5.1.2 Excretion as an example of homeostatic control Flashcards
What is excretion?
- the removal of metabolic waste from the body
What are the main excretory products?
- carbon dioxide from respiration
- nitrogen-containing compounds, such as urea
- other compounds, such as bile pigments found in faeces
What excretory organs are there?
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
Why is excretion important?
- some metabolic products are toxic
- they interfere with cell processes by altering pH,or act as inhibitors
Why is it important to remove CO2 and nitrogenous compounds?
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
Why is it essential to ensure that the liver has good blood supply?
- 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
What two sources supply the liver with blood and what other vessel is connected to the liver?
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

What is the structure of the liver?
- 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

What is the structure and function of liver cells?
- 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
What does the liver do?
- 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
Describe the storage of glycogen in the liver
- liver stores sugars in the form of glycogen
- able to store around 100-120g of glycogen
- glycogen forms granules in the cytoplasm of hepatocytes
Describe detoxification in the liver
- 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
Describe the detoxification of alcohol in the liver
- 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

Describe the formation of urea in the liver
- 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

Describe deamination in how to form urea in the liver
- 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

Describe the ornithine cycle to form urea in the liver
- 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

What is the structure of the kidney?
- outer region: the cortex
- inner region: medulla
- centre: pelvis, leads to ureter

How does the blood supply work in the kidney?
- 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

Describe the barrier between the blood in the capillary and the lumen of the Bowman’s capsule
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
Label a diagram of a nephron

What is ultrafiltration?
- 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
What is filtered out the blood during ultrafiltration?
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)
What is left in the capillary during ultrafiltration?
- red blood cells and proteins
- presence of proteins means that there is very low water potential
What happens as the fluid from the Bowman’s capsule passes along the nephron tubule?
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
How are the cells lining the proximal convoluted tubule specialised for selective reabsorption?
- 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
Describe the mechanism of selective reabsorption
- 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

Why does the loop of Henle have a descending limb and an ascending limb?
- 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
Describe the reabsorption of water in the loop of Henle
- 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

Describe the reabsorption of water in the collecting duct
- 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
Describe and explain a graph of concentration changes in the tubule fluid

What is osmoregulation?
- the control of the water potential in the body
- controls levels of both water and salt in the body
Describe the mechanism of osmoregulation
- 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
How do the cells in the collecting duct alter permeability?
- 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
What happens when levels of ADH in the blood rises and falls?
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

How is the concentration of ADH adjusted in the blood?
- 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
Draw a negative feedback loop to show the control of water potential of the blood

How can kidney function be assessed?
- 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
What is renal dialysis?
- 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
Describe haemodialysis
- 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

Describe peritoneal dialysis
- 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
What are the advantages and disadvantages of kidney transplants?
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
What can urine analysis be used to test for?
- glucose for diabetes
- alcohol to determine blood alcohol levels
- recreational drugs
- anabolic steroids
- human chorionic gonadotrophin (hCG) for pregnancy
What do pregnancy tests test for and how do they work?
- 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

How are anabolic steroids tested?
- 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