Kidneys Flashcards
What are the functions of the kidneys?
- filtration of blood plasma (glomerulus)
- selective reabsorption of contents to be retained (PCT)
- tubular secretion of some components (LoH)
- concentration of urine as necessary (DCT)
What is the endocrine function of kidneys?
Signals to rest of body - hormones inc renin, erythropoietin, 1,25-OH Vit D
Where in the kidneys is material to be retained reabsorbed?
Proximal convoluted tubule
Where is the creation of hyper-osmotic extracellular fluid taking place in kidneys?
Main function of loop of Henle and the vasa recta (blood vessels)
When is the adjustment of ion content of urine done in the kidneys?
Principally a function of distal covoluted tubule controlling the amount of Na+, H+, NH4+ and K+
When is the concentration of urine controlled in the kidney? What happens?
Collecting tubule, movement of water down an osmotic gradient into extracellular fluid
What hormone affects the concentration of urine?
Vasopressin - ADH - antidiuretic hormone
What is the renal corpscle made out of?
Bowman’s capsule containing:
- The glomerulus consisting of capillaries
- Podocytes and mesangial cells associated with glomerulus
Where is the blood supply from and where does it leave the renal corpuscle?
- At the vascular pole of corpuscle
- From afferent arteriole and exit to efferent arteriole
- Glomerular capillaries at a high pressure
What does the filtration barrier in the renal corpuscle consist of?
- Fenestrae (windows) in capillary endothelium
- Special basal lamina
Where does the filtration happen in the renal corpusle?
Filtration slits between foot processes of podocytes - allows passage of ions and molecules less than 50,000 Da
Where is the drainage of filtrate in the renal corpuscle taking place? Where does it drain to?
At urinary pole of corpuscle
Drains to proximal convoluted tubule
What are the 5 stages of the mechanism of urine production in the kidney?
- Filtration
- Re-absorption
- Creation of hyper-osmotic extracellular fluid
- Adjustment of ion content of urine
- Concentration of urine
What are structural features of the proximal convoluted tubule? (eg epithelium/proteins)
- Cuboidal epithelium sealed by tight junctions and a brush border at apical surface
- indigitations at lateral membrane
- contains aquaproins, membrane protein mediating transcellular water diffusion and prominent mitochondria reflect high energy requirement
What are the functions of the proximal convoluted tubule?
- Reabsorption of 70% of glomerular filtrate
- Na+ uptake by basolateral Na+ pump
- Water and anions follow Na+
- Glucose uptake by Na+/glucose co-transporter
- AA uptake by Na+/aa co transporter
- Protein uptake by endocytosis