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Histology Laboratories James D. Jamieson, MD/PhD

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1 Histology Laboratories James D. Jamieson, MD/PhD
Molecules to Systems 2003 Compiled by James D. Jamieson, MD/PhD Thomas L. Lentz, MD No part of this image collection may be distributed outside of the Yale University Intranet.

2 Acknowledgements Sources of Micrographs, Diagrams and Figures
Alberts, B. et al. Molecular Biology of the Cell. 4th Edition, Garland Science, New York, 2002. Gartner, L. P. and Hiatt, J. L. Color Atlas of Histology, Williams & Wilkins, Baltimore, 1994. Kerr, J. B. Atlas of Functional Histology. Mosby, London, 1999. Kessel, R. G. and Kardon, R. H. Tissues and Organs: a text-atlas of scanning electron microscopy. W. H. Freeman, San Francisco, 1979. Lentz, T. L. Cell Fine Structure. W. B. Saunders, Philadelphia, 1971. Lodish, H. et al. Molecular Cell Biology. W. H. Freeman, New York, Mizoguti, H. Color Slide Atlas of Histology. Nihon Shashin Shinbunsha, Tokyo. Young, B. and Heath, J. W. Wheater’s Functional Histology. Churchill Livingstone, Edinburgh, 2000. Micrographs taken by George Palade, Marilyn Farquhar, James D. Jamieson, Nicolai Simionescu, Maya Simionescu, David Castle, Thomas L. Lentz. Web Resources Cushing Library Educational Software/Cell Biology/Several Histology Resources

3 Urinary System Laboratory

4 Some Handy Abbreviations
G: glomerulus PCT: proximal convoluted tubule tDL: thin descending limb of Henle tAL: thin ascending limb of Henle TAL: thick ascending limb of Henle DCT: distal convoluted tubule (similar to TAL) CT: connecting/collecting tubule CD: collecting duct MD: macula densa AA: afferent arteriole (in) EA: efferent arteriole (out)

5 Cortex BV RT G CD Medulla Renal Cortex and Medulla Vasa recta

6 Organization of Renal Pyramid

7 The Nephron

8 Renal Tubules

9 Renal Corpuscle (Glomerulus, afferent and efferent arterioles, Bowman’s capsule, beginning of proximal convoluted tubule)

10 Corpuscle/Glomerulus
Diagram of Renal Corpuscle/Glomerulus

11 Renal Corpuscle/Glomerulus

12 Development of Renal Corpuscle

13 PCT CD G DCT Renal Corpuscles

14 Bowman’s space G Bowman’s capsule parietal layer visceral layer PCT Renal Corpuscles

15 MD Vascular pole Bowman’s capsule parietal layer visceral layer G Bowman’s space PCT Urinary pole Renal Corpuscle

16 Podocytes Bowman’s capsule parietal layer visceral layer PCT Bowman’s space (urinary space) Mesangial cells DCT Renal Corpuscle

17 Beginning of PCT Urinary Pole of Renal Corpuscle

18 Glomerular Filter

19 Bowman’s space Lumen of glomerular capillary Podocyte Foot processes of podocytes Fenestrae Urinary space Urinary space Glomerular BM Fenestrated Capillaries in Glomerulus

20 Podocyte FS: filtration slits Glomerulus

21 Filtration slits with diaphragms Capillary space Urinary space Components of Glomerular Filter

22 Scanning EM of Glomerulus
Foot processes Filtration slits

23 Renal Tubules in Sequence
Proximal Convoluted Tubules (PCT): Epithelium: brush border; basal infoldings Loop of Henle: straight portion of PCT (or thick descending limb) (TDL)>thin descending limb (tDL)>loop>thin ascending limb (tAL)>straight portion of DCT (or thick ascending limb) (TAL) Epithelium: Simple squamous epithelium on thin segments; epithelium similar to PCT and DCT on thick segments Distal Convoluted Tubule: Continuous with TAL>macula densa>DCT Epithelium: No brush border, numerous mitochondria Collecting Tubule: Epithelium: cuboidal Collecting Duct: Epithelium: cuboidal

24 Brush border Proximal Convoluted Tubule

25 Brush border Proximal Convoluted Tubule

26 M: mitochondria Mv: microvilli of brush border Proximal Convoluted Tubule

27 PCT Vasa recta T T CD Thin Walled Tubules of Loop of Henle

28 VR TAL tL TAL tL CD Relationhship Between CD, TAL, tL and Vasa Recta (VR)

29 Basolateral infoldings with mitochondria
Distal Convoluted Tubule

30 Distal Convoluted Tubule
Basolateral infoldings with mitochondria; few microvilli Distal Convoluted Tubule

31 Collecting Ducts, LS

32 Collecting Ducts, XS

33 Site of urine outflow at renal papilla
Renal pelvis Apex of Renal Pyramid

34 Countercurrent Multiplier

35 Countercurrent Multiplier

36 Countercurrent Multiplier

37 Juxtaglomerular Apparatus and Control of Blood Pressure and Volume

38 JGA and Control of Blood Pressure

39 Diagram of JG Apparatus

40 AA: afferent arteriole
J: juxtaglomerular cells MD: macula densa DCT: distal conv. tubule JG Apparatus

41 DT JG Apparatus: Mg, mesangial cells; P, podocyte; JC, juxtaglomerular cells with secretory granules containing renin (arrowheads)

42 Ureter, Bladder and Urethra

43 Transitional epithelium
Smooth muscle Ureter

44 Transitional epithelium
Relaxed Bladder

45 Distended Bladder

46 Male Urethra: transitional > stratified columnar epithelium

47 Some Pathology

48 Normal Glomerulus and Tubules
PAS stain for basement membrane glycoproteins.

49 Diabetic Kidney PAS stain. What component of the filtration apparatus might you see altered in an EM?

50 Membranous Glomerulonephritis
What structure is the membranous change affecting? The next EM taken at biopsy cinches the diagnosis.

51 Membranous Glomerulonephritis
Where is the pathology occurring? May be linked to chronic diseases and the immune system. What might the dark blobs be? Hint: look at the next immunofluorescence picture stained for IgG.

52

53 Minimal Change Disease
What is the most obvious change in this EM? EM is used routinely to diagnose kidney diseases.

54 Acute Pyelonephritis. Where is the infection located?

55 Renal cortex after drinking antifreeze.
What is the main target of ethylene glycol and what might the patients’s urine show?

56 Transplantation Rejection
What does the histologic picture tell you about what went wrong?


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