L13 - Metabolic processes of the renal cortex and medulla Flashcards
Renal fuel metabolism varies with:
- Normal fed state
- Metabolic acidosis
- Fasting
N-compounds in urine (with daily amt)
(unit is g/day)
1) Urea (12-24)
2) Creatinine (1.0-1.8)
3) Uric Acid (0.2-0.8)
4) NH4+ (0.2-1.0; as high as 10 in acidosis)
Glutaminase
Renal enzyme that catalyzes:
Glutamine + H2O –> Glutamate + NH4+
Glutamine synthetase
Renal enzyme that catalyse:
Glutamate + NH4+ –> Glutamine
(ATP converted to ADP + Pi at this process)
Synthesis & Degradation of Glutamine
Glutamate dehydrogenase
Renal enzyme that catalyses:
Glutamate –> α-ketoglutarate + NH4+
Renal source of NH4+ production from glutamine
The series of deamination of glutamine:
Glutamine to glutamate (glutaminase)
Glutamate to α-ketoglutarate (glutamate dehydrogenase)
Factor affecting Renal uptake of glutamine
Depends on the need to excrete H+ to maintain blood pH.
[note: glutamine is small enough to enter glomerular filtrate]
Carbonic anhydrase
Renal enzyme, catalyze conversion of H2O and CO2 to H+ and HCO3-
H+ excreted via urine
HCO3- secreted back to blood
(control of blood pH)
Renal glutamine metabolism overview
Major fuel sources for the kidney
Lactate (normal state)
Glutamine (acidosis)
Fatty acids (fasting state)
Glucose
Renal fuel source in fed state
Lactate (45%; transported to blood-rich cortical cells for gluconeogenesis)
Glucose (25%)
Glutamate (15%)
Fatty Acid (15%)
Renal fuel source in fasting
Fatty acid (60%)
Glutamate (25%)
Lactate (15%)
Glucose (0%)
Renal fuel source in acidosis
Glutamate (40%)
Fatty acid, glucose, lactate (@ 20%)
Glutamine as renal fuel molecules
Glutamine is used as fuel in the normal fed state, and
to a greater extent during fasting and metabolic acidosis.
Source of glucose utilised in renal medulla
Glucose utilised in the renal medulla is produced in the renal cortex