Anatomy and Human Biology 2214 September 28, 2009 M. Hall URINARY SYSTEM Objectives: You should be able to identify the following in the class slide sets: Kidney capsule cortex labyrinth medullary ray medulla renal papilla calyx lobe lobule arcuate artery interlobular artery afferent/efferent arteriole peritubular capillary vasa recta nephron renal corpuscle Bowman's capsule parietal layer visceral layer glomerulus juxtaglomerular apparatus macula densa proximal convoluted tubule proximal straight tubule thin limb of loop of Henle distal straight tubule distal convoluted tubule collecting duct Ureter transitional epithelium muscle layers Bladder stretched relaxed transitional epithelium umbrella cells muscle layers Urethra (female) various epithelia smooth muscle Urethra male mucosa submucosa (erectile tissue) Slide descriptions D-43, Kidney (H&E). . This slide was prepared from well-preserved animal kidneys and stained with H & E. It is the best slide for studying the various blood vessels and ducts of the kidney. By eye locate the major gross divisions of the kidney: capsule, cortex, medulla, renal pyramid, calyx and hilus. Using your low-power objective distinguish cortex from medulla and medullary rays from areas of labyrinth in the cortex. Use the diagram on the last page as a guide. Each nephron consists of a renal corpuscle, a proximal tubule with a convoluted and straight portion, a thin limb of the loop of Henle and the convoluted and straight portion of a distal tubule. List the structures you expect to find in the: 1. labyrinth area (high mag) _____________________________________________ 2. medullary ray (high mag) _____________________________________________ 1 3. upper medulla _____________________________________________ 4. lower medulla _____________________________________________ With the aid of the diagram, identify the various segments of the nephron and the collecting ducts in each area. Renal corpuscles show up well. Spend some time comparing their appearance with the diagram. In some cases you should be able to see the simple squamous epithelium of Bowman's capsule, lining the urinary space. It is not feasible to distinguish podocytes from endothelial cells in the glomerulus. Nor can one satisfactorily identify the mesangeal cells in a thick section, such as this. When you find a properly oriented section, you will be able to recognize the macula densa. It appears as a clustering of nuclei on one side of a distal tubule which lies against the vascular pole of the renal corpuscle. You probably will not be able to recognize the juxtaglomerular cells of the afferent arteriole. But you should be able to regurgitate the function of the JG apparatus? The blood supply in the kidney is highly important. It is unusual in having an arterial portal system. If you search in the appropriate regions of your slide, you can see sections of most of the named divisions of the arterial supply. Identify interlobar arteries located in the renal pelvis region. Arcuate arteries and veins run between the cortex and medulla. You can see them as tiny white holes if you hold the slide up to the light. Hold each of the other slides up similarly and note them there as well. Slide D-44 shows them especially well as a line of holes along the medullary-cortex border. Examine them under low power and distinguish the adjacent artery and vein. Interlobular arteries branch off from the arcuate arteries and course upwards towards the capsule. They form the boundaries between lobules, hence their name. Your section will cut through an occasional one with the typical appearance of a small artery. The efferent arterioles from those nephrons situated near the boundary between the cortex and medulla take a different course. They break up into long, thin capillary vessels which descend straight down into the medulla, and then loop back to the boundary. These capillaries are called the vasa recta. They provide nourishment to, and resorb water from, the medulla. The best place to observe the vasa recta is on slide D-45 stained with PASH, after which you will easily find them on this slide. Since this slide contains a complete section of a small kidney, the pelvis region is easily seen and understood. The ureter enters and its expanded end pushes up against the medullary papilla to form a calyx which is lined by transitional epithelium, recognizable by the darker staining top layer of cells some of which have two nuclei. Transitional epithelium lines the entire urinary passageway down to, and including part of, the urethra. Take a look at the very large terminal portions of the collecting ducts. If you are lucky you will see one or two ducts emptying through the epithelium lining the papilla into the calyx. D-42 Kidney monkey (FeH). Slide D-42 in an exceptionally fine slide. It has a section of a well preserved unilobular kidney cut thinly and stained with iron hematoxylin. Although the stain is just "black and white" it emphasizes cytological detail. The lobular organization is 2 especially visible as you scan around the cortex at low power. Check your identifications for the various parts of the nephron and collecting ducts. Find a macula densa. The pelvis, calyx with transitional epithelium, an interlobar artery and arcuate vessels show up well. Also there is a section though the ureter just outside of the pelvis. Do not miss examining it. It shows excellently preserved transitional epithelium in the stretched configuration right next to relaxed areas. D-45 Kidney human (PASH). The PASH stain emphasizes the basement membranes which are particularly prominent in the kidney. The cells have a very washed out appearance but the entire organization of the kidney is graphically outlined by basement membranes. Look for four things: 1. The basement membrane of the glomerulus. You are aware of the importance of the basement membrane to the renal function. Note as well, that the entire nephron is surrounded by a very well developed basement membrane. 2. The brush borders of proximal tubules. These structures are rich in glycocalyx which stains with PAS. 3. Vasa recta. You can see nicely the disposition of the vascular supply to the medulla of the kidney. At low power find an area of the medulla in which all of the tubules are cut in crosssection. Note that some small, scattered areas here have more basement membrane and appear darker or more cluttered than the surrounding areas. These areas contain clusters of vasa recta. Switch to higher power and confirm this by noting the red blood cells in the vessels. 4. (For the diligent only:) Arterioles entering/leaving renal corpuscles. Arterioles happen to be well distended on this slide and relatively easy to see. You can see the elongated smooth muscle cells in their walls in appropriately oriented sections. (Don’t worry if you don’t find any). Now that you know how vasa recta are disposed in the medulla, return to slide D-43 to view them stained with H & E. Obviously, if you are interested in looking for sections through the thin limb of the loop of Henle you should avoid these areas where the vessels of the vasa recta might confuse you. Compare these large capillaries at high power with nearby thin limbs of Henle. They are of about the same caliber, but the thin limbs have somewhat thicker walls and no blood cells inside of them. D-47 Ureter (H&E) At low power, observe the three layers of the ureter: mucosa, muscularis and adventitia. This tripartite organization is maintained throughout the urinary passage system. The mucosa is thrown into characteristic longitudinal folds. It is made of transitional epithelium underlain by a layer of fairly cellular connective tissue. Quite a few lymphocytes are found in this lamina propria. A lymph nodule may be seen in some slides. The muscularis layer consists of two somewhat diffuse sheets of smooth muscle: the inner is longitudinal, and the outer is circular. Towards the bladder end it picks up a third oblique layer. This muscle produces peristaltic waves that push the urine to the bladder even when you are lying down. D-49 Urinary bladder (H&E). Lower power: the layers of the bladder are basically the same as in the ureter. However, the muscle layer is much thicker and includes a third sheet of smooth 3 muscle with oblique orientation. Of course for a spherical organ like the bladder "longitudinal", "circular", and "oblique" are somewhat formalistic terms. In any case the sheets of smooth muscle are indistinct, so do not waste time trying to distinguish them. This is a good slide to use to study transitional epithelium. Look particularly at the umbrella cells and their acidophilic apical borders. By examining the epithelium, determine the state of distention of the bladder. D-48 Bladder, stretched (H&E). You have just looked at transitional epithelium of the bladder in the contracted state. In preparing D-48 care was taken to stretch the tissue while it was being fixed (by about as much as two Australian beers and a bag of chips would.) Look in particular at the mucosa. In some places the epithelium is not as well preserved as one might wish but it is obviously stretched. There the umbrella cells have acquired a squamous shape. Most of the bladder is covered by an adventitia; however, part of the organ has a free surface in the body cavity. Here a layer of mesothelial cells covers the connective tissue. This layer is therefore called a serosa. Its mesothelium is part of the peritoneum that lines the entire body cavity and the organs which protrude into it. Does adventitia or serosa cover the pieces of the bladder on your two slides? D-50 Female urethra (H&E). Under low power locate the urethra. It repeats the same three layers as the ureters, but is thicker. The two muscle layers are somewhat indistinct. The epithelium will vary according to the region from which the section is taken. Near the bladder it is transitional, at the external opening it is stratified squamous, and between those two places the epithelium is pseudostratified or stratified columnar. What is your call on your slide? Notice the small outpocketings of mucus-secreting cells which form clusters in the epithelium and extend into the lamina propria as simple glands. These are called the lacunae of Morgagni. How would you distinguish the urethra from the ureter? (Now is the time to think about this.) D-71 Penis (H&E). We will study the penis in more detail in the laboratory on the male reproductive system. Its reproductive function is more interesting than its urinary function (despite what your mother may have told you). Only the urethra concerns us at the moment. Locate this structure in the spongy portion of erectile tissue. It is lined with stratified or pseudostratified columnar epithelium with patches of stratified squamous epithelium. As the urethra broadens to its terminal enlargement and opens at the apex of the penis, the epithelium becomes predominantly stratified squamous in form. Notice the epithelial outpocketings for mucous glands, called the Glands of Littre. The names of these urethral glands are unimportant. In fact, the glands probably are not very important, just providing a bit of protection to the non-transitional epithelium that is exposed to urine. 4 Gross Structure of the kidney Structure of a nephron 5 D-43, Kidney (H & E) D-42 Kidney monkey (FeH) D-45 Kidney human (PASH) D-47 Ureter (H & E) D-49 Bladder (H & E) D-50 Female urethra (H & E) 6