four
  306  matogenesis and sperm growth as well as on  spermatids, which ultimately differentiate into sper-
                                       matozoa. After MD1, the spermatocytes have a
                                       single (haploid) set of chromosomes.
       Despopoulos, Color Atlas of Physiology © 2003 Thieme
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