homeostasis Flashcards

1
Q

What is homeostasis?

A

The maintenance of a constant
internal environment within a living
organism

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2
Q

Why are feedback systems

important?

A
Homeostasis depends on sensory 
receptors detecting small changes in 
the body, and effectors working to 
restore the status quo
• These precise control mechanisms 
in the body are based on feedback 
systems that enable the 
maintenance of a relatively steady 
state around a narrow range of 
conditions
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3
Q

What are negative feedback

systems?

A
They work to reverse the initial 
stimulus
1. A small change in one direction 
is detected by sensory receptors 
2. Effectors work to reverse the 
change and restore conditions to 
their base level 
• e.g. control of blood glucose, 
temperature control and water 
balance of the body
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4
Q

What are positive feedback

systems?

A
1. A change in one direction is 
detected by sensory receptors
2. Effectors are stimulated to 
reinforce that change and 
increase the response 
e.g. the blood clotting cascade
• When a blood vessel is damaged, 
platelets stick to the damaged 
region and release factors that 
initiate clotting and attract more 
platelets 
• These platelets also add to the 
positive feedback cycle and it 
continues until a clot is formed
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5
Q

What is thermoregulation?

A

The maintenance of a relatively

constant core temperature

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6
Q

Define endotherms and

ectotherms

A
• Endotherms - Animals that rely on 
their metabolic processes to warm 
their bodies and maintain their 
core temperature 
• Ectotherms - Animals that use 
their surroundings to warm up 
their bodies, so their core 
temperature is heavily dependent 
on the environment
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7
Q

What are the physical
processes involved in the
heating up and cooling down
of organisms?

A
• Exothermic chemical reactions 
• Latent heat of evaporation - 
objects cool down as water 
evaporated from a surface 
• Radiation - the transmission of EM 
waves to and from the air, water or 
ground 
• Convection - the heating and 
cooling by currents of air or water 
• Conduction - heating as a result of 
the collision of molecules. Air is 
not a good conductor of heat 
battleground and water are
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8
Q

Describe ectotherms

A
• All invertebrate animals, fish, 
amphibians, and reptiles 
• Many ectotherms living in water 
don’t need to thermoregulate 
because the high heat capacity of 
water means that the temperature 
of the environment doesn’t change 
much 
• Ectotherms living on land face a 
greater challenge with 
thermoregulation as the 
temperature of the air can vary 
dramatically, and as a result they 
have develop a range of strategies 
that enable them to cool down or 
warm up
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9
Q

Describe endotherms

A
• Mammals and birds 
• Rely on their metabolic processes 
warm up and they usually maintain 
a very stable code body 
temperature regardless of the 
environment 
• Have adaptions that enable them 
to maintain body temperature and 
take advantage of warmth from 
the environment 
• Survive in a wide range of 
environments 
• Metabolic rate is 5 times higher 
than ectotherms so they need to 
consume more food to meet their 
metabolic needs
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10
Q

How is temperature regulated

in ectotherms?

A

• Behavioural responses
• Physiological responses to
warming

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11
Q

What are the behavioural

responses in ectotherms?

A
Sometimes they need to warm up to 
reach a temperature at which their 
metabolic reactions happen fast 
enough for them to be active 
• Basking in the Sun, orientating 
their bodies so that the maximum 
surface area is exposed to the 
Sun, and even extending areas 
their body to increase surface area 
exposed to the such 
• Through conduction by pressing 
their bodies against the warm 
ground 
• Exothermic metabolic reactions 
e.g. muscle contraction 
Sometimes they need to cool down 
to prevent their core temperature 
reaching a point where enzymes 
begin to denature 
• Seek shade, hiding in cracks in 
rocks, or even digging burrows 
• Pressing their bodies against cool 
shady earth or stones, or move 
into water or mud 
• Orientate their does so that the 
minimum surface area is exposed 
to the Sun 
• Minimise movement to reduce the 
metabolic heat generated
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12
Q

What are the physiological

responses to warming?

A
• Dark coloured skin because it 
absorbs more radiation than light 
colours 
• Alter their heart rate to increase or 
decrease the metabolic rate and 
sometimes to affect the warming 
or cooling across the body 
surfaces
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13
Q

Advantages of being an

ectotherm

A
• Need less food than endotherms 
they use less energy regulating 
their temperatures
• Therefore can survive in some very 
difficult habitats where food is in 
short supply
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14
Q

How do endotherms detect

temperature changes

A
• Peripheral temperature receptors 
are in the skin and detect changes 
in the surface temperature 
• Temperature receptors in the 
hypothalamus detect the 
temperature of the blood deep in 
the body 
Combination of the two gives the 
body great sensitivity and allows it 
to respond not only to actual 
changes in the temperature of the 
blood, but to also pre-empt possible 
problems that might result from 
changes in the external environment
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15
Q

What are behavioural
responses in thermoregulation
in endotherms?

A
Basking in the Sun and pressing 
themselves to warm surfaces to 
warm up 
• Wallowing in water and mud, and 
digging burrows to keeps warm or 
cool 
• Becoming dormant (called 
hibernation in cold weather, and 
aestivation in hot weather)
• Humans wear clothes to stay 
warm, houses are built and then 
heated up or cooled down to 
maintain the ideal temperature
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16
Q

What happens when core body

temperature increases?

A
It is important for an animal to cool 
down:
• Vasodilation 
• Increased sweating 
• Reducing the insulating effect of 
hair or feathers
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17
Q

Describe vasodilation

A
• Arterioles near surface of skin 
dilate when the temperature rises 
• The arteriovenous shunt vessels 
constrict 
• This forces blood through the 
capillary networks close to the 
surface of the skin 
• The skin flushes and cools as a 
result of increased radiation 
• If the skin is pressed against cool 
surfaces, the cooling results from 
conductions
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18
Q

What is the effect of increased

sweating

A
As the core temperature starts to 
increase, rates of sweating also 
increase 
• Sweat spreads out across the 
surface of the skin 
• As sweat evaporates from the 
surface of the skin, heat is lost, 
cooling the blood below the 
surface
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19
Q

Reducing the insulating effect

of hair or feathers

A
1. Body temperature begins to 
increase
2. The erector pili muscles (the hair 
erector muscles) in the skin relax 
3. The hair or feathers of the animal 
lie flat to the skin 
4. This avoids trapping an 
insulating layer of air
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20
Q

What happens when core body

temperature falls?

A
It is important for an animal to warm 
up:
• Vasoconstriction 
• Decreased sweating 
• Raising the body hair or feathers 
• Shivering
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21
Q

Describe vasoconstriction

A
• Arterioles near the surface of the 
skin constrict 
• The arteriovenous shunt vessels 
dilate, so very little blood flows 
through the capillary networks 
close to the surface of the skin 
• The skin looks pale, and very little 
radiation takes place
• The warm blood is kept well below 
the surface
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22
Q

What is the effect of decreased

sweating?

A
As the core temperature falls, rates 
of sweating decrease and sweat 
production will stop entirely
• Reduces cooling by the 
evaporation of water from the 
surface of the skin, although some 
evaporation from the lungs still 
continues
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23
Q

Raising the body hair or

feathers

A
  1. Body temperature falls
  2. The erector pili muscles in the
    skin contract, pulling the hair or
    feather of the animal erect
  3. Traps an insulating layer of air
    and so reduces cooling through
    the skin
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24
Q

What is the effect of shivering?

A
Shivering - the rapid, involuntary 
contracting and relaxing of the large 
voluntary muscles in the body 
• Metabolic heat from the 
exothermic reactions warm up the 
body instead of moving it
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25
Q

How is thermoregulation

controlled?

A
The heat loss centre 
• Activated when the temperature of 
the blood flowing through the 
hypothalamus increases
• Sends impulses through 
autonomic motor neurones to 
effectors in the skin and muscles, 
triggering responses that act to 
lower the core temperature 
The heat gain centre 
• Activated when the temperature of 
the blood flowing through the 
hypothalamus decreases
• Sends impulses through the 
autonomic nervous system to 
effectors in the skin and the 
muscles, triggering responses that 
act to raise the core temperature
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26
Q

What are the main metabolic

waste products in mammals?

A
• Carbon dioxide - one of the waste 
products of cellular respiration, 
which is excreted from the lungs 
• Bile pigments - formed from the 
breakdown of haemoglobin from 
old red blood cells in the liver. 
Excreted in the bile from the liver 
into the small intestine via the gall 
bladder and bile duct. They colour 
the faeces 
• Nitrogenous waste products (urea) 
- formed by the breakdown of 
excess amino acids by the liver. 
Mammals produce urea, fish 
produce ammonia, birds and 
insects produce uric acid
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27
Q

Describe the liver

A
• One of the major body organs 
involved in homeostasis
• Reddish-brown, and is the largest 
internal organ of the body 
• Lies just below the diaphragm and 
is made up of several lobes 
• Very fast growing and damaged 
areas generally regenerate very 
quickly
• Very rich blood supply
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28
Q

Describe the blood supply to

the liver

A
• Oxygenated blood is supplied to 
the liver by the hepatic artery and 
removed from the liver and 
returned to the heart in the hepatic 
vein 
• Liver also supplied with blood by 
the hepatic portal vein - carries 
blood loaded with the products of 
digestion from the intestines to the 
liver 
• 75% of the blood flowing through 
the liver comes via the hepatic 
portal vein
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29
Q

Describe hepatocytes

A
• Liver cells are called hepatocytes 
• They have a large nuclei, 
prominent Golgi apparatus and 
lots of mitochondria 
• Metabolically active cells
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30
Q

Describe the structure of the

liver

A
• Blood from hepatic artery and 
hepatic portal vein is mixed in 
spaces called sinusoids, which are 
surrounded by hepatocytes 
• This mixing increases the oxygen 
content of the blood from the 
hepatic portal vein, supplying the 
hepatocytes with enough oxygen 
for their needs 
• The sinusoids contain Kupffer 
cells, which act as the resident 
macrophages of the liver, ingesting 
foreign particles and helping to 
protect against disease
• Hepatocytes secrete bile from the 
break down of blood into spaces 
called canaliculi, and from these 
the bile drains into the bile 
ductules which take it to the gall 
bladder
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31
Q

What are the functions of the

liver?

A

• Carbohydrate metabolism
• Deamination of excess amino
acids
• Detoxification

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32
Q

Describe carbohydrate

metabolism

A
• When blood glucose levels rise, 
insulin levels rise and stimulate 
hepatocytes to convert glucose to 
the storage carbohydrate glycogen 
• When blood glucose levels start to 
fall, the hepatocytes convert 
glycogen back to glucose under 
the influence of glucagon
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33
Q

What is deamination?

A
Deamination is the removal of an 
amine group from a molecule 
• The body cannot store proteins or 
amino acids 
• And excess ingested protein 
would be excreted without the 
action of hepatocytes 
• Hepatocytes deaminate amino 
acids, and convert it first into 
ammonia and then to urea 
• Urea is excreted by the kidneys 
• The remainder of the amino acids 
can be used in cellular respiration 
or converted into lipids for storage
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34
Q

What is transamination?

A
The conversion of one amino acid 
into another
• Important because the diet 
doesn’t always contain the 
required balance of amino acids
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35
Q

What is the ornithine cycle?

A

The set of enzyme-controlled
reactions in which the ammonia
produced in the deamination of
proteins is converted into urea

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36
Q

Give an example of
detoxification that takes place
in the liver

A
The breakdown of hydrogen 
peroxide 
• Hepatocytes contain the enzyme 
catalase, one of the most active 
known enzymes, that splits the 
hydrogen peroxide into oxygen 
and water 
Detoxification of ethanol (the active 
drug in alcoholic drinks)
• Hepatocytes contain the enzyme 
alcohol dehydrogenase that 
breaks down the ethanol to 
ethanal
• Ethanal is then converted to 
ethanoate which may be used to 
build up fatty acids, or used in 
cellular respiration
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37
Q

Describe the kidneys

A
• At the hips 
• Supplied with blood at arterial 
pressure by renal arteries that 
branch off from the abdominal 
aorta 
• Blood that has circulated through 
the kidney is removed by the renal 
vein which drains into the inferior 
vena cava
• Made up of millions of small 
structure called nephrons that act 
as filtering units 
• The sterile liquid produced by 
kidney tubules is called urine 
• The urine passes out of the 
kidneys down tubes called ureters
• This is collected in the bladder
• When the bladder gets full, the 
sphincter at the exit to the bladder 
opens, and the urine passes out of 
the body down the urethra
38
Q

Describe the structure of the

kidney

A
• Cortex: The dark outer layer. This 
is where the filtering of the blood 
takes place and it has a very 
dense capillary network carrying 
blood from the renal artery to the 
nephrons
• Medulla: Lighter in colour - 
contains the tubules of the 
nephrons that form the pyramids 
of the kidney and the collecting 
ducts 
• Pelvis: The central chamber where 
the urine collects before passing 
out down the ureter
39
Q

What happens in nephrons?

A
The blood is filtered and then the 
majority of the filtered material is 
returned to the blood, removing 
nitrogenous wastes and balancing 
the mineral ions and water
• Each is 3cm long and there are 1.5 
million in the kidney 
• Several kilometres of tubules for 
reabsorption of substances back 
into the blood
40
Q

What are the main structures

of the nephron?

A
  • Bowman’s capsule
  • Proximal convoluted tubule
  • Loop of Henle
  • Distal convoluted tubule
  • Collecting duct
41
Q

Describe Bowman’s capsule

A
Cup-shaped structure that contains 
the glomerulus (a tangle of 
capillaries)
• More blood goes into the 
glomerulus than leaves it due to 
the ultrafiltration that takes place
42
Q

Describe the proximal

convoluted tubule?

A
The first, coiled region of the tubule 
after the Bowman’s capsule, found 
in the cortex of the kidney
• This is where many of the 
substances needed by the body 
are reabsorbed into the blood
43
Q

Describe the Loop of Henle

A
• A long loop of tubule that creates 
a region with a very high solute 
concentration in the tissue fluid 
deep in the kidney medulla 
• Descending loop runs down the 
cortex through the medulla to a 
hairpin bend at the bottom of the 
loop 
• The ascending limb travels back 
up through the medulla to the 
cortex
44
Q

Describe the Distal convoluted

tubule

A
A second twisted tubule where the 
fine-tuning of the water balance of 
the body takes place 
• Permeability of the walls to water 
varies in response to the levels of 
ADH in the blood 
• Further regulation of the ion 
balance and pH of the blood also 
takes place in this tubule
45
Q

Describe the collecting duct

A
The urine passes down the 
collecting duct through the medulla 
to the pelvis
• More fine-tuning of the water 
balance takes place, and the walls 
of this part of the tubule are also 
sensitive to ADH
46
Q

Describe blood that leaves the

kidney

A
• Greatly reduced levels of urea 
• Levels of glucose and other 
substances e.g. amino acids 
needed by the body are almost the 
same as when the blood entered 
the kidneys 
• Mineral ion concentration in the 
blood has also been restored to 
ideal levels
47
Q

What is ultrafiltration?

A
The process by which blood plasma 
is filtered through the walls of the 
Bowman’s capsule under pressure 
• Ultrafiltration in the kidney tubules 
results the formation of tissue fluid 
in the capillary beds of the body 
and it is the result of the structure 
of the glomerulus and the cells 
lining the Bowman’s capsule
48
Q

What happens during

ultrafiltration?

A
1. Blood enters glomerulus through 
wide afferent arteriole and leaves 
through a narrow efferent 
arteriole. This causes pressure in 
the capillaries of the glomerulus 
and forces blood out through the 
capillary wall, like a ‘sieve’
2. The fluid then passes through 
the basement membrane. 
Basement membrane is made up 
of a network of collagen fibres 
and other proteins that act as a 
second ‘sieve’
3. Most of the plasma contents can 
pass through the basement 
membrane, but blood cells and 
many proteins stay in the 
capillary because they are too 
large 
4. Walls of the Bowman’s capsule 
also involve cells called 
podocytes that act as an 
additional filter - they have 
extensions called pedicels that 
wrap around the capillaries, 
forming slits to make sure any 
cells, platelets or large plasma 
proteins that have passed 
through the basement 
membrane, do not enter the 
tubule 
5. The filtrate which enters the 
capsule contains: glucose, salt, 
urea etc.
6. Volume of blood filtered through 
the kidneys in a given time is 
known as the glomerular 
filtration rate
49
Q

What is the function of

nephrons?

A

As fluid from the Bowman’s capsule
passes along the nephron tubule, its
composition is altered by selective
reabsorption

50
Q

Give a brief overview of what

happens during reabsoption

A
• In the proximal convoluted tubule, 
the fluid is altered by reabsorption 
of all sugars, most mineral ions 
and some water. 85% of the fluid 
is reabsorbed here.The cells of 
these tubules have a highly folded 
surface, producing a brush border 
which increases the surface are
• In the descending limb of the loop 
of Henle, the water potential of the 
fluid is decreased by the addition 
of mineral ions and the removal of 
water
• In the ascending limb of the loop 
of Henle, the water potential of the 
fluid is increased as the mineral 
ions are removed by active 
transport 
• In the collecting duct, the water 
potential is decreased again by the 
removal of water. The final product 
in the collecting duct is urine
51
Q

Describe the adaptations of

the proximal convoluted tubule

A
• Covered with microvilli, increasing 
the surface area over which 
substances can be reabsorbed 
• They have many mitochondria to 
provide the ATP needed in active 
transport systems
52
Q

Describe the movement

through the convoluted tube

A
• Amino acids, vitamins and 
hormones are moved from the 
filtrate back into the blood by 
active transport 
• 85% of the sodium chloride and 
water is reabsorbed 
• Sodium ions are moved by active 
transport, and chloride ions and 
water flow passively down 
concentration gradients 
• Once the substances have been 
removed from the nephron, they 
diffuse into the extensive capillary 
network which surrounds the 
tubules down steep concentration 
gradients 
• These are maintained by the 
constant flow of blood through the 
capillaries 
• The filtrate reaching the loop of 
Henle at the end of the proximal 
convoluted tubule is isotonic with 
the tissue fluid surrounding the 
tubule, and isotonic with the blood
53
Q

What does the loop of Henle

allow?

A
It enables mammals to produce 
urine more concentrated than their 
own blood 
• Different areas of the loop have 
different permeabilities to water, 
and this is central to the way the 
loop of Henle functions 
• It acts as a countercurrent 
multiplier, using energy to produce 
concentration gradients that result 
in the movement of substances 
from one area to another
54
Q

What happens in the

descending limb?

A
The changes that take place here 
depend on the high concentrations 
of sodium and chloride ions in the 
tissue fluid of the medulla, that are 
the result of events in the ascending 
limb of the loop 
• Water moves out of the filtrate 
down a concentration gradient 
• The upper part is impermeable to 
water and runs down into the 
medulla 
• The concentration of sodium and 
chloride ions in the tissue fluid of 
the medulla gets higher and higher 
moving through from the cortex to 
the pyramids, because of the 
active of the ascending limb
55
Q

Describe the filtrate in the

descending limb

A
The filtrate entering the 
descending limb is isotonic with 
the blood 
• As it travels down the limb, water 
passes out of the loop into the 
tissue fluid by osmosis down a 
concentration gradient, into the 
blood the surrounding capillaries 
(the vasa recta)
• The fluid that reaches the hairpin 
bend is very concentrated and 
hypertonic to the blood in the 
capillaries
56
Q

What doesn’t happen in the

descending limb?

A

• No active transport takes place
• The descending limb is not
permeable to sodium and chloride
ions

57
Q

What happens in the ascending

limb?

A
• The first section is very permeable 
to sodium and chloride ions, and 
so they move out of the 
concentrated solution by diffusion 
down a concentration gradient 
• In the second section, sodium and 
chloride ions are actively pumped 
out into the medulla tissue fluid 
against a concentration 
• Produces very high sodium and 
chloride ion concentrations in the 
medulla tissue
58
Q

What does the ascending limb

not allow?

A
It is impermeable to water, so 
water cannot follow the chloride 
and sodium ions down a 
concentration gradient 
• This means the fluid left in the 
ascending limb becomes 
increasingly dilute , while the 
tissue fluid of the medulla 
develops the very high 
concentration of ions that is 
essential for the kidney to produce 
urine more concentrated than the 
blood
59
Q

Describe the fluid at the top of

the ascending limb

A

It is hypotonic to the blood again,
and it then enters the distal
convoluted tubule and collecting
duct

60
Q

What happens in the distal

convoluted tubule?

A
Balancing the water needs of the 
body
• Areas where the permeability of 
the walls of the tubules varies with 
the levels of ADH 
• The cells lining this tubule also 
have many mitochondria so they 
are adapted carry out active 
transport 
• Also plays a role in balancing the 
pH of the blood 
• If the body lacks salt, sodium ions 
will be actively pumped out of the 
distal convoluted tubule, with 
chloride ions following down an 
electrochemical gradient
61
Q

What happens in the collecting

duct?

A
It passes down through the 
concentrated tissue fluid of the 
renal medulla 
• Main site where the concentration 
and volume of the urine produced 
is determined 
• Water moves out of the collecting 
duct by diffusion down a 
concentration gradient as it 
passes through the renal medulla 
• As a result, the urine becomes 
more concentrated
• The level of sodium ions in the 
surrounding fluid increases 
through the medulla from the 
cortex to the pelvis
• This means water can be removed 
from the collecting duct all the way 
along its length, producing very 
hypertonic urine when the body 
needs to conserve water
62
Q

What is osmoregulation?

A
The balancing and control of the 
water potential in the blood 
• The amount of water lost in the 
urine is controlled by ADH in a 
negative feedback system
63
Q

Describe ADH

A
• ADH is produced by the 
hypothalamus and secreted into 
the posterior pituitary gland, where 
it is stored 
• It increases the permeability of the 
distal convoluted tubule and the 
collecting duct to water
64
Q

How does ADH cause an

effect?

A
Released from the pituitary gland 
and carried in the blood to the 
cells of the collecting duct where it 
has its effect 
• Doesn’t cross the membrane of 
the tubule cells - it binds to 
receptors on the cell membrane 
and triggers the formation of cyclic 
AMP (cAMP) as a second 
messenger inside the cell 
• This causes a cascade of events
65
Q

Describe the cascade of

events that cAMP causes

A
• Vesicles in the cells lining the 
collecting duct fuse with the cell 
surface membranes on the side of 
the cell in contact with the tissue 
fluid of the medulla 
• The membranes of these vesicles 
contain protein-based water 
channels (aquaporins) and when 
they are inserted into the cell 
surface membrane, they make it 
permeable to water 
• This provides a route for water to 
move out of the tubule cells into 
the tissue fluid of the medulla and 
the blood capillaries by osmosis
66
Q

What happens with changing

ADH levels?

A
The more ADH released…
• More water channels inserted into 
the membranes of the tubule cells 
• This makes it easy former water to 
leave the tubules by diffusion, 
resulting in the formation of a 
small amount very concentrated 
urine 
• Water is returned to the capillaries, 
maintaining the water potential of 
the blood and therefore the tissue 
fluid of the body 
When ADH levels falls…
• Levels of cAMP fall, then the water 
channels are removed from the 
tubule cell membranes and 
enclosed in vesicles again 
• The collecting duct becomes 
impermeable to water once more, 
so no water can leave 
• Production of large amounts of 
very dilute urine
67
Q

How is the negative feedback

system monitored?

A
Osmoreceptors in the hypothalamus 
of the brain 
• The osmoreceptors are sensitive to 
the concentration of inorganic ions 
in the blood and are linked to the 
release of ADH
68
Q

What happens when water is in

short supply?

A
The concentration of inorganic 
ions in the blood rises and the 
water potential of the blood and 
tissue fluid becomes more 
negative 
• This is detected by the 
osmoreceptors in the 
hypothalamus 
• They send nerve impulses to the 
posterior pituitary which releases 
stored ADH into the blood 
• ADH is picked up by receptors in 
the cells of the collecting duct and 
increases the permeability of the 
tubules to water 
• Water leaves the filtrate in the 
tubules, passes into the blood in 
the surrounding capillary network
• A small volume of concentrated 
urine is produced
69
Q

What happens when there is an

excess of water?

A
• Blood becomes more dilute and its 
water potential becomes less 
negative 
• The change is detected by the 
osmoreceptors of the 
hypothalamus 
• Nerve impulses to the posterior 
pituitary are reduced or stopped, 
and so the release ADH by the 
pituitary is inhibited 
• Very little reabsorption of water 
can take place because the walls 
of the collecting duct remain 
impermeable to water 
• Large amounts of dilute urine are 
produced
70
Q

What are urine samples used

for in diagnostic tests?

A
• Presence of glucose in the urine is 
a well-known symptom of type 1 
and type 2 diabetes 
• Pregnancy testing 
• Anabolic steroids
• Drug testing
71
Q

How are urine samples used in

pregnancy testing?

A
• The site of the developing 
placenta produces a chemical 
called human chorionic 
gonadotrophin (hCG)
• This hormone is found in the blood 
and the urine of the mother 
• Modern pregnancy tests test for 
hCG in the urine, and rely on 
monoclonal antibodies
72
Q

What are monoclonal

antibodies?

A

Antibodies from a single clone of
cells that are produced to target
particular cells or chemical in the
body

73
Q

How are monoclonal

antibodies made?

A
1. A mouse is injected with hCG so 
it makes the appropriate 
antibody 
2. The B-cells that make the 
required antibody are then 
removed from the spleen of the 
mouse and fused with a 
myeloma - a type of cancer cell 
3. This new fused cell is known as 
a hybridoma 
4. Each hybridoma reproduces 
rapidly, resulting in a clone of 
many B-cells that make the 
desired antibody 
5. The monoclonal antibodies are 
then collected and purified
74
Q

What are the main stages in a

pregnancy test?

A
1. The wick is soaked in the first 
urine passed in the morning as it 
has the highest levels of hCG 
2. The test contains mobile 
monoclonal antibodies that have 
small coloured beads attached 
to them. They will only bind to 
hCG, soil the woman is 
pregnant, the hCG in her urine 
binds to the mobile monoclonal 
antibodies and forms a hCG/
antibody complex 
3. The urine carries on along the 
test structure until it reaches a 
window 
4. There are mobilised monoclonal 
antibodies here that only bind to 
the hCG/antibody complex. If 
the woman is pregnant, a 
coloured line appears in the first 
window 
5. The urine continues up through 
the test to a second window 
6. Here there is usually a line of 
immobilised monoclonal 
antibodies that only bind to the 
mobile antibodies, whether these 
are bound to hCG or not. This 
coloured line forms whether the 
woman is pregnant or not, and 
indicates the test is working
75
Q

What do the lines on the

pregnancy test show?

A

• If the woman is pregnant, two
coloured lines appear
• If the woman is not pregnant, only
one coloured line appears

76
Q

What are anabolic steroids?

A

Drugs that mimic the action of
testosterone and stimulate the
growth of muscles.
• They are excreted in the urine

77
Q

How can urine be used to test

for anabolic steroids?

A
By testing the urine using gas 
chromatography and mass 
spectroscopy
• The urine sample is vaporised with 
a known solvent and passed along 
a tube 
• The lining of the tube absorbs the 
gases and is analyses to give a 
chromatogram that can be read to 
show the presence of the drugs
78
Q

How is urine used in drug

testing?

A
Drugs or metabolites are filtered 
through the kidneys and stored in 
the bladder, so it is possible to find 
drug traces in the urine some time 
after a drug has been used 
• The first sample of urine may be 
tested by an immunoassay, using 
monoclonal antibodies to bind to 
the drug or its breakdown product
• If the first sample is positive, the 
second sample may be run 
through a gas chromatograph/
mass spectrometer to confirm the 
presence of the drug
79
Q

List some causes of kidney

failure

A
Kidney infections, where the 
structure of the podocytes and the 
tubules themselves
• Raised blood pressure that can 
damage the structure of the 
epithelial cells and basement 
membrane of the Bowman’s 
capsule 
• Genetic conditions e.g. polycystic 
kidney disease where the healthy 
tissue is replaced fluid-filled cysts 
or damaged by pressure from 
cysts
80
Q

What is happens if they
kidneys are infected or
affected by high blood
pressure?

A
• Protein in the urine - if the 
basement membrane or 
podocytes of the Bowman’s 
capsule are damaged, they no 
longer act as filters and large 
plasma proteins can pass into the 
filtrate and are passed out in the 
urine 
• Blood in the urine - another 
symptom that the filtering process 
is no longer working
81
Q

What happens if the kidneys

fail completely?

A

The concentrations of urea and

mineral ions build up in the body

82
Q

What are the effects of

complete kidney failure?

A
• Loss of electrolyte balance - if 
the kidneys fail, the body can’t 
excrete sodium, potassium, and 
chloride ions. This causes osmotic 
imbalances in the tissues and 
eventual death 
• Build-up of toxic urea in the 
blood - if the kidneys fail, the body 
cannot get rid of urea, and it can 
poison the cells 
• High blood pressure - kidneys 
play an important role in 
controlling the blood pressure by 
maintaining the water balance of 
the blood. If the kidneys fail, the 
blood pressure increases and this 
causes a range of health problems 
e.g. heart problems and strokes
• Weakened bones - as the 
calcium/phosphorus balance in 
the blood is lost
• Pain and stiffness in joints - as 
abnormal proteins build up in the 
blood 
• Anaemia - the kidneys are 
involved in the production of a 
hormone called erythropoietin that 
stimulates the formation of red 
blood cells. When the kidneys fail, 
it can reduce the production of red 
blood cells, causing tiredness and 
lethargy
83
Q

Why is glomerular filtration

rate measured?

A
Kidney problems almost always 
affect the rate at which blood is 
filtered in the Bowman's capsules of 
the nephrons. 
• The GFR is widely used as a 
measure to indicate kidney 
disease
84
Q

How is glomerular filtration

rate measured?

A
• A blood test measures the level of 
creatinine in the blood 
• Creatinine is a breakdown product 
of muscles and it is used to give 
an estimated glomerular filtration 
rate (eGFR) 
• Units are cm3/min 
• If the levels of creatinine in the 
blood go up, it is a signal that the 
kidneys are not working properly 
However GFR decreases steadily 
with age even if you are healthy, and 
men usually have more muscle mass 
and therefore more creatinine than 
women
85
Q

What are the two ways of

treating kidney failure?

A
  • Renal Dialysis

* Transplant

86
Q

What are the 2 main types of

dialysis?

A
  • Haemodialysis

* Peritoneal dialysis

87
Q

Describe haemodialysis

A
1. Blood leaves the patient’s body 
from an artery and flows into the 
dialysis machine, where it flows 
between partially permeable 
dialysis membranes 
2. These membranes mimic the 
basement membrane of the 
Bowman’s capsule 
3. On the other side of the 
membranes is the dialysis fluid 
which contains the normal 
plasma levels of glucose and 
mineral ions, and no urea. As a 
result much of the urea leaves 
the blood 
4. The blood and dialysis fluid flow 
in opposite directions to 
maintain a countercurrent 
exchange system
88
Q

Describe peritoneal dialysis

A
Done inside the body - makes use 
of the natural dialysis membranes 
formed by the lining of the abdomen 
called the peritoneum 
1. The dialysis fluid is introduced 
into the abdomen using a 
catheter 
2. It is left for several hours to allow 
dialysis to take place across the 
peritoneal membranes 
3. The fluid is then drained off and 
discarded, leaving the blood 
balanced again and the urea and 
excess mineral ions removed
89
Q

How is kidney failure treated

by transplant?

A
A single healthy kidney from a donor 
is placed within the body. The blood 
vessels are joined and the ureter of 
the new kidney is inserted into the 
bladder
• The main problem is the risk of 
rejection 
• The antigens on the donor organ 
differ from the antigens on the 
cells of the recipient and the 
immune system is likely to 
recognise this 
• This can result in rejection and the 
destruction of the new kidney
90
Q

How can the risk of rejection

be reduced?

A
• The match between the antigens 
of the donor and the recipient is 
made as close as possible
• The recipient can be given 
immunosuppressant drugs for the 
rest of their lives prevent the 
rejection of their new organ
91
Q

What are the benefits of

dialysis?

A
• More readily available than donor 
organs, so its there whenever 
kidneys fail 
• Enables the patient to lead a 
relatively normal life