Survey
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
Urinary System Organs Kidney – Filters blood, allowing toxins, metabolic wastes, and excess ions to leave the body in urine Urinary bladder – provides a temporary storage reservoir for urine Paired ureters – transport urine from the kidneys to the bladder Urethra – transports urine from the bladder out of the body 10/20/13 MDufilho 1 Figure 25.1 The urinary system. Hepatic veins (cut) Esophagus (cut) Inferior vena cava Adrenal gland Aorta Iliac crest Rectum (cut) Uterus (part of female reproductive system) MDufilho 10/20/13 Renal arte Renal hilu Renal vein Kidney Ureter Urinary bladder Urethra 2 Kidneys -Overview Blood passes through kidney – filtration occurs at capillaries – 20% of plasma becomes filtrate Filtrate passes through nephrons – water and electrolytes are reabsorbed Some electrolytes, drugs and toxins may be secreted into filtrate by tubular secretion = Urine 10/20/13 MDufilho 3 Figure 25.9 A schematic, uncoiled nephron showing the three major renal processes that adjust plasma composition. Afferent arteriole Glomerular capillaries Efferent arteriole Cortical radiate artery 1 Glomerular capsule Renal tubule and collecting duct containing filtrate 2 Peritubular capillary 3 To cortical radiate vein MDufilho Three major renal processes: Urine 1 Glomerular filtration 2 Tubular reabsorption 3 Tubular secretion 10/20/13 4 Figure 25.8 Juxtaglomerular complex (JGC) of a nephron. Glomerular capsule Efferent arteriole Afferent arteriole Glomerulus 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 complex • Macula densa cells of the ascending limb of nephron loop • Extraglomerular mesangial cells • Granular cells Afferent arteriole Lumens of glomerular capillaries Endothelial cell of glomerular capillary Glomerular mesangial cells Juxtaglomerular complex MDufilho 10/20/13 Renal corpuscle 5 Figure 25.10 The filtration membrane. Efferent arteriole Glomerular capsular space Cytoplasmic extensions of podocytes Filtration slits Podocyte cell body Afferent arteriole Proximal convoluted tubule Glomerular capillary covered by podocytes that form the visceral layer of glomerular capsule Parietal layer of glomerular capsule Glomerular capillaries and the visceral layer of the glomerular capsule Fenestrations (pores) Glomerular capillary endothelium (podocyte covering and basement membrane removed) Foot processes of podocyte Filtration slits Podocyte cell body Filtration membrane • Capillary endothelium • Basement membrane Capillary • Foot processes of podocyte of glomerular capsule Foot processes Filtration slit Plasma MDufilho Fenestration (pore) Filtration slits between the podocyte foot processes 10/20/13 Filtrate in capsular space Slit diaphragm Foot processes of podocyte Three layers of the filtration membrane 6 Figure 25.5 Location and structure of nephrons. Renal cortex Renal medulla Glomerular capsule: parietal layer Renal pelvis Ureter Kidney Renal corpuscle • Glomerular capsule • Glomerulus Distal convoluted tubule Basement membrane Podocyte Fenestrated endothelium of the glomerulus Glomerular capsule: visceral layer Apical microvilli Mitochondria Highly infolded basolateral membrane Proximal convoluted tubule cells Proximal convoluted tubule Cortex Apical side Medulla Thin segment Nephron loop • Descending limb • Ascending limb MDufilho 10/20/13 Thick segment Basolateral side Distal convoluted tubule cells Nephron loop (thin-segment) cells Collecting duct Principal cell Intercalated cell Collecting duct cells 7 Renal Tubule Proximal convoluted tubule (PCT) – composed of cuboidal cells with numerous microvilli and mitochondria Reabsorbs water and solutes from filtrate and secretes substances into it Reabsorbs 100% of glucose, amino acids, escaped proteins, some vitamins, 60-70% of Na+, K+, Cl-, Ca++ and water Secretes H+, NH3 (ammonia), drugs, toxins, uric acid and histamine 10/20/13 MDufilho 8 Renal Tubule Loop of Henle – a hairpin-shaped loop of the renal tubule Descending Limb Impermeable to electrolytes, permeable to water 80% Water is absorbed, filtrate becomes hypertonic Ascending Limb Permeable to Na+ and Cl- but not water Filtrate becomes hypotonic 10/20/13 MDufilho 9 Renal Tubule Distal convoluted tubule (DCT) Reabsorbs: Na+ directed by aldosterone Water directed by ADH Ca++ directed by PTH Some HCO3-, depending on pH of blood Secretes: NH3, K+, drugs, toxins, and creatinine Some H+, depending on pH of blood 10/20/13 MDufilho 10 Collecting Tubule Reabsorbs Na+ directed by aldosterone HCO3- depending on blood pH Urea to maintain hypertonic interstitial fluid around nephron tubules Water directed by ADH 10/20/13 MDufilho 11 Capillary Beds of the Nephron Every nephron has two capillary beds Glomerulus Peritubular capillaries Each glomerulus is: Fed by an afferent arteriole - larger Drained by an efferent arteriole - smaller 10/20/13 MDufilho 12 Figure 25.8 Juxtaglomerular complex (JGC) of a nephron. Glomerular capsule Efferent arteriole Afferent arteriole Glomerulus 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 complex • Macula densa cells of the ascending limb of nephron loop • Extraglomerular mesangial cells • Granular cells Afferent arteriole Lumens of glomerular capillaries Endothelial cell of glomerular capillary Glomerular mesangial cells Juxtaglomerular complex MDufilho 10/20/13 Renal corpuscle 13 Figure 25.7 Blood vessels of cortical and juxtamedullary nephrons. Cortical nephron • Short nephron loop • Glomerulus further from the cortex-medulla junction • Efferent arteriole supplies peritubular capillaries Renal corpuscle Glomerulus (capillaries) Efferent arteriole Juxtamedullary nephron • Long nephron loop • Glomerulus closer to the cortex-medulla junction • Efferent arteriole supplies vasa recta Cortical radiate vein Cortical radiate artery Glomerular capsule Afferent arteriole Collecting duct Proximal convoluted tubule Distal convoluted tubule Afferent arteriole Efferent arteriole Peritubular capillaries Ascending limb of nephron loop Cortexmedulla junction Arcuate vein Kidney Vasa recta Arcuate artery Descending limb of nephron loop Nephron loop Peritubular capillary bed Glomerulus Afferent arteriole Efferent arteriole MDufilho 10/20/13 14 Hemodialysis Diffusion of solutes through semipermeable membrane Dialysis machine- group of tubules that act like a nephron Membrane allows free passage of glucose, electrolytes and nitrogenous wastes Filtration and production of filtrate is not required 10/20/13 MDufilho 15