The Urinary outflow tract:
The Urinary outflow tract:
••
monitors and regulates extra-cellular fluids
•• monitors and regulates extra-cellular fluids
excretes harmful substances in urine, including
excretes harmful substances in urine, including
nitrogenous wastes (urea)
nitrogenous wastes (urea)
returns useful substances to bloodstream
returns useful substances to bloodstream
••
maintain balance of water, electrolytes (salts), acids, and
•• maintain balance of water, electrolytes (salts), acids, and
pH in the body fluids
pH in the body fluids
nephrons in the kidney generate urine that is propelled
to the ureters and then to the bladder for storage and excretion
Formation of Urine:
Formation of Urine:
blood filtered to
blood filtered to
the glomerulus
the glomerulus
capillary walls thin
capillary walls thin
blood pressure higher
blood pressure higher
inside capillaries than
inside capillaries than
s capsule
in Bowman’’s capsule
in Bowman
Formation of Urine
Formation of Urine
nitrogen-containing waste products of protein
nitrogen-containing waste products of protein
metabolism, urea and creatinine
metabolism, urea and
through tubules to be excreted in urine
through tubules to be excreted in urine
urine from all collecting ducts empties into
urine from all collecting ducts empties into
, pass on
creatinine, pass on
renal pelvis
renal pelvis
urine moves down ureters to bladder
urine moves down ureters to bladder
empties via urethra
empties via urethra
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The urogenital system derives predominantly from
intermediate mesoderm
Formation of Urine
Formation of Urine
in healthy nephron, neither protein nor
in healthy
RBCs
nephron, neither protein nor RBCs
filter into capsule
filter into capsule
in proximal tubule, most of nutrients and large
in proximal tubule, most of nutrients and large
amount of water reabsorbed back to
amount of water reabsorbed back to
capillaries
capillaries
salts selectively reabsorbed according to
salts selectively reabsorbed according to
s needs
body’’s needs
body
water reabsorbed with salts
water reabsorbed with salts
During development, 3 successive kidneys form:
pronephros in an early embryo
2
Mesonephros in intermediate embryo
A metanephros is always drained exclusively by one duct, the
ureter.
In birds in reptiles the ureter separates from the nephric duct
and enters the cloaca. In mammals, the ureter separates from
the nephric duct and enters the bladder
As the embryo grows, the ureters lengthen, and the
kidneys rotate and ascend along the dorsal body wall
urogenital sinus
ureter
bladder
Wolffian duct
common
nephric duct
kidney
trigone
urethra
renal development begins when the ureteric bud invades
kidney mesenchyme (the metanephric blastema)
3
the different compartments of the urinary outflow tract are lined with
distinct cell types that perform diverse functions
making a kidney
the ureters
the kidney
the bladder
How are the diverse cell types in the kidney, ureter and bladder formed?
the kidney is radially patterned
4
The kidney forms via interactions between 3 main cell
types
Ureteric bud
nephron
progenitors
EMBRYONIC
KIDNEY
collecting
ducts
nephrons
local proliferation at ureteric bud tips forms an ampulla
insterstitium
Stroma
The ampulla splits to form two new tips
4thG
ub
Wolffian duct
2ndG
3rdG
The collecting duct system grows by dichotomous
branching
5
NEPHRONS FORM EXCLUSIVELY AT URETERIC BUD TIPS IN RESPONSE TO LOCAL
SIGNALS
Nephron
progenitors condense at ub tips, aggregate
and trans-differentiate into epithelial cells
that make up Comma and S-shaped bodies
nephrons differentiate from mesenchymal progenitors
Diverse cell types lining the nephron perform distinct functions
6
Reciprocal signaling between epithelial and
mesenchymal cell types is crucial for organ formation
Reciprocal Signaling is required for branching morphogenesis and
for nephron differentiation during renal development
co-culture experiments demonstrate reciprocal
signaling between ureteric bud epithelial and nephron progenitors
branching morphogenesis
•no ureteric bud, nephron progenitors undergo apoptosis
nephron induction
X
7
•no nephron progenitors, no branching morphogenesis
ub
Ret/Gdnf signaling exemplifies a reciprocal loop
signals from the ureteric bud control nephron
induction
signals from nephron progenitors control branching
morphogenesis
The Ret gene is expressed in ureteric bud tips where it controls
branching morphogenesis
Gdnf secreted by nephron progenitors binds to Ret via
the Ret receptor (Gfra1) inducing branching
morphogenesis
nephron
progenitors
ureteric bud
Ret/Gfra1
Gdnf
8