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SILVERTHORN SUMMARYS/SUMMARY - Chapter 26

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In this document, you get the chapter notes from Chapters 26 from ‘Human Physiology, An Integrated Approach’ (Dee Silverthorn) 7th Edition. I used these notes to prepare for the SUMMA entrance exam. I ultimately got selected for SUMMA in May 2025. This essentially means that my summaries really effectively and thoroughly cover each chapter (namely Chapters 7 through 26). In other words, you won't miss anything! I include digital images directly from the book. Whether you are trying to catch up in a course, or prepare for the SUMMA entrance exam (like I did), these summaries are excellent. These notes are written in English, as Silverthorn is written in English. If you need associated questions, check out the packet: COMPLEET SUMMA SELECTIE PAKKET, by me! This includes these notes AND over 1400 flashcards covering chapters 7 to 26 (NOTE: the questions I wrote are in Dutch).

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Male and Female sex organs consists of three sets of structuresL
1.​ The Gonads: The organs that produced gametes (cells that unite to form new individuals)
a.​ Male gonads = the testes which produce the sperm
b.​ Female gonads = the ovaries which produce the eggs
c.​ Undifferentiated cells that become gamete = germ cells
2.​ The Internal Genitalia: Accessory glands and ducts that connect the gonads with the outside
environment
3.​ The External Genitalia: External reproductive structures


All cells other than the gametes, contain 46 chromosomes. Cells with 46 chromosomes are labeled as
diploid cells.
-​ 22 matching pairs of autosomes
-​ 1 pair of sex chromosomes
-​ Gametes contain 23 chromosomes. They are labeled as haploid cells.


Sex Determination
Sex is determined based on the sex chromosome provided by the father’s gamete.
-​ The mother has only XX chromosomes, and can only provide X chromosomes to offspring.
-​ Father has both X and Y chromosomes, only one is passed onto offspring.
-​ Males receive Y from father, Females receive X from father.
Abnormalities in sex chromosome inheritance can occur as follows:
-​ XXY → will become male, because of possession of Y chromosome
-​ Y → will die, because X is essential to the development of any sex.
-​ X → Turner’s Syndrome → will survive with abnormal female reproductive function
Once the ovaries develop in a female fetus, one X chromosome is inactivated in each cell of her body,
condensed into a Barr Body.

,Sexual Differentiation (see next page)
Before differentiation the embryonic tissues are bipotential, they cannot be identified as morphologically
male or female.
-​ The bipotential gonad has: Outer gonadal cortex and inner gonadal medulla:
-​ In females, cortex becomes ovaries, medulla regresses
-​ In males, cortex regresses, medulla becomes testes
-​ The bipotential internal genitalia has: Wolffian ducts and Mullerian Ducts
-​ Absence of presence of one depends on male/female signals
-​ The bipotential internal genitalia has:
-​ Genital tuburcles: becomes clitoris, becomes glans penis
-​ Urethral folds & groove: becomes labia minora, vaginal opening, becomes penis shaft
-​ Labioscrotal swellings: form labia majora, form shaft and scrotum

, Sex determination depends on the presence or absence of Sex
Determining Regions of the Y chromosome (SRY gene).
-​ In the presence of a functional SRY gene, bipotential gonad
medulla become testes
-​ In the absence of a functional SRY gene, and under direction of X
chromosome genes, gonad cortex develops into ovaries


Male Embryonic Development:
1.​ The SRY Gene produces testis determining factor (TDF)
2.​ TDF binds DNA, activating genes directing development of
gonadal medulla into the testes
3.​ Once the testes develop they begin to secrete hormones to guide
male internal and external genitalia development:
a.​ Sertoli Cells secrete anti-Mullerian hormone
b.​ Interstitial (Leydig cells) secrete androgens (testosterone and DHT)
4.​ Antimullerian hormone causes embryonic Mullerian Ducts to regress
5.​ Testosterone converts Wolffian Ducts into male accessory structure: epididymis, vas deferens,
and seminal vesicle
6.​ DHT directs external genitalia development
a.​ Genital tuburcles become glans penis
b.​ Urethral folds & groove become penis shaft
c.​ Labioscrotal swellings form shaft and scrotum
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