Mammalian kidney | |
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Details | |
Precursor | Ureteric bud, metanephrogenic blastema |
System | Urinary system and endocrine system |
Artery | Renal artery |
Vein | Renal vein |
Nerve | Renal plexus |
Lymph | Collecting lymphatic vessels |
Anatomical terminology |
The mammalian kidneys are a pair of excretory organs of the urinary system of mammals,[2] being functioning kidneys in postnatal-to-adult individuals[3] (i. e. metanephric kidneys).[2] The kidneys in mammals are usually bean-shaped[4] or externally lobulated.[5] They are located behind the peritoneum (retroperitoneally)[6] on the back (dorsal) wall of the body.[7] The typical mammalian kidney consists of a renal capsule, a peripheral cortex, an internal medulla, one or more renal calyces, and a renal pelvis.[7] Although the calyces or renal pelvis may be absent in some species.[7] The medulla is made up of one or more renal pyramids,[8] forming papillae with their innermost parts.[9] Generally, urine produced by the cortex and medulla drains from the papillae into the calyces, and then into the renal pelvis, from which urine exits the kidney through the ureter.[7][10] Nitrogen-containing waste products are excreted by the kidneys in mammals mainly in the form of urea.[11]
The structure of the kidney differs between species.[12] The kidneys can be unilobar (a single lobe represented by a single renal pyramid) or multilobar,[13][14] unipapillary (a single or a common papilla), with several papillae or multipapillary,[14][15] may be smooth-surfaced or lobulated.[1][13] The multilobar kidneys can also be reniculate, which are found mainly in marine mammals.[16] The unipapillary kidney with a single renal pyramid is the simplest type of kidney in mammals, from which the more structurally complex kidneys are believed to have evolved.[17][6][18] Differences in kidney structure are the result of adaptations during evolution to variations in body mass and habitats (in particular, aridity) between species.[19][20][12]
The cortex and medulla of the kidney contain nephrons,[21] each of which consists of a glomerulus and a complex tubular system.[22] The cortex contains glomeruli and is responsible for filtering the blood.[7] The medulla is responsible for urine concentration[23] and contains tubules with short and long loops of Henle.[24] The loops of Henle are essential for urine concentration.[25] Amongst the vertebrates, only mammals and birds have kidneys that can produce urine more concentrated (hypertonic) than the blood plasma,[7] but only in mammals do all nephrons have the loop of Henle.[26]
The kidneys of mammals are vital organs[27] that maintain water, electrolyte and acid-base balance in the body, excrete nitrogenous waste products, regulate blood pressure, and participate in bone formation[28][29][30] and regulation of glucose levels.[31] The processes of blood plasma filtration, tubular reabsorption and tubular secretion occur in the kidneys, and urine formation is a result of these processes.[8] The kidneys produce renin[32] and erythropoietin[33] hormones, and are involved in the conversion of vitamin D to its active form.[34] Mammals are the only class of vertebrates in which only the kidneys are responsible for maintaining the homeostasis of the extracellular fluid in the body.[35] The function of the kidneys is regulated by the autonomic nervous system and hormones.[36]
The potential for regeneration in mature kidneys is limited[37][38] because new nephrons cannot be formed.[39] But in cases of limited injury, renal function can be restored through compensatory mechanisms.[40] The kidneys can have noninfectious and infectious diseases; in rare cases, congenital and hereditary anomalies occur in the kidneys of mammals.[41] Pyelonephritis is usually caused by bacterial infections.[42][43] Some diseases may be species specific,[44] and parasitic kidney diseases are common in some species.[45][46] The structural characteristics of the mammalian kidneys make them vulnerable to ischemic and toxic injuries.[47] Permanent damage can lead to chronic kidney disease.[48][49] Ageing of the kidneys also causes changes in them, and the number of functioning nephrons decreases with age.[50]
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