Histology Flashcards

1
Q

Name 3 histological features of the Cortex and 2 for the medulla

A

Cortex: dark staining, many renal corpsules (blood filtering component of the nephron), and mitochondira

Medulla: Lighter staining, less biologically active and therefore less mitochondria

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2
Q

What are the 3 properties of renal epithelia, what holds them together and what are the 2 types?

A

Protective, absorptive and secretory
Held together by tight junctions (on the luminal side)
Squamous: filtration and diffusion is easy
Cuboidal: active transport

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3
Q

Explore the structure and function of different epithelial cells along the nephron

A

PCT: large cuboidal cells, brush border microvilli (many mitochondria)

LOH: squamous cells, passive flux out of water, and simple cuboidal cells which recover Na+ and Cl- via the Na+-K-+Cl- cotransporter

DCT: smaller cuboidal cells, fewer mitochondria, no microvilli

CT: cuboidal cells with few mitochondria and no microvilli

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4
Q

What is the purpose of the JGA and how does it perform its role?

A

JGA controls the GFR and stabilizes the BP: when macula densa cells sense increased sodium, they release vasoactive compounds to constrict the afferent arteriole.

A negative feedback loop: Since afferent arteriole has been constricted, the subsequently reduced amounts of Na+ and Cl- that make it to the DCT shuts off this signal/need.

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5
Q

What are the 2 types of cells that contain renin?

A

JG cells: modified sm muscle cells with renin in their zygotes granules

Lacis cells: also used for support, (pale staining), outside the glomerulus

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6
Q

What is meant by the vascular pole? Where does the PCT leave the corpuscle?

A

The afferent and efferent arterioles, the PCT leaves the corpuscle at the tubular pole

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7
Q

Describe the parietal and visceral layer of the glomerulus

A

Parietal: outer layer of the capsule simple squamous cells

Visceral: Inner layer, is the epithelial layer of the glomerulus, it has podocytes that envelop the Basement membrane of capillaries that forms filtration slits

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8
Q

Discuss the levels of filtration as substances move through the glomerular capillaries

A
  1. Endothelium of capillary has fenestrated pores (70-90nm) that prevents passageway of RBCs and platelets
  2. BM: negatively charged, repels proteins
  3. Filtration slits between pedicels also negatively charged, restricting passageway of small proteins and organic anions
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9
Q

What should happen to any proteins that are accidentally absorbed in the glomerulus?

A

Degraded into amino acids and reabsorbed in the PCT

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10
Q

Which substances are normally found in filtrate? (fluid leaving the glomerulus on its way to the PCT)

A

glucose, amino acids, ions, urea, hormones, vitamins and small amounts of protein

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11
Q

What keeps fluid in the PCT isotonic?

A

The glomerular filtrate has the same osmolarity as the plasma, and in the PCT water and salt are absorbed in equal amounts

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12
Q

Discuss the differing epithelial cells as you progress through the LOH

What is the overall function of the LOH?

A

Descending thick segment: simple cuboidal actively resorbs Na+

Descending thin segment: simple squamous, allows water to passively leave (due to hypertonic medullary interstitium)

Ascending thin segment: simple squamous, impermeable to water, active and passive resorption of ions

Ascending thick segment: cuboidal epithelium: lots of Na-K-Cl cotransporters to actively recover Na+ and Cl-

Overall forming concentrated urine

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13
Q

What is the role of aldosterone? What stimulates it?

A

Angiotensin II stimulates aldosterone, which stimulates Na+ and water resorption in the DCT (and K+ loss) increasing plasma volume + BP

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14
Q

What does PTH stimulate?

A

Ca2+ reabsorption in the DCT.

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15
Q

What is the name of the simple cuboidal cells that continue off the DCT into the CD? What do they do?

A

Principle cells:
Basolateral side: Na-K+ pump to resorb Na+, and bring K+ into the epithelia

Luminal: Na-K-Cl- cotransporter pumps Na+ and Cl- into the cell, and K+ into the filtrate

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16
Q

How are the a-intercalated cells and the principle cells related?

What happens at this stage to the HCO3 that is metabolically created?

A

They use the K+ pumped out by the Na-Cl-K+ pump in the principle cells for energy to pump K+ back into the cell and secrete H+ into the filtrate.

The HCO3 can be in these cells: CO2 released from metabolism + H20 H+ and HCO3-, the HCO3- can then pass through the basolateral membrane into the blood

17
Q

What is a histological difference between the CT and the LOH?

A

The CT lumen is larger and more irregular

18
Q

What stimulates ADH? What 2 things does it do and what is it’s overall job?

A

The hypothalamus triggers thirst and ADH release from the posterior pituitary: (ADH is a neurotransmitter)

  1. Mainly, this stimulates aquaporins to form on the basolateral membrane on the DCT and CT to allow more resorption of water
  2. Stimulates vasoconstriction in blood vessels
    Main job: increase BP!
19
Q

What is unique about the production, storage and travelling of ADH?

A

Produced: hypothalamus
Stored: posterior pituitary
Travels: through the neuroendocrine system, going down axons and released as a neurotransmitter (aka, not through bloodstream)

20
Q

What’s the other name for ADH?

A

Vasopressin

21
Q

What buffers the H+ in the filtrate?

A

H+ can join onto phosphate or ammonia and then be excreted.

22
Q

What are the 3 layers of the ureters?

A
  1. Mucosa: lined with transitional epithelium
  2. Circular and longitudinal layers of muscularis externa, peristalsis conveys urine towards the bladder
  3. Adventitia
23
Q

What are umbrella cells?

A

The outer layer, have lipid rafts in their membranes and plaques containing uroplakins (protective protein). When the rafts unfold, the SA increases

24
Q

What is the function of transitional cells and where are they found?

A

Distension, protects tissues from urine. Found in renal calyces, pelvis, ureter, bladder and proximal urethra

25
Q

What type of tissue surrounds the bladder?

A

Serosa superiorly, and the remainder is surrounded by adventitia

26
Q

How many layers are there in the detrusor muscle?

How much can the bladder hold?

A

3 layers.

The bladder can hold up to 600 mL for 5 hours, then a sharp rise in pressure will give the urge to urinate

27
Q

What type of epithelia lines the different regions of the male urethra?

A

Prostatic urethra: urothelium

Membranous urethra: stratified and pseudostratified columnar

Spongy: stratified squamous

28
Q

What type of epithelia is present in the female urethra?

A

Proximally: transitional

Changes to stratified squamous