Kidney Flashcards

1
Q

Egestion

A

Removal of undigested food waste

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2
Q

Excretion

A

Removal of metabolic waste

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3
Q

Main excretory products

A

Urea and CO2

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4
Q

Why is it bad to have too much CO2

A

Changes pH of the blood by producing carbonic acid

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5
Q

How is CO2 exhaled

A

Transported to the lungs and exhaled

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6
Q

Can excess protein and amino acids be stored

A

No

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7
Q

Deamination

A

To access the energy the amino group NH2 is removed from an amino acid

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8
Q

Where does deamination occur

A

In the liver

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9
Q

First equation of deamination

A

Amino acid= keto acids and ammonia

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10
Q

Keto acid

A

NH2CH(R)COOH

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11
Q

Second equation of deamination

A

2NH3 + CO2 = CO(NH2)2 + H2O

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12
Q

Why is ammonia immediately combine with CO2 to make urea

A

Ammonia is highly toxic

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13
Q

What can Keto acid be used as

A

Can be used as a respiratory substrate or converted to glucose/fat

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14
Q

Where does urea cycle take place

A

Liver

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15
Q

What is the chemical compound of urea

A

CO(NH2)2

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16
Q

What controls urea cycle

A

Enzymes

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17
Q

Does urea cycle require ATP

A

Yes

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18
Q

Selective réabsorption

A

Taking back useful molecules from the filtrate in the nephron into the bloodstream

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19
Q

Ultrafiltration

A

Filtering small molecules out of the blood at high pressure and into the kidney nephron

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20
Q

Why is the afferent arteriole more vasodilated than the efferent arteriole

A

To let more blood enter than leave so there is a high pressure in the capillaries

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21
Q

Does the afferent arteriole let blood into or out of the glomerulus

A

Into

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22
Q

3 layers of ultrafiltration at the glomerulus

A

Capillary endothelium
Basement membrane
Epithelium lining bowman’s capsule

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23
Q

Structure and Adaptation of endothelium of capillaries

A

Lots of gaps between cells that water and small solutes including urea glucose and ions can pass through

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24
Q

Structure and Adaptations of basement membrane

A

Fine mesh if collagen fibres and glycoproteins prevents passage of molecules with a RMM of 68000 (blood cells and large protein)

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25
Q

Structure and adaptation of epithelial cells of bowman’s capsule- podocytes

A

Podocytes have finger like projections ( foot processes) and large gaps between cells forming a filtrate slit for filtrate to move into the capsule

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26
Q

Selective réabsorption in proximal convoluted tubule

A

1 Na+/K+ pump on capillary side removing Na+ from proximal convoluted epithelial cells into blood by active transport
2 Na move by facilitated diffusion into the cell in carrier protein from pct lumen. It brings glucose/aa with it through co transporter protein
3 glucose/aa diffuse out the other side of the cell into the blood capillary into plasma
4 réabsorption leads to a lower water potential in PCT cells and water enters by osmosis

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27
Q

Microvili on PCT adaptation

A

On the inner surface lining pct and folded basal membrane on epithelial cells- increase sa for efficient reabsorption

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28
Q

Co transporter cells in PCT adaptation

A

For uptake of useful solutes and ions (Na glucose amino acids)

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29
Q

Tight junctions in PCT adaptation

A

In between adjacent cells and holds them together so no fluid can pass between cells

30
Q

Mitochondria in PCT adaptation

A

Supply the Na/K pumps in basement membrane with ATP to create a gradient for co-transporter protein

31
Q

Blood capillaires in PCT adaptation

A

Very close to epithelia cells so short diffusion distance

32
Q

What is réabsorbes from pct to blood

A

All glucose all amino acids all vitamins many sodium and chloride ions some water half the urea

33
Q

why does ultrafiltration occur

A

a difference in wp between plasma in glomerular filtrate and filtrate in bowman’s capsule high wp in plasma in capillaries due to increase in pressure that outweighs the proteins increasing solute potential

34
Q

whats bigger the afferent or efferent arteriole

35
Q

what happens at the loop of henle

A

ions (Na and Cl) are pumped out by active transport out if thr ascenidng limb of rhe loop

36
Q

where does reabsorption take place

A

proximal convoluted tubule

37
Q

what structures are in the cortex

A

bowmans capsule, pct, dct

38
Q

what structures are in the medulla

A

loop of henle collecting duct and pelvis

39
Q

which hormone contols water reabsorption and reduces water loss in urine

40
Q

where is ADH secreted

A

posterior pituitary gland

41
Q

how does the first part of the distal convoluted tubule work

A

like the ascending loop of henle

42
Q

how does the second part of the distal convoluted tubule work

A

like the PCT

43
Q

what does dct do

A

in the dct Na ions are actively pumped from the fluid in the tubule into the tissue fluid and they pass into the blood. K+ are actively transported into the tubule. The rate at which they are pumped in and out of nephron regulates ion conc in blood. Na and K are important for nerve communication

44
Q

osmoregulation

A

the control of the water potential of blood and tissue fluid by controlling the water content and the concentration of ions (mainly Na)

45
Q

what receptors detect a change in wp of the blood

A

osmoreceptors

46
Q

what happens when there’s a decrease in wp

A

nerve impulse sent to pituitary gland stimulating release of ADH

47
Q

what kind of hormone is ADH

48
Q

diuresis

A

production of dilute urine

49
Q

what does ADH target

A

cells of collecting duct. ADH makes the luminal membranes of the collecting duct more permeable to water

50
Q

How is the permeability of the collecting duct changed

A

increasing the number of aquaporins in the luminal membrane
ADH binds to receptor proteins stimulating the production of cyclic AMP which is a second messenger which activates a signalling cascade and aquaporin molecules are phosphorylated
The activation of aquaporins means the vesicles move towards the luminal membrane and fuse with it.

51
Q

what cells are in islets of Langerhans

A

alpha and beta cells

52
Q

in the islets of Langerhans what do a cells secrete

53
Q

in the islets of Langerhans what do b cells secrete

54
Q

when would there be an increase in glucose

A

after a meal containing carbohydrates

55
Q

what happens when there is an increase in glucose

A

a cells stop secretion of glucagon and b cells secret insulin. Insulin is carried to all parts of body in blood
insulin binds to a receptor on a csm and increase the rate the cells absorb glucose from blood converting into glycogen, insulin also increases the use of glucose in respiration

56
Q

where are islets of Langerhans

A

endocrine tissue in pancreas

57
Q

How can glucose enter cells

A

facilitated diffusion through transporter protiens called GLUT

58
Q

what glut proteins do muscle cells have

59
Q

How do cells become more permeable to glucose

A

when insulin molecules bind to receptors vesicle with GLUT proteins are moved to membrane and fuse with it

60
Q

what glut proteins do brain cells have

61
Q

what glut proteins do liver cells have

62
Q

what does insulin stimulate

A

the activity of glucokinase which phosphorylates glucose trapping it in the cell, it can be converted to glycogen

63
Q

glycogenesis

A

synthesis of glycogen by addition of glucose monomers

64
Q

what happens when there is a decrease in blood glucose concentration

A

a cells stop secreting glucagon and b cells secrete insulin

65
Q

what happens when glucagon binds to receptor

A

conformational change in receptor that activates G protein and that activates adenyl cyclase. Adenyl cyclase is part of the cell membrane and catalyses the conversion of ATP to cyclic AMP
cAMP is a second messenger that binds to protein kinase A enzymes activating them. Active protein kinase A activate phosphorylase kinase enzymes by adding phosphate groups to them. Phosphorylase kinase enzymes activate glycogen phosphorylase and they catalyse the breakdown of glycogen to glucose

66
Q

glycogenolysis

A

breakdown of glycogen by removing glucose monomers

67
Q

gluconeogenesis

A

formation of glucose in the liver from non carbohydrate sources like aa and pyruvate and lactate

68
Q

order of enzymes in the cascade

A

adenyl cyclase
cAMP (not enzyme)
kinase
glycogen phosphorylase