URINARY SYSTEM • Ren (kidney) • Excretory passages - calyx renalis - pelvis renalis - ureter - vesica urinalis - urethra Kidney (ren, nephros) Cortex: - cortex corticis - pars radiata corticis - columnae renales (Bertini) Medulla: - pyramides renales (10 – 18) - papillae renales - foramina papillaria na area cribrosa Capsula fibrosa Capsula adiposa Renal corpuscules Blood supply: a. renalis aa. segmentales aa. interlobares aa. arcuatae aa. corticales radiatae aa. interlobulares afferent arteriole • glomerulus efferent arteriole • peritubular capilary network + vasa recta vv. corticales radiatae vv. interlobulares vv. arcuatae vv. interlobares vv. renales (* portal circuit) Cortical nephron Juxtamedullar nephron Medullary ray A. corticis radiata Peritubular capilary network V. corticis radiata V. arcuata Vasa recta MEDULLA CORTEX • Functional secretory unit nephron • Excretory units collecting ducts (tubulus et ductus colligens) ductus papillares Renal corpuscule corpusculum renis (Malpighi) Glomerulus Capsula glomeruli (Bowman) Renal (uriniferous) tubule tubulus renis Tubulus proximalis Ansa nephroni (Henle) Tubulus distalis Nephron Corpusculum renis ( 200 μm) arteriola afferens + efferens Glomerulus Urinary (Bowman’s) space Uriniferous pole Vascular pole Bowman’s capsule: parietal layer visceral layer + mesangium Corpusculum renis Filtration barrier • Glomerular endothelial cells – fenestrations (pores) w/o diaphragm • Laminae basales of endothelium and podocytes: 1. lamina rara subendothelialis, 2. lamina densa 3. lamina rara subepithelialis l. densa: collagen IV , l. rarae: heparansulphate • podocytes – filtration slit membrane – similar to a diaphragm spanning fenestrations in normal capillaries Filtration barrier 0,02 – 0,04 μm Ren (Weigert-vanGieson) tubulus proximalis tubulus distalis Ren (HE) – corpusculum renis, uriniferous pole  p p d Ren (HE): corpusculum renis – vascular and uriniferous pole Tubulus renis Distal tubule Proximal tubule Loop of henle Simple columnar epithelium + brush border Simple squamous epithelium (thin segment) Simple cubic epithelium (thick segment) Simple cubic epithelium Simple cubiccolumnar epithelium Ren – proximal tubule (ELM): brush border, basal labyrinth Ren – proximal tubule (ELM): brush border, basal labyrinth Ren (Weigert-van Gieson) - medulla Ren (HE): medulla Loop of Henle – thin segment Loop of Henle – thick segment ductus colligens Ren – medulla (HE) Ren (HES) – medulla: thin segment of Loop of Henle (longit.) Juxtaglomerular apparatus (renin & erytropoetin) Endocrine kidney cells: • juxtaglomerular cells (modified leiomyocytes of the wall of vas afferens) • macula densa (cells of distal tubule) • mesangial cells (extraglomerular mesangium – modified fibroblasts intercalated between capillaries in the vascular pole (intraglomerular mesangium – pathologic relevance – inflammation – collagen deposition) Juxtaglomerular apparatus area cribrosa Papilla renalis Area cribrosa on papilla renalis foramina papillaria medulla transitional [urotel] Exctretory pasages • intrarenal: tubuli colligentes ductus colligentes ductus papillares • extrarenal: calyces minores calyces majores pelvis renalis ureter vesica urinalis urethra (feminina, masculina) Extrarenal excretory passages • Mucosa - epithelium, lamina propria mucosae • tunica muscularis - smooth muscle tissue arranged into two concetric layers (or 3 – lower third of ureter, bladder) • adventitia - (bladder – partially serosa) (calyces et pelvis renalis, ureter, vesica urinalis, pars muralis urethrae) Transitional epithelium Empty m. detrusor contracted Full m. detrusor relaxed Uroplakin Adaptation to volume changes and osmotic resistance Cell architecture Membrane flexibility Rigid layer of uroplakin doi: 10.1242/​jcs.00811 Calyx renalis (HE) artery Ureter: - Mucosa (folds) – transitional epithelium + l. propria - Submucosa - Muscularis externa – long., circ., (lower third - long.) - Adventitia Ureter (HEŠ) Ureter (HE) Ureter (HE) Vesica urinalis Vesica urinalis Vesica urinalis (HE) Vesica urinalis (HE) Urethra feminina Mucosal folds Stratified squamous epithelium Lacunae urethrales Paraurethral glands Urethra feminina (HE) Urethra masculina • Pars intramuralis – transitional ep. • Pars prostatica – transitional ep. od colliculus seminalis: – pseudostratified columnar.ep. • Pars diaphragmatica – stratified columnar ep. – Tunica musc: m. sphincter urethrae ext. • Pars cavernosa – stratified columnar ep. fossa navicularis: – Stratified squamous – Lacunae urethrales Morgagni Urethra masculina – pars spongiosa Gll. paraurethrales (Littré) lacunae urethrales (Morgagni) Pars cavernosa urethrae masculinae (HE) stratified columnar. epithelium 4. Urinary system Slides: 30. Ren(HE) 31. Ren (Weigert-van Gieson) 32. Calyx renalis(HE) 33. Ureter(HE) 34. Vesica urinalis (HE) 35. Urethra feminina(HE) 41. Penis – urethra masculina (HE) Atlas EM: basal labyrinth (49) filtration membrane (41)