Regulation of the balance between water and electrolytes
Excretion of metabolic wastes along with excesswater and electrolytes in urine
Secretion of renin
Secretion of erythropoietin
Conversion of the steroid prohormone vitaminD to its active forms (calcitriol)
Gluconeogenesis during starvation or periods of prolonged fasting
Kidneys
Approximately 12-cm long, 6-cm wide, and 2.5-cm thick in adults
Has a concave medial border, the hilum
Renal cortex
Renal medulla – Aligned lineartubules and ducts
Nephrons
Functional units of the kidney, each consisting of a corpuscle and a long, simple epithelial renal tubule with three main parts along its length: RenalCorpuscle, ProximalTubule, Loop of Henle, DistalTubule, ConnectingTubule
Blood Filtration
Filtration occurs through a structure with three parts: The fenestrations of the capillaryendothelium, The thick, combined basal laminae, The filtrationslitdiaphragms between pedicels
Secretion into the Filtrate
Organic anions and cations not filtered in the renal corpuscle may be released in the peritubular capillaries, taken up by the cells of the proximal tubules and undergo secretion into the filtrate
Mesangium
Physical support of capillaries within the glomerulus
Adjusted contractions in response to blood pressure changes, which help maintain an optimalfiltrationrate
Phagocytosis of protein aggregates adhering to the glomerular filter, including antibody-antigencomplexes abundant in many pathological conditions
Secretion of several cytokines, prostaglandins, and other factors important for immunedefense and repair in the glomerulus
Renal Tubule
Transcellularreabsorption involves both active and passive mechanisms, with the cells having a large variety of transmembrane ion pumps, ion channels, transporters, enzymes, and carrier proteins. Water and certain solutes can also move passively between the cells (paracellulartransport) along osmoticgradients through leaky apical tightjunctions.
Cell Structure of the Renal Tubule
Proximal Tubule Cells: Central nuclei, very acidophilic cytoplasm due to abundant mitochondria, very many long microvilli forming a prominent brushborder
Distal Convoluted Tubule Cells: Less tubular reabsorption, smaller cells with no brushborder, more discernible nuclei
3. Thick ascending limb – Simple cuboidal epithelium, actively transport sodium and chloride ions out of the tubule and into the interstitium
Distal Convoluted Tubule
Less tubular reabsorption, simple cuboidal cells are smaller and have no brush border and more empty lumens, more discernible nuclei
Collecting Ducts
1. The last part of each nephron, the connecting tubule, carries the filtrate into a collecting system that transports it to a minor calyx and in which more water is reabsorbed if needed by the body
2. Approaching the apex of each renal pyramid, several medullary collecting ducts merge again to form each papillary duct (or duct of Bellini), which deliver urine directly into the minor calyx
Structure of the Collecting Ducts
Composed mainly of pale-staining principal cells with few organelles, sparse microvilli, and unusually distinct cell boundaries
The medullary collecting ducts are the final site of water reabsorption from the filtrate. Principal cells are particularly rich in aquaporins
Scattered among the principal cells are variably darker intercalated cells with more abundant mitochondria and projecting apical folds
Ureters, Urinary Bladder, and Urethra
Urine is transported by the ureters from the renalpelvis to the urinary bladder where it is stored until emptying by micturition via the urethra
Structure of the Ureters, Urinary Bladder, and Urethra
The mucosa of these organs is lined by the uniquely stratifiedurothelium or transitional epithelium
Ureters: The thick muscularis of the ureters moves urine toward the bladder by peristalticcontractions and produces prominentmucosal folds when the lumen is empty
Urinary Bladder: Umbrella cells are especially well developed, the lamina propria and dense irregular connective tissue of the submucosa are highlyvascularized, the muscularis consists of three poorly delineated layers, collectively called the detrusormuscle
Urethra: The urethral mucosa has prominentlongitudinalfolds, the male urethra is longer and consists of three segments: prostatic urethra, membranous urethra, spongy urethra