Seasonal histological changes in the gonads of Sebastodes paucispinis ayres,an ovoviviparous teleost (family scorpaenidae)

The elongate paired testes of Sebastodes paucispinis consist of tubules which radiate from a single longitudinal sperm duct and terminate blindly at the periphery of the testis. They are lined by an epithelium consisting of columnar cells with distinct elliptical nuclei. During fall and winter, germ cells migrate inward from the fibrous capsule of the testis and become lodged among the tubule-boundary cells of the seminiferous tubules where they mature into primary spermatogonia. Each of these undergoes several mitotic divisions to produce large cysts of secondary spermatogonia. Subsequent spermatogenic divisions within these cysts produce large sperm-filled cysts which rupture, releasing the spermatozoa into the lumina of the seminiferous tubules. Seasonal cycles of cholesterol and carbohydrate production by the tubule-boundary cells suggest that they perform the same functions as the Leydig cells (androgen production) and Sertoli cells (nutrition) of other vertebrates. The paired fusiform ovaries consist of spongy tissue surrounded by thin-walled muscular ovisacs that converge posteriorly to form a genital duct. The spongy tissue is arranged in transverse lamellae composed of fibrovascular trunks which support epithelial and ovigerous tissue. A series of oocytes (up to 150 μ in diameter) is produced continually from oogonial nests distributed throughout each lamella. Vitellogenesis begins in July and continues throughout the summer. The follicle surrounding the mature oocyte consists of a bilaminar striated vitelline membrane, two epithelial layers (granulosa and theca), and a profuse capillary network. Spermatozoa appear within the ovaries from October to March. Ovulation probably precedes fertilization since spermatozoa were never found within pre-ovulatory or post-ovulatory follicles. The follicular epithelium regresses after ovulation but the capillary beds remain intact, thus providing a mechanism for fetal-maternal exchange of gases and nitrogenous wastes.     

Ultrastructure of the paraphysis in Bufo bufo larvae

A study of the ultrastructure and function of the paraphysis in Bufo bufo larvae was carried out. The structure is a tubular-ramified gland made up of numerous tubules with monolayered epithelial walls surrounded by connective tissue and sinusoids. The epithelial cells secrete glycoprotein to contribute to production of the cephalorachidian fluid. The role of the paraphysis in the transport of fluids and electrolytes from the blood to the cephalorachidian fluid in regulation of ionic and osmotic homeostasis is discussed. © 1994 Wiley-Liss, Inc.     

The aglomerular kidney of the deep-sea gulper eel <Emphasis Type="Italic">Saccopharynx ampullaceus</Emphasis> (Saccopharyngiformes: Saccopharyngidae)

We report the presence of an aglomerular kidney in the pelagic deep-sea fish Saccopharynx ampullaceus (Saccopharyngiformes: Saccopharyngidae). The thin kidney is unpaired and ribbon-like rostrally, while it is thicker caudally with a rod-like shape. Light microscopic observation of serial sections revealed no glomeruli at all. The kidney is composed of renal tubules, sinusoids and capillaries of the renal portal system and extensive interstitial lymphoid tissues. Each renal tubule is surrounded by well-developed renal portal sinusoids, and the tubules are well separated from each other. There is a large space dorsal to the vertebrae, similar to the situation in the closely related Eurypharynx pelecanoides. We consider that S. ampullaceus possesses an aglomerular kidney to gain neutral buoyancy. The urinary bladder of S. ampullaceus is a distinct vesicular structure, unlike that of E. pelecanoides.     

Nephroblastomatosis and nephroblastoma in nonhuman primates

Wilms' tumors, or nephroblastomas, are renal embryonal malignancies with a high incidence in humans. Nephroblastomas are uncommon in nonhuman primates. This report describes three cases of spontaneous proliferative renal tumors in young monkeys: two cases of unilateral kidney nephroblastomas in baboons and a nephroblastomatosis in a cynomolgus macaque. Histologically, both baboon tumors were typical of Wilms' tumors found in humans, with proliferative epithelial cells forming tubules and aborted glomeruli, nephrogenic rests and proliferative fibrovascular tissue. The left kidney of the macaque was markedly enlarged and histologically similar to the baboon tumors, although normal kidney architecture was completely effaced by primitive tubules and occasional glomeruli surrounded by edematous stromal tissue. Cytogenetic analysis did not detect any macaque or baboon equivalents to human Wilms' tumor chromosomal abnormalities. By human pathology classification, the diffuse nature of the macaque tumor is more consistent with nephroblastomatosis than nephroblastoma. This differentiation is the first to be reported in a species other than human. The nephroblastomas described here are the first nephroblastomas to be reported in baboons. Our observations indicate that nonhuman primate nephroblastomatosis and nephroblastomas develop in a similar way to Wilms' tumors in humans, although no genetic marker has been associated with nephroblastomas of nonhuman primates thus far.     

Light and Electron Microscopical Studies of the Renal Lesion in Dogs With Pyometra

Kidney biopsies from 23 bitches with pyometra and an entire kidney from four pyometra bitches were examined by light microscopy. Kidney tissue was also taken from three bitches at different intervals after ovariohysterectomy for pyometra. All the pyometra bitches had membranous glomerulonephritis or mixed proliferative and membranous glomerulonephritis. Two of the bitches had intraglomerular hyaline nodules resembling those seen in conjunction with diabetes in human beings. The degree of glomerular damage could be correlated with the reduction in glomerular filtration rate determined by function tests. The proximal tubules generally contained numerous hyaline droplets but the degree of this change could not be correlated to the degree of glomerular damage. A yellow pigment, a lipofuscin, was regularly present in the proximal tubules as well as epithelial proliferation and mitoses. Focal atrophy of tubules also occurred, presumably because of obliteration of glomeruli. The cortical interstitium contained collections of mature and immature plasma cells, often surrounding the glomeruli. When the kidneys from three bitches were examined after ovariohysterectomy for pyometra, the glomerular damage in two had regressed to leave only slight thickening of the capillary walls. In the third bitch, examined only 14 days after ovariohysterectomy, healing was partial. Kidney tissue from five bitches was also examined by electron microscopy. The glomerular endothelial cells were swollen and the basement membrane was grealy thickened. With more severe degrees of glomerular damage, an electron-dense material was deposited along the inner surface of the basement membrane and the swollen mesangial cells contained numerous inclusions. There was focal fusion of the foot processes of the glomerular epithelial cells; in one bitch with heavy proteinuria, the fusion was widespread. The proximal tubules contained numerous protein absorption droplets representing resorbed protein. The tubular basement membrane at all levels was thickened. Because of similarities with some other types of renal damage (nephrotoxic nephritis in dogs and acute proliferative glomerulonephritis in human beings), the possibility is broached that the renal lesion in pyometra is the result of an immunobiological process.     

Histochemical and ultrastructural investigations on the renal parenchyma of the Egyptian Nile Monitor Lizard (Varanus niloticus)

Varanus niloticus (Linnaeus, 1766), the Nile monitor lizard, is considered the largest lizard in Africa and one of the most widespread. The Egyptian Nile monitor lizard exists in variable habitats, from grasslands to rainforests. This study pointed to investigate the light and ultrastructural features of the renal tissue of this lizard. Microscopically, the lizard nephron deprived from loop of henle and no demarcation could be detected between the cortical and medullary tissues. The renal corpuscles were small, but complex structures. The proximal convoluted tubules were lined by acidophilic cuboidal cells with hemosiderin pigment in their apical cytoplasm. The cytoplasm of the distal convoluted tubular cells reacted strongly with alcian blue stain. The sexual segment of the lizard kidney was lined with high columnar cells with massive periodic acid–Schiff-positive/alcian blue-negative supra-nuclear granules. Ultrastructurally, the basal infoldings of the proximal convoluted cells were evident. Supra-nuclear electron-dense vesicles were detected in the cytoplasm of the sexual segment cells. In summary, the kidney of the Egyptian Nile monitor lizard shares many histochemical features with other reptiles. However, they own several structural specializations in order to adapt to their harsh environments. Future studies focusing on the histochemical components of the sexual segment secretion would be required.     

Site preference of myxozoans in the kidneys of Hungarian fishes

Myxozoans are common parasites of fish kidneys, with most having specific sites of development. Five specific sites of development include (1) the lumen of renal tubules, (2) the renal corpuscles followed by location in renal tubules, (3) intracellular location within the tubular epithelium followed by a stage in the lumen of the ducts, (4) haematopoietic tissue with dispersed trophozoites, and (5) haematopoietic tissue with large, localized plasmodia. A coelozoic development preceded by presporogonic multiplication characterises most Sphaerospora spp. Early plasmodial stages of Myxidium and Chloromyxum spp. are frequently found in the renal glomerules, while spores develop in the urinary channels in plasmodia released from the renal corpuscles. In Hoferellus and Myxobilatus spp., spores are formed in small plasmodia inside the lumen of the urinary ducts after several internal cleavages in the epithelium of renal tubules. The presence of dispersed trophozoites among haematopoietic tissue cells of the renal interstitium characterises the development of Sphaerospora tincae and Tetracapsuloides bryosalmonae, the causative agent of proliferative kidney disease (PKD). Spores of S. tincae are formed at the place of plasmodial development, while spore formation of PKD is in the renal tubules. A large mass of spores, often surrounded by a connective tissue capsule, can appear in the renal interstitium during infections by several Myxobolus spp.; furthermore, a large number of these spores formed in plasmodia in distant tissues can also accumulate in melano-macrophage centres.     

Generation of easily accessible human kidney tubules on two‐dimensional surfaces in vitro

The generation of tissue‐like structures in vitro is of major interest for various fields of research including in vitro toxicology, regenerative therapies and tissue engineering. Usually 3D matrices are used to engineer tissue‐like structures in vitro, and for the generation of kidney tubules, 3D gels are employed. Kidney tubules embedded within 3D gels are difficult to access for manipulations and imaging. Here we show how large and functional human kidney tubules can be generated in vitro on 2D surfaces, without the use of 3D matrices. The mechanism used by human primary renal proximal tubule cells for tubulogenesis on 2D surfaces appears to be distinct from the mechanism employed in 3D gels, and tubulogenesis on 2D surfaces involves interactions between epithelial and mesenchymal cells. The process is induced by transforming growth factor‐β₁, and enhanced by a 3D substrate architecture. However, after triggering the process, the formation of renal tubules occurs with remarkable independence from the substrate architecture. Human proximal tubules generated on 2D surfaces typically have a length of several millimetres, and are easily accessible for manipulations and imaging, which makes them attractive for basic research and in vitro nephrotoxicology. The experimental system described also allows for in vitro studies on how primary human kidney cells regenerate renal structures after organ disruption. The finding that human kidney cells organize tissue‐like structures independently from the substrate architecture has important consequences for kidney tissue engineering, and it will be important, for instance, to inhibit the process of tubulogenesis on 2D surfaces in bioartificial kidneys.     

Mammary adenocarcinoma in a young female hypercholesterolemic rat.

Pathological examination of a 12-week-old female rat with hypercholesterolemia revealed mammary adenocarcinoma. Grossly, one grayish-white nodule was found in the hypoderm near the right posterior mammary gland. Histologically, the nodule was composed of variable-sized epithelial cells which lined the tubules and ducts in one to several layers, accompanied by proliferation of connective tissue in the stroma. Mitotic figures, necrosis and hemorrhage appeared frequently throughout the lesion. The tumor cells had invaded the surrounding muscular tissue.     

Extracellular matrix and capillary ingrowth in interspecies chimeric kidneys

The migration of capillaries into mouse embryonic kidneys grafted on quail chorioallantoic membrane (CAM) was analyzed by two monoclonal antibodies against quail endothelial and haematopoietic cells. As shown by immunohistochemistry, the quail chorioallantoic vessels invaded the kidney explant. Initially, the capillaries were detected in the interstitial stroma and, soon thereafter, tightly adjacent to the branches of the ureteric bud. The induced mesenchymal cell condensates, the prospective nephric vesicles, were avascular, but when the early S-shaped body was formed, the capillaries invaded its lower crevice. Finally chimeric glomeruli consisting of mouse podocytes and quail endothelial cells, were formed and, contemporarily, the capillaries ceased to migrate. Within the endothelial-mesangial area of the chimeric glomeruli, all cells expressed the quail-type nuclear structure and were stained by the quail endothelial-specific antibodies. The pattern of migrating capillaries was compared to the distribution of the extracellular matrix (ECM) molecules by double staining with polyclonal antibodies against laminin or fibronectin, and monoclonal quail endothelial-specific antibodies. Initially, the capillaries migrated in a fibronectin-rich matrix, devoid of laminin, but when the epithelial kidney tubules formed, some capillaries attached to the newly formed epithelial basement membrane. At no stage were the capillaries seen to penetrate the epithelial basement membrane. The orderly branching of the ureteric bud, followed by the formation of nephrons and the shift in the ECM, might create pathways for an oriented capillary migration. The fibronectin-rich areas could be a scaffold for the capillary migration, and the attachment to the basement membranes a means for their cessation.     

The structure of the salivary glands of the human soft palate

The glandular layer constitutes the greatest bulk of the human soft palate and is composed of individual compound tubulo-acinar salivary glands. Connective tissue partitions of the submucosa divide the glandular layer into lobules of irregular shapes and sizes. The glands are interwoven and bound firmly together by a connective tissue stroma rich in elastic fibers. The secretory units consist of elongated, branched, and sometimes convoluted tubules lined by a single layer of pyramidal mucous cells. Mucous secretion by acini is supplemented to some degree by mucous acinar cells, which were found as epithelial components of all ducts except the main excretory ducts, suggesting a diffuse distribution of progenitor cells. Some mucous acini communicate with highly convoluted intercalated ducts which occupy partially isolated positions within inter- and intralobular connective tissue septa. These ducts follow the connective tissue septa and eventually join the main duct system. The significance of this system of intercalated ducts is not known. A supplemental functional role is hypothesized.     

Insights into the Renal Pathogenesis in Schimke Immuno-Osseous Dysplasia: A Renal Histological Characterization and Expression Analysis

Schimke immuno-osseous dysplasia (SIOD) is a pleiotropic disorder caused by mutations in the SWI/SNF2-related, matrix-associated, actin-dependent regulator of chromatin, subfamily a-like-1 (SMARCAL1) gene, with multiple clinical features, notably end-stage renal disease. Here we characterize the renal pathology in SIOD patients. Our analysis of SIOD patient renal biopsies demonstrates the tip and collapsing variants of focal segmental glomerulosclerosis (FSGS). Additionally, electron microscopy revealed numerous glomerular abnormalities most notably in the podocyte and Bowman’s capsule. To better understand the role of SMARCAL1 in the pathogenesis of FSGS, we defined SMARCAL1 expression in the developing and mature kidney. In the developing fetal kidney, SMARCAL1 is expressed in the ureteric epithelium, stroma, metanephric mesenchyme, and in all stages of the developing nephron, including the maturing glomerulus. In postnatal kidneys, SMARCAL1 expression is localized to epithelial tubules of the nephron, collecting ducts, and glomerulus (podocytes and endothelial cells). Interestingly, not all cells within the same lineage expressed SMARCAL1. In renal biopsies from SIOD patients, TUNEL analysis detected marked increases in DNA fragmentation. Our results highlight the cells that may contribute to the renal pathogenesis in SIOD. Further, we suggest that disruptions in genomic integrity during fetal kidney development contribute to the pathogenesis of FSGS in SIOD patients.     

Cytologic diagnosis of vaginal papillary squamotransitional cell carcinoma. A case report

BACKGROUND: Papillary squamous and squamotransitional cell carcinomas of the cervix and vagina are infrequent morphologic variants of squamous cell carcinoma that may be underdiagnosed due to a bland histologic appearance. To our knowledge, this entity has not been previously detected by Pap smear evaluation. CASE: Vaginal wall pap smears were collected from a patient with a previous hysterectomy for microinvasive cervicovaginal squamous cell carcinoma and extensive carcinoma in situ. The smears were characterized by: (1) large, darkly staining, three-dimensional, branching, papillary epithelial fragments with prominent fibrovascular cores and lined with loosely cohesive epithelial cells; (2) a highly cellular background population of dissociated single epithelial cells with features of severe dysplasia, including hyperchromatic, coarse chromatin; scant, delicate, frayed cytoplasm and karyorrhectic debris; (3) syncytial aggregates of severely dysplastic epithelial cells morphologically similar to the single cells; and (4) lack of a recognizable, morphologically distinct "transitional cell" population. CONCLUSION: Papillary squamotransitional cell carcinoma of the vagina is a rare morphologic variant of squamous cell carcinoma that should be distinguished from benign vaginal squamous papillomas, condylomatous lesions and verrucous carcinoma. However, this lesion is also related to human papillomavirus infection, particularly the high-risk types. Papillary squamotransitional cell carcinoma can be suspected on Pap smear when high grade squamous intraepithelial lesion features are found in combination with three-dimensional papillary tissue fragments with prominent fibrovascular cores.     

Fine structure of the posterior salivary gland ofEledone cirrosa andOctopus vulgaris

Summary The posterior salivary gland of Octopods comprises a parenchyma of branching tubules in a connective tissue stroma. The tubules are lined by either of two distinct epithelia.Type A is composed predominantly of columnar cells containing large granules whose contents vary in appearance from cell to cell.Type B consists of three cell types: A circumferential layer of processes ofstriated cells containing radially orientated infoldings of the cellular membrane, between which are packed numerous mitochondria;cistern cells which contain an invaginated system of membrane loops, the interior of which is in communication with the lumen; andlumen lining cells. All these cells send processes to the basement membrane of the tubule, so that both epithelia are pseudostratified. The functional significance of this cytological specialisation is discussed.Thanks are due to Prof. J. Z. Young F. R. S. and Prof. E. G. Gray for helpful discussion and use of facilities during the course of this study, and to Prof. Young for the loan of the Cajal preparations. I also wish to thank Miss E. Franke for excellent technical assistance.     

Glomeruli and renal tubules are restricted to the cranial kidney of the adult estuarine Sphoeroides testudineus

The kidney of the pufferfish Sphoeroides testudineus , an abundant tropical euryhaline estuarine species of the western Atlantic Ocean found in southern Brazil (in salinities ranging from 0 to 34) has a large and laterally spread cranial red portion, and a very thin and pale caudal portion. When studied under light and transmission electron microscopy, the cranial kidney displayed glomeruli and renal tubules surrounded by haematopoietic tissue. These tubules appeared to drain into a single large convoluted collecting duct with a wide lumen and thick pseudostratified epithelium, the mesonephric duct, which constituted the sole structure of the caudal kidney. Apical microvillae were viewed in the renal tubules, as well as in the mesonephric duct. Basal mitochondria and membrane infoldings were observed in the renal tubules. Abundant more basally‐located mitochondria and electron‐dense vesicles, mainly in the apical cytoplasm, were observed along the entire length of the mesonephric duct. Aposomes (blebs) were frequently observed in the mesonephric duct, both by light‐ and electron‐microscopy. This euryhaline estuarine pufferfish has thus been revealed to possess a rare type of kidney.     

Advantages and limitations of the use of isolated kidney tubules in pharmacotoxicology

Among the cellular models used in in vitro renal pharmacotoxicology, isolated kidney tubules, used as suspensions mainly of proximal tubules, offer important advantages. They can be prepared in large amounts under nonsterile conditions within 1–2 h; thus, it is possible to employ a great number of experimental conditions simultaneously and to obtain rapidly many experimental results. Kidney tubules can be prepared from the kidney of many animal species and also from the human kidney; given the very limited availability of healthy human renal tissue, it is therefore possible to choose the most appropriate species for the study of a particular problem encountered in man. Kidney tubules can be used for screening and prevention of nephrotoxic effects and to identify their mechanisms as well as to study the renal metabolism of xenobiotics. When compared with cultured renal cell, a major advantage of kidney tubules is that they remain differentiated. The main limitations of the use of kidney tubules in pharmacotoxicology are (1) the necessity to prepare them as soon as the renal tissue sample is obtained; (2) their limited viability, which is restricted to 2–3 h; (3) the inability to expose them chronically to a potential nephrotoxic drug; (4) the inability to study transepithelial transport; and (5) the uncertainty in the extrapolation to man of the results obtained using animal kidney tubules. These advantages and limitations of the use of human and animal kidney tubules in pharmacotoxicology are illustrated mainly by the results of experiments performed with valproate, an antiepileptic and moderately hyperammonemic agent. The fact that kidney tubules, unlike cultured renal cells, retain key metabolic properties is also shown to be of the utmost importance in detecting certain nephrotoxic effects.     

An epithelial precursor is regulated by the ureteric bud and by the renal stroma

Kidney epithelia develop from the metanephric mesenchyme after receiving inductive signals from the ureteric bud and from the renal stroma. However, it is not clear how these signals induce the different types of epithelia that make up the nephron. To investigate inductive signaling, we have isolated clusters of epithelial progenitors from the metanephric mesenchyme, thereby separating them from the renal stroma. When the isolated progenitors were treated with the ureteric bud factor LIF, they expressed epithelial proteins (ZO-1, E-cadherin, laminin alpha(5)) and produced nephrons (36 glomeruli with 58 tubules), indicating that they are the target of inductive signaling from the ureteric bud, and that renal stroma is not absolutely required for epithelial development in vitro. In fact, stroma-depleted epithelial progenitors produced sevenfold more glomeruli than did intact metanephric mesenchyme (5 glomeruli, 127 tubules). Conversely, when epithelial progenitors were treated with both LIF and proteins secreted from a renal stromal cell line, glomerulogenesis was abolished but tubular epithelia were expanded (0 glomeruli, 47 tubules). Hence, by isolating epithelial progenitors from the metanephric mesenchyme, we show that they are targeted by factors from the ureteric bud and from the renal stroma, and that epithelial diversification is stimulated by the ureteric bud and limited by renal stroma.     

Renal vasculature and uriniferous tubules in the common iguana

The pattern of vascular supply and the histology of uriniferous tubules of the kidney in the common iguana were studied by light microscopy of semithin sections and by scanning electron microscopy of microcorrosion casts. The corrosion casts showed a strongly developed renal portal system that forms an extensive capillary network throughout the kidney. Glomeruli are numerous and have a capillary pattern consisting of three to six loose coils of capillaries intercalated between afferent and efferent arterioles. Glomeruli are ovoid in shape and relatively small (mean diameter of the casts: 67 ± 19 μm in short axis and 79 ± 18 μm in long axis). Each glomerulus has a single afferent arteriole and efferent arteriole. The length and volume of the glomerular capillaries per unit volume of renal corpuscle are 0.0029 ± 0.0008 μm/μm³ and 0.321 ± 0.077, respectively. A short neck segment consisting of low epithelial cells is interposed between Bowman's capsule and the proximal tubule. A close association between the distal tubule and the glomerular hilus can be interpreted as a juxtaglomerular apparatus. © 1996 Wiley-Liss, Inc.     

Loss of heterozygosity at the FLCN locus in early renal cystic lesions in dogs with renal cystadenocarcinoma and nodular dermatofibrosis

Small, macroscopically visible cysts on the surface of the kidneys were observed in eight 6–8-week-old puppies diagnosed with renal cystadenocarcinoma and nodular dermatofibrosis (RCND). Histologic examination of the renal cortices in these puppies reveals numerous small cystic tubular changes. Hyperplastic change of the epithelial lining of cysts is frequently observed. By laser-capture microdissection we have sampled epithelial cells from such early renal cystic lesions in eight paternal half-sibs diagnosed with RCND. DNA was obtained from the laser-captured material, and all coding exons of the germline-mutated FLCN gene were sequenced to detect putative second hits. Samples from 31 independent hyperplastic epithelial cell sections of tubular microcysts of the RCND siblings were examined as well as normal control samples of the tissue sections. Loss of heterozygosity was detected in 35% of the transformed samples. The frequently observed loss of heterozygosity at the FLCN locus in atypical epithelial cells lining the cysts suggests that loss of heterozygosity/function of the FLCN gene may contribute to neoplastic transformation of renal epithelial cells at a very early age of RCND-affected dogs. The transformed renal epithelial cells seem to grow slowly in young puppies, which indicates that other mutational events are required for the development of tumors in adult dogs.     

Cilia‐localized LKB1 regulates chemokine signaling,macrophage recruitment,and tissue homeostasis in the kidney

Polycystic kidney disease (PKD) and other renal ciliopathies are characterized by cysts, inflammation, and fibrosis. Cilia function as signaling centers, but a molecular link to inflammation in the kidney has not been established. Here, we show that cilia in renal epithelia activate chemokine signaling to recruit inflammatory cells. We identify a complex of the ciliary kinase LKB1 and several ciliopathy‐related proteins including NPHP1 and PKD1. At homeostasis, this ciliary module suppresses expression of the chemokine CCL2 in tubular epithelial cells. Deletion of LKB1 or PKD1 in mouse renal tubules elevates CCL2 expression in a cell‐autonomous manner and results in peritubular accumulation of CCR2⁺ mononuclear phagocytes, promoting a ciliopathy phenotype. Our findings establish an epithelial organelle, the cilium, as a gatekeeper of tissue immune cell numbers. This represents an unexpected disease mechanism for renal ciliopathies and establishes a new model for how epithelial cells regulate immune cells to affect tissue homeostasis.