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Transcript
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Part 1
Urinary System
 Wastes
 Gases versus fluids
 Urinary system
 Dispose of water soluble wastes
 Fluid balance
 Electrolyte regulation
 Acid-base regulation
Urinary System
 Other functions
 Kidneys



Renin
Erythropoietin
Vitamin D activation
Nitrogenous Wastes
 Urine is about 95% water
 Second largest component is urea
 Urea derived from breakdown of amino acids
Nitrogenous Wastes
1.
TOXIC!
Dietary amino acids → NH2 removed → NH2 + H+ → NH3
 500 ml of urine removes only 1 gram of nitrogen as ammonia
2. Ammonia can be converted to urea
 Requires energy
 50 ml of urine removes 1 gram of nitrogen as urea
3. Ammonia can be converted to uric acid
 Requires lots of energy
 10 ml of urine removes 1 gram of nitrogen as uric acid
Fill in the blanks…
Ammonia
Toxicity
Urea
Very toxic
Energy Costs
High = 3 ATP
Water Required
50 ml/g Nitrogen
Solubility
Examples
Uric acid
Low
Fish & aquatic
invertebrates
Check your answers…
Ammonia
Urea
Uric acid
Toxicity
Very toxic
Moderate
Non-toxic
Energy Costs
Negligible
Moderate = 1.5 ATP
High = 3 ATP
500 ml/g Nitrogen
50 ml/g Nitrogen
10 ml/g Nitrogen
Solubility
High
Moderate
Low
Examples
Fish & aquatic
invertebrates
Mammals, sharks &
amphibians
Birds, reptiles &
snails
Water Required
Urinary System
 Organs
 Kidneys

Major excretory organs
 Urinary bladder

Temporary storage reservoir for urine
 Ureters

Transport urine from the kidneys to the bladder
 Urethra

Transports urine out of the body
Hepatic veins (cut)
Esophagus (cut)
Inferior vena cava
Adrenal gland
Aorta
Renal artery
Renal hilum
Renal vein
Kidney
Iliac crest
Rectum (cut)
Uterus (part
of female
reproductive
system)
Ureter
Urinary
bladder
Urethra
Figure 25.1
Anterior
Inferior vena cava
Peritoneum
Peritoneal cavity
(organs removed)
Renal
vein
Renal
artery
Supportive
tissue layers
• Renal fascia
anterior
posterior
• Perirenal
fat capsule
• Fibrous
capsule
Body of
vertebra L2
Body wall
(a)
Aorta
Posterior
Figure 25.2a
Kidneys
 Retroperitoneal position
 External anatomy
 Hilus
 3 tissue layers surround & support



Fibrous capsule
Perirenal fat capsule
Renal fascia
Hydronephrosis
Kidneys
 Internal Anatomy
 Renal cortex


Superficial region
Renal columns extend into medulla
Kidneys
 Renal medulla

Cone-shaped medullary (renal) pyramids separated by the
renal columns
 Renal pelvis


Funnel-shaped tube, contain calyces
Continuous with ureter
Kidneys
 Internal Anatomy
 Minor calyces
 Major calyces

Branching channels of the renal pelvis
 Collect urine from minor calyces
 Empty urine into the pelvis
 Urine flows from the pelvis to ureter
Renal
hilum
Renal cortex
Renal medulla
Major calyx
Papilla of
pyramid
Renal pelvis
Minor calyx
Ureter
Renal pyramid
in renal medulla
Renal column
Fibrous capsule
(a) Photograph of right kidney, frontal section
(b) Diagrammatic view
Figure 25.3
Kidneys
 Blood Supply
 Renal arteries deliver ~ 22 % of cardiac output (1.2 L/min)


90% directed to cortex
Urine formation
Cortical radiate vein
Cortical radiate artery
Arcuate vein
Arcuate artery
Interlobar vein
Interlobar artery
Segmental arteries
Renal vein
Renal artery
Renal pelvis
Ureter
Renal medulla
Renal cortex
(a) Frontal section illustrating major blood vessels
Figure 25.4a
Aorta
Renal artery
Inferior vena cava
Renal vein
Segmental artery
Interlobar vein
Interlobar artery
Arcuate vein
Arcuate artery
Cortical radiate
vein
Cortical radiate artery
Peritubular
capillaries
and vasa recta
Afferent arteriole
Efferent arteriole
Glomerulus (capillaries)
Nephron-associated blood vessels
(see Figure 25.7)
(b) Path of blood flow through renal blood vessels
Figure 25.4b
Nephrons

Structural and functional units that form urine
~1 million per kidney
Two main parts


1.
2.
Blood capillaries (glomeruli)
Renal tubule: begins as cup-shaped glomerular
(Bowman’s) capsule surrounding the glomerulus
Figure 25.5
Nephrons
 Renal corpuscle
 Glomerulus + Bowman’s capsule
 Fenestrated glomerular endothelium
 Allows filtrate to pass from plasma into the glomerular
capsule
Glomerular capsule
Glomerulus
Efferent
arteriole
Afferent
arteriole
Parietal layer
of glomerular
capsule
Capsular
space
Foot processes
of podocytes
Podocyte cell
body (visceral
layer)
Red blood cell
Proximal
tubule cell
Efferent
arteriole
Juxtaglomerular
apparatus
• Macula densa cells
of the ascending limb
of loop of Henle
• Extraglomerular
mesangial cells
• Granular cells
Afferent arteriole
Juxtaglomerular
apparatus
Copyright © 2010 Pearson Education, Inc.
Lumens of
glomerular
capillaries
Endothelial cell
of glomerular
capillary
Mesangial cells
between capillaries
Renal corpuscle
Figure 25.8
Cortical nephron
• Has short loop of Henle and glomerulus
further from the corticomedullary junction
• Efferent arteriole supplies peritubular
capillaries
Efferent arteriole
Glomerular capillaries
Renal
corpuscle (glomerulus)
Glomerular
(Bowman’s) capsule
Proximal
convoluted tubule
Peritubular capillaries
Ascending or thick limb
of the loop of Henle
Arcuate vein
Arcuate artery
Cortex
Loop of Henle
Medulla
Renal pelvis
Descending
Ureter
or thin limb of
loop of Henle
Kidney
Juxtamedullary nephron
• Has long loop of Henle and glomerulus
closer to the corticomedullary junction
• Efferent arteriole supplies vasa recta
Cortical radiate vein
Cortical radiate artery
Afferent arteriole
Collecting duct
Distal convoluted tubule
Afferent arteriole
Efferent arteriole
Corticomedullary
junction
Vasa recta
(a)
Copyright © 2010 Pearson Education, Inc.
Figure 25.7a
Nephrons
 Renal tubules
 Proximal convoluted tubule (PCT)


Functions
 Major site of reabsorption (amino acids, glucose, water, Na+)
 Secretion (medications, nitrogenous wastes)
 Exchange of ions important for pH (H+, HCO3-)
Confined to the cortex
 Loop of Henle


Descending and ascending limbs
More later…
Nephrons
 Renal tubules
 Distal convoluted tubule (DCT)




Important site for secretion, aldosterone & ADH activity
Exchange of ions important for pH (H+, HCO3-)
Reabsorption of some electrolytes such as Na+
Confined to the cortex
Nephrons
 Renal tubules
 Collecting tubules (CT)



Receive filtrate from many nephrons
Fuse together to deliver urine through papillae into minor
calyces
Functions
 Important site for secretion, aldosterone & ADH activity
 Site of reabsorption of water and electrolytes
 Exchange of ions important for pH (H+, HCO3-)
Glomerular capsule: parietal layer
Renal cortex
Renal medulla
Basement
membrane
Renal corpuscle
• Glomerular capsule
• Glomerulus
Renal pelvis
Ureter
Podocyte
Distal
convoluted
tubule
Kidney
Fenestrated
endothelium
of the glomerulus
Glomerular capsule: visceral layer
Microvilli
Mitochondria
Proximal
convoluted
tubule
Highly infolded plasma
membrane
Proximal convoluted tubule cells
Cortex
Medulla
Thick segment
Thin segment
Loop of Henle
• Descending limb
• Ascending limb
Distal convoluted tubule cells
Collecting
duct
Loop of Henle (thin-segment) cells
Principal cell
Intercalated cell
Collecting duct cells
Copyright © 2010 Pearson Education, Inc.
Figure 25.5
Nephrons
 Juxtaglomerular Apparatus (JGA)
 Ascending limb of loop of Henle and afferent arteriole
contact one another

One per nephron
 Function

Regulation of filtrate formation and blood pressure
Glomerular capsule
Glomerulus
Efferent
arteriole
Afferent
arteriole
Parietal layer
of glomerular
capsule
Capsular
space
Foot processes
of podocytes
Podocyte cell
body (visceral
layer)
Red blood cell
Proximal
tubule cell
Efferent
arteriole
Juxtaglomerular
apparatus
• Macula densa cells
of the ascending limb
of loop of Henle
• Extraglomerular
mesangial cells
• Granular cells
Afferent arteriole
Juxtaglomerular
apparatus
Copyright © 2010 Pearson Education, Inc.
Lumens of
glomerular
capillaries
Endothelial cell
of glomerular
capillary
Mesangial cells
between capillaries
Renal corpuscle
Figure 25.8
Nephron Capillary Beds
Glomerulus
1.


Afferent arteriole  glomerulus  efferent arteriole
Specialized for filtration
Nephron Capillary Beds
Peritubular capillaries
2.




Low-pressure, porous capillaries adapted for
absorption
Arise from efferent arterioles
Cling to adjacent renal tubules in cortex
Empty into venules
Cortical nephron
• Has short loop of Henle and glomerulus
further from the corticomedullary junction
• Efferent arteriole supplies peritubular
capillaries
Efferent arteriole
Glomerular capillaries
Renal
corpuscle (glomerulus)
Glomerular
(Bowman’s) capsule
Proximal
convoluted tubule
Peritubular capillaries
Ascending or thick limb
of the loop of Henle
Arcuate vein
Arcuate artery
Cortex
Loop of Henle
Medulla
Renal pelvis
Descending
Ureter
or thin limb of
loop of Henle
Kidney
Juxtamedullary nephron
• Has long loop of Henle and glomerulus
closer to the corticomedullary junction
• Efferent arteriole supplies vasa recta
Cortical radiate vein
Cortical radiate artery
Afferent arteriole
Collecting duct
Distal convoluted tubule
Afferent arteriole
Efferent arteriole
Corticomedullary
junction
Vasa recta
(a)
Copyright © 2010 Pearson Education, Inc.
Figure 25.7a
Nephrons
 Cortical nephrons
 85% of nephrons; almost entirely in the cortex
 Juxtamedullary nephrons
 Long loops of Henle deeply invade the medulla
 Extensive thin segments
 Important in the production of concentrated urine
Cortical nephron
• Has short loop of Henle and glomerulus
further from the corticomedullary junction
• Efferent arteriole supplies peritubular
capillaries
Efferent arteriole
Glomerular capillaries
Renal
corpuscle (glomerulus)
Glomerular
(Bowman’s) capsule
Proximal
convoluted tubule
Peritubular capillaries
Ascending or thick limb
of the loop of Henle
Arcuate vein
Arcuate artery
Cortex
Loop of Henle
Medulla
Renal pelvis
Descending
Ureter
or thin limb of
loop of Henle
Kidney
Juxtamedullary nephron
• Has long loop of Henle and glomerulus
closer to the corticomedullary junction
• Efferent arteriole supplies vasa recta
Cortical radiate vein
Cortical radiate artery
Afferent arteriole
Collecting duct
Distal convoluted tubule
Afferent arteriole
Efferent arteriole
Corticomedullary
junction
Vasa recta
(a)
Copyright © 2010 Pearson Education, Inc.
Figure 25.7a
Ureters
 Convey urine from kidneys to bladder
 Retroperitoneal location
 Enter base of bladder through posterior wall
 ↑ bladder pressure = distal ends of the ureters close

Prevents backflow of urine
 Mucus is protective
Urinary Bladder
 Muscular sac for temporary storage of urine
 On pelvic floor posterior to pubic symphysis
 Males—prostate gland surrounds the neck inferiorly
 Females—anterior to the vagina and uterus
Urinary Bladder
 Stretch receptors in bladder create desire to void
 Micturition
 Urge to void usually occurs with about 300ml urine
 Can hold up to about 500ml
Hepatic veins (cut)
Esophagus (cut)
Inferior vena cava
Adrenal gland
Aorta
Renal artery
Renal hilum
Renal vein
Kidney
Iliac crest
Rectum (cut)
Uterus (part
of female
reproductive
system)
Ureter
Urinary
bladder
Urethra
Figure 25.1
Urethra
 Sphincters
 Internal
 CNS control
 External
 Voluntary control
Peritoneum
Ureter
Rugae
Detrusor
muscle
Ureteric orifices
Bladder neck
Internal urethral
sphincter
External urethral
sphincter
Urogenital diaphragm
(b) Female.
Copyright © 2010 Pearson Education, Inc.
Trigone
Urethra
External urethral
orifice
Figure 25.21b
Peritoneum
Ureter
Rugae
Detrusor muscle
Adventitia
Ureteric orifices
Trigone of bladder
Bladder neck
Internal urethral sphincter
Prostate
Prostatic urethra
Urogenital diaphragm
External urethral sphincter
Membranous urethra
Spongy urethra
Erectile tissue of penis
External urethral orifice
(a) Male. The long male urethra has three
regions: prostatic, membranous and spongy.
Copyright © 2010 Pearson Education, Inc.
Figure 25.21a
Brain
Higher brain
centers
Urinary bladder
filling stretches
bladder wall
Allow or inhibit micturition
as appropriate
Pontine micturition
center
Afferent impulses
from stretch
receptors
Simple
spinal
reflex
Promotes micturition
by acting on all three
spinal efferents
Pontine storage
center
Inhibits micturition
by acting on all three
spinal efferents
Spinal
cord
Spinal
cord
Parasympathetic
activity
Sympathetic
activity
Detrusor muscle
contracts; internal
urethral sphincter
opens
Parasympathetic activity
Sympathetic activity
Somatic motor nerve activity
External urethral
sphincter opens
Micturition
Copyright © 2010 Pearson Education, Inc.
Somatic motor
nerve activity
Inhibits
Figure 25.22
Incontinence
 Damage to spinal cord
 Frequent micturition in infants
 Incontinence is normal: control of the voluntary
urethral sphincter develops with the nervous system
Pathway of Urine Flow
Urine formed in nephrons  calyces 
renal pelvis  ureters  bladder  urethra