IJAR.2018.369

Type of Article:  Original Research

Volume 7; Issue 1.1 (January 2019)

Page No.: 6026-6034

DOI: https://dx.doi.org/10.16965/ijar.2018.369

CHRONOLOGY OF NEPHROGENIC EVENTS IN STAGED ABORTED HUMAN EMBRYOS AND FETUSES

Subhadra Devi Velichety 1, K. Thyagaraju *2, Siva Kumar Vishnubhotla 3, B. Ravindra Kumar 4.

1 Professor and Head, Department of Anatomy, Sri Padmavathi Medical College for Women, SVIMS University, Tirupati, Andhra Pradesh, India.

*2 Assistant Professor, Department of Anatomy, Sri Padmavathi Medical College for Women, SVIMS University, Tirupati, Andhra Pradesh, India.

3 Senior Professor, Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.

4 Lecturer, Department of Anatomy, Sri Padmavathi Medical College for Women, SVIMS University, Tirupati, Andhra Pradesh, India.

Address for Correspondence:  K. Thyagaraju, Assistant Professor, Department of Anatomy, Sri Padmavathi Medical College for Women, SVIMS University, Tirupati, Andhra Pradesh, India. E-Mail: tyagaraj21@gmail.com

ABSTRACT:

Introduction: The description given in various textbooks and literature on development of nephrons in human kidney doesn’t include details of chronology of nephrogenic events at various fetal ages. Though several studies were reported the knowledge on development of kidney especially on the nephrogenesis are limited. The studies emphasize the relationship between prenatal development of kidney and adult onset of renal diseases. Hence, an attempt was made in this study to obtain information by observing the serial sections of kidney of embryos and foetuses of different gestational ages for better understanding of nephrogenic events.

Material and methods: Thirty-five aborted embryos and dead fetuses of 5 weeks gestational age to full term were utilized for this study. The weight, Crown-rump length (CRL) and Crown-heel length (CHL) of foetuses were recorded. Kidneys were removed from the fetuses of more than 8 weeks gestational age by opening the abdominal cavity. The specimens were subjected to routine tissue processing and haematoxylin and eosin (H&E) staining.  5 embryos of less than 8 weeks gestational age were processed as a whole and were serially sectioned. The histological sections of 5 microns thickness were observed for the time of appearance of various nephrogenic components and photographed.

Results: Differentiating pronephric, mesonephric and metanephric components in different weeks such i.e. 05 – 12, 13 – 24, 25-36 were studied. In 06 – 12 weeks group a delay in the appearance of Pro and mesonephric, Meso and metanephric ducts were observed that appeared during the 6th week. Differentiation of other components have not completed by 6th week as stated in the literature.  In 13 – 24 weeks also there is delay in cortico-medullary differentiation that was observed at 16 wks. at which time the morphologically recognizable Nephrons were also observed. Major part of development occurred between 16-28 weeks instead of 16-24weeks as stated in the literature. Ampulla division continued beyond 24 weeks. Increased number of mature nephrons were observed between 24-28 weeks instead of 16-20 wks., nephron arcades were observed during 24-28 weeks instead of 14-22weeks.

Discussion: Delay of 2 to 6 weeks in the chronology of appearance /disappearance/ differentiation/ maturation of various morphological components in the ontogenesis of metanephric kidney while recapitulating its ancestral history (phylogeny) when compared with available literature.

Conclusion: Detailed findings of this study could aid the embryologists, neonatologists and nephrologists to understand the chronology of nephrogenic events and related consequences of developmental abnormalities.

Key words: Nephrogenic Events, Human embryos, Foetal Kidney, Pronephric, Mesonephric, Metanephric, Phylogeny.

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Cite this article: Subhadra Devi Velichety, K. Thyagaraju, Siva Kumar Vishnubhotla, B. Ravindra Kumar. CHRONOLOGY OF NEPHROGENIC EVENTS IN STAGED ABORTED HUMAN EMBRYOS AND FETUSES. Int J Anat Res 2019;7(1.1):6026-6034. DOI: 10.16965/ijar.2018.369