<?xml version="1.0" encoding="UTF-8" ?>

<lab>
	<lab_title>Male Reproductive System Lab</lab_title>
	<menu>
		<section>
			<title>Learning Objectives</title>
			<link>#learning-objectives</link>
		</section>
		<section>
			<title>Keywords</title>
			<link>#keywords</link>
		</section>
		<section>
			<title>Pre-Lab Reading</title>
			<link>#pre-lab-reading</link>
		</section>
		<section>
			<title>Pre-Lab Quiz</title>
			<link>#pre-lab-quiz</link>
		</section>
		<section>
			<title>Slides</title>
			<link>#slides</link>
		</section>
		<section>
			<title>Virtual Microscope</title>
			<link>#vm-slides</link>
		</section>
		<section>
			<title>Pathology</title>
			<link>#pathology</link>
		</section>
		<section>
			<title>Quiz</title>
			<link>#post-lab-quiz</link>
		</section>
	</menu>
	<learning_objectives>
		<objective>
			<text>Describe the histological organization of the testis and the process of spermatogenesis in the germinal epithelium of the seminiferous tubule.</text>
		</objective>
		<objective>
			<text>Contrast spermatogenesis from spermiogenesis.</text>
		</objective>
		<objective>
			<text>Draw a sperm cell and label its major parts.</text>
		</objective>
		<objective>
			<text>Explain the importance of each portion of the duct system and accessory glands of the male reproductive tract.</text>
		</objective>
		<objective>
			<text>Explain the structural and functional significance of the blood-testis barrier.</text>
		</objective>
		<objective>
			<text>Describe the structure and function of the prostate gland.</text>
		</objective>
		<objective>
			<text>Recognize some key pathological examples related to the tubes and glands of the male reproductive system.</text>
		</objective>
	</learning_objectives>
	<keywords>
		<keyword>
			<text>testis</text>
		</keyword>
		<keyword>
			<text>excretory duct system</text>
		</keyword>
		<keyword>
			<text>accessory gland </text>
		</keyword>
		<keyword>
			<text>semen</text>
		</keyword>
		<keyword>
			<text>tunica albuginea</text>
		</keyword>
		<keyword>
			<text>tunica vascularis</text>
		</keyword>
		<keyword>
			<text>septa </text>
		</keyword>
		<keyword>
			<text>seminiferous tubule</text>
		</keyword>
		<keyword>
			<text>germinal epithelium</text>
		</keyword>
		<keyword>
			<text>Sertoli cell </text>
		</keyword>
		<keyword>
			<text>blood-testis barrier</text>
		</keyword>
		<keyword>
			<text>adluminal compartment</text>
		</keyword>
		<keyword>
			<text>spermatogenic cell </text>
		</keyword>
		<keyword>
			<text>Leydig (interstitial) cell </text>
		</keyword>
		<keyword>
			<text>crystal of Reinke</text>
		</keyword>
		<keyword>
			<text>spermatogenesis</text>
		</keyword>
		<keyword>
			<text>spermatogonium</text>
		</keyword>
		<keyword>
			<text>primary spermatocyte </text>
		</keyword>
		<keyword>
			<text>secondary spermatocyte </text>
		</keyword>
		<keyword>
			<text>spermatid </text>
		</keyword>
		<keyword>
			<text>spermiogenesis </text>
		</keyword>
		<keyword>
			<text>spermatozoan</text>
		</keyword>
		<keyword>
			<text>acrosome</text>
		</keyword>
		<keyword>
			<text>flagellum </text>
		</keyword>
		<keyword>
			<text>residual body</text>
		</keyword>
		<keyword>
			<text>capacitation</text>
		</keyword>
		<keyword>
			<text>tubulus rectus </text>
		</keyword>
		<keyword>
			<text>rete testis</text>
		</keyword>
		<keyword>
			<text>ductus efferentes</text>
		</keyword>
		<keyword>
			<text>ductus epididymis</text>
		</keyword>
		<keyword>
			<text>epididymis </text>
		</keyword>
		<keyword>
			<text>stereocilia</text>
		</keyword>
		<keyword>
			<text>basal cell</text>
		</keyword>
		<keyword>
			<text>ductus deferens </text>
		</keyword>
		<keyword>
			<text>ampulla </text>
		</keyword>
		<keyword>
			<text>ejaculatory duct </text>
		</keyword>
		<keyword>
			<text>urethra </text>
		</keyword>
		<keyword>
			<text>seminal vesicle </text>
		</keyword>
		<keyword>
			<text>prostate </text>
		</keyword>
		<keyword>
			<text>prostatic concretion</text>
		</keyword>
		<keyword>
			<text>bulbourethral gland</text>
		</keyword>
		<keyword>
			<text>Cowper’s gland</text>
		</keyword>
		<keyword>
			<text>penis </text>
		</keyword>
		<keyword>
			<text>corpus cavernosa </text>
		</keyword>
		<keyword>
			<text>corpus spongiosum </text>
		</keyword>
		<keyword>
			<text>glans penis</text>
		</keyword>
		<keyword>
			<text>helicine artery</text>
		</keyword>
	</keywords>
	<pre_lab_reading>
		<article>
			<article_title>
				<text>Overview of the Male Reproductive System</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>The male reproductive system, like the internet, can be thought of as a series of tubes. These tubes deliver the male gametes from their site of production in the testes to their destination outside the body. The system itself is divided into two distinct units:</paragraph>
				</text>
				<list>
					<list_item>
						<text>The testes , located outside the major body cavity and housed in the scrotum.</text>
					</list_item>
					<list_item>
						<text>The excretory duct system , which transports the sperm from the testes and whose accessory glands  produce and modify the contents of semen .</text>
					</list_item>
				</list>
			</article_content>
		</article>
		<article>
			<article_title>
				<text>Testes</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>Like the ovaries, the testes are a source of gametes and steroid sex hormones. Each testis is a compound tubular gland contained within the tunica albuginea , a thick connective tissue coat that contains myofibroblasts that rhythmically contract, and the tunica vascularis , a highly vascular region. The gland is divided into lobules by thin septa  that radiate outwards from the dorsal portion of the tunica albuginea. Each of these lobules contains between one and four seminiferous tubules , which are the site of sperm production.</paragraph> 
					<paragraph>The testes contain several important cell types that are important to understand. The first two of these are found in the germinal epithelium , the layer of the seminiferous tubule in which gamete production and development occurs:</paragraph>
				</text>
				<list>
					<list_item>
						<text>Sertoli cells  extend from the basement membrane of the germinal epithelium to the lumen of the tubule. These cells envelope the developing sperm cells. They are joined to one another by junctional complexes and form the blood-testis barrier . This barrier separates the germinal epithelium into a basal compartment , containing Sertoli cells and diploid germ cell precursors, and an adluminal compartment , which contains the products of meiosis.</text>
					</list_item>
					<list_item>
						<text>Spermatogenic cells  include each of the stages between the spermatogonium and the mature spermatozoan. These cells appear in layers that represent advancing stages in their differentiation, with the least mature cells near the basal layer of the epithelium and the most mature cells near the luminal layer.</text>
					</list_item>
					<list_item>
						<text>Leydig (interstitial) cells  are located within the loose connective tissue surrounding the seminiferous tubules. They appear pale due to their high cholesterol content and often contain crystals of Reinke , which have an unknown function. Leydig cells produce testosterone in response to leutinizing hormone released by the pituitary gland. Testosterone is responsible for male secondary sexual characteristics and the maintenance of the germinal epithelium. </text>
					</list_item>
				</list>
			</article_content>
		</article>
		<article>
			<article_title>
				<text>Spermatogenesis</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>The development of a mature sperm cell takes place in two steps, spermatogenesis and spermiogenesis.</paragraph> 
					<paragraph>Spermatogenesis  is the process by which a spermatogonium develops into a spermatid. During this process, the number of chromosomes is halved through meiosis. It involves the following stages:</paragraph>
				</text>
				<list>
					<list_item>
						<text>Spermatogonia  rest on the basement membrane of the seminiferous tubule and divide mitotically to produce more spermatogonia and primary spermatocytes. The spermatogonia remain in the basal compartment while the spermatocytes are located in the adluminal compartment.</text>
					</list_item>
					<list_item>
						<text>Primary spermatocytes  are located in the middle region of the seminiferous tubule, within the adluminal compartment. These cells have a prolonged prophase that gives rise to the first meiotic division.</text>
					</list_item>
					<list_item>
						<text>Secondary spermatocytes  are the product of the first meiotic division. They have 23 pairs of chromatids. This stage is short-lived and ends with the second meiotic division.</text>
					</list_item>
					<list_item>
						<text>Spermatids  are the haploid products of meiosis. They remain connected to one another by cytoplasmic bridges. These bridges result from incomplete cytokinesis and allow for synchronous maturation.</text>
					</list_item>
				</list>
				<text>
					<paragraph>Spermiogenesis  is the process by which a spermatid matures into a spermatozoan . This process involves several steps:</paragraph>
				</text>
				<list>
					<list_item>
						<text>The acrosome , containing hydrolytic enzymes, develops and comes to overlie the dense, elongated nucleus.</text>
					</list_item>
					<list_item>
						<text>A flagellum  grows out of the pole opposite the acrosome, facing the tubular lumen. This flagellum is a modified cilium that develops from the centrioles of the spermatid.</text>
					</list_item>
					<list_item>
						<text>Mitochondria become arranged around the flagellum.</text>
					</list_item>
					<list_item>
						<text>The bulk of the cytoplasm is cast off as a residual body , leaving only a thin rim of cytoplasm around the nucleus. Sertoli cells consume the residual body.</text>
					</list_item>
				</list>
				<text>
					<paragraph>The final maturation of sperm occurs in the epididymis, where the cells gain the ability to move. They gain the ability to fertilize the egg through the process of capacitation , which occurs in the female reproductive tract.</paragraph>
				</text>
			</article_content>
		</article>  
		<article>
			<article_title>
				<text>Testicular Duct System</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>Each seiminiferous tubule has a short terminal segment lined by Sertoli cells that transitions to the tubulus rectus  and rete testis . These tubes are lined by cuboidal epithelial cells that bear cilia. They turn into the ductus efferentes , which emerge from the dorsal portion of each testis and fuse to form the ductus epididymis . The epithelium of this tube is lined by alternating columnar and cuboidal cells, which give it a scalloped appearance.</paragraph>
				</text>
			</article_content>
		</article> 
		<article>
			<article_title>
				<text>Extra-Testicular Duct System</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>These extra-testicular duct system brings the spermatozoa from the testes to the outside of the body. This system is composed of several distinct tubes:</paragraph>
				</text>
				<list>
					<list_item>
						<text>The epididymis  is a muscular, convoluted tubule that stores spermatozoa and is the site at which they acquire their motility. It is lined by a pseudostratified epithelium whose cells contain non-motile stereocilia . These stereocilia absorb much of the excess fluid containing the spermatozoa. The epithelium of the epididymis also contains mitotic basal cells . </text>
					</list_item>
					<list_item>
						<text>The ductus deferens  is another muscular tubule that carries sperm downstream from the epididymis. Its wall is thicker than that of the epididymis and contains three muscular layers: inner longitudinal, middle circular, and outer longitudinal. The epithelium of the ductus deferens is similar to that of the epididymis, with pseudostratified cells bearing stereocilia. The ampulla  of the ductus deferens receives secretions from the seminal veiscles. </text>
					</list_item>
					<list_item>
						<text>The ejaculatory duct  extends from the ampulla of the epididymis to the urethra. The initial portion of the duct has the same pseudostratified columnar epithelium as the previous tubes. Near its termination, it is lined by transitional epithelium.</text>
					</list_item>
					<list_item>
						<text>The urethra  is lined primarily by stratified or psueodstratified columnar epithelial cells, but its opening displays a stratified squamous epithelium. </text>
					</list_item>
				</list>
			</article_content>
		</article>
		<article>
			<article_title>
				<text>Accessory Glands of the Male Reproductive System</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>The male reproductive system contains several accessory glands that contribute to the composition of semen:</paragraph>
				</text>
				<list>
					<list_item>
						<text>The seminal vesicles  are glandular sacs that empty into the ampulla of the ductus deferens. They produce a secretion that makes up over 80% of the seminal fluid and contains fructose, fibrinogen, and prostaglandins. The pseudostratified epithelial cells appear foamy because of the lipid droplets they contain, and the muscular wall of the vesicles contains inner circular and outer longitudinal layers that contract in response to sympathetic stimulation during ejaculation.</text>
					</list_item>
					<list_item>
						<text>The prostate  is a walnut-sized conglomeration of tubulo-acinar glands that surrounds the initial segment of the urethra. This gland produces a secretory product containing citric acid and proteolytic enzymes that prevent coagulation of semen. The prostate often contains prostatic concretions  in the acinar lumina.</text>
					</list_item>
					<list_item>
						<text>The bulbourethral glands , or Cowper’s glands , empty into the urethra and secrete a lubricating fluid. Their secretory cells and duct contain small mucoid droplets.</text>
					</list_item>
				</list>
			</article_content>
		</article>
		<article>
			<article_title>
				<text>Penis</text>
			</article_title>
			<article_content>
				<text>
					<paragraph>The penis  is composed of two types of erectile tissue:</paragraph>
				</text>
				<list>
					<list_item>
						<text>The corpus cavernosa  are two columns of erectile tissue located on the dorsal side of the penis. </text>
					</list_item>
					<list_item>
						<text>The corpus spongiosum  is a single column of erectile tissue located on the ventral side of the penis. It contains the penile urethra and expands distally into the glans penis.</text>
					</list_item>
				</list>
				<text>
					<paragraph>The erectile tissue of the penis appears as a vast sponge-like system of irregular vascular spaces intercalated between the arteries and veins. These sinuses receive blood from the helicine arteries , which dilate during erection to engorge the sinuses with blood. This, in turn, restricts venous outflow.</paragraph>
					<paragraph>The skin covering the penis is thin and contains an abundant subcutaneous layer with smooth muscle but no adipose tissue. The glans penis lacks hair follicles and contains only small sweat glands.</paragraph>
				</text>
			</article_content>
		</article>
	</pre_lab_reading>
	<pre_lab_quiz>
		<quiz_question>
			<question>
				<text>In a slide showing the development of sperm in the germinal epithelium, which stage would you not expect to see and why?</text>
			</question>
			<answer>
				<text>You would not expect to see the secondary spermatocytes because their mitotic division happens very quickly.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>Contrast spermatogenesis from spermiogenesis. At what stage do sperm cells finally become fully mature?</text>
			</question>
			<answer>
				<text>Spermatogenesis is the process by which spermatogonia become spermatids. Spermiogenesis the process by which spermatids become spermatozoa. Sperm gain motility in the epididymis. Capacitation is the process by which spermatozoa become motile and are fully mature; this does not occur until they are in the female reproductive tract.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What function do Leydig and Sertoli cells play in the development of sperm?</text>
			</question>
			<answer>
				<text>Leydig cells produce testosterone, which is necessary for Sertoli cell activity and sperm development. Sertoli cells nourish and support the spermatozoa as they develop.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What is the blood-testis barrier, what two compartments does it create, and what are the cellular contents of each compartment?</text>
			</question>
			<answer>
				<text>The blood-testis barrier is created by tight junctions on adjacent Sertoli cells. It divides the germinal epithelium into a basal compartment, which contains spermatogonia, and an adluminal compartment, which contains spermatocytes, spermatids, and spermatozoa.</text>
			</answer>
		</quiz_question>		
	</pre_lab_quiz>
	<lab_slides>
		<testis>  
			<title>Testis</title>
			<link>male_reproductive_system_lab/testis.php</link>
			<labels>images/testis_labels.png</labels>
			<image>images/testis.jpg</image>
			<text>The testis is the site of sperm production. It is encapsulated by the fibrous tunica albuginea and tunica vasculosa (not visible here). Septa extending inwards from the tunica albuginea partition the gland into lobules. The bulk of the gland is composed of the seminiferous tubules, in which sperm develop. After exiting the testicular duct system composed of the rete testis and ductus efferentes, spermatozoa enter the highly convoluted epididymis, visible on the dorsal aspect of the testis here.</text>
			<alt>Testis</alt>
		</testis>			
		<seminiferous_tubules>  
			<title>Seminiferous Tubules</title>
			<link>male_reproductive_system_lab/seminiferous_tubules.php</link>
			<labels>images/seminiferous_tubules_labels.png</labels>
			<image>images/seminiferous_tubules.jpg</image>
		  	<text>The human testicular parenchyma contains several important structures. Spermatozoa is produced in the germinal epithelium of the seminiferous tubules and released into the lumina of these ducts. The germinal lining contains both Sertoli cells and the developing spermatocytes. The interstitial space contains clumps of darker, eosinophilic cells. These are the Leydig cells, which produce and release testosterone. Myoid cells surround the tubules and generate rhythmic contractions to propel spermatozoa and fluid. They also synthesize collagen and other fibers of connective tissue.</text>
			<alt>Seminiferous Tubules</alt>
		</seminiferous_tubules>				
		<spermatogenesis>
			<title>Spermatogenesis</title>
			<link>male_reproductive_system_lab/spermatogenesis.php</link>
			<labels>images/spermatogenesis_labels.png</labels>
			<image>images/spermatogenesis.jpg</image>
			<text>This is magnified image of the germinal epithelium. The epithelium rests on a basement membrane and surrounds a lumen where sprematozoa are released. Identify the spermatogonia, located in the basal compartments of both membranes. These cells appear round and pale, with prominent nucleoli. Sertoli cells, with their characteristic oval-shaped nuclei, are also visible. These provide support to the developing primary spermatocytes, which have large, granulated nuclei that are preparing for the first meiotic division. Secondary spermatocytes, which contain 23 pairs of chromatids, are rarely visible. The products of meiosis are the haploid spermatids, which contain dark, round nuclei and a decreasing amount of cytoplasm. These differentiate further into spermatozoa. Remember that cytokinesis is incomplete during these steps, and cytoplasmic bridges connect the cells and allow for their synchronous development.</text>
			<alt>Spermatogenesis</alt>
		</spermatogenesis>				
		<leydig_cell>
			<title>Leydig Cells</title>
			<link>male_reproductive_system_lab/leydig_cells.php</link>
		    <labels>images/leydig_cells_labels.png</labels>
		    <image>images/leydig_cells.jpg</image>
		    <text>Interstitial or Leydig cells are located in the connective tissue surrounding the seminiferous tubules. They produce testosterone, the male sex hormone responsible for the growth and maintenance of the cells of the germinal epithelium and the development of secondary sex characteristics. Leydig cells often display cytoplasmic crystals of Reinke, the function of these crystals is unknown. Why would you expect the smooth ER to be so extensive in these cells?</text>
		    <answer>Leydig cells conduct large-scale cholesterol metabolism in the production of testosterone.</answer>
		</leydig_cell>
		<sertoli_cells>
			<title>Sertoli Cells</title>
			<link>male_reproductive_system_lab/sertoli_cells.php</link>
		    <labels>images/sertoli_cells_labels.png</labels>
		    <image>images/sertoli_cells.jpg</image>
		    <text>Sertoli cells are located in the germinal epithelium and play a supportive role in the development of spermatozoa. These cells have abundant cytoplasm and extend from the basement membrane to the lumen. Sertoli cells have a characteristic oval nucleus with a dark nucleolus. The cytoplasmic contents and blood-testis barrier are better visualized under the electron microscope. Be sure not confuse the spermatogenic cells of the germinal epithelium with the Sertoli cells!</text>
		</sertoli_cells>										
		<sertoli_cell_em>
			<title>Sertoli Cells EM</title>
			<link>male_reproductive_system_lab/sertoli_cell_em.php</link>
			<labels>images/sertoli_cell_em_labels.png</labels>
			<image>images/sertoli_cell_em.jpg</image>
			<text>This electron micrograph allows the viewer to better appreciate the microscopic structure of the Sertoli cell and blood-testis barrier. The Sertoli cell has an extensive cytoplasm and oval-shaped nucleus that contains a prominent nucleolus and extremely dense chromatin. If you look closely, a significant number of mitochondria and lipid droplets are visible outside of the nucleus, throughout the cytoplasm. The basement membrane on which all Sertoli cells rest is visible, as is a narrow myofibroblast which contracts rhythmically. The Sertoli cells are connected to one another with junctional complexes close to the basement membrane; these complexes divide the tubule epithelium into basal and adluminal comparments. The basal compartment contains diploid spermatogonia, which rest upon the basement membrane. These cells develop by migrating into the adluminal compartment, which contains primary spermatocytes, spermatids, and spermatozoa. Why are secondary spermatocytes not visible in this image?</text>
			<answer>The second meiotic division is so rapid that these cells are rarely captured in a slide.</answer>
		</sertoli_cell_em>										
		<rete_testis>
			<title>Rete Testis</title>
			<link>male_reproductive_system_lab/rete_testis.php</link>
			<labels>images/rete_testis_labels.png</labels>
			<image>images/rete_testis.jpg</image>
			<text>The rete testis connects the seminiferous tubules to the ductus efferentes. It is lined by ciliated cuboidal epithelial cells that also contain microvilli. The activity of the cilia helps to move the spermatozoa along the tube, as they are immobile until they reach the epididymis. The microvilli absorb excess materials, including protein and potassium, from the seminal fluid.</text>
		</rete_testis>
		<ductuli_efferentes>
			<title>Ductuli Efferentes</title>
			<link>male_reproductive_system_lab/ductuli_efferentes.php</link>
			<labels>images/ductuli_efferentes_labels.png</labels>
			<image>images/ductuli_efferentes.jpg</image>
			<text>The ductuli efferentes emerge from the dorso-superior margin of each testis. They originate from the rete testis and gradually fuse to form the ductus epididymis. The epithelium has a characteristic scalloped appearance that results from a lining that contains both cuboidal and columnar epithelial cells. A layer of smooth muscle surrounds the walls. The non-ciliated cells reabsorb testicular fluid, while the ciliated cells propel the immobile sperm to the epididymis, where they gain the ability to swim.</text>
		</ductuli_efferentes>									
		<epididymis>
			<title>Epididymis</title>
			<link>male_reproductive_system_lab/epididymis.php</link>
			<labels>images/epididymis_labels.png</labels>
			<image>images/epididymis.jpg</image>
			<text>Each epididymis is formed by a single convoluted tubule seen in multiple cross sections. It is lined by a tall pseudostratified columnar epithelium. These cells bear stereocilia on their luminal surface that absorb fluid released from the testes along with sperm. In this section, the spermatozoa can be seen in the lumen throughout the epididymis.
What crucial change do spermatozoa undergo in the epididymis?</text>
			<answer>Sperm cells become motile in the epididymis, gaining the ability to move by propulsion resulting from the whipping of their flagella.</answer>
		</epididymis>										
		<ductus_deferens>
			<title>Ductus Deferens</title>
			<link>male_reproductive_system_lab/ductus_deferens.php</link>
			<labels>images/ductus_deferens_labels.png</labels>
			<image>images/ductus_deferens.jpg</image>
			<text>The ductus deferens extends from the epididymis to the ejaculatory ducts. The epithelium of this tube displays a pseudostratified columnar epithelium and is surrounded by a prominent muscular layer. This layer contains inner and outer longitudinal muscle and middle circular muscle. An adventitia of connective tissue surrounds the muscularis layer.</text>
		</ductus_deferens>
		<urethra>
			<title>Urethra</title>
			<link>male_reproductive_system_lab/urethra.php</link>
			<labels>images/urethra_labels.png</labels>
			<image>images/urethra.jpg</image>
			<text>The human urethra is lined by a pseudostratified columnar epithelium lining the urethral lumen. The urethra is located in the corpus spongiosum made up of erectile tissue. Note the blood vessels contained in the erectile tissue; during erection, the arteries dilate to fill the sinuses, which obstruct venous outflow and traps blood in the penis.</text>
		</urethra>																				
		<seminal_vesicle>
			<title>Seminal Vesicle</title>
			<link>male_reproductive_system_lab/seminal_vesicle.php</link>
			<labels>images/seminal_vesicle_labels.png</labels>
			<image>images/seminal_vesicle.jpg</image>
			<text>The seminal vesicles appear as honeycombed saccules with thin, highly branched folds of mucosa, lined by a pseudostratified columnar epithelium. These folds join one another to delimit irregular spaces, which communicate with a large, central lumen filled with a pale-staining, homogenous secretion. Observe the coat of smooth muscle surrounding the saccular dilation of the gland. Its contraction expels the accumulated secretion during ejaculation.</text>
		</seminal_vesicle>																				
		<prostate_gland>
			<title>Prostate Gland</title>
			<link>male_reproductive_system_lab/prostate_gland.php</link>
			<labels>images/prostate_gland_labels.png</labels>
			<image>images/prostate_gland.jpg</image>
			<text>The prostate is a set of tubulo-alveolar glands with lumina lined by an epithelium of variable height. The gland contains a stroma containing connective tissue and smooth muscle. The prostate produces a fluid rich in citric acid and proteolytic enzymes that nourish and prevent the coagulation of sperm in the vagina. Characteristic of the gland are prostatic concretions. These accumulate over time in the lumina of the tubulo-alveolar glands. Note the presence of numerous basal cells in the epithelium of the glands. Their presence distinguishes benign and malignant glands.</text>
		</prostate_gland>
		<penis>
			<title>Penis</title>
			<link>male_reproductive_system_lab/penis.php</link>
			<labels>images/penis_labels.png</labels>
			<image>images/penis.jpg</image>
			<text>The penis contains three columns of erectile tissue: two corpus cavernosa and a single corpus spongiosum containing the penile urethra. Note the vast sponge-like arrangement of irregular vascular spaces intercalated between the arteries and veins.</text>
		</penis>																
	</lab_slides>
	<virtual_microscope_slides>
		<vm_slide name="38">
			<title>Testis</title>
			<image>virtualSlide.php?slide_name=CB502_Histo_0038&amp;lab_name=male_reproductive_system_lab&amp;slide_id=38</image>
			<description>
				<text>Begin by identifying the seminiferous tubules.</text>
			</description>
			<markers>
				<marker type="question">
					<question>Identify the cell. What is its role in spermatogenesis?</question>
					<answer>Sertoli cell. They form the blood-testis barrier through intercellular connections (tight junctions). They also secrete androgen-binding protein.</answer>
					<lat>37.00255267215955</lat>
					<lng>-31.48681640625</lng>
				</marker>
				<marker type="question">
					<question>Identify the cells and their function.</question>
					<answer>Myoid cells. They generate rhythmic contractions to propel spermatozoa through seminiferous tubules. They also synthesize collagen.</answer>
					<lat>33.284619968887675</lat>
					<lng>25.389404296875</lng>
				</marker>
				<marker type="question">
					<question>Identify this cell. Is it on the lumenal or blood side of the blood-testis barrier?</question>
					<answer>Spermatogonium. It is on the blood side of the barrier.</answer>
					<lat>7.209900314368781</lat>
					<lng>-23.214111328125</lng>
				</marker>
				<marker type="question">
					<question>Identify this cell. Which hormone does it produce? Which hormone stimulates the activity of this cell?</question>
					<answer>Leydig Cell. It synthesizes testosterone. Leutenizing hormone (LH) stimulates it to increase production of testosterone.</answer>
					<lat>2.2625953010152453</lat>
					<lng>61.14990234375</lng>
				</marker>
			</markers>
		</vm_slide>
		<vm_slide name="39">
			<title>Epididymis</title>
			<image>virtualSlide.php?slide_name=CB502_Histo_0039&amp;lab_name=male_reproductive_system_lab&amp;slide_id=39</image>
			<description>
				<text>This is a cross section of the epididymis.</text>
			</description>
			<markers>
				<marker type="question">
					<question>What are these structures? What cytoskeletal element provides structural support in these structures?</question>
					<answer>Sterocilia. Actin filaments provide structural support.</answer>
					<lat>9.362352822055605</lat>
					<lng>-2.109375</lng>
				</marker>
				<marker type="question">
					<question>Identify these cells? What activities do they develop in the epididymis?</question>
					<answer>Sperm. Motility and ability to fertilize an oocyte.</answer>
					<lat>7.645664723491027</lat>
					<lng>-22.91748046875</lng>
				</marker>
			</markers>
		</vm_slide>
		<!--<vm_slide name="41">
			<title>Seminal Vesicles</title>
			<image>virtualSlide.php?slide_name=CB502_Histo_0041&amp;lab_name=male_reproductive_system_lab&amp;slide_id=41</image>
			<description>
				<text>The seminal vesicles secrete a fluid, which makes up the majority of seminal fluid, into the ductus deferens. Begin at low magnification by observing the multiple saccules. Observe the pseudostratified columnar epithelium and secretion in the lumen. A coat of smooth muscle surrounds each saccular dilation.</text>
			</description>
		</vm_slide>-->
		<vm_slide name="42">
			<title>Prostate</title>
			<image>virtualSlide.php?slide_name=CB502_Histo_0042&amp;lab_name=male_reproductive_system_lab&amp;slide_id=42</image>
			<description>
				<text>Note the heterogeneous epithelium of the prostate and the abundant stroma consisting of smooth muscle and connective tissue.</text>
			</description>
			<markers>
				<marker type="question">
					<question>What is this structure? Why is it important?</question>
					<answer>Prostatic concretion. Helps to identify the prostate.</answer>
					<lat>54.67383096593114</lat>
					<lng>-40.8251953125</lng>
				</marker>
				<marker type="question">
					<question>Identify this cell? Why is it important?</question>
					<answer>Basal cell. Its presence distinguishes benign glands from adenocarcinomas.</answer>
					<lat>41.37680856570233</lat>
					<lng>-6.767578125</lng>
				</marker>
			</markers>
		</vm_slide>
	</virtual_microscope_slides>
	<pathology_slides>
		<atrophic_testis>  
			<title>Atrophic Testis</title>
			<link>male_reproductive_system_lab/atrophic_testis.php</link>
			<labels>images/atrophic_testis_labels.png</labels>
			<image>images/atrophic_testis.jpg</image>
			<text>In this image of an atrophic testis, observe the cells present in the tissue. The seminiferous tubules contain Sertoli cells, but none of the characteristic cells of spermatogenesis. Abundant Leydig cells remain in the interstitium. The basement membrane also appears thicker than normal. Atrophic testes occur in cryptorchidism, when the glands fail to descend into the scrotum. How would you expect the levels of testosterone to compare to a health male individual?</text>
			<answer>Because the number of Leydig cells does not change, the levels of testosterone should be similar to a healthy male.</answer>
		</atrophic_testis>	
		<prostate_nodular_hyperplasia>  
			<title>Nodular Hyperplasia of the Prostate</title>
			<link>male_reproductive_system_lab/prostate_nodular_hyperplasia.php</link>
			<labels>images/prostate_nodular_hyperplasia_labels.png</labels>
			<image>images/prostate_nodular_hyperplasia.jpg</image>
			<text>Nodular hyperplasia of the prostate is a common disorder in men over 50 in which nodules form from hyperplasia of epithelial and stromal cell. When the nodules reach a certain size, they compress the urethra, obstructing the flow of urine. Histologically, the nodules contain glandular and fibrous material. Closer inspection of the glands reveals cells with pale cytoplasm. Note the nuclei of these cells lack nucleoli and the presence of basal cells in the glands.</text>
		</prostate_nodular_hyperplasia>	
		<adenocarcinoma_prostate>  
			<title>Adenocarcinoma Prostate</title>
			<link>male_reproductive_system_lab/adenocarcinoma_prostate.php</link>
			<labels>images/adenocarcinoma_prostate_labels.png</labels>
			<image>images/adenocarcinoma_prostate.jpg</image>
			<text>This composite image contrast benign and malignant glands at different magnifications. Note the malignant glands are generally smaller than benign glands. Higher magnification reveals that malignant glands lack basal cells and the nuclei of cells in malignant glands contain nucleoli.</text>
		</adenocarcinoma_prostate>							
	</pathology_slides>
	<post_lab_quiz>
		<quiz_question>
			<question>
				<text>Is this cell on the blood or lumenal side of the testis blood-barrier?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz1.jpg</image>
			<answer>
				<text>It is on the lumenal side of the barrier. Note the acrosome adjacent to the nucleus which indicates this is a spermatid.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What organ is this?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz2.jpg</image>
			<answer>
				<text>Prostate. Note the concretion in the lumen.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What is a function of thee cells?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz3.jpg</image>
			<answer>
				<text>Resorption of fluid, note stereocilia on surface of epithelial cells.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What is the stage of the large cells with pale cytoplasm?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz4.jpg</image>
			<answer>
				<text>Primary spermocytes</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>Where in the male reproductive tract is this?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz5.jpg</image>
			<answer>
				<text>Epididymis</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>Name this structure.</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz6.jpg</image>
			<answer>
				<text>Ductus deferens</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>What is the red structure and of what is it made?</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz7.jpg</image>
			<answer>
				<text>Prostatic concretions: lamellated and calcified glycoprotein</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>Identify A, B, C, and D in this image of the germinal epithelium.</text>
			</question>
			<image>male_reproductive_system_lab/images/quiz8.jpg</image>
			<answer>
				<text>A = Leydig cell, B = spermatozoa, C = primary spermatocyte, D = spermatogonium</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>Damage to the testes as a result of torsion can lead to the destruction of the blood-testis barrier. What cells are affected structurally (ie - what cells make up this barrier) and why would you expect the body to mount an immune response to its own spermatozoa?</text>
			</question>
			<answer>
				<text>The Sertoli cells create the blood-testis barrier because of the tight occluding junctions that connect them. Normally, blood is exposed only to the 2N spermatogonia, which have the typical “self” genome. Spermatozoa are haploid and express sperm-specific antigens not normally recognized as “self” by the body. Antibodies can bind to these antigens.</text>
			</answer>
		</quiz_question>
		<quiz_question>
			<question>
				<text>A patient is sterile because of a breach in his blood-testis barrier. Upon histological observation with immunostaining, you observe that there are antibodies attached to the head of his sperm. How would the reason for this patient's sterility differ from that of another patient, who has antibodies attached to his sperm's flagella?</text>
			</question>
			<answer>
				<text>The first patient’s antibodies are attacking the sperm head, which could compromise the activity of the acrosome by altering the ability of the sperm to bind to the zona pellucida of the female ovum. The second patient’s sperm are likely unable to move properly due to the antibodies bound to their flagella.</text>
			</answer>
		</quiz_question>
	</post_lab_quiz>
</lab>