Histology Of Urinary System 2 Flashcards

1
Q

How do renal tubules modify Glomerular ultrafiltrate ?

A
  • Reabsorption
  • Secretion
  • Reduces urine volume
  • Creates a hyperosmotic fluid
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2
Q

Describe the structure of proximal straight henle

A

Also called thick descending portion of loop of Henle

  • Found in the medullary ray of the cortex. Also found in outer medulla
  • Shorter cells with poorly developed brush border and less complex basolateral and lateral interdigitations than the PCT’s
  • Fewer and smaller mitochondria scattered throughout the cytoplasm
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3
Q

Where are thin segment of loop of henle located?

A

Longer in juxtamedullary nephrons and are found in the medulla

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4
Q

Describe the structure of thin segment of loop of henle

A

-Four distinct segment based on shape of cells, their contents of organelles, the depth of their tight junctions, and their water permeability

Epithelium varies from:
-thin simple squamous in both ascending and descending limbs in short nephrons

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5
Q

Squamous cells are modified in…

A

Certain parts of the loop of henle

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6
Q

Describe the vasa rectus and countercurrent exchange system of the nephron

A

Arteriole and venule rectae form loops parallel to the loop of Henlé (fenestrated capillaries)

Help maintain osmotic gradient in the interstitium

Hypertonic interstitium

  • causes loss of water from the arterioles as they descend into medulla
  • Movement of water into the venules as they ascend
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7
Q

Where is the distal straight tubule found?

A

Found in the medullary ray of the cortex. Also found in outer medulla

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8
Q

Describe distal straight tubule

A

Shorter cells with blunted brush border and less complex basolateral and lateral interdigitations

Smaller cells with less mitochondria scattered throughout the cytoplasm

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9
Q

What are the distal straight tubule of loop of henlé?

A

Also called thick ascending limb

  • Cortical part found in the medullary rays
  • Transports ions from the lumen of the tubule to the interstitium via mainly active transport
  • Reabsorption of other ions: Ca2+ and Mg2+
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10
Q

Describe the distal convuluted tubule

A

Very short-starts at the macula densa and ends at connecting tubule

  • Less numerous profile in sections as it is 1/3 the length of PCT
  • Simple cuboidal epithelium
  • Smaller cuboidal epithelium
  • Less acidophilic cytoplasm
  • Fewer and shorter microvilli however extensive basal folds
  • Apically placed nucleus
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11
Q

What are the functions of the distal convuluted tubule?

A
  • Reabsorption
    • Na+ and secretion of K+
    • bicarbonate and secretion of H+
  • Secretion of ammonium
  • Parathyroid regulated Ca2+ reabsorption
  • Relatively impermeable to water
  • Highest Na+/K+ ATPase activity
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12
Q

What are macula densa?

A

-Modified cells of the distal straight tubule

Located at the vascular pole -forms part of the juxtaglomerular apparatus which regulates blood pressure

  • Narrower and taller cells
  • Senses chambers in Na+ concentration within the lumen of the distal tubule and sends signals to the juxtaglomerular cells (Modified smooth muscle cells) located in the afferent arteriole
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13
Q

What features help identify DCT?

A

Ratio off PCT to DCT (6:1)

  • Epithelial cells are smaller
  • Smaller inter- nuclear distance (smaller profiles)
  • Clearer lumen
  • Relaatively basophilic cytoplasm (lesser mitochondria)
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14
Q

How does the kidney help regulate blood pressure?

A

Juxtaglomerular apparatus components

  1. Macula densa(osmoreceptors)
  2. Extra Glomerular mesangial cells (Lacis/ Polkissen cells)
  3. Juxtaglomerular cells(JG cells)
    I. Modified smooth muscle cells of afferent arteriole
    II. Produce renin—> cleaves angiotensinogen to angiotensin I
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15
Q

Where are angiotensin I converted to angiotensin II?

A

Angiotensin I converted to angiotensin II (pulmonary endothelial cells)

  • potent vasoconstrictor
  • stimulates aldosterone secretion from adrenal cortex
  • aldosterone stimulates reabsorption of Na+ and secretion of K+ by connecting tubules and collecting ducts
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16
Q

What are connecting tubules?

A
  • Connects DCT to cortical coll3cting duct
  • Cortical nephrons- very short
  • Mild cortical and JM nephrons, longer and arched
  • Gradual transition of epithelium from DCT to collecting duct
  • Contain cells from DCT and CD (principal cells)
  • Secretes of K+ into lumen —>partly regulated by aldosterone
17
Q

What is the cortical collecting duct?

A
  • Found in the medullary ray of the cortex
  • Connecting tubules lead into cortical collecting duct
  • All nephrons within a renal lobule drain into one cortical collecting duct
  • Lined by simple cuboidal epithelium with prominent cell boundaries
  • The diameter of this duct progressively increases as it enters the medulla
18
Q

What are medullary collecting ducts?

A
  • Medulla: simple cuboidal transitions to simple columnar epithelium
  • The lumen widens progressively from cortex to medulla
  • Several merge to form papillary ducts (ducts of Bellini)
19
Q

What are the functions of light/principal cells?

A
  • Most abundant : pale staining
  • true basal in folding:

Single primary ilium: short scattered microvilli

Abundant ADH regulated aqua porins (AQP-2) channels

20
Q

What are dark or intercalated cells?

A
  • fewer
  • not present in the inner medulla
  • Microvilli and microplicae at Apical cytoplasm
  • Secretion of H+ or bicarbonate
21
Q

Describe the physical structures of medullary collecting ducts

A

-Dark cells in outer medulla only

  • Principal (light) cells increase in height
    • lines the collecting duct of inner medulla
  • Ducts of Bellini
    • 200 to 300 um in diameter
    • Empties at the area cribrosa at the apex of a renal papilla
22
Q

What are the components of renal interstitium ?

A

The connective tissue of the kidney
- surrounds the nephrons and neurovasculature

Cell types:

  • fibroblasts
  • Mononuclear cells

Medullary interstitium:
-resemble myofibroblasts present along the descending vasa recta

23
Q

What are the functions of excretory passages?

A

Transit and and storage of urine

Include: minor and major calices, renal pelvis, ureter, urinary bladder and urethra

Passages have the following features:

Mucosa
Muscularis
Adventitia

24
Q

What are the 3 layers of the transitional epithelium?

A

Superficial: single layer of dome shaped (umbrella) cells

  • The shape of the cell depends on the filling state
  • Abundant tight junctions
    • Impermeable to urine

Intermediate:
-Pear shaped cells —> abundant Desmosomes

Basal layer: stem cells

25
Q

What are the special modifications of superficial cells of urothelium?

A
  • Urethelial plaques: on the Apical surfaces (contains crystalline uroplakin which contributes to the permeability barrier)
  • Apical scalloped surface covered by the uroplakin

Flattened elliptical vesicles (fusiform vesicles)

26
Q

What is the ureter?

A

The conduit between the renal pelvis and the urinary bladder

27
Q

What are the layers of the ureter?

A

-Urothelium + Lamina propria

  • Muscularis—> 3 layers of smooth muscle
    • Inner longitudinal
    • Middle circular
    • Outer longitudinal (only present in distal end)

Contraction of these muscle layers produces peristaltic waves

Adventitia

28
Q

Describe the general organization of the urinary bladder

A

Mucosa-Epithelium+ fibroelastic CT

Muscularis
Muscularis of the bladder is thick and consists of smooth muscle arranged in an inner longitudinal, middle circular and outer longitudinal layer (oblique orientation of muscles)

-Adventitia/serosa

29
Q

What is a urethra?

A

Conveys urine from the bladder to be evacuated outside

30
Q

What are the segments of the male urethra?

A
  • prostatic= transitional epithelium
  • membranous= transitional epithelium
  • Spongy: transitional epithelium fossa navicularis is lined by stratified squamous epithelium

Mucus-secreting glands if liter in the subepithelial connective

31
Q

Describe the female urethra

A

Short—> high risk of urinary infections

Initial part—> transitional epithelium

Terminal part—> stratified squamous epithelium