Gene models 3 Flashcards

1
Q

What 2 sections of the nephron does the connecting tubules connect?

A

The late distal and the cortical collecting duct

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2
Q

What is the overall effect of the late distal, connecting tubules and cortical collecting duct?

A

Concentration of urine
Reabsorption of Na+, H2O
Secretion of K+, H+

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3
Q

What 2 main cell types are the late dt and ccd composed of ?

A

Principal cells
Intercalated cells

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4
Q

Main role of the principal cells in late dt and ccd?

A

Na+ and H2O reabsorption
K+ and H+ secretion

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5
Q

Main role of intercalated cells in late dt and ccd?

A

H+, HCO3- secretion and reabsorption

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6
Q

What are intercalated cells sectioned into?

A

Alpha IC
Beta IC

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7
Q

What on the basolateral membrane in a principal cell provides the driving force for Na+?

A

Sodium potassium ATPase

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8
Q

Where is ENaC located?

A

On the apical membrane of the principal cell

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9
Q

What is the amount potassium lost through ROMK set by?

A

The Na+ reabsorption by ENaC

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10
Q

Role of ENaC

A

Sodium reabsorption

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11
Q

What is the role of Aquaporin 2, AQP3 and AQP4 in the principal cell?

A

Water control
AQP2 = water pore
AQP3&4 = water from principal cell travels out of these into interstitial fluid

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12
Q

What is the relationship between sodium and water?

A

Water always follows sodium

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13
Q

What disease comes as a result of a mutated AQP2? What are the symptoms?

A

Diabetes insipidus
Increased flow rate

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14
Q

What disease comes as a result of a mutated ENaC? What are the symptoms?

A

Liddle’s syndrome
Hypertension

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15
Q

What is Amiloride an example of ? Where does it target?

A

A diuretic
Epithelial sodium channel is targeted to reduce blood pressure

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16
Q

Function of alpha intercalated cell

A

Bicarbonate is exchanged for a chloride ion
ATPase on apical membrane generates energy for H+ to be pumped out into the apical membrane into the membrane

17
Q

Function of beta intercalated cell

A

Chloride moves from the apical membrane to the basolateral
HCO3- is secreted from AE1 on apical

18
Q

Function of medullary collecting duct

A

Water reabsorption

19
Q

What hormone controls water reabsorption?

A

Vasopressin

20
Q

What happens to the medullary collecting duct in the presence of vasopressin?

A

High H20 and urea permeability

21
Q

Which hormone controls sodium reabsorption?

A

Aldosterone

22
Q

Define acute renal failure

A

A fall in glomerular filtration rate over hrs/days

23
Q

What is acute renal failure a result of?

A

Impaired fluid and electrolyte homeostasis
Accumulation of nitrogenous waste

24
Q

How long does acute renal failure last?

A

Lasts around a week

25
Q

Treatment for acute renal failure

A

Dialysis

26
Q

General symptoms of acute renal failure

A

Hypervolemia- fluid overload
Hyperkalaemia
Cardiac excitability
Acidosis
High urea and creatinine

27
Q

How does myoglobin affect the renal system?

A

Destroys kidney tubules

28
Q

Treatments for acute renal failure

A

IV saline - treats hyperkalaemia
HCO3- - pH balancing
Rehydrate - bring ecf levels up