Histology kidney

21 important questions on Histology kidney

What is the relation between the histology and function in the kidney?

  • Glomerulus: single layered squamous epithelium (filtration)
  • Proximal tube: cuboidal epithelium with microvilli (reabsorption so you need a big surface)
  • Distal tubule: cuboidal epithelium

What are the components of the nephron?

  • Renal capsule
  • Tubule

What is located in the renal capsule?

  • Glomerulus (capillary network)
  • Capsular space (where filtrate will be kept)
  • Glomerular capsule
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What is the tubule of the kidney?

It is a long unbranched tube that starts at the renal corpuscle and ends at the collecting duct.

How can you distinguish the cortex and medulla?

  • The cortex contains corpuscles
  • The medulla doesn't contain corpuscles

What are the differences between the cortical and juxtamedullary nephrons?

85% of all the nephrons are cortical and the nephron loop is short.  Juxtamedullary nephrons are really close to the medulla, the nephron loop goes far into the medulla. These nephrons are for concentration of the urine.

How is the blood circulation in the nephron?

Blood is delivered via the vas afferens (arteriole), it goes through the glomerulus (capillary network). After the glomerulus the blood continues via the vas afferens/arteriole to peritubular capillaries. The blood is drained via the venous system.

What are the functions of the peritubular capillaries?

  • Reabsorption of water
  • Feed cells of the tubules O2

Where does filtration happen and how does it happen?

Filtration happens in the renal corpuscle. The blood pressure presses water and solutes from the glomerular capillaries to the capsular space. The result is a cell- and protein free solution (filtrate).

Can you describe the histology of the glomerular capsule?

  • Outer capsule contains single-layered squamous epithelium
  • The glomerular capillaries are covered by visceral epithelium
  • Separated by the capsular space

What is the visceral epithelium?

Visceral epithelium exists of podocytes: large cells with complex processes (feet; pedicells) that surround the specialised basal lamina of glomerular capillaries.

What are filtration slits? What molecules fit through these slits?

Narrow openings between the pedicels. Only molecules smaller than the filtration slits will end up in the filtrate.

What is meant with the filtration membrane in the kidney?

  • Fenestrated capillaries
  • Basal lamina
  • Filtration slits

What are mesangial cells?

Mesangial cells are specialized supporting connective tissue cells. They are in the middle (mes) of the capillaries (angio) of the glomerulus. They control the diameter of the capillaries and thereby the blood flow. They phagocytose the basal lamina (housekeeping cells of the filtration membrane).

What happens to the filtration membranes in a diabetes mellitus patient?

Too high glucose levels make the filtration membrane more permeable (leakage), resulting in proteins in the urine (proteinuria).

What are the different renal tubules?

  • Proximal tubule (close to glomerulus)
  • Distal tubule (far from glomerulus)
  • Nephron loop (in between proximal and distal tubule, in medulla)

What are the differences in the three parts of the nephron loop?

  • Thick descending part: similar function as proximal tube (reabsorption of ions)
  • Thin descending part: permeable for water but not for solutes. Needed to concentrate the urine.
  • Thick ascending part: creates high concentrations of solutes in the peritubular solution

What are the functions of the distal tubule?

  • Active addition of ions, acids, medicine (antibiotics), and toxic compounds to urine
  • Selective reabsorption of sodium and calcium ions from urine
  • Selective reabsorption of water: concentrate urine

Which hormones are secreted by the kidney? Why?

EPO + renin to regulate blood production and blood pressure.

What is the juxtoglomerular complex?

It is an endocrine structure that senses the O2 levels in filtrate. It produces EPO and renin. It also regulates kidney blood pressure and blood flow (feedback) by contraction of the juxtaglomerular cells.

What does the juxtaglomerular complex exist of?

  • Macula densa: epithelial cells of the distal tubule, with sensory function (osmolarity)
  • Juxtaglomerular cells: smooth muscle cells in the wall of the vas afferens, with sensory function (O2) and secretion function (EPO, renin)

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