Urinary system Division of histology and embryology
Components
Kidneys
Ureters
Bladder
urethra
Functions of kidneys Regulate the fluid and electrolyte balance of body Remove waste products of metabolism from body Function as endocrine organs:
Synthesize and secrete erythropoeitin , renin Activate vitamin D
Kidney
Kidney structure capsule
Renal column
Medullary ray hilum Renal medulla (pyramid) Renal pelvis
Major calyx
ureter
Minor calyx Renal cortex
Kidney
(HE)
Renal cortex: Cortical labyrinth Medullary ray
Renal medulla
Renal cortex (HE)
Cortical labyrinth
Medullary ray
Kidney lobe and kidney lobule
A kidney lobe: A medullary pyramid and the associated cortical tissue
A kidney lobule: A medullary ray and the surrounding cortical labyrinth
Kidney
Covering membrane: Connective tissue capsule
Parenchyma:
Interstitium:
Uriniferous tubules Connective tissue Blood vessels,Lymph vessels Nerves…
Uriniferous tubule Renal corpuscle
(components)
Proximal convoluted tubule
Nephron
Renal Henle’s loop Uriniferous
tubule
tubule Distal convoluted tubule Collecting tubule
Henle’s loop
Thick descending limb
Henle’s loop
Thin descending limb Thin segment
Thin ascending limb
Thick ascending limb
Cortical nephron and juxtamedullary nephron
Cortical nephron Juxtamedullary nephron Renal corpuscle nephron Renal tubule
Cortex (Cortical labyrinth)
Renal corpuscle Vascular pole
Glomerulus
Bowman’s capsule
Urinary pole
Glomerulus (SEM) Afferent arteriole Effernt arteriole
Renal corpuscle (SEM)
Renal corpuscle (HE)
Renal corpuscle Glomerular capillary: fenestrated capillary Bowman’s capsule: parietal layer visceral layer
Podocyte (SEM) primary process secondary process (pedicel) slit pore filatration slit membrane
Mesangium
(mesangial cell)
Function: remove the particles and clean the membrane
provide support of the capillary wall
Filtration barrier 1) Endothelium of the glomerular capillaries Lamina rara interna
2) The basement membrane Lamina densa
Lamina rara externa
3) The filtration slit membrane
Filtration barrier
Renal tubule Distal convoluted tubule
Proximal convoluted tubule
Henle’s loop
Proximal convoluted tubule
Proximal convoluted tubule A simple cuboidal epithelium Cell shape: cuboidal cell with brush border Nucleu: small,round,located in the base Cytoplasm: strong acidophilic
Proximal convoluted tubule cell ultrastructure Microvilli Canaliculi and vesicles Membrane folds Mitochondria Natrium/kalium ATPase Cell junction Membrane interdigitation
Proximal convoluted tubule
Proximal convoluted tubule (SEM)
Proximal convoluted tubule Functions: Urine absorption Water and electrolyte absorption Amino acid,sugar and small protein absorption Large protein absorption Secrete Hydrogen ion, Ammonia, creatinine
Henle’s loop
Thick descending limb
Henle’s loop
Thin descending limb Thin segment
Thin ascending limb
Thick ascending limb
Thick descending limb
Thin segment A simple squamous epithelium
Thick ascending limb
Distal convoluted tubule A simple cuboidal epithelium Cell shape: small cuboidal cell lacking brush border Nucleu: small,round, located in medium Cytoplasm: less acidophilic
Distal convoluted tubule cell ultrastructure
Few microvilli Few canaliculi and vesicles Few interdigitation Extensive membrane folds Numerous mitochondria
Distal convoluted tubule functions Absorb Na and secrete K Secrete Hydrogen and Ammonium into tubular urine
Hormone regulation Aldosterone: increase the absorption of Na and water increase the secretion of K Antidiuretic hormone: increase the absorption of water
Collecting tubule and duct Arched collecting tubule Cortical collecting tubule Medullary collecting tubule Papillary duct A simple epithelium: Squamous cuboidal columnar high columnar
Cortial collecting tubule
Papillary duct
Collecting tubule cell ultrastructure Few microvilli Few organells No interdigitation No membrane fold
Collecting tubule Function Absorb Na and water Secrete K
The activity is controlled by the aldosterone and ADH
Cortex (Cortical labyrinth)
medulla
Renal tubules
Juxtaglomerular complex
1. juxtaglomerular cell 2. Extraglomerular mesangial cell 3. Macula densa
Juxtaglomerular complex Juxtaglomerular cell Origin: smooth muscle cell of the afferent arteriole Secretion: renin (hormone) Angiotensinogen angiotensinI angiotensinII aldosterone
Juxtaglomerular complex macula densa Origin: part of the distal tubule wall Function: sensitive to the Cl content of tubular fluid
Juxtaglomerular complex
Extraglomerular mesangial cell
Blood supply of kidney Renal artery Interlobar arteries Arcuate arteries Interlobular arteries
Blood supply of kidney interlobular artery afferent arteriole glomerulus efferent arteriole
(cortical nephron) efferent arteriole ↓ postglomerular capillary ↓ Interlobular vein
(juxtamedullary nephron) efferent arteriole→ postglomerular capillary straight arteriole
Interlobular vein straight venule
Blood supply of kidney Renal artery Interlobar arteries Arcuate arteries Interlobular arteries
Renal interstitium Interstitial cell: Medullipin-Ⅰ
liver
Medullipin-Ⅱ Blood pressure
Ureter
Mucosa
Muscular layer
adventitia
Ureter mucosa Epithelium: transitional epithelium Lamina propria: connective tissue
Bladder
Bladder
Transitional epithelium