Anatomy of a kidney Flashcards

1
Q

What is the function of a nephron

A

take simple filtrate of the blood and modify it into urine

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2
Q

What are the three principle functions of nephrone

A
  1. Filtration
  2. Reabsorbtion
  3. Secretions
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3
Q

What are the secondary functions of nephrons

A
  1. Blood pressure * production of renin
  2. Red blood cell production
  3. Calcium absorption - converstion of calcidol into calcitiol- active form of vitamin D
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4
Q

What is the glomerulus

A
  • tuft of capellaries surrounded by Bowmans capsule

* high pressure capillary bed between afferent and efferent arterioles

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5
Q

What type of cell tissue is the parietal layer of the Bowmans capsule

A

Simple Squamous Epithelium

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6
Q

What are the cells in the Bowmans capsule that wrap around the capillaries of the glomerulus

A

Podocytes - extensions are called pedicels

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7
Q

What do podocytes form on the glomerular capillaries

A

Filtration slits - small slits that plasma filters between to be captured by the Bowmans capsule and funneled to the PCT ( proximal convuluted tubule)

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8
Q

As blood passes through the glomerulus what percentage of plasma filters between the filtration slits/ sieves

A

10 - 20% captured by Bowmans capsule and funneled to Proximal convoluted Tubule

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9
Q

What three features comprise what is known as the filtration membrane?

A
  1. fenestrations and podocyte fenestra
  2. fused basement membrane
  3. filtration slits.
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10
Q

What size are the pores in the filtration membrane that permit rapid movement of filtrate from capillary to capsule?

A

70nm diameter

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11
Q

Fenestrations do what

A
  • prevent filtration of blood cells or large proteins
  • allow substances to diffuse from the blood based primarily on size
  • less than 4nm - 8nm cross readily and freely
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12
Q

What type of charge to the protein associated with fenestrations have?

A

Negative charges - repel negatively charges substances, allow positively charged substances to pass easily

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13
Q

What does the basement membrane do?

A

Prevents filtration of medium to large proteins like globulins

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14
Q

Wht are Mesangial cells?

A

Cells in filtration membrane that contract to help regulate the filtration of the glomerulus

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15
Q

Filtration is regulated by what?

A
  1. Fenestrations in capillary endothelial cells
  2. Podocytes with filtration slits
  3. Membrane charge
  4. Basement membrane between capillary cells
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16
Q

What lies outside the Bowmans capsule and glomerulus?

A

The Juxtaglomerulus Apparatus JGA

17
Q

What is the Macula Densa

A
  • wall of distal convoluted tubule that makes up part of Juxtaglomerulus Apparatus
  • Cuboidal epethelial cells
  • monitors fluid composition of fluid flowing through DCT
  • release paracrine signals (ATP & adenosine) in response to Na+ and rate of fluide
18
Q

What do the Juxtaglomerulus cells do

A
  • smooth muscle cell
  • in afferent arteriole
  • contracts or relaxes in response to ATP or adenosine released by Macula densa
  • regulate blood flow to the glomerulus
19
Q

If osmolarity of filtrate is hypersmotic (too hgiht) what happens?

A

Juxtaglomerular cells contract

decreases filtration rate so less plasma is filtered

less urine formation and greater retention of fluid

20
Q

What happens when osmolarity goes down

A
  • filtration and urine formation increase

* water lost by way of urine

21
Q

What is a second function of macula densa cells

A

regulate renin release from juxtaglomerulus cells in afferenent arteriole

22
Q

How many amino acids make up renin

23
Q

What is renin

A

a enzyme that breaks down angiotensinogen to produce angiotensin 1

24
Q

What are the steps of breaking down angiotensinogen

A
  1. Juxtaglomerular cells secrete renin
  2. Kidney releases renin into blood stream
  3. renin breaks down angiotensinogen into angiotensin 1
  4. ACE from pulmonary blood converst angiotensin 1 into angiotensin 2
  5. Angiotensin 2 helps regulate blood pressure by increasing it & stimulates the steroid hormone aldosterone from adrenal cortex
  6. Aldosterone stimulates sodium reabsorbtion by kidney which results in water retention and increased blood pressure
25
Filtered fluis collected by the Bowmans capsule goes where
The proximal convulted tubule 10%-20% of fluid
26
What type of cells form the PCT
Simple cuboidal with microvilli that form a brushing border
27
What is the purpose of the microvilli in PCT
absorbtion and scretion of solutes
28
What type of transport is used to absorb and secrete solutes in the PCT
Active transport - lots of mitochondria to produce ATP
29
What is the loop on Henle
* nephron loop | * descending and ascending portions that run parallel to each other
30
What does the descending loop of Henle consist of?
initial short think portion | and then long thing portion
31
What does the ascending loop of Henle consist of
* initial short and thin then followed by long and thick portion
32
What type of cell tissue to the descending and ascending THICK portion of the loop of henle consist of
Simple cuboidal epithelium similar to PCT
33
What type of cell tissue to the descending and ascending THIN portion of the loop of henle consist of
simple squamois epithelium
34
As collecting ducts merge while descending deeper into the medulla how many terminal ducts do they form?
30 - which empty into the pailla
35
What time of cell tissue line the collecting ducts
Simple squamous epithelium with receptors of ADH
36
What happens when the collecting ducts are stimulated by ADH
Insert aquaporin channel proteins into membranes which allow water to pass from the duct lumen through the cells to be recovered by the vasa recta
37
What is the function of aquaporins
allow movement of water across the hydrophobic cell membrane at least 10 types in humans, 6 in kidneys
38
What does the positive charge in aquaporin channels do?
Prevent leakage of electrolytes across the cell membrane while allowing water to move due to osmosis