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46 Cards in this Set

  • Front
  • Back
Function of the kidney
-excretion of metabolic waste
- excretion of foreign chemicals
- gluconeogenesis
- secretion of erythropoeitin
- secretion of renin
- hydroxylation of vitamin D
Define Renal Lobe
1 pyrimid + surrounding cortical tissue (loops of henle, collecting tubules, straight parts of PCT and DCT)
What is the renal pelvis
expanded portion of the ureter
bifurcates into 2-3 major renal calyces
Define the hilum
area of the kidney where the ureter exits

blood vessels and lymph vessles enter and exit

nerves enter
what type of tissue makes up the capsul of the kidney
dense irregular connective tissue
what can be found in the cortex of the kidney
renal columns of bertin
- renal corpuscle
- PCT and DCT
- collecting ducts
what is a uriniferous tubule?
includes the nephron and the collecting duct
what makes up a nephron
renal corpuscle
proximal convoluted tubule
loop of henle
distal convoluted tubule
Define renal corpuscle
glomerulus+ bowman's capsule
what are the two types of nephrons
juxtamedullary
cortical
what makes the juxtamedullary nephron unique?
comprises 1/7th of the total nephrons

found at the cortical-medullary border

have long loops of henle that penetrate deep into the medulla

MOST important in urine production
Name some characteristics of the cortical nephrons
make up 6/7th of the nephrons in the kidney

have short loops of henle

no ascending thin limbs

less important in urine production
What comprises the blood supply to the kidneys
renal artery
segmental artery
interlobar artery
arcuate artery
interlobular artery
afferent arteriole
glomerular capillaries
efferent arterioles
peritubular capillaries
what makes up the visceral layer of bowman's capsule?
podocytes
where are mesangial cells found and what are they?
they help support capillaries in the glomerulus

they are specialized pericytes which are phagocytic and contractile
what type of cells are found in the parietal layer of bowman's capsule?
simple squamous epithelium
where are podocytes found?
in th visceral layer of bowman's capsule
where can the urinary pole be found?
starts at the proximal convoluted tubule and has plasma filtrate from bowman's capsule
what is the vascular pole
where afferent and efferent arterioles enter and exit the glomerulus

macula densa is in this region
Describe podocytes
they have long primary processes - branch into secondary prcesses which interdigitate

they have filtration slits which have a diaphragm made from the protein nephrin
what is nephrin
protein that forms the diaphragm in podocyte slits
what makes up the filtration barrier
lamina rara of podocyte
lamina densa of podocyte
lamina densa of endothelial cell
lamina rara of endothelial cell
what protein(s) are/is found in the lamina densa
type IV collagen
what protein(s) is/are found in the lamina rara?
laminin
entactin
fibronectin
heparan sulfate proteoglycans
what is the purpose of the glomerular filtration barrier
to control the passage of molecules from the plasma to the plasma filtrate

uses both size (particles >10nm) and charge exclusion (- not easily filtered)
what are mesangial cells?
resemble podocytes

help make ECM

provide physical and structural support
what is the function of mesangial cells
help with phagocytosis of protein aggregates and antibody-antigen complexes
what do mesangial cells secrete?
cytokines

prostaglandins
what type of tissue makes up the proximal convoluted tubule?
simple cuboidal epithelium with a brush border
Describe the PCT
has a prominent glycocalyx

major spot of reabsoprtion of glomerular filtrate

comes off of the glomerulus at the urinary pole

has many basal striations= membrane infoldings and mitochondria
Name the regions of the loop of Henle
descending thick limb- looks like PCT
descending thin limb- more nuclei in XS than in capillaries
ascending thick limb- impermeable to water
what type of tissue makes up the thin limb of LH
simple squamous epithelium
What type of tissue makes up the DCT?
simple cuboidal epithelium
describe the DCT
little if any brush border

contains basal striations/mitochondria lining

comes close to the glomerulus that made its PCT
what is the macula densa
DCT helps to form the macula densa when it associates with its vascular pole

sensitive to changes in NaCl concentrations
affects renin release by JG cells
what is the JG apparatus
contains the macula densa, extraglomerular mesangial cells and JG cells
where are JG cells found?
in the wall of afferent arteriole

few in the efferent arteriole
what do juxtaglomerular cells secrete?
renin in response to drop in BP

act as intrarenal baroreceptor
what tissue makes up the collecting duct or tubule?
simple cuboidal to simple columnar
what cellst ypes are found in the collecting duct or tubule?
principal cells

intercalated cells
What is the function of principal cells?
aquaporins

they have nonmotile primary cilium and are involved in polycystic kidney disease
what is the function of intercalated cells?
help regulate acid-base
what are interstitial cells
found from loop of hene to adjacent vasa recta

includes both renal cortical fibroblasts and medullary fibroblasts- both secrete erythropoietin

when activated participate in interstitial nephritis
What is Goodpasture syndrome?
autoantibodies against alpha3(IV)
what is alport's syndrome?
mutations in col4a5
what is benign familial hematuria
mutation in col4a4