L6: Tubular Function 3 Flashcards
What is the filtered load?
How much is coming into the tubule
Filtered load “s” =
Filtered load “s” = GFR x plasma concentration (Ps)
Excretion rate =
Excretion rate = V x urinary concentration (of a specific solute)
Fractional excretion (FE) =
FEs = excretion rate of s/ filtered load of s
The PST secretes __
organic anions (OA)/ organic cations (OC)
The PCT, TAL, IC secretes___
NH4,H,HCO3
CD principal cells secrete __
K (aldosterone)
What is the site of secretion of organic compunds?
PST
OAT
Organic anion transporters
Some OATs are depend on
dependant
How can we transport many OA?
The OATs have low specificity so transport of many
The secrtion of OA is linked to ___
alpha-KG
What do OAs compete for?
secretory pathways
What is the ATP dependent pathway in OC secretion?
MDR1
For cations we only need ___ type of transporter
1
MATE
multi drug and toxin exchanger
Where is the OCT2?
on the basolateral membrane
Where is the rate limiting step ____? why?
on the apical membrane because MDR1 is ATP-dependant
Is organic cation transport specific?
no it is non-specific or polyspecific (can pretty much carry any organic cations)
Give two examples of endo and exo OC and OA secreted by PST
OA
endo - creatinine, Bile salts
exo - Penicilin G, PAH
OC
endo- Dopamine, histamine
exo- Morphine, NMN
Aldosterone promotes ___ secretion in ____ _____
K+, prinicipal cells
Aldosterone is a steroid so it can move thorugh cells
passively through diffusion
4 steps of aldosterone PE
- Diffuses into cell (CollectingD)
- Binds to Mineralcorticoid recpetor)
- Synthesis of mRNA for ENaC (epithelial sodium channel) and Na/K ATPase
- Increase NaR
What are the 3 functions of aldosterone?
Increasing ATPase
Increaseing ENaC
Increasing ability of potassiom to move through K channels
Aldosterone promtoes Na ____ and K _____
Na - rabs
K - sec
What is the antagonist of aldosterone?
sprionolactone
Summary steps of K secretion
- increase K
- increase aldosterone
- Increase K sec in collecting duct
- increase K excretion
What is the main electrolyte of the ICF?
K
What is the main electrolyte of the ECF?
Na
osmolality
ability to pull water
Disturbances in the ____ volume can lead to CV imbalance
ECF
Hypernatremia
a dangerous rise in plasma Na
If you only drank sea water