urinary system - comed.uobaghdad.edu.iq · 1- describe the different parts of urinary system. ......
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objectives
1- Describe the different parts of urinary system.
2- Describe the structure of kidney.
3- Define nephron, and list its histological parts.
a- Define renal corpuscle, describe its structure, and name
its parts.
b- Define Podocyte, and relate between its histological
structure and process of filtration.
c- Define filtration slit, describe its structure, and list its
components.
4- Recognize some clinical problems related to filtration.
5- Describe Mesangial cell, and identfy some of its functions.
Urinary system
• Consists of two kidneys, ureters, and one bladder
and ureter.
• Function:
• 1- Filtration of cellular wastes from blood
• 2- Selective reabsorption of water and solutes
• 3- Excretion of the wastes and excess water as
urine.
nephron
The major divisions of each nephron are:
• Renal corpuscle, an initial dilated portion in the cortex
• Proximal convoluted tubule, located primarily in the
cortex
• Thin and thick limbs of the nephron loop (loop of Henle),
which descend into the medulla, then ascend back to the
cortex
• Distal convoluted tubule
• Collecting tubule.
Filtration apparatus
• Consists of:
• 1- Endothelium of glomerular capillaries: they
are fenestrated, with no diaphragm, and posse a
large number of aquaporin-1(AQP-1) water
channels that allow fast movement of water
through epithelium.
• 2- Glomerular basement membrane.
• 3- Podocytes.
• Medical applications;
• In diseases such as diabetes mellitus and
glomerulonephritis, the glomerular filter is
altered and becomes much more permeable
to proteins, with the subsequent release of
protein into the urine (proteinuria).
Functions of mesangial cell
• Physical support and contraction—the mesangium
provides internal structural support to the glomerulus and
like pericytes, its cells respond to vasoactivesubstances
to help maintain hydrostatic pressure for the optimal rate
of filtration.
• Phagocytosis—mesangial cells phagocytose protein
aggregates that adhere to the glomerular filter, including
antibody-antigen complexes abundant in many
pathological conditions.
• Secretion—the cells synthesize and secrete several
cytokines, prostaglandins, and other factors important for
immune defense and repair in the glomerulus.