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44 Cards in this Set

  • Front
  • Back
What embryonic tissue gives rise to the GU system?
Intermediate mesoderm
What are the tree major stages of kidney development?
Pronephros
Mesonephros
Metanephros
Which of the kidney stages forms an adult kidney?
Metanephros
The mesonephros (mesonephric duct) goes on to form what adult structures in males?
Epididymis
Vas dephrens
What tissue signals the intermediate mesoderm to form the pronephros?
Paraxial mesoderm
What structure is the precursor to the pronephros?
Pronephric duct
What portion of the pronephric duct forms an adult structure?
The caudal portion

It forms part of the excretory system
What is the pattern of formation for the mesonephros?
It forms and degenerates, anterior to posteriorly. Kind of like a tank.
What cell types does mesonephros form?
Hematopoetic stem cells
The nephric duct induces the formation of what structure?
The mesonephros
Where is the site that the metanephrogenic mesenchyme/blastema forms?
Posterior region of the intermediate mesoderm
What tissues interact during the formation of the metanephros?
Epithelium of intermediate mesoderm
Mesenchyme of the intermediate mesoderm
What is the pattern of induction in the metanephros?
Metanephrogenic mesenchyme-->Ureteric bud formation
Ureteric buds-->Metanephrogenic mesencyme nephron formation

Reciprocal cross-talk

The mesenchyme induces the branching of the bud

The bud epithelia causes the mesenchyme to aggregate and cavitate
What occurs at the tips of the epithelia to the mesenchyme in kidney development? What is formed?
A mesenchyme to epithelial transition.

Formation of Bowman's capsule
The ureteric bud gives rise to these structures?
Collecting ducts
Ureter
The cap mesenchyme gives rise to this structure:
Nephron
During what week of development does the metanephros become functional?
Week 12
What cells line the inside of Bouwman's capsule? What is their function?
Podocytes

Filter for proteins while allowing fluids to exit
What is unique about the capillaries of the glomeruli?
fenestrated
What is the signal that induces kidney development?
Retinoidc acid
What genes are key for the formation of the kidney?
Lim1
Pax2
Pax8
What is the function of Pax2?
Causes mesenchyme to be responsive to inductive signals
What is the effect of a Pax2 deletion?
Nephric duct forms normally

No ureteric bud or metanephros
What genes are responsible for the positioning of the kidneys?
Hox genes
What gene allow response to ureterinc bud inducers?
WT1
What is gene is secreted by the metanephrogenic mesencyme to induce branching? What/where is its receptor?
GDNF, TGF-beta1, BMP4

Ret, ureteric bud
What genes are secreted by this component to prevent apoptosis of this other tissue during kidney development?
FGF2, BMP7 secreted by the ureteric bud

Mesenchymal apoptosis
What genes cause mesenchymal aggregation and transition?
Wnt signalling

Secreted by the ureteric bud
What are the general steps of metanephros reciprocal induction?
1. Metanephrogenic mesenchyme forms
2. Metanephrogenic mesenchyme secretes GDNF to cause branching of thebud
3. Bud secretes survival factors
4. Wnt signalling causes aggregation of the mesenchyme, transition to epithelium
5. Wnt signalling converts aggregated mesenchyme into a nephron
6. Signals from the mesenchme cause branching of the bud
What molecule causes branching of the ureteric bud?
Collagen XVIII
What is the function of vitamin A in kidney development? What if there's a defect related to this?
Vitamin A is converted into Retinoic acid, which causes the expression of Ret, which allows for the branching of the kidneys

Problems means small kidneys
What is a condition secondary to renal dysfunction in fetuses? What are the secondary problems?
Oligohydramnios/Potter sequence

Mechanical pressure on the fetus (deformed face, limbs, etc)
Problems with lung development
In humans what happens if there's a complete deletion/mutation of Pax2? Partial?

What type of a mutation is this?
Death due to no kidneys

Renal-Coloboma syndrome

Dominant mutation - one of them will cause disease.
What are the symptoms of Renal-Coloboma syndrome?
Renal hypoplasia
Vesicouretral reflux: urine coming back into the kidney
Optic nerve problems
What is the effect of a gain of function mutation in Pax2?
Cancers
Cystic diseases
What is the effect of a mutation in the Eye-Six genes?
Branchio-Oto-Renal Syndrome
What are the symptoms of Branchio-Oto-Renal (BOR) syndrome?
Kidney problmes
Hearing problmes
Cervical cysts
What is the inheritance of BOR syndrome?
Dominant
WT1 is expressed in what tissue? What is its function?
Podocytes

Causes differentiation, inhibits proliferation
What is the cause of Wilms' tumor? Appearance? Patient population?
Mutations in WT1, other tumor supressor genes

Many different cell types

Infants from 0-24 mo.
Mutations in these structures can cause polycystic kidney disease:
Cilia
What is the function of cilia in the kidneys?
Signalling
Pressure sensing
Mutations in collagen IV cause this syndrome:
Alport's syndrome
What are the symptoms of Alport's syndrome?
Severe renal disease
Hearing problems