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main functions of kidneys
-blood filtration/excretion
-regulation
-synthesis of vitamin d
organs that make up the urinary system
kidneys, ureters, urinary bladder, and urethra
describe the renal capsule
made of fibrous CT, surrounds each kidney, + is cushioned by perirenal fat
describe the renal fascia
thin layer of loose CT + anchors kidneys and surrounding adipose to abdominal wall
describe the hilum of the kidney
renal nerves + arteries enter, renal vein + ureter exit, and opens into renal sinus
regions of the kidney
-cortex: outer area
-medulla: inner area (renal pyramids)
-calyces: minor and major funnels
-renal pelvis: enlarged chamber that acts as a funnel to carry urine from calyces to ureter
define nephron
functional and histological unit of the kidney
what makes up a renal corpuscle
glomerulus and bowman's capsule
describe the glomerulus
-network of fenestrated capillaries
-surrounded by bowman's capsule
-afferent arteriole (leads into glomerulus)
-efferent arteriole (leads out of glomerulus)
what percentage of cardiac output is routed to the glomerulus
about 21%
describe the bowman's capsule
-surrounds glomerulus
-parietal layer: simple squamous epithelium
-visceral layer: podocytes
what is the renal tubule comprised of
-PCT (in cortex)
-LoH (mostly medulla)
-DCT (in cortex)
difference between juxtamedullary and cortical nephrons
-85% of nephrons are cortical
-15% of nephrons are juxtamedullary
describe the purpose of the juxtaglomerular apparatus
-BP regulation
-renin production
-filtrate formation
describe juxtaglomerular cells
-ring of smooth muscle cells around afferent arteriole
-contract in response to stretch and sympathetic stimulation
-synthesize, store, and release renin
describe the macula densa
-specialized tubule cells of the DCT
-responds to changes in NaCl
-signal juxtaglomerular cells to release renin
what are the principal factors that influence filtration in the kidneys
renal fraction, renal blood flow rate, renal plasma flow rate, filtration fraction, + glomerular filtration rate
define renal fraction
part of total cardiac output that passes through the kidneys (~21%)
define renal blood flow rate
amount of blood that flows to the kidneys per minute (cardiac output x renal fraction)
define renal plasma flow rate
renal blood flow rate x fraction of blood that is plasma (55%); 650mL/min
define filtration fraction
part of plasma that is filtered into lumen of Bowman's capsules (19%); ~125mL
define glomerular filtration rate (GFR)
amount of filtrate produced each minute; 125mL/min; 180,000mL/day
what are the two auto-regulation mechanisms involved in filtration
-myogenic mechanism
-tubuloglomerular feedback mechanism
describe the myogenic mechanism
-"muscle produced"
-senses minor fluctuations in BP @ glomerulus
-stretch receptors in arterial smooth muscle cells detect changes in BP
-if arterial BP is elevated, smooth muscle in arteries contract, helping limit blood flow into the glomerulus
-if arterial BP falls, smooth muscle in arteries relax, helping increase blood flow into the glomerulus
describe the tubuloglomerular feedback mechanism
-responds to secondary changes in glomerular BP; senses changes in filtrate flow/osmolality in DCT
-changes in filtrate flow are sensed by cells of the macula densa, which then signal the juxtaglomerular apparatus
-afferent arteriole constricts in response to increased BP (detected as increased filtrate flow)
-afferent arteriole relaxes in response to decreased BP (detected as decreased filtrate flow)
what percent of filtrate volume is reabsorbed
99%
describe the process of reabsorption in the proximal tubule involving passive Na+ transport
Na+ enters PCT cell across apical membrane by diffusion (often in symport with another molecule)
describe the process of reabsorption in the proximal tubule involving active Na+ transport
Na+ is pumped across basal membrane into the interstitial fluid; this maintains low Na+ concentration inside PCT cell
describe the general process of reabsorption in the PCT
solutes diffuse across apical membrane + is pumped across basal membrane into the interstitial fluid and then move into the peritubular capillaries
describe the process of reabsorption in the LoH involving the descending thin segment
-primarily water absorption
-highly permeable to water
-moderately permeable to solutes
-water moves out of loop; volume of filtrate reduced by 15%
describe the process of reabsorption in the LoH involving the ascending vasa recta
-water diffuses IN
-solutes diffuse OUT
describe the process of reabsorption in the LoH involving the ascending thin segment
-primarily solute reabsorption
-NOT permeable to water
-permeable to solutes
-solutes diffuse out of the tubule and into the more dilute interstitial fluid
describe the process of reabsorption in the LoH involving the descending vasa recta
-water diffuses OUT
-solutes diffuse IN
describe the process of reabsorption of Na+ in the distal tubule
-Na+ diffuses from filtrate into cells of DCT and collecting duct due to concentration gradient
-Na+ actively transported out of tubule cells into interstitial fluid with Cl-
describe the process of urine concentration
-water reabsorption is regulated by ADH
-in the presence of ADH, water moves by osmosis FROM the DCT and collecting duct INTO interstitial fluid
how do solutes move across the apical membrane in reabsorption
-symport
what are the three ways solutes can move across the basal membrane in reabsorption
-facilitated diffusion
-active transport
-symport
define facilitated diffusion
channels are specific for ion/nutrients
define active transport
ATP required to move solute across membrane
define symport
non-specific channels for ion/nutrients; uses concentration gradients for diffusion
how does water move across the apical and basal membranes in reabsorption
osmosis
why is urea recycled
urea flows in a cycle to maintain a high urea concentration in medulla of kidney
describe the urea recycling process
-descending LoH is permeable to urea > urea diffuses IN from interstitial fluid
-ascending limbs and distal tubules are impermeable to urea
-collecting ducts are permeable to urea > most urea then diffuses OUT into interstitial fluid before it can be excreted into the renal papillae and calyces
what substances are moved during tubular secretion & how are they moved
-H+, K+, drugs, metabolic products, & para-aminohippuric acid (PAH) = actively secreted into renal tubule
-ammonia = diffuses into tubule lumen
what is the purpose of secretion of H+ into tubules
aids in regulation of blood pH
what is ammonia
toxic product of protein catabolism
describe the purpose of the countercurrent exchange mechanism
allows kidneys to concentrate urine
what are the 3 main factors of the countercurrent exchange mechanism
1. parallel tubes:
-loop of henle
-vasa recta
2. fluid flows in opposite directions
3. passive exchange of solute and water
-exchange occurs between blood + interstitial fluid
-requires solute concentration
what role does the descending loop of henle play in the countercurrent exchange mechanism
-water flows OUT and is picked up by vasa recta (water exchange)
-medulla must maintain a high solute gradient in order to draw water out of the descending limb
-solutes become more and more concentrated as filtrate approaches the bend in the loop
what role does the ascending loop of henle play in countercurrent exchange mechanism
-solutes diffuse across apical membrane of LoH cells
-solutes are actively transported across basal membrane in interstitial fluid to keep concentration gradient high
-excess solutes are picked up by vasa recta (solute exchange)
how does atrial natriuretic peptide hormone (ANP) influence the concentration and volume of urine
-produced by right atrium of heart when blood volume increases, stretching cells
-causes vasodilation of afferent arteriole
-increases GFR
-increases filtration surface area
-inhibits renin release
-inhibits Na+ reabsorption and ADH
-increases volume of urine produced: fluid elimination decreases BP
-venous return is lowered, volume in right atrium decreases
how does the renin-angiotensin-aldosterone system influence the concentration and volume of urine
-sensitive to changes in BP
-decrease in BP in the afferent arteriole is sensed by juxtaglomerular cells
-activates renin secretion
-aldosterone increases Na+/K+ pumps in basal membrane; this increases Na+ reabsorption; water follows by osmosis, increasing BP
how does the antidiuretic hormone influence the concentration and volume of urine
-sensitive to changes in blood osmolality
define renal plasma clearance
-volume of plasma cleared of a specific substance each minute
-used to calculate renal plasma flow
-used to determine how much of a substance (urea, glucose, drugs) are cleared from the body
-normal: 70mL/min for urea; 0mL/min for glucose
why is insulin used to estimate GFR through plasma clearance
????
define tubular load
total amount of substance that passes through filtration membrane into nephrons each minute
define tubular maximum
maximum rate at which a substance can be actively reabsorbed
describe the ureters
-bring urine from renal pelvis to urinary bladder
-mucosa: transitional epithelium
describe the urinary bladder
-expandable muscular organ
-muscosa: transitional epithelium
-muscularis: detrusor muscle
-trigone: triangular area between ureters and urethra
describe the male urethra
-extends from the inferior part of the urinary bladder to the external urethral orifice
-internal urinary sphincter: elastic CT and smooth muscle located at bladder outlet; controlled by ANS
describe the female urethra
-shorter urethra
-opens into vestibule anterior to vaginal opening
describe the external urinary sphincter
skeletal muscle surrounds urethra as it extends through pelvic floor; controlled voluntarily by frontal lobe of cerebral cortex
functions of reproductive system
1. production of gametes (sperm & egg cells)
2. fertilization (diploid zygote develops into embryo)
3. development and nourishment of new human being
4. production of reproductive hormones
what are the two layers of the testes
tunica albuginea & tunica vaginalis
describe the structure of the testes
-tunica albuguinea:
-fibrous CT
-forms capsule and separates testis into lobules
-seminiferous tubules:
-site of sperm development
-empty into epididymis
what is the endocrine function of the testes
-leydig cells (interstitial cells)
-secrete testosterone
what is the exocrine function of the testes
secretes sperm
describe the process of spermatogenesis
-takes ~74 days
-spermatozoa produced in seminiferous tubules
-sperm cells mature in epididymis
-begin as germ cells (spermatogonia)
-primary spermatocytes (formed by mitosis of germ cells)
-secondary spermatocytes (formed by meiosis I)
-spermatids (formed by meiosis II)
what is the acrosome of sperm
contains enzymes
what is the head of the sperm
contains nucleus
what is the mid piece of sperm
contains mitochondria
what is the flagellum of the sperm
aids in movement
describe the structure of the penis
3 columns of erectile tissue: corpora cavernosa + corpus spongiosum
-prepuce covers glans
describe the corpora cavernosa
-erectile tissue of dorsum and sides
-form crus/crura
describe the corpus spongiosum
-ventral erectile tissue
-forms bulb
-extends to form glans penis
describe seminal vesicles
-located next to ductas deferentia
-empty into ejaculatory duct
-contain CT and smooth muscle
-produce ~60% of semen fluid
-secretes fructose + citric acid (supports sperm cell metabolism)
-secretes fibrinogen (causes mild coagulation)
describe the prostate gland
-glandular and muscular tissue
-surrounds and empties into prostatic urethra
-secretes thin, milky secretion, alkaline pH
-secretes clotting factors, fibrinolysin
describe the bulbourethral glands
secretes alkaline mucus into spongy urethra just before ejaculation
examples of male diploid and haploid cells
-diploid: spermatogonium, primary + secondary spermatocyte
-haploid: secondary oocyte + ovum
examples of female diploid and haploid cells
-diploid: oogonium, primary oocyte
-haploid: secondary oocyte, ovum
list the ducts of the male reproductive system
epididymis, ductus deferens, spermatic cord, + ejaculatory duct
describe the epididymis
-comma shaped, on posterior of testis
-site of final sperm maturation (12-16 days)
-stereocilia: increase surface area to facilitate absorption of fluid
-sperm moves from the efferent ductules into the duct of the epididymis
describe the ductus deferens (vas deferens)
-passes from epididymis into abdominal cavity
-ampulla: enlarged distal end of ductus
-smooth muscle walls exhibit peristalsis
describe the spermatic cord
contains: ductus deferens, testicular artery, venous plexus, lymphatic vessels, + nerves
describe the ejaculatory duct
-ampulla of ductus deferens merges with duct of seminal vesicle
-extends into prostate gland; opens in urethra
hormones that effect male reproductive system & their functions
-human chorionic gonadotropin: stimulates secretion of testosterone by fetal testes
-GnRH: increases LH + FSH
-FSH: formation of sperm
-LH: Leydig cells secrete more testosterone
describe effects of testosterone on males during puberty
-enlargement and differentiation of male genitals and reproductive duct system
-sperm cell formation
-descent of testes
-hair growth
-increased melanin, skin is rougher and coarser
-increased rate of secretion of sebaceous glands
-hypertrophy of larynx
-increased metabolic rate
-increased RBC count
-increased protein synthesis
-rapid bone growth and closure of epiphyseal plates
describe development of the oocyte
-begins as germ cells (oogonia)
-forms into primary oocyte > undergoes meiosis I
-forms into secondary oocyte > undergoes meiosis II
-if fertilized: becomes a zygote > completes meiosis II
describe the primordial follicle
-present before birth
-contains primary oocytes
-granulosa cells: convert androgens to estrogen (target of FSH)
describe the primary follicle
-develops at puberty from primordial follicle
-contains primary oocyte
-zona pellucida forms around oocyte
-granulosa thickens; cells become cuboidal
-secretes estrogen
describe the secondary follicle
-fluid-filled vesicles appear among granulosa
-theca interna (capsule) forms outside granulosa; synthesizes hormones
describe the mature follicle
-antrum forms from fusion of fluid-filled vesicles
-secondary oocyte surrounded by cumulus cells
-appears as a lump on surface of ovary
-ruptures at ovulation
-releases secondary oocyte
-cumulus cells become corona radiata
describe uterine tubes
-transport oocyte/zygote from ovary to uterus
-infundibulum opens to peritoneal cavity
describe the fimbriae of the uterine tubes
fingerlike folds surround ovary during ovulation
describe the ampulla of the uterine tubes
location of fertilization; longest portion of uterine tubes
describe the mucosal layer of the uterine tubes
-simple ciliated columnar epithelium with longitudinal folds
-provides nutrients for oocyte/pre-embryo through the tube towards uterus
describe the muscular layer of the uterine tubes
-peristaltic contractions help propel fluid/oocyte/pre-embryo towards uterus
what are the three layers of the uterus
-perimetrium: serous membrane
-myometrium: smooth muscle (thickest layer in the body)
-endometrium: mucous membrane
what are the characteristics of the endometrium
-basal layer: continuous w/ myometrium
-functional layer: lines uterine cavity
-spiral arteries: supply blood to functional layer
compare the cervix to the uterus
cervix = less contractile than rest of uterus