Kidney embryology Flashcards
mammal develop 3 pairs of excretory organs
they are:
pronephroi
mesonephroi
metanephroi
pronephroi
pretty much disappears
ball disappears, only the duct remains n becomes the mesonephric duct aka nephrite duct aka woffian duct
mesonephroi
mostly disappears as well, only leaving a few bits that becomes a few bits n pieces of the reproductive tract in females n males
acts as the interim kidney till permanent kidney is formed
where do kidneys develop from?
from intermediate mesoderm
metanephroi
becomes the kidney
starts growing around wk 5
wen do nephrons start to form?
nephrons start to form at around 9 wks.
n neprhongenesis stops at around 36 wks
what happens with regards to metanephroi?
a little orange duct aka UTERIC BUD comes off the woffian duct and grows towards the little blob of purple which is purple mesenchyme and penetrates to it. basically the little orange bud comes off, grown into n penetrates the metanephric mesenchyme and then molecular signalling bw those 2 is gonna make the kidneys
CONGENTIAL ABNORMALITY CONCEPT
if the bud doesnt come out at the right time
out of the right place
doesnt come out at all
heads off in the wrong direction
that mesenchyme will die
mesenchyme needs survival factors from the bud,
if it doesnt
get it,
that mesenchyme will die and no kidney will form on that side
btw, from a lot of studies, we found that this purple mesenchyme (theres lots of mesenchyme in body) but its this one that is the only one that can make kidneys
more details about kidney formation
tips of Uteric bud branches tell MM (metanephric mesenchyme ) to make nephrons
and MM tells UB to branch
uteric bud gives rise to
like like tubal tree of the kidney i.e.:
collecting ducts, calyces, pelvis, ureter
metanephric mesenchyme gives rise to
nephon
interstitium
CAKUT =
Congenital Anomalies of the Kidney
and Urinary Tract
VUJ obstruction=
Obstruction at vesicoureteric (VUJ) junction (aka at put where ureter join bladder)
where uerter
doesnt come into
bladder at the right angle n size n stuff
get back flow of urine all the way to kidney
can get hydroureter( Dilated ureter) n hydronephrosis (Dilation of the renal pelvis)
PUJ obstruction
-= bw pelvis of kidney n ureter
urine backs up into kidney, n kills nephrons
causes of CAKUT
mutations of genes (e.g. the BMP4 gene)
enviro influences eg maternal diet
physical obstruction of ureter somehow