Exam #4: Glomerular Filtration Flashcards
What is ultrafiltration at the glomerulus?
Bulk flow of fluid from the glomerular capillaries into Bowman’s Capsule
What is tubular reabsorption?
Returning filtered substances back to the circulation & ECF
See p. 261
What is tubular secretion?
Removal of substances from the peritubular capillary blood & adding them to the urine
See p.261
Explain why large, negatively charged molecules are less permeable to the glomerular capillary than smaller or neutral molecules.
- Endothelial cells of the glomerular capillary are negatively charged with mucopolysaccharides
- Negative charges are present on the filtration slits of the epithelium in the glomerular capillary
*****Because of these negative charges, large negatively charged proteins are repelled from being filtered. Small molecules & neutral molecules are not influenced.
List the Starling forces and tell whether each would promote filtration or not. Write the equation for GFR.
N/A
Filtration coefficient= water permeability of hydraulic conductance of the glomerular capillary wall
Hydrostatic pressure in glomerular capillary= favors filtration
Hydrostatic pressure in bowman’s space= pressure from the fluid in the lumen; opposes filtration
Oncotic pressure in glomerular capillary= opposes filtration; this is determined by the protein concentration in the glomerular capillary, which is higher than bowman’s space
See p. 257
Define term filtration fraction.
Filtration Fraction is the percent of renal plasma flow (RPF) that is filtered at the glomerulus or,
GFR/RPF= ~20%
How do changes in the filtration fraction affect the oncotic pressure at the efferent end of the glomerular capillaries?
High Filtration Fraction= High Oncotic pressure at the efferent arteriole
Low Filtration Fraction= Low Oncotic pressure at the efferent arteriole
Describe the different transport mechanisms that are used for reabsorption.
Mechanisms for reabsorption involve transporters in the membranes of the renal epithelial cells
Describe the different transport mechanisms that are used for secretion.
Secretin, like reabsorption, involves transporters in the membranes of epithelial cells lining the nephron
Where is Na+ reabsorbed in the nephron?
- First, note that ~99% of the filtered Na+ is reabsorbed through the nephron i.e. urine contains <1% of the filtered Na+
1) 67% of filtered Na+ is reabsorbed in the proximal tubule–isosmotically
2) 25% of filtered Na+ is reabsorbed in the thick ascending limb, WITHOUT WATER
3) Distal tubule & collecting ducts reabsorb the remaining 8%
How is glucose reabsorbed? Trace the path from tubule lumen to capillary describing the transport process used.
- Remember:
a) Na+ & glucose are cotransported in the early proximal tubule (reabsorbed together)
b) 100% of filtered glucose is normally reabsorbed by the end of the early proximal tubule
1) Secondary active transport i.e. cotransport of Na+ & Glucose into the early proximal tubule cell (Na+ downhill & Glucose uphill)
2) Glucose is transported into the peritubular capillary blood via facilitated diffusion i.e. GLUT 1 & GLUT2 transport proteins
How is water reabsorbed? Trace the path from tubule lumen to capillary describing the transport process used.
- Reabsorption of solute into the proximal tubule creates a transtubular osmotic gradient that favors water reabsorption here as well
Describe how proteins and peptides are reabsorbed.
- Proteins are reabsorbed in the proximal tubule
- Enzymes on the luminal surface (inside) degrade proteins into small peptides & amino acids
- These peptides & amino acids bind receptors on the liminal surface (inside) & are transported by carrier protein to the basolateral membrane
- Facilitated diffusion or “uniporters” transport these peptides & amino acids into the peritubular capillary
Define “transport maximum.”
Point at which increases in concentration do not result in an increase in movement of a substance across a membrane.
Explain why a person with a very high blood level of glucose will have a high urine volume (high urine excretion rate).
- Filtered load= GFR x plasma concentration of substance, in this case, glucose; Increase in plasma glucose = increase in filtered glucose
- There comes a point at which Na+/glucose cotransporters can no longer keep up & filtered glucose is excreted