50 Producing a concentrated or dilute urine Flashcards
What are the vasa recta?
Capillaries that go deep into the medullar from the cortex
Only 5 % of blood flows here
What is the definition of osmolarity?
No. of solute particles per litre (mOsm/L)
What is the normal osmolarity of the ECF when entering the kidney?
300 mOsm/L
What is the osmolarity by the time the fluid enters the distal convoluted tubule? And why?
Reduced to ~100 mOsm/L
Due to reabsorption of ions
Why has the osmolarity further reduced in DCT and collecting ducts?
Additional reabsorption of NaCl
In the absence of ADH, this portion of DCT is also impermeable to water and the tubular fluid becomes even more dilute to as low as ____ mOsm/L
50 mOsm/L
What leads to a large volume of dilute urine in DCT?
Failure to reabsorb water
Continued reabsorption of ions
What is the descending loop of henle permeable and impermeable to?
Permeable to H2O
Impermeable to NaCl
What is the ascending loop of henle permeable and impermeable to?
Permeable to NaCl
Impermeable to H2O
What is the osmolarity of loop of henle?
600 mOsm/L
How does kidney produce a dilute urine?
- Descending loop of henle is permeable to H2O but impermeable to NaCl
- Osmolarity rises from 300 to 600 mOsm/L
- Ascending loop of henle is impermeable to water but permeable to NaCl
- Thin ascending loop of henle - passive diffusion of NaCl out
- Thick ascending loop of henle - actively pumps NaCl out
- Osmolarity decreases to 100 mOsm/L in DCT where more NaCl pumped out
- Tubular fluid becomes as low as 50 mOsm/L
- Failure to reabsorb water and continued reabsorption of ions leads to a large volume of dilute urine
What 2 factors do you need to make a concentrated urine?
- High level of ADH - allows distal tubules and collecting ducts to become permeable to water and so reabsorbed
- A gradient to pull this water out so there needs to be a high osmolarity of the renal medullary interstitial fluid
How is the osmolarity in the medulla built up?
- Passive absorption of ions across the epithelia of the thin ascending limb of the Loop of Henle
- Active transport of sodium ions and co-transport of potassium, chloride and other ions out of the thick portion of the ascending limb of the loop of Henle.
- Active transport of ions from the collecting duct.
- Facilitate diffusion of urea from the medullary portion of the collection ducts into the medullary interstitium.
- Diffusion of only small amounts of water from the medullary tubules into the medullary interstitium and far less than the reabsorption of ions that occurs there. This sets up an osmotic imbalance and gradient
Where does passive absorption of ions occur?
Epithelia of thin ascending limb of Loop of Henle
Where does active transport of ions occur?
- Thick ascending limb of Loop of Henle - Na ions
- Distal tubule
- Collecting duct