Ion and Water Balance 5: Kidney Hormones Flashcards
what kinds of hormones affect kidney function (2)
- steroid hormones
- peptide hormones
kidney function: steroid hormones (2)
- slow response
- eg. aldosterone
kidney function: peptide hormones (2)
- rapid response
- eg. vasopressin
what is involved in the regulation of urinary function (2)
- hormones
- dietary factors
what dietary factors affect urinary function (2)
- diuretics
- antidiuretics
diuretics
- stimulate excretion of water
antidiuretics
- reduce excretion of water
what hormones are involved in extrinsic regulation of glomerular filtration rate (3)
- vasopressin (antidiuretic hormone, ADH)
- renin-angiotensin-aldosterone (RAA) pathway
- atrial natriuretic peptide (ANP)
what kind of hormone is vasopressin/antidiuretic hormone
- peptide hormone
where is vasopressin/ADH produced/released (2)
- produced in the hypothalamus
- released by posterior pituitary gland
what does vasopressin/ADH do (2)
- increases water reabsorption from the collecting duct
- increases the number of aquaporins
what is the release of vasopressin/ADH stimulated by (1) and what is it detected by (1)
- increasing plasma osmolarity
- detected by osmoreceptors in the hypothalamus
what is the release of vasopressin/ADG inhibited by (2) and what is it detected by (2)
- alcohol and caffeine
- increasing blood pressure
- detected by stretch receptors in atria
- detected by baroreceptors in carotid and aortic bodies
what is the mechanism by which vasopressin increases cell permeability (4)
- vasopressin binds G-protein-linked receptor
- receptor activates adenylate cyclase, increasing cAMP and activating protein kinase A
- phosphorylation of cytoskeletal and vesicle proteins occur
- triggers translocation of vesicles containing pre-synthesized aquaporins to the cell membrane, with insertion of aquaporins
where does vasopressin/ADH have the largest effect
- stimulates water uptake most in the collecting duct
when is the renin-angiotensin-aldosterone pathway initiated
- when BP or GFR is lower than normal
how is the RAA pathway initiated
- renin is secreted
describe the RAA pathway steps (3)
- secreted renin converts angiotensinogen to angiotensin I
- angiotensin converting enzyme (ACE) on epithelia of blood vessels converts angiotensin I to angiotensin II
- angiotensin II causes synthesis and release of aldosterone from adrenal cortex
angiotensinogen
- inactive protein in plasma
what is the role of the RAA pathway
- helps regulate blood pressure