Human excretory system

Excretory system in human consists of a pair of kidneys, a pair of ureters, urinary bladder and urethra (Figure. 8.2). Kidneys are reddish brown, bean shaped structures that lie in the superior lumbar region between the levels of the last thoracic and third lumber vertebra close to the dorsal inner wall of the abdominal cavity. The right kidney is placed slightly lower than the left kidney. Each kidney weighs an average of 120-170 grams. The outer layer of the kidney is covered by three layers of supportive tissues namely, renal fascia, perirenal fat capsule and fibrous capsule.

The longitudinal section of kidney (Figure. 8.2.png 8.3) shows, an outer cortex, inner medulla and pelvis. The medulla is divided into a few conical tissue masses called medullary pyramids or renal pyramids. The part of cortex that extends in between the medullary pyramids is the renal columns of Bertini. The centre of the inner concave surface of the kidney has a notch called the renal hilum, through which ureter, blood vessels and nerves innervate. Inner to the hilum is a broad funnel shaped space called the renal pelvis with projection called calyces. The renal pelvis is continuous with the ureter once it leaves the hilum. The walls of the calyces, pelvis and ureter have smooth muscles which contracts rhythmically. The calyces collect the urine and empties into the ureter, which is stored in the urinary bladder temporarily. The urinary bladder opens into the urethra through which urine is expelled out.

Each kidney has nearly one million complex tubular structures called nephron (Figure 8.4). Each nephron consists of a filtering corpuscle called renal corpuscle (malpighian body) and a renal tubule. The renal tubule opens into a longer tubule called the collecting duct. The renal tubule begins with a double walled cup shaped structure called the Bowman’s capsule, which encloses a ball of capillaries that delivers fluid to the tubules, called the glomerulus. The Bowman’s capsule and the glomerulus together constitute the renal corpuscle. The endothelium of glomerulus has many pores (fenestrae). The external parietal layer of the Bowman’s capsule is made up of simple squamous epithelium and the visceral layer is made of epithelial cells called podocytes. The podocytes end in foot processes which cling to the basement membrane of the glomerulus. The openings between the foot processes are called filtration slits.

The renal tubule continues further 8.4.png to form the proximal convoluted tubule [PCT] followed by a U-shaped loop of Henle (Henle’s loop) that has a thin descending and a thick ascending limb. The ascending limb continues as a highly coiled tubular region called the distal convoluted tubule [DCT]. The DCT of many nephrons open into a straight tube called collecting duct. The collecting duct runs through the medullary pyramids in the region of the pelvis. Several collecting ducts fuse to form papillary duct that delivers urine into the calyces, which opens into the renal pelvis.

In the renal tubules, PCT and DCT of the nephron are situated in the cortical region of the kidney whereas the loop of Henle is in the medullary region. In majority of nephrons, the loop of Henle is too short and extends only very little into the medulla and are called cortical nephrons. Some nephrons have very long loop of Henle that run deep into the medulla and are called juxta medullary nephrons (JMN) (Figure 8.5 a and b)

The capillary bed of the nephrons- First capillary bed of the nephron is the glomerulus and the other is the peritubular capillaries. The glomerular capillary bed is different from other capillary beds in that it is supplied by the afferent and drained by the efferent arteriole. The efferent arteriole that comes out of the glomerulus forms a fine capillary network around the renal tubule called the peritubular capillaries. The efferent arteriole serving the juxta medullary nephron forms bundles of long straight vessel called vasa recta and runs parallel to the loop of Henle. Vasa recta is absent or reduced in cortical nephrons (Figure 8.6).

What is the importance of having a long loop of Henle and short loop of Henle in a nephron?