The mammalian kidneys are a pair of excretory organs of the urinary system of mammals, being functioning kidneys in postnatal-to-adult individuals (i.e. metanephric kidneys). The kidneys in mammals are usually bean-shaped or externally lobulated. They are located behind the peritoneum (retroperitoneally) on the back (dorsal) wall of the body. The typical mammalian kidney consists of a renal capsule, a peripheral cortex, an internal medulla, one or more renal calyces, and a renal pelvis. Although the calyces or renal pelvis may be absent in some species. The medulla is made up of one or more renal pyramids, forming papillae with their innermost parts. 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. Nitrogen-containing waste products are excreted by the kidneys in mammals mainly in the form of urea. The structure of the kidney differs between species. The kidneys can be unilobar (a single lobe represented by a single renal pyramid) or multilobar, unipapillary (a single or a common papilla), with several papillae or multipapillary, may be smooth-surfaced or lobulated. The multilobar kidneys can also be reniculate, which are found mainly in marine mammals. 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. Differences in kidney structure are the result of adaptations during evolution to variations in body mass and habitats (in particular, aridity) between species. The cortex and medulla of the kidney contain nephrons, each of which consists of a glomerulus and a complex tubular system. The cortex contains glomeruli and is responsible for filtering the blood. The medulla is responsible for urine concentration and contains tubules with short and long loops of Henle. The loops of Henle are essential for urine concentration. Amongst the vertebrates, only mammals and birds have kidneys that can produce urine more concentrated (hypertonic) than the blood plasma, but only in mammals do all nephrons have the loop of Henle. The kidneys of mammals are vital organs that maintain water, electrolyte and acid-base balance in the body, excrete nitrogenous waste products, regulate blood pressure, and participate in bone formation and regulation of glucose levels. The processes of blood plasma filtration, tubular reabsorption and tubular secretion occur in the kidneys, and urine formation is a result of these processes. The kidneys produce renin and erythropoietin hormones, and are involved in the conversion of vitamin D to its active form. 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. The function of the kidneys is regulated by the autonomic nervous system and hormones. The potential for regeneration in mature kidneys is limited because new nephrons cannot be formed. In cases of limited injury, renal function can be restored through compensatory mechanisms. The kidneys can have noninfectious and infectious diseases; in rare cases, congenital and hereditary anomalies occur in the kidneys of mammals. Pyelonephritis is usually caused by bacterial infections. Some diseases may be species-specific, and parasitic kidney diseases are common in some species. The structural characteristics of the mammalian kidneys make them vulnerable to ischemic and toxic injuries. Permanent damage can lead to chronic kidney disease. Ageing of the kidneys also causes changes in them, and the number of functioning nephrons decreases with age.
Structure
Gross anatomy
Location and shape In mammals, the kidneys are usually bean-shaped; the shape is unique to mammals (fish, for example, have elongated kidneys). Some species have externally lobulated kidneys, as in marine mammals, bovines and bears. The lobulated kidneys of cetacians and pinnipeds have elongated oval shape. The concave part of the bean-shaped kidneys is called the renal hilum, through which the renal artery and nerves enter the kidney. The renal vein, collecting lymphatic vessels and ureter exit the kidney through the renal hilum. The kidneys are located retroperitoneally on the back (dorsal) wall of the body of mammals. In the body, the kidney is surrounded or partially surrounded by a layer of fatty tissue (perirenal adipose capsule), which separates the kidney from the perirenal fascia.
General structure The outer layer of each kidney is made up of a fibrous sheath called a renal capsule. The peripheral layer of the kidney is called the cortex, and the inner layer is called the medulla. The medulla consists of pyramids (also called malpighian pyramids), ascending with their base to the cortex and forming together with it the renal lobe. The pyramids are separated from each other by renal columns (Bertin's columns) formed by cortical tissue. The tips of the pyramids end with the renal papillae, from which urine is excreted into the calyces, pelvis, ureter, and, in most species, directly into the bladder, after which it is excreted through the urethra.
Parenchyma
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![Mammalian kidney: Didactic model of the multilobar mammalian kidney:[51] .mw-parser-output .hlist dl,.mw-parser-output .hlist ol,.mw-parser-output .hlist ul{margin:0;padding:0}.mw-parser-output .hlist dd,.mw-parser-output .hlist dt,.mw-parser-output .hlist li{margin:0;display:inline}.mw-parser-output .hlist.inline,.mw-parser-output .hlist.inline dl,.mw-parser-output .hlist.inline ol,.mw-parser-output .hlist.inline ul,.mw-parser-output .hlist dl dl,.mw-parser-output .hlist dl ol,.mw-parser-output .hlist dl ul,.mw-parser-output .hlist ol dl,.mw-parser-output .hlist ol ol,.mw-parser-output .hlist ol ul,.mw-parser-output .hlist ul dl,.mw-parser-output .hlist ul ol,.mw-parser-output .hlist ul ul{display:inline}.mw-parser-output .hlist .mw-empty-li{display:none}.mw-parser-output .hlist dt::after{content:": "}.mw-parser-output .hlist dd::after,.mw-parser-output .hlist li::after{content:"\a0 · ";font-weight:bold}.mw-parser-output .hlist dd:last-child::after,.mw-parser-output .hlist dt:last-child::after,.mw-parser-output .hlist li:last-child::after{content:none}.mw-parser-output .hlist dd dd:first-child::before,.mw-parser-output .hlist dd dt:first-child::before,.mw-parser-output .hlist dd li:first-child::before,.mw-parser-output .hlist dt dd:first-child::before,.mw-parser-output .hlist dt dt:first-child::before,.mw-parser-output .hlist dt li:first-child::before,.mw-parser-output .hlist li dd:first-child::before,.mw-parser-output .hlist li dt:first-child::before,.mw-parser-output .hlist li li:first-child::before{content:" (";font-weight:normal}.mw-parser-output .hlist dd dd:last-child::after,.mw-parser-output .hlist dd dt:last-child::after,.mw-parser-output .hlist dd li:last-child::after,.mw-parser-output .hlist dt dd:last-child::after,.mw-parser-output .hlist dt dt:last-child::after,.mw-parser-output .hlist dt li:last-child::after,.mw-parser-output .hlist li dd:last-child::after,.mw-parser-output .hlist li dt:last-child::after,.mw-parser-output .hlist li li:last-child::after{content:")";font-weight:normal}.mw-parser-output .hlist ol{counter-reset:listitem}.mw-parser-output .hlist ol>li{counter-increment:listitem}.mw-parser-output .hlist ol>li::before{content:" "counter(listitem)"\a0 "}.mw-parser-output .hlist dd ol>li:first-child::before,.mw-parser-output .hlist dt ol>li:first-child::before,.mw-parser-output .hlist li ol>li:first-child::before{content:" ("counter(listitem)"\a0 "}1. Fibrous capsule2. Cortex3. Renal pyramid of the medulla4. Renal column of the cortex5. Nephron6. Renal papilla7. Minor renal calyx8. Major renal calyx9. Renal pelvis10. Ureter11. Renal artery12. Renal vein13. Interlobar artery14. Renal lobe15. Arcuate artery16. Interlobular artery.](https://upload.wikimedia.org/wikipedia/commons/thumb/e/e9/Didactic_model_of_a_mammal_Kidney_with_numbered_parts.png/1280px-Didactic_model_of_a_mammal_Kidney_with_numbered_parts.png?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)
![Mammalian kidney: Simplified structure of the mammalian kidney lobe:[21][62]
1. Cortex2. Outer medulla3. Inner medulla4. Inner stripe5. Outer stripe6. Juxtamedullary nephron with long loop of Henle7. Medullary ray8. Renal capsule9. Renal papilla.
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Proximal convoluted tubule
Proximal straight tubule
Intermediate tubule (loop of Henle)
Distal straight tubule
Macula densa
Distal convoluted tubule
Connecting tubule
Collecting duct](https://upload.wikimedia.org/wikipedia/commons/thumb/9/9d/Simplified_structure_of_the_mammalian_kidney_lobe.svg/330px-Simplified_structure_of_the_mammalian_kidney_lobe.svg.png?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)
 Equine kidneys with heart-shaped right kidney(B) Bovine kidneys with lobulated cortex and fused medulla(C) Canine bean-shaped kidneys.](https://upload.wikimedia.org/wikipedia/commons/thumb/7/71/Variation_of_the_mammalian_kidney_between_domestic_animal_species_in_English.jpg/1280px-Variation_of_the_mammalian_kidney_between_domestic_animal_species_in_English.jpg?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)
![Mammalian kidney: Author's drawing of a dolphin reniculate kidney:[91] 1. Renal artery2. Renal vein3. Common collecting duct that becomes the ureter.](https://upload.wikimedia.org/wikipedia/commons/thumb/5/53/Authors_drawing_of_a_dolphin_reniculate_kidney.png/500px-Authors_drawing_of_a_dolphin_reniculate_kidney.png?utm_source=en.wikipedia.org&utm_campaign=parser&utm_content=thumbnail)
