Top Banner

of 19

2nd Lecture on the Histology of Urinary System by Dr. Roomi

Apr 05, 2018

Download

Documents

Mudassar Roomi
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    1/19

    Histology

    of Urinary System

    By

    Dr. Mudassar Ali Roomi (MBBS, M.Phil)

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    2/19

    Parts of nephron

    Bowmans capsule

    Renal corpuscle= Bowmans

    capsule+ glomerulus Proximal tubule = PCT+ PST

    Intermediate tubule = thin

    segment

    Distal tubule = DST + DCT

    Loop of Henle= PST + DST+

    Thin segment

    2

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    3/19

    Proximal

    convoluted tubule

    (PCT)

    PCT is similar histologically to PST.

    Simple Cuboidal or low columnar epithelium

    Longer (14mm) than the distal convoluted

    tubule. So,more frequently seen in sections

    of renal cortex.

    diameter= 50-60 um

    Eosinophilic cytoplasm.numerousmitochondria

    Cell apex has abundant long microvilli which

    form a prominent brush borderfor

    reabsorption.

    Apical part of cell also show a lot of vesicles.

    Prominent lateral interdigitation of cells.

    Basal striations of the cells: Numerous

    mitochondria compartmentalized in the

    basal region by extensive infoldings of the

    basal plasma membrane.

    Because the cells are large, each transverse

    section of a proximal tubule typically

    contains only 3-5 rounded nuclei. Function: ?

    3

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    4/19

    4

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    5/19

    Loop of Henle

    U-shaped structure.

    Several parts

    thick, descending portion

    (PST)

    thin segment (dia= 15 um)

    Thick ascending segment

    (DST)

    Thin segment is lined by

    simple squamous epithelialcells having a few microvilli.

    5

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    6/19

    6

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    7/19

    Distal convoluted tubules (DCT)

    It is much shorter in length(5mm)

    has a wider lumen than PCTbecause the cells are low inheight.

    DCT is similar histologically toDST.

    Simple cuboidal cells (6-8 cellsper cut section)

    cytoplasm= faintly acidophilic

    Have no brush border and are

    smaller than the cells of proximaltubules.

    Function:?

    7

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    8/19

    8

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    9/19

    PCT Vs DCT

    9

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    10/19

    COMPARISON

    PCT

    1. Longer, so more cut sections

    2. More outer diameter

    3. Less diameter of lumen4. 3-5 cells per section

    5. Low columnar cells

    6. More eosinophilic cytoplasm

    7. Brush border present8. Prominent lateral

    interdigitations of cells-

    present

    DCT

    1. Shorter, so less cut sections.

    2. Less outer diameter

    3. Wider lumen4. 6-8 cells per section

    5. Low cuboidal cells

    6. Less eosinophilic cytoplasm

    7. No brush border8. Lateral interdigitations of

    cells not prominent

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    11/19

    Collecting Tubules & Ducts

    The collecting tubules are lined

    with cuboidal epithelium.

    Cells of the papillary collecting

    ducts of Bellini are columnar

    Centrally placed dark stainingnucleus

    Cytoplasm stains faintly

    No brush border

    No basal striations

    Function=?

    11

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    12/19

    12

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    13/19

    Juxtaglomerular

    apparatus (JGA)

    Specialized structure

    Made by The initial, straight part of the distal

    tubulemaking contact with The vascular

    pole of the renal corpuscle of its parent

    nephron.

    Macula densa

    Thickened part of the distal tubules that is in

    contact with the arterioles of renal corpuscle.

    columnar and more closely packed.

    Apical nuclei, basal Golgi complexes.**

    Acts as a Sensor of osolarity: A more

    elaborate and varied system of ion channels

    and transporters.

    Juxtaglomerular Granular (JG) cells

    Present adjacent to the macula densa, in thetunica media of the afferent arteriole.

    Modified smooth muscles (epitheloid cells)

    cells with secretory nature (renin)

    More rounded nuclei, rough ER, Golgi

    complexes and zymogen granules

    Lacis cells

    extraglomerular mesangial cells Function?

    13

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    14/19

    14

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    15/19

    15

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    16/19

    16

    comparison

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    17/19

    17

    comparison

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    18/19

    HOW TO DRAW KIDNEY!

  • 7/31/2019 2nd Lecture on the Histology of Urinary System by Dr. Roomi

    19/19

    Ureter- how to draw it!