VT 106 Comparative Anatomy and Physiology Urinary System URINARY SYSTEM kidneys – filter blood and form urine ureters – carry urine from kidneys to bladder urinary bladder – stores urine urethra – voids urine to outside FUNCTIONS OF URINARY SYSTEM 1) Filtration and Reabsorption of Blood – wastes are excreted and nutrients are reabsorbed into blood Excretion of Wastes – excreted in urine nitrogenous wastes ammonia and urea – main nitrogenous waste of mammals uric acid – main nitrogenous waste of birds and reptiles bilirubin – from hemoglobin creatinine – from creatine phosphate foreign drugs and toxins Regulation of Blood Osmolarity, Ion Concentration, and pH osmolarity = number of solute particles / liter of solution ions (electrolyte balance) – Na+, K+, Ca+2, Cl-, phosphate pH – H+, bicarbonate ions water – maintains blood volume and pressure 2) Secretion of Hormones and Enzymes calcitriol – increases absorption of dietary calcium erythropoetin – stimulates RBC production renin (enzyme) – activates RAA pathway KIDNEY GROSS ANATOMY paired retroperitoneal organs cushioned by perirenal fat renal capsule – dense irregular CT on surface of kidney renal hilus – medial indentation where vessels, nerves and ureter enter or exit renal cortex – outer region of kidney renal medulla – inner region of kidney, composed of renal pyramids unipyramidal (1 pyramid) – cat, dog, horse multipyramidal (multiple pyramids) – cattle, pig renal papilla – apex of pyramid drains urine into ureter or into funnel-shaped renal pelvis 1 RENAL HISTOLOGY NEPHRON – basic functional unit of kidney (100s of thousands/kidney) renal corpuscle – site of filtration renal tubule – collects filtered fluid, site of reabsorption & secretion Blood Supply to Nephron renal artery – carries blood to kidney afferent arteriole – supplies one renal corpuscle glomerulus – capillary bed in renal corpuscle efferent arteriole – drains renal corpuscle peritubular capillaries – surround renal tubules renal vein – returns blood from kidney Renal Corpuscle – found in cortex 1) glomerulus – capillary bed where fluid filters out 2) glomerular (Bowman’s) capsule – simple squamous epithelium surrounding glomerulus fluid (filtrate) from glomerulus collects in capsule Renal Tubule – tubule modifies content of filtrate to form urine 1) proximal convoluted tubule (PCT) – twisted tube in cortex closest to renal corpuscle 2) Loop of Henle descending limb – enters medulla ascending limb – returns to cortex 3) distal convoluted tubule (DCT) – twisted tube in cortex farthest from renal corpuscle Collecting Ducts – collect urine from renal tubules and carry it towards ureter Filtrate Flow Summary glomerular capsule ---> proximal convoluted tubule ---> descending Loop of Henle ---> ascending Loop of Henle ---> distal convoluted tubule ---> collecting duct ---> (renal pelvis) ---> ureter RENAL PHYSIOLOGY 3 Processes Involved in Production of Urine: 1) Glomerular Filtration – fluid filters out of blood, into glomerular capsule filtrate – blood minus cells, platelets and large plasma proteins contains water, nutrients, wastes, ions 2) Tubular Reabsorption – filtrate passes through renal tubule and water, nutrients, and some ions are reabsorbed into the blood 3) Tubular Secretion – renal tubule cells secrete additional wastes from blood into urine to be eliminate 2 GLOMERULAR FILTRATION glomerular blood pressure drives filtration normally higher than in other capillary beds because diameter of afferent arteriole is usually larger than diameter of efferent arteriole capsular pressure – resistance in glomerular capsule that opposes filtration normally low as long as urine outflow is not obstructed Glomerular Filtration Rate (GFR) – total amount of filtrate formed/minute usually maintained at a constant rate high GFR – urine formed so quickly there is not time for reabsorption (nutrients and water lost in urine) low GFR – wastes filtered out slowly, slow movement allows too much reabsorption (wastes accumulate in blood) Regulating GFR – maintaining normal GFR despite fluctuations in arterial blood pressure 1) Renal Autoregulation – nephrons respond to changes in blood pressure decreased glomerular blood pressure (would decrease GFR) reflex dilation of afferent arteriole = increased blood flow into glomerulus = increased GBP = returns GFR to normal (increased blood pressure = vasoconstriction of afferent arteriole) 2) Autonomic Regulation – sympathetic n.s. decreases blood flow to kidneys causes vasoconstriction of afferent arterioles = decreased blood flow into glomerulus = decreased GBP = decreased GFR 3) Hormonal Regulation RAA pathway – triggered by low blood pressure in kidney nephron – constriction of efferent arteriole = increased GBP = increases GFR back to normal aldosterone secretion – reabsorption of Na+ and water in kidney increased blood volume = increased GBP = increased GFR ADH = increases reabsorption of water by renal tubules increases blood volume = increased GBP = increased GFR TUBULAR REABSORPTION AND SECRETION all nutrients, 99% of water, and many ions are normally reabsorbed into blood additional wastes are secreted from blood into the urine Proximal Convoluted Tubule (65% of water and solute reabsorption occurs here) all organic nutrients are reabsorbed – glucose, amino acids, lipids primary active transport drives most reabsorption Na/K pumps pump Na out of tubule cells, back into blood low Na in tubule cells causes Na to be reabsorbed from filtrate water follows Na by osmosis and is also reabsorbed less water in filtrate = concentration of other solutes increased other solutes (eg. Cl, K, Ca) diffuse from filtrate into blood (reabsorbed) 3 secondary active transport – Na gradient used to move other solutes Na cotransport – nutrients and bicarbonate reabsorbed with Na Na countertransport – H+ secreted into urine as Na is reabsorbed Loop of Henle – 25% of reabsorption, but ascending limb is impermeable to water countercurrent multiplication – forms a concentration gradient in the medulla Na and Cl are reabsorbed without water following high NaCl concentration in the medulla of the kidney Distal Convoluted Tubule – hormones regulate amount of reabsorption here PTH – target cells reabsorb Ca aldosterone – target cells reabsorb Na and some water, and secrete K Na-H+ countertransport – secretes variable amounts of H+ to maintain pH reabsorbs bicarbonate – amount depends pH Collecting Duct – same functions as DCT most important for facultative reabsorption of water WATER REABSORPTION obligatory reabsorption – 85% of water reabsorption occurs in PCT and loop of Henle water always follows reabsorbed solutes by osmosis facultative reabsorption – remaining 15% of water reabsorption occurs in DCT and collecting duct variable amounts of water reabsorbed depending on hydration regulated by ADH no ADH = no water channels = no water reabsorbed large volume of dilute urine produced more ADH = more water channels = more water reabsorption smaller volume of concentrated urine produced FLUID BALANCE Water Loss – urine, perspiration, exhaled water vapor, feces Water Gain – ingestion (drinking and eating) metabolic water from aerobic respiration Dehydration – water loss exceeds water gain = low blood pressure body’s response to dehydration – less urine produced, thirst more ADH secreted = small volume of concentrated urine produced Overhydration – water gain exceeds water loss = high blood pressure body’s response to overhydration – more urine produced less ADH is secreted = large volume of dilute urine produced diabetes insipidus – hyposecretion of ADH = polyuria / polydipsia diuretics – drugs that inhibit reabsorption of water in kidneys diuresis – production of large volumes of urine used to treat hypertension (high BP) and edema 4 URINE STORAGE AND ELIMINATION Ureters – carry urine from kidneys to urinary bladder run retroperitoneal and enter dorsal bladder transitional epithelium – lines inner surface of ureters longitudinal and circular layers of smooth muscle peristalsis(waves of contraction)move urine down ureters to bladder Urinary Bladder – collects and stores urine balloon-shaped sac with a narrow neck attached to urethra transitional epithelium – lines inner surface detrusor muscle – 3 layers of smooth muscle in wall contracts during urination to expel urine internal sphincter normally contracted to hold urine Urethra – carries urine from bladder to external urethral orifice female urethra – short, opens into vestibule of vulva urethral sphincter – skeletal muscle surrounding urethra at pelvic outlet; allows voluntary control over urination male urethra – carries urine and reproductive secretions long; passes through prostate gland and penis urethral sphincter at pelvic outlet MICTURITION REFLEX – autonomic reflex micturition = urination stretch receptors in wall of bladder trigger a sacral spinal reflex parasympathetic motor fibers stimulate contraction of detrusor muscle and relaxation of internal sphincter cerebral cortex perceives fullness – has voluntary control skeletal muscles in urethral sphincter must be voluntarily relaxed urinary incontinence – lack of voluntary control over urination AVIAN URINARY SYSTEM each kidney has 3 lobes kidneys are located in recesses in dorsal body wall ureters drain into the cloaca (common opening for digestive, urinary, and repro. tracts) more water from urine can be reabsorbed by large intestine urine is eliminated with feces through the vent urine composition uric acid – main nitrogenous waste in bird and reptile urine forms a white paste – little water is used in its formation adaptation for egg-laying species urinary waste must be stored in the egg until hatching volume and toxicity of uric acid are very low 5 URINALYSIS – examining urine Volume – well hydrated = larger volume poorly hydrated = small volume diabetes Color – pale = dilute urine dark = concentrated urine blood, hemoglobin, myoglobin Specific Gravity (density compared to water) – indicates solute concentration low specific gravity = dilute urine high specific gravity = concentrated urine albuminuria (albumin) – glomerular damage, high BP glucosuria (glucose) – diabetes mellitus hemoglobinuria (hemoglobin) – intravascular hemolysis hematuria (RBCs) – inflammation, uroliths, trauma myoglobinuria (myoglobin) – myositis, muscle trauma ketonuria (ketones) – diabetes, fasting bilirubinuria (bilirubin) – liver disease pyuria (WBCs) – infection casts – clumps of material that block tubules microbes – infection BLOOD TESTS OF RENAL FUNCTION uremia – build-up of urinary waste in blood from decreased renal function BUN (blood urea nitrogen), creatinine prerenal uremia – inadequate blood flow to kidneys (heart failure, blood loss, dehydration) renal uremia – kidney damage 2/3 of nephrons must be nonfunctional to see clinical signs postrenal uremia – obstruction of urine outflow (eg. uroliths, tumors) 6