5.1.2 Excretion as an example of homeostatic control Flashcards

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1
Q

What is excretion?

A
  • the removal of metabolic waste from the body
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2
Q

What are the main excretory products?

A
  • carbon dioxide from respiration
  • nitrogen-containing compounds, such as urea
  • other compounds, such as bile pigments found in faeces
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3
Q

What excretory organs are there?

A

Lungs:

  • every living cell produces carbon dioxide as a result of respiration
  • it is passed on from cells into the bloodstream, where it is transported to the lungs
  • diffuses into alveoli to be breathed out

Liver:

  • produces bile for excretion with faeces
  • converts excess amino cidsrtourea by the process of deamination (nitrogen-containing part combines with carbon dioxide)

Kidneys:
- urea passed into the bloodstream to the kidneys

  • removed from blood then excreted via the urethra

Skin:

  • sweat contains salts, urea, water, uric acid and ammonia
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4
Q

Why is excretion important?

A
  • some metabolic products are toxic
  • they interfere with cell processes by altering pH,or act as inhibitors
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5
Q

Why is it important to remove CO2 and nitrogenous compounds?

A

CO2:

  • most carbon dioxide is transported in the blood as H2CO3 ions, which then dissociates to released hydrogen ions
  • occurs inside red blood cells, under influence of enzyme carbonic anhydrase
  • hydrogen ions affect pH of the cytoplasm of red blood cells
  • also interact with bonds with haemoglobin, changing its 3D shape
  • this reduces the affinity of haemoglobin for oxygen
  • may combine with haemoglobin to form haemoglobinic acid
  • carbon dioxide can also combine with haemoglobin to form carbaminohaemoglobin
  • reduces oxygen transport
  • reduces in blood pH may cause headaches, drowsiness, tremor etc

Nitrogenous compounds:

  • body cannot store excess amino acids
  • they are transported to liver and the toxic amino group is removed (deamination) to form ammonia, then converted to urea
  • remaining keto acids used in respiration to release energy or to be converted to carbohydrate or fat for storage
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6
Q

Why is it essential to ensure that the liver has good blood supply?

A
  • hepatocytes carry out many hundred of metabolic processes
  • internal structure of the liver ensures that as much blood flows past as many liver cells as possible
  • enables liver cells to remove excess or unwanted substances from blood and return substances to the blood to ensure concentrations are maintained
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7
Q

What two sources supply the liver with blood and what other vessel is connected to the liver?

A

Hepatic artery:

  • oxygenated blood from the heart travels from the aorta via the hepatic artery into the liver
  • supplies oxygen for aerobic respiration

Hepatic portal vein:

  • deoxygenated blood from the digestive system enters via the hepatic portal vein
  • blood is rich in products of digestion
  • may also contain toxic compounds
  • blood leaves liver via hepatic vein which then rejoins the vena cava and blood returns to normal circulation

Bile duct:

  • carries bile from liver to gall bladder, where it is stored
  • also contains some excretory products such as bilirubin
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8
Q

What is the structure of the liver?

A
  • liver is divided into loves which are further divided into lobules, which are cylindrical
  • as hepatic artery and hepatic portal vein enter the liver, they split into smaller and smaller vessels
  • blood from the two vessels is mixed and pass a chamber called a sinusoid, which is in close contact with hepatocytes
  • Kupffer cells move about within the sinusoids, to breakdown and recycle old red blood cells
  • bile canaliculi join to form bile duct
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9
Q

What is the structure and function of liver cells?

A
  • cuboidal shape with many microvilli on their surface
  • many metabolic functions such as protein synthesis, transformation and storage of carbohydrates, synthesis of cholesterol and bile salts, detoxification etc
  • cytoplasm is dense and specialised in certain organelles
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10
Q

What does the liver do?

A
  • control blood glucose levels, amino acid levels, lipid levels
  • synthesis of bile, plasma proteins, cholesterol
  • synthesis of red blood cells in the foetus
  • storage of vitamins A, D and B12, iron, glycogen
  • detoxification of alcohol, drugs
  • breakdown of hormones
  • destruction of red blood cells
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11
Q

Describe the storage of glycogen in the liver

A
  • liver stores sugars in the form of glycogen
  • able to store around 100-120g of glycogen
  • glycogen forms granules in the cytoplasm of hepatocytes
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12
Q

Describe detoxification in the liver

A
  • toxins can be rendered harmless by oxidation, reduction, methylation etc
  • the enzyme catalase: converts hydrogen peroxide to oxygen and water (it has a high turnover number)
  • cytochrome P450: a group of enzymes used to breakdown drugs such as cocaine
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13
Q

Describe the detoxification of alcohol in the liver

A
  • alcohol is broken down in the hepatocytes by the enzyme ethanol dehydrogenase
  • this forms ethanal
  • which is dehydrogenated further by the enzyme ethanal dehydrogenase
  • this produces ethanoate which combines with coenzyme A to form acetyl CoA, used in aerobic respiration
  • H atoms released from alcohol are combined with NAD to formed reduced NAD
  • if the liver detoxifies too much alcohol and uses up NAD, fatty acids are converted to lipids, causes fatty liver disease
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14
Q

Describe the formation of urea in the liver

A
  • excess amino acids cannot be stored because amino groups are toxic
  • but amino acid molecules contain a lot of energy
  • so deamination occurs then the ornithine cycle
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15
Q

Describe deamination in how to form urea in the liver

A
  • amino group is removed and ammonia is produced
  • ammonia is very soluble and highly toxic
  • deamination also produces a keto acid, which can enter respiration directly to release energy
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16
Q

Describe the ornithine cycle to form urea in the liver

A
  • ammonia is combined with carbon dioxide to produce urea
  • this then combines with the amino acid ornithine to produce citrulline
  • then converted to arginine by addition of further ammonia
  • the arginine is then re-converted to ornithine by the removal of urea
  • urea is passed back into the blood and transported to the kidneys, where it is then filtered out of blood into urine
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17
Q

What is the structure of the kidney?

A
  • outer region: the cortex
  • inner region: medulla
  • centre: pelvis, leads to ureter
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18
Q

How does the blood supply work in the kidney?

A
  • renal artery splits to form many afferent arterioles, which each lead to a knot of capillaries called the glomerulus
  • blood from the glomerulus continues into an efferent arteriole which carries the blood to more capillaries surrounding the rest of the tubule
  • these capillaries eventually flow together into the renal vein
  • each glomerulus is surrounded by the Bowman’s capsule
  • fluid from the blood is pushed into the Bowman’s capsule by ultrafiltration
19
Q

Describe the barrier between the blood in the capillary and the lumen of the Bowman’s capsule

A

Endothelium of the capillary:

  • narrow gaps between the cells of the endothelium of the capillary wall
  • cells of the endothelium also contain pores, called fenestrations
  • these gaps allow blood plasma and the substances dissolved in it to pass out of the capillary

Basement membrane:

  • consists of a fine mesh of collagen fibres and glycoproteins
  • acts as a filter to prevent the passage of molecule with a relative molecular mass of greater than 69000
  • most proteins and red blood cells are held in the capillaries

Epithelial cells of the Bowman’s capsule:

  • the cells, called podocytes, have a specialised shape
  • they have finger-like projections called major processes
  • on each major process are minor processes or foot processes that hold the cells away from the endothelium of the capillary
  • ensure that there are gaps between the cells
20
Q

Label a diagram of a nephron

A
21
Q

What is ultrafiltration?

A
  • the filtering of blood at a molecular level
  • blood flows into the glomerulus through the afferent arteriole, which is wider than the efferent arteriole that carries blood away from the glomerulus
  • the difference in diameters ensures that the blood in the capillaries of the glomerulus maintains a pressure higher than the pressure in the Bowman’s capsule
22
Q

What is filtered out the blood during ultrafiltration?

A

blood plasma containing dissolved substances is pushed under pressure from the capillary into the lumen of the Bowman’s capsule

  • water
  • amino acids
  • glucose
  • urea
  • inorganic mineral ions (sodium, chloride, potassium)
23
Q

What is left in the capillary during ultrafiltration?

A
  • red blood cells and proteins
  • presence of proteins means that there is very low water potential
24
Q

What happens as the fluid from the Bowman’s capsule passes along the nephron tubule?

A

Proximal convoluted tubule:

  • fluid is altered by reabsorption of all sugar, most mineral ions and some water
  • cells of the tubules have a highly folded surface, increasing its surface area

Descending limb of the loop of Henle:

  • water potential of the fluid is decreased by the addition of mineral ions and the removal of water

Ascending limb of the loop of Henle:

  • water potential is increased as mineral ions are removed by active transport

Collecting duct:

  • the water potential is decreased again by the removal of water
  • final product is urine
  • this process ensures that urine has a low water potential
25
Q

How are the cells lining the proximal convoluted tubule specialised for selective reabsorption?

A
  • involves active transport and cotransport
  • cells lining the proximal convoluted tubule are specialised for reabsorption:
  • cell surface membrane in contact with tubule fluid is highly folded to formed microvilli, increasing the surface area
  • cell surface membrane also contains cotransporter proteins that transport glucose or amino acids from tubule into the cell
  • opposite membrane of the cell, close to the tissue fluid and blood capillaries is also folded to increase surface area. it contains sodium/potassium pumps
  • cell cytoplasm has many mitochondria to produce ATP
26
Q

Describe the mechanism of selective reabsorption

A
  • the movement of sodium ions and glucose into the cell is driven by the concentration gradient created by pumping sodium ions out of the cell
  • sodium ions move out of the cell by facilitated diffusion bu they cotransport glucose of amino acids against their concentration gradient
  • the movement of these substance reduces water potential of the cells, so water is drawn in from the tubule by osmosis
27
Q

Why does the loop of Henle have a descending limb and an ascending limb?

A
  • allows mineral ions (sodium and chloride ions) to be transferred from the ascending limb to the descending limb
  • overall effect s to increase the concentration of mineral ions in the tubule fluid, which has a similar effect on the concentration of mineral ions in the tissue fluid
  • this gives the tissue fluid in the medulla a very low water potential
28
Q

Describe the reabsorption of water in the loop of Henle

A
  • known as the hairpin countercurrent multiplier system
  • as mineral ions enter the descending limb, the concentration of the fluid in the descending limb rises
  • this decreases its water potential, which then becomes even more negative as it descends into the medulla
  • as fluid rises up the ascending limb, mineral ions leave the fluid
  • at the bases, this is by diffusion but higher up, active transport is used to move mineral ions out
  • this creates a higher water potential in the fluid of the ascending limb and decreases water potential in the tissue fluid of the medulla
  • as the fluid passes down the collecting duct, it passes through tissues with decreasing water potential, so there is always a water potential gradient
  • water moves out of the collecting duct into the tissue fluid by osmosis
29
Q

Describe the reabsorption of water in the collecting duct

A
  • at this stage, the tubule fluid still contains a lot of water and has a high water potential
  • the fluid is carried back down through the medulla which as a low water potential
  • water moves by osmosis from the tubule fluid into the surrounding tissue, entering the blood capillaries by osmosis
30
Q

Describe and explain a graph of concentration changes in the tubule fluid

A
31
Q

What is osmoregulation?

A
  • the control of the water potential in the body
  • controls levels of both water and salt in the body
32
Q

Describe the mechanism of osmoregulation

A
  • kidneys alter the volume of urine produced by altering the permeability of the collecting ducts:
  • if you need to conserve less water, walls of the collecting duct become less permeable, so less water is reabsorbed
  • if you need to conserve more water, collecting duct walls are made more permeable
33
Q

How do the cells in the collecting duct alter permeability?

A
  • respond to the level of antidiuretic hormone in the blood
  • these cells have membrane-bound receptors for ADH
  • ADH binds to these receptors and causes a chain of enzyme-controlled reactions inside the cell
  • these cause vesicles containing water-permeable channels (aquaporins) to fuse with the cell surface membrane
  • this makes the walls more permeable to water
34
Q

What happens when levels of ADH in the blood rises and falls?

A

Rises:

  • more aquaporins are inserted
  • more water is reabsorbed int blood by osmosis
  • less urine produced and has a lower water potential

Falls:

  • cell surface membrane fold inwards (invaginates) to create new vesicles that remove water-permeable channels from the membrane
  • walls less permeable
  • less water reabsorbed by osmosis
  • greater volume of urine and higher water potential
35
Q

How is the concentration of ADH adjusted in the blood?

A
  • osmoreceptors cells in the hypothalamus are sensory receptors that detect the water potential in the blood
  • the cells respond to the effects of osmosis
  • when water potential of the blood is low, the osmoreceptor cells lose water and shrink
  • this stimulates neurosecretory cells in the hypothalamus
  • the neurosecretory cells produce and release ADH
  • ADH moves down the axon to the terminal bulb in the posterior pituitary gland, where it is stored in the vesicles
  • when neurosecretory cells are stimulated, they carry action potential down their axons and cause the release of ADH by exocytosis
  • ADH entrees blood capillaries
  • transported around the body and acts on the cells of the collecting ducts
36
Q

Draw a negative feedback loop to show the control of water potential of the blood

A
37
Q

How can kidney function be assessed?

A
  • by estimating the glomerular filtration rate (GFR): measures how much fluid passes into the nephrons each minute
  • normal reading: 90-120cm3min-1
  • and by analysing urine for substances such as proteins
38
Q

What is renal dialysis?

A
  • waste products, excess fluid and mineral ions are removed from the blood by passing it over a partially permeable dialysis membrane
  • dialysis fluid contains correct concentrations of mineral ions, urea, water and other substances
39
Q

Describe haemodialysis

A
  • blood from an artery or vein is passed into a machine that contains an artificial dialysis membrane shaped to form many artificial capillaries, increasing surface area for exchange
  • heparin is added to avoid clotting
  • artificial capillaries surrounded by dialysis fluid, which flows in the opposite direction of blood (countercurrent)
  • this improves efficiency of exchange
  • any bubbles are removed before blood is return into the body via a vein
  • haemos=dialysis is performed at a clinic 2 or 3 times a week
40
Q

Describe peritoneal dialysis

A
  • dialysis membrane is the body’s own abdominal membrane (peritoneum)
  • a permanent tube is implanted in the abdomen
  • dialysis solution is poured through the tube and fills the space between the abdominal wall and organs
  • after several hours, solution is drained from the abdomen
  • can be done at home or work
41
Q

What are the advantages and disadvantages of kidney transplants?

A

Advantages:

  • freedom from time-consuming renal dialysis
  • feeling physically fitter
  • improved quality of life: able to travel
  • improved self image

Disadvantages:

  • need to take immunosuppressants
  • need for major surgery under general anaesthetic
  • regular checks for signs of rejection
  • side effects of immunosuppressents
42
Q

What can urine analysis be used to test for?

A
  • glucose for diabetes
  • alcohol to determine blood alcohol levels
  • recreational drugs
  • anabolic steroids
  • human chorionic gonadotrophin (hCG) for pregnancy
43
Q

What do pregnancy tests test for and how do they work?

A
  • detect the hormone human chorionic gonadotrophin (hCG)
  • a stick is used with an application area that contains monoclonal antibodies for hCG bound to a blue coloured bead
  • monoclonal antibodies are all identical to each other
  • when urine is applied to the application area, an hCG will bind to the antibody on the beads
  • the urine moves up to the test strip, carrying the beads with it
  • the test strip has antibodies to hCG which are immobilised
  • if there is hCG present, the test strip turns blue because the immobilised antibody binds to any hCG attached to the blue beads, concentrating the blue beads in that area
  • if no hCG is present, the beads will [ass through the test area without binding to anything, so it does not become blue
44
Q

How are anabolic steroids tested?

A
  • anabolic steroids have a half-life of about 16 hours and remain in the blood for many days
  • they are relatively small molecules and can enter the nephron easily
  • a urine sample is analysed using gas chromatography