Development of Urinary system and reproductive system 1. Development of kidney and ureter 2. Development of urinary bladder and urethra 3. Abnormality in urinary system 4. Development of gonad 5. Development of reproductive tracts 6. Abnormality in reproductive system 3rd week: Head segmentation Nephrotome → Intermediate Mesoderm Pronephros Other migration, proliferation Nephrogenic cord → Mesonephros and Metanephros 3rd week Intermediate mesoderm ─── ─────→ Mesonephric ridge Gonadial ridge Intermediate mesoderm Nephrogenic cord ───→ Urogenital ridge Urinary system, Genital excurrent ducts Gonad Pudendum Mesonephric ridge Urogenital ridge Gonadial ridge Mesonephric ridge Gonadial ridge Development of urinary system Development of kidney and ureter 1. Pronephros 4th week Nephrotome (7-14th Somite) Pronephric Pronephric tubule duct Degeneration in 1 week Mesonephric duct Pronephric tubule Pronephros Time:4th week Function:no Destiny: degeneration 2. Mesonephros 14-18th somite Middle part of nephrogenic cord 80 transverse Sshaped tubule Mesonephric tubule Inner end form renal capsule Glomerulus Outer end bind to mesonephric duct Mesonephric duct The end bind to cloaca Continus to pronephric duct Time: end of 4th week Function: Mesonephric duct transient urinary Mesonephric tubule Destiny: Most degeneration, Small part form male excurrent duct 3.Metanephros Time:begin at 5th week, exist forever Function:begin at 3th month, urinary function Position:rise gradually Metanephros End of (adjacent to cloaca) mesonephric duct Origin Ureteric bud one Prolong Ureter Embranchment >12 Renal pelvis, renal calyce (The end branched as T) Collecting tube Origin two Metanephrogenic blastema (Mesoderm of the mesonephric ridge) Cap-shaped cell cluster S-shaped tubule Bind to collecting tubule Renal capsule Glomerulus Renal tubule + Renal corpuscle Nephron Mesonephric tubule Ureteric bud Metanephrogenic blastema Renal Renal pelvis calyce Collecting tubule Formation and rising of metanephros Development of urinary bladder and urethra Male Upper: Urogenital 4-7th week sinus Middle: Urinary bladder Urinary Upper part Urethra bladder of urethra Cloaca Urorectal septum Female Anorectal canal Lower: Lower part of urethra Vestibule of vagina Evolvement of male urogenital sinus A C B D E Positional evolvement of Ureter and Mesonephric duct Ureter Mesonephric duct Abnormality • • • Polycystic kidney Horseshoe kidney Single kidney • • • Double ureter Urachal fistula Exstrophy of bladder Polycystic kidney Horseshoe kidney Single kidney Right single kidney Left single kidney Ectopic kidney Double ureter Ureter Urachal fistula Exstrophy of bladder Development of gonad Gonad differentiation at 7th week Developmental stage: Sex undifferentiated stage→ Sex differentiated stage Reproductive tracts:2 → Proper current: 1 → Feamle Development of gonad Endoderm cells of yolk sac 1.Development of undifferentiated gonad 4th week Proliferation, differentiation Primordial germ cells 6th week Gonadial ridge 6th week Superficial epithelium →cell cords Migration in one week Primary sex cord Primordial germ cells Large and round endoderm cells in yolk sac Migration of primordial germ cells 6th week Histocompatibility Y antigen H-Y antigen determine the differentiation to testis The gene of H-Y antigen located at Y chromosome The cell membrane of the cell which sex chromosome is XY possesses H-Y antigen Primary sex cord H-Y antigen proliferation seminiferous tubule 2. Development of testis Primary sex cord (H-Y antigen) 7th week Separated from surface Mesenchymal cell Cells of sex cord Primordial germ cells Interstitial cell + Sustantacular cell + Spermatogonium Testis 3. Development of ovary Superficial epithelium Primary sex (No H-Y antigen) Mesenchymal cells Secondary sex cord (cortical cord) cord After 10th 16th week week Primordial follicle Degeneration Cells of sex cord Stroma + Follicular cells Primordial germ cells + Oogonium Ovary Cortex Medulla Cortical Cord Testis Ovary Rete testis Tubule rectus Follicle Seminiferous tubule Testis Rete testis Ovary Tubule rectus Follicle Seminiferous tubule Spermatogonium Primary oocyte Sustantacular cell Follicular cell Seminiferous tubule Follicle 4. Descend of testis and ovary Embryo →lengthen Gubernaculum →shorten 7th to 8th month → Scrotum Development of reproductive tracts 1. Undifferentiated stage: Mesonephric tubule Gonad Mesonephric duct Sinus tubercle A. Male Paramesonephric tubule Urogenital sinus B. Female 2. Differentiation of female reproductive tract End of upper segment:Fimbria Paramesonephric duct: Upper and middle segment:oviduct Lower segment: Uterus End: Sinus tubercle: Vaginal plate Mesonephric ducts and tubules Vaginal fornix Vagina Degeneration 3. Differentiation of male reproductive tract Metanephric Head ── Epididymal duct Tail ── Spermaduct duct Mespnephric tubules Most of →degeneration Some of → Efferent ducts Paramesonephric duct Degeneration Ovary Testis Urogenital sinus Urogenital sinus Oviduct Spermaduct Uterus Vaginal plate Efferent duct Epididymal duct Abnormality of reproductive system 1. Cryptorchidism 2. Congenital inguinal hernia 3. Double uterus 4. Vaginal atresia 5. Hypospadias 6. Hermaphroditism Cryptorchidism Congenital inguinal hernia Double uterus Vaginal atresia Hypospadias Hermaphroditism