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== Genetic Sex ==
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[[Image:Overview of Sexual Differentiation.jpg|thumb|right|150px|Overview of Sexual Differentiation,Copyright RVC 2008]]
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= Genetic Sex =
 
* Established at the time of '''fertilisation'''.
 
* Established at the time of '''fertilisation'''.
* The foetus receives its genetic endowment in two equal portions from the male gamete ('''Spermatozoon''') and female gamete ('''Oocyte''').
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* The foetus receives its genetic endowment in two equal portions from the male gamete ('''spermatozoon''') and female gamete ('''oocyte''').
 
* The X sex chromosome is larger than the Y sex chromosome.
 
* The X sex chromosome is larger than the Y sex chromosome.
 
* '''Females''' have '''XX''' chromosomes.  All oocytes contain one X chromosome, they are the '''homogametic''' sex.
 
* '''Females''' have '''XX''' chromosomes.  All oocytes contain one X chromosome, they are the '''homogametic''' sex.
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* The '''Y''' chromosome is required to '''initiate male development'''.
 
* The '''Y''' chromosome is required to '''initiate male development'''.
* In absence of the Y chromosome, female gonads (Ovaries) will develop.
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* In absence of the Y chromosome, female gonads (ovaries) will develop.
 
* The prime male determining gene is '''SRY''' (sex determining region of the Y chromosome).  
 
* The prime male determining gene is '''SRY''' (sex determining region of the Y chromosome).  
    
* SRY is a very small piece of DNA that acts as a molecular switch to regulate structural genes and autosomal chromosomes, determining if and when they are to be activated.  
 
* SRY is a very small piece of DNA that acts as a molecular switch to regulate structural genes and autosomal chromosomes, determining if and when they are to be activated.  
 
* SRY encodes the protein '''Testes Determining Factor''' (TDF)
 
* SRY encodes the protein '''Testes Determining Factor''' (TDF)
* The presence of SRY alone is sufficient to ensure development of male gonads (Testes).
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* The presence of SRY alone is sufficient to ensure development of male gonads (testes).
* Female is the default sex, in absence of SRY female gonads (Ovaries) will develop.
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* Female is the default sex, in absence of SRY female gonads (ovaries) will develop.
       
* Subsequent gonadal development is dependent on a normal population of '''germ cells'''.
 
* Subsequent gonadal development is dependent on a normal population of '''germ cells'''.
* Normal Oocyte growth requires the activity of both X chromosomes.
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* Normal oocyte growth requires the activity of both X chromosomes.
* Normal Spermatogenesis requires the activity of no more than one X chromosome.
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* Normal spermatogenesis requires the activity of no more than one X chromosome.
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'''MALE'''
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== Male ==
    
* Sex cord cells proliferate to form the testes cord.  During this period '''SRY''' is expressed for the first time within '''Sertoli cells''' (SRY is NOT expressed in primordial germ cells).
 
* Sex cord cells proliferate to form the testes cord.  During this period '''SRY''' is expressed for the first time within '''Sertoli cells''' (SRY is NOT expressed in primordial germ cells).
* Sex cords with a basement membrane become '''Semniferous Cords''' which give rise to '''Semniferous Tubules'''.
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* Sex cords with a basement membrane become '''semniferous cords''' which give rise to '''semniferous tubules'''.
 
* '''Within the semniferous cords''' are two cell populations:
 
* '''Within the semniferous cords''' are two cell populations:
** '''Primordial germ cells'''  - Prospermatogonia which give rise to '''Spermatozoa'''
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** '''Primordial germ cells'''  - Prospermatogonia which give rise to '''spermatozoa'''
 
** '''Mesodermal cord cells''' which give rise to '''Sertoli cells'''
 
** '''Mesodermal cord cells''' which give rise to '''Sertoli cells'''
 
* '''Between cords''', the loose mesenchyme undergoes '''vascularisation''' and develops as '''stromal tissue'''.
 
* '''Between cords''', the loose mesenchyme undergoes '''vascularisation''' and develops as '''stromal tissue'''.
* Within the stromal tissue, cells condense into clusters to form specialized endocrine units - the interstitial '''Leydig Cells'''
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* Within the stromal tissue, cells condense into clusters to form specialized endocrine units - the interstitial '''Leydig's  cells'''
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== Female ==
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* At the time the male gonad is undergoing marked changes under the direction of SRY, the female gonad continues to appear indifferent and does not express SRY.
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* Small clusters of mesenchyme surround the germ cells to initiate formation of '''primary follicles''', characteristic of the ovary.
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* In follicles
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** '''Mesenchymal cells''' give rise to '''granulosa cells'''
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** '''Germ cells''' give rise to '''oocytes'''
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'''FEMALE'''
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* At the time the male gonad is undergoing marked changes under the direction of SRY, the female gonad continues to appear indifferent and does not express SRY.
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* Small clusters of mesenchyme surround the germ cells to initiate formation of '''Primary Follicles''', characteristic of the Ovary.
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* In follicles:
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** '''Mesenchymal cells''' give rise to '''Granulosa cells'''
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** '''Germ cells''' give rise to '''Oocytes'''
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== Foetal sex differentiation ==
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'''''Foetal sex differentiation'''''
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* Endocrine activity of the ovaries is NOT essential for sex differentiation during foetal life, abnormal ovarian development will have no effect until puberty.
* Endocrine activity of the Ovaries is NOT essential for sex differentiation during foetal life, abnormal ovarian development will have no effect until puberty.
   
* Testes secrete two essential hormones:  
 
* Testes secrete two essential hormones:  
** '''Steroidal hormones''' (mainly C19 androgens) from '''Leydig cells'''
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** '''Steroidal hormones''' (mainly C19 androgens) from '''leydig's cells'''
** '''Mullarian Inhibiting Hormone''' (MIH) also known as '''Anti-Mullarian Hormone''' (AMH) from '''Sertoli Cells'''
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** '''Mullarian Inhibiting Hormone''' (MIH) also known as '''Anti-Mullarian Hormone''' (AMH) from '''Sertoli cells'''
 
* In absence of these testicular hormones, female differentiation occurs.
 
* In absence of these testicular hormones, female differentiation occurs.
 
* Thus, sexual differentiation must be actively diverted down the male route, the female route requires no active intervention.
 
* Thus, sexual differentiation must be actively diverted down the male route, the female route requires no active intervention.
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[[Category:Pregnancy and Parturition]]
 
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[[Category:Bullet Points]]
== Internal Genetalia ==
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* Male: '''Wolffian Duct''' developes from the '''Mesonephric Duct'''
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* Female: '''Mullarian Ducts''' develop from the '''Paramesonephric Duct'''
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* This is dependent on appropriate hormonal influence.
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'''MALE'''
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* '''MIH''' from '''Sertoli cells''' and '''Androgens''' from '''Leydig cells''' prevent spontaneous development of female internal genetalia.
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* '''Androgens''' actively maintain '''Wolffian Ducts''', which give rise to male internal genetalia:
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** Epididymis
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** Vas Deferens
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** Vesicular Glands/ Seminal Vesicles
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* '''MIH''' causes Mullarian Ducts to regress
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'''FEMALE'''
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* Wolffian Ducts spontaneously regress in absence of Androgens.
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* '''Mullarian Ducts''' persist to give rise to female internal genetalia:
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** Oviducts
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** Uterus
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** Cervix
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** Cranial Vagina
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* Normal Ovarian activity is NOT essential for the development of normal female internal genetalia.
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== External Genetalia ==
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'''MALE'''
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* Potential to develop male of female external genetalia.  '''Testosterone''' is required to develop male external genetalia. 
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* Androgen secretion from the Testes induces:
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** '''Urethral folds''' to fuse to allow enclosure of the urethral tube.  This, together with the cells from the '''genital swelling''', forms the '''shaft of the Penis'''.
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** '''Genital swellings''' fuse in the midline to allow formation of the '''Scrotum'''
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** '''Genital Tubercle''' expands to give rise to the '''Glans Penis'''
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'''FEMALE'''
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* Development is ensured by the absence of Testosterone, it is independent of Ovarian endocrine activity.
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* '''Urethral folds''' and '''Genital Swellings''' remain separate to form the '''Labia Minora and Majora'''.
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* '''Genital tubercle''' forms the '''Clitoris'''
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* Exposure of the female tract to Androgens will masculinise external genetalia.
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* Failure of proper endocrine communication between the gonads, internal and external genitalia can lead to '''dissociation''' of gonadal and genital sex.
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== Sexual Differentiation of the Brain ==
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'''MALE'''
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* '''Testosterone''' secreted into the blood reaches the brain.
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* Converted to Dehydrotestosterone and '''Oestradiol''' by Aromatase enzymes in the Hypothalamus.
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* Oestradiol masculinises the brain
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'''FEMALE'''
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* '''Alpha Fetoprotein''' binds Oestradiol, preventing it from crossing the blood-brain barrier.
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* Oestradiol cannot access the Hypothalamus
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* Protects female brain from masculising effects of Oestradiol.
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== Associated Disorders ==
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::[[Fertilisation, Implantation and Early Embryonic Development -Turner's Syndrome - Anatomy & Physiology|Turner's Syndrome]]
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::[[Fertilisation, Implantation and Early Embryonic Development -Kleinfelter's Syndrome - Anatomy & Physiology|Kleinfelter's Syndrome]]
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::[[Fertilisation, Implantation and Early Embryonic Development -Testicular Feminisation - Anatomy & Physiology|Testicular Feminisation]]
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::[[Fertilisation, Implantation and Early Embryonic Development -Adrenogenital Syndrome - Anatomy & Physiology|Adrenogenital Syndrome]]
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::[[Fertilisation, Implantation and Early Embryonic Development -Intersex - Anatomy & Physiology|Intersex]]
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::[[Fertilisation, Implantation and Early Embryonic Development -Bovine Freemartinism - Anatomy & Physiology|Bovine Freemartinism]]
 
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