Excretion Flashcards

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1
Q

Define excretion

A

the removal of metabolic waste from the body

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2
Q

Define metabolic waste

A

toxic waste substances + substances produced in excess by the reactions inside cells

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3
Q

Why can’t we store amino acids?

A

The amine group makes them toxic

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4
Q

What does the deamination of amino acids produce?

A

Ammonia and Keto acid

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5
Q

How is urea formed from ammonia?

A

Through the ornithine cycle

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6
Q

What is urea?

A

the major end product of nitrogen metabolism in animals

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7
Q

Why does the ornithine cycle occur?

A

Because urea is less toxic than ammonia:

ammonia is more soluble in water, so large volumes of water would be required to excrete it, causing dehydration.

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8
Q

Where does the ornithine cycle occur and where does the urea formed go?

A

The ornithine cycle occurs in the liver. The urea is then transported to the kidneys where it is filtered out of the blood and stored in the bladder.

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9
Q

How does oxygenated blood enter the liver?

A

Blood from the heart travels through the aorta and enters the liver through the hepatic artery. The oxygen is required by hepatocytes for aerobic respiration.

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10
Q

How does deoxygenated blood enter the liver?

A

Blood comes from the digestive system via the hepatic portal vein. It is rich with digested products (and potentially toxic compounds) absorbed by the small intestine.

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11
Q

How does blood leave the liver?

A

Via the hepatic vein which rejoins normal blood circulation at the vena cava.

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12
Q

What are some of the roles of hepatocytes?

A

Detoxification.
Homeostatic control of blood glucose.
Deamination of excess amino acids in the ornithine cycle.
Secrete bile stored in the gall bladder.

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13
Q

What are Kupffer cells and their role in the liver?

A

They are macrophages, playing an important role in homeostasis and ingesting old RBC’s and foreign particles.

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14
Q

What are sinusoids in the liver?

A

low pressure vascular channels, receiving blood from the hepatic artery and portal vein at the periphery of lobules and delivering it to the central veins. They are lined with endothelial cells and flanked by plates of hepatocytes and occasional kuppfer cells.

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15
Q

Outline how alcohol is detoxified in the liver.

A

Ethanol is oxidised to ethanal by the enzyme ethanol dehydrogenase (reducing NAD). Ethanal is then oxidised by NAD (forming reduced NAD) forming acetyl coenzyme A which is used in respiration.

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16
Q

What happens if there is too much alcohol in the liver?

A

There is insufficient NAD to detoxify it, so fatty acids are converted to lipids and stored in hepatocytes (resulting in an enlarged liver which can lead to cirrhosis).

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17
Q

What are the three sections of the kidney, from the centre out?

A

Pelvis, Medulla, Cortex (surrounded by the capsule)

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18
Q

Describe the structure of the nephron, in the order that blood/filtrate flows through it.

A

Afferent arteriole, glomerulus, bowman’s capsule, proximal convoluted tubule, loop of henle, distal convoluted tubule, collecting duct.

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19
Q

What is the nephron?

A

Where the blood is filtered and reabsorbed in the kidney.

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20
Q

What is the glomerulus?

A

A dense capillary network where ultrafiltration occurs due to blood being at such high pressure.

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21
Q

Why is the blood under high pressure in the glomerulus?

A

The lumen of the efferent arteriole is narrower than that of the afferent arteriole.

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22
Q

What is the proximal convoluted tubule?

A

First, coiled region of the tubule after the bowman’s capsule, found in the cortex of the kidney, where substances are reabsorbed into the blood via capillaries running anti-parallel.

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23
Q

What is the loop of henle?

A

Long loop which passes through areas of very high solute concentration in the medulla with the purpose of producing more concentrated urine. (reducing water loss)

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24
Q

What is the distal convoluted tubule?

A

Second twisted tubule where fine tuning of water levels in the body takes place, controlled by the hormone ADH.

25
Q

What is the collecting duct?

A

Duct where more fine tuning of water balance takes place, sensitive to ADH.

26
Q

What structures perform ultrafiltration?

A

Pores in the endothelial cells of the glomerulus, the basement membrane, and podocytes in the wall of the bowman’s capsule perform ultrafiltration.

27
Q

What is blocked by ultrafiltration?

A

Blood cells and large plasma proteins, while the plasma passes through and many dissolved solutes.

28
Q

How is the endothelium of glomerular capillaries specialised?

A

Has narrow pores between cells so that blood plasma and dissolved solutes can pass through.

29
Q

How is the basement membrane specialised?

A

It is a fine, mesh-like structure acting as a filter, formed of collagen fibres and glycoproteins.

30
Q

How are podocytes specialised?

A

They have finger-like processes that form a filtrate slit for the filtrate to move into the capsule.

31
Q

What is the function of the nephron?

A

The reabsorbtion of most of the contents of the blood from the filtrate.

32
Q

What is the PCT responsible for reabsorbing?

A

Glucose, amino acids, vitamins and hormones through active transport as well as the majority of sodium chloride and water.

33
Q

How are cells lining the PCT specialised?

A

They are covered with microvilli to increase surface area as well as having lots of mitochondria for active transport.

34
Q

What occurs in the DCT?

A

Selective reabsorbtion, where the balancing of water levels takes place, controlled by the concentration of the hormone ADH.
Active secretion of substances into the tubule from the tissue fluid such as ammonia and some drugs.

35
Q

What is water potential?

A

A measure of the tendency of water molecules to move from one place to another (water moves from high water potential to low).

36
Q

What is the difference between the two limbs of the loop of Henle?

A

The descending limb is permeable to water while the ascending limb is impermeable to water and sodium and chloride ions are actively pumped into the medulla.

37
Q

Describe the countercurrent multiplier in the loop of henle.

A

The arrangement of the tubule is a hairpin shape.
This allows sodium and chloride ions to be actively pumped out of the ascending limb to cause water to leave the descending limb through osmosis.
Peritubular capillaries run counter-current to the direction of movement of the filtrate, allowing water to move in constantly.

38
Q

What is osmoregulation?

A

The control and regulation of the water potential of the blood and body fluids, in humans this takes place in the kidneys.

39
Q

How is low water potential detected?

What effect does this stimulate?

A

Osmoreceptors in the hypothalamus are stimulated by low water potential and induce neurosecretory cells in the hypothalamus which produce ADH.

40
Q

Where is ADH secreted into the bloodstream?

A

The posterior pituitary gland.

41
Q

How does ADH result in more water being reabsorbed at the collecting duct?

A

ADH binds to specific receptors on the plasma membrane of the epithelial cells lining the collecting duct.
This causes aquaporin protein molecules to move to the plasma membrane.
Aquaporins are protein channels that allow water to pass through the membrane down a water potential gradient.

42
Q

Why is lactate transported to hepatocytes?

A

Hepatocytes have the enzymes necessary to convert lactate to pyruvate.
Hepatocytes can withstand the toxicity of the lactate better than other cells.

43
Q

What would happen if someones liver did not break down insulin?

A

They would continually perform glycogenesis, becoming hypoglycaemic causing coma/death.

44
Q

Why is a buildup of lactate bad?

A

Enzymes can become disrupted as a result of the low pH.

45
Q

What problem with the liver could result in jaundice (yellowing of the skin)?

A

A blockage in the bile duct (gall stones?) causing bile pigments to build up in the blood.

46
Q

What is the name of the channels in the liver that bring bile from hepatocytes to the bile ducts to be taken to the gall bladder?

A

Bile canaliculi

47
Q

How could high blood pressure damage the kidneys and what effect could this have?

A

Damages the structure of epithelial cells and the basement membrane of the bowman’s capsule.
This could be identified by protein or blood cells found in the urine.

48
Q

What are the effects of complete kidney failure?

A

Loss of electrolyte balance (as sodium, potassium and chloride ions not excreted).
Build up of toxic urea in the blood.
Very high blood pressure.

49
Q

What is glomerular filtration rate and how is it measured?

A

The rate at which blood is filtered by the kidneys.

Measured through the concentration of creatinine in the blood.

50
Q

What are the two main treatments for kidney failure?

A

Renal dialysis

Kidney transplant/stem cell treatment.

51
Q

What is renal dialysis and what are the two types?

A

The function of the kidneys is carried out artificially.
Haemodialysis
Peritoneal dialysis

52
Q

What is haemodialysis?

A

Involves a dialysis machine, blood passes across partially permeable dialysis membranes, with dialysis fluid on the other side.
The contents of the dialysis fluid is carefully controlled so that excess urea and mineral ions diffuse out of the blood but useful ions and glucose remain in the blood.

53
Q

What is peritoneal dialysis?

A

Dialysis fluid is pumped into the abdomen, and the peritoneum is used as a natural dialysis membrane.
This allows the patient to perform this treatment at home.

54
Q

What is the main risk from kidney transplant and how is this reduced?

A

Risk of rejection.

So immunosuppresant drugs used.

55
Q

What does the presence of glucose in the urine suggest?

A

Type 1 or 2 diabetes.

56
Q

The presence of what in the urine suggests pregnancy?

A

The hormone hCG.

57
Q

How do pregnancy tests work?

A

Using monoclonal antibodies complementary to the hormone hCG.
Mobile monoclonal antibodies attached to pigment beads are used.
Immobilized monoclonal antibodies complementary to the hCG/antibody complex are used.
Immobilized monoclonal antibodies complementary to the mobile antibodies are used.

58
Q

What else can monoclonal antibodies/gas chromatography be used to detect in the urine?

A

Anabolic steroids and drugs.