Development of urinary system Flashcards

1
Q

tissue layer urinary and genital systems originate from

A

intermediate mesoderm (between paraxial and lateral)

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2
Q

three sequential kidney systems

A

pronephros, mesonephros and metanephros

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3
Q

signals that help kidney develop

A

reciprocal inductive interactions leading to branching morphogenesis and mesenchymal to epithelial transformation

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4
Q

bladder formation

A

separation of the cloaca

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5
Q

definitive kidney

A

metanephros

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6
Q

action of kidneys before birth

A

dilute urine, main constituent of amniotic fluid, excretion of urea from fatal blood via the placenta

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7
Q

pronephros development

A

4th week in cervical region of embryo

degrades quickly, only present for a couple of days and not functional

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8
Q

mesonephric duct development

A

mesonephric ducts appear around day 24

paired set of epithelial tubes that run along the head-tail axis of embryo

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9
Q

metanephric development

A

a few days after mesonephric, start of week 5

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10
Q

structure of mesonephros

A

repeating glomerular units
about 40 pairs develop that are constantly being replaced, so 30 present at any one time
glomerular units extend from thoracic to lumbar regions

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11
Q

mesonephros attached to

A

mesonephric duct, which they drain into

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12
Q

eventual mesonephric duct structure

A

retained in males as genital duct, is lost in females

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13
Q

when does metanephros begin to develop

A

end of week 4, while the mesonephros is functional

about day 26, pairs of mesonephric duct join the cloaca

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14
Q

initiation of metanephric kidney

A

uteric bud invaginates from caudal end of the mesonephric duct and grows towards the adjacent mesoderm called the metanephric blastema

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15
Q

initiation of branching morphogenesis

A

mesenchyme induces the uteric bud to begin branching
reciprocal inductive signalling
mesenchyme initiates branching, bud causes mesenchymal cells to form glomerular units

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16
Q

result of bud branching

A

continues to bifurcate until week 32, producing 1-3 million collecting tubules and ducts

17
Q

what does the first bifurcation produce

A

renal pelvis

18
Q

what happens after 4 generations of branching

A

branches coalesce to form the major calyces

followed by more branching into minor calyces and then collecting ducts

19
Q

what happens at week 10

A

functional nephric units appear in the distal regions of the metanephros

20
Q

induction of nephron formation

A

tips of collecting ducts widen to form ampullae
ampullae at the tip of the collecting duct interact with adjacent mesenchyme to induce nephron formation
forms nephric cap and nephric vesicles
nephrogenic vesicles fuse with the collecting duct to form a continuous nephron

21
Q

important gene

A

wt 1 gene

expressed in early metanephric duct, responsible for initial outgrowth of uteric bud

22
Q

where in the embryo to kidneys form

A

caudally, near developing bladder

23
Q

what is kidney ascent

A

6-9 weeks

metanephric kidney ascends to the lumbar region

24
Q

position of kidneys

A

retroperitoneal

25
why does ascent occur
primarily by differential growth, kidneys stay in place while embryo lengthens
26
problems associated with ascension
pelvic kidney if left behind | horseshoe kidney if the kidneys fuse before ascent and get caught underneath the inferior mesenteric artery
27
wilms tumour
often due to mutations in wt 1 gene usually occurs in the first 5 years of life most common kidney cancer in children
28
congenital polycystic kidney disease
defects of tubule growth nephrons are functional so form large fluid-filled cysts need dialysis and transplant
29
where does the bladder form from
from the allantois, which is a diverticulum from the hindgut superior part of the urogenital sinus, continuous with the allantois, forms the bladder
30
what does the urorectal septum do
separates the urogenital sinus from the anorectal canal
31
how does the trigone form
distal parts of the mesonephric duct and forming ureter are absorbed into the endoderm-lined bladder, forming the mesodermal trigone
32
features of trigone development
brings opening of ureter into bladder opening of mesonephric duct travels inferiorly to the level of the urethra triangle of mesospheric duct tissue -> trigone of bladder
33
what is the urachus
remnant of the allantoic duct, forms the median vesicle-umbillical ligament
34
urethra development
pelvic urethra forms the membranous urethra in females and membranous prostatic urethra in males distal expansion of urogenital sinus forms the vestibule of the vagina in females and penile urethra in males
35
when are kidneys functional by
12 weeks
36
loop of hence function before/ after birth
before birth - lots of dilute urine | after birth - loops of Henley lengthen and urine more concentrated