anatomy Flashcards

nephron: recall the constituent parts of a nephron and which compounds are absorbed in each area, explain the microscopic anatomy of the Bowman's capsule and list the regional features of tubular cells aiding urinary concentration, identify different sections and cell types of the nephron in light and electron microscopic images

1
Q

what are 3 components of renal corpuscle

A

Bowman’s capsule, glomerulus consisting of capillaries, podocytes associated with glomerulus

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2
Q

where is the blood supply to in the renal corpuscle

A

vascular pole of corpuscle

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3
Q

where does blood enter in and exit from

A

afferent, then efferent, arterioles

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4
Q

how is blood filtered, including features which assist filtration

A

passes through glomerulus at high pressure from renal artery; high surface area, fenestrated capillaries, modified basement membrane, podocytes with feet which interdigitate

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5
Q

effect of hypertension on blood filtering in glomerulus

A

protein in urine

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6
Q

how is a pressure gradient created in glomerulus

A

afferent arteriole big, efferent arteriole small

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7
Q

what does the filtrate consist of

A

all components below 50000 RMM, keeping cells in bloodstream, so is isotonic

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8
Q

where is filtrate drained into proximal convoluted tubule

A

urinary pole of corpuscle

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9
Q

what % of glomerular filtrate are reabsorbed in proximal convoluted tubule

A

70%

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10
Q

5 materials reabsorbed by proximal convoluted tubule and brief method

A

Na+ uptake by basolateral Na+ pump, water and anions follow Na+, glucose uptake by Na+/glucose co-transporter, amino acid uptake by Na+/amino acid co-transporter, protein uptake by endocytosis (many vesicles)

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11
Q

type of proximal convoluted tubule epithelium

A

cuboidal

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12
Q

what is proximal convoluted tubule epithelium sealed with

A

fairly water-permeable tight junctions

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13
Q

why is there also not a huge influx/efflux of water at the proximal convoluted tubules

A

iso-molar filtrate

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14
Q

how is membrane area of proximal convoluted tubule increased to maximise rate of resorption

A

brush border at apical surface, interdigitations of lateral membrane

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15
Q

what does proximal convoluted tubule contain to allow some water diffusion

A

aquaporins

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16
Q

why do proximal convoluted tubule have prominent mitochondria

A

high energy requirement

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17
Q

what is the main function of loop of Henle and vasa recta blood vessels

A

creation of hyper-osmotic extracellular fluid

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18
Q

what is descending thin limb of loop of Henle made from

A

simple squamous epithelium

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19
Q

what do aquaporins in descending thin limb of loop of Henle allow

A

passive osmotic equilibrium

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20
Q

what are actively pumped out of tubular fluid in ascending thick limb of loop of Henle

A

Na+. Cl-

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21
Q

what is ascending thick limb of loop of Henle made from, and what does it have few of

A

cuboidal epithelium with few microvilli

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22
Q

how does ascending thick limb of loop of Henle have a very low water permeability

A

very water-impermeable tight junctions, membranes also lack aquaporins

23
Q

what does a very low water permeability in ascending thick limb of loop of Henle result in

A

hypo-osmotic tubular fluid, hyper-osmotic ECF to allow movement of ions passively out of descending thin limb of loop of Henle

24
Q

why are there prominent mitochondria in ascending thick limb of loop of Henle

A

high energy requirement

25
what type of mechanism is the loop of Henle and vasa recta
countercurrent
26
what are the vasa recta capillaries arranged in
loop
27
what is the blood in rapid equilibrium with
ECF
28
why is the vasa recta in a loop structure
stabilises hyper-osmotic [Na+]
29
features of distal convoluted tubules
no brush border; shorter length than proximal so fewer seen on slide; contain invaginations
30
what is distal convoluted tubule/cortical collecting duct made from
cuboidal epithelium with few microvilli
31
what does distal convoluted tubule use to adjust ions
hyper-osmotic ECF
32
what ions are controlled
Na+, K+, H+, NH4+
33
what do the complex lateral membrane interdigitations in distal convoluted tubule have
Na+ pumps
34
what hormone controls adjustment of ions, and subsequently blood pressure
aldosterone
35
what is present in numerour amounts and in a large size in distal convoluted tubule
mitochondria due to high energy demand
36
where does specialisation occur at in distal convoluted tubule
macula densa (part of juxtaglomerular apparatus)
37
what does the collecting duct have
many tight junctions
38
what are the 2 cellular components of juxtaglomerular apparatus
macula densa of distal convoluted tubule, juxtaglomerular cells of afferent arteriole
39
what specialisation is juxtaglomerular apparatus
endocrine (produces hormones)
40
what hormone does juxtaglomerular apparatus secrete and why
renin to control blood pressure via angiotensin
41
what can juxtaglomerular apparatus sense in arteriole wall
stretch
42
what can juxtaglomerular apparatus sense in tubule
[Cl-]
43
what does the fluid pass through with hyper-osmotic ECF
medulla
44
how is urine concentrated in medullary collecting duct
movement of water down osmotic gradient into ECF
45
what is rate of water movement dependent on in collecting duct
aquaporin-2 in apical membrane
46
how is content of urine varied
endo/exocytosis mechanisms
47
what is aquaporin-2 under control from
pituitary hormone vasopressin (ADH)
48
what does basolateral membrane of medullary collecting duct have
aquaporin-3, not under control of vasopressin (ADH)
49
what is the medullary collecting duct made from
simple cuboidal epithelium
50
do cell boundaries of medullary collecting duct interdigitate
no
51
why does medullary collecting duct have fewer mitochondria
little active pumping
52
how is blood pressure measured in kidney: high Na+
high Na+ in distal convoluted tubule stops renin release, stopping production of angiotensin I and II; vessels vasodilate and pass more urine; juxtaglomerular apparatus releases renin when signalled by macula densa (juxtaglomerular apparatus next to afferent arteriole)
53
how is blood pressure measured in kidney: low Na+
more renin so more aldosterone so more vasoconstriction which increases blood pressure