Lecture 28: THE NEPHRON Flashcards

1
Q

How many nephrons per kidney?

A

Approximately 1 million

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2
Q

What is the nephron responsible for?

A

Urine formation

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3
Q

What are the two types of nephrons?

A

Cortical and juxtamedullary

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4
Q

What portion of nephrons are cortical?

A

85%

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5
Q

Where are cortical nephrons found?

A

Lie mainly in the cortex

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6
Q

Where are juxtamedullary nephrons found?

A

Extend deep into the medulla

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7
Q

What are juxtamedullary nephrons important for?

A

The formation of concentrated urine

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8
Q

What are the functions of the nephron and its associated structures?

A

Selectively filter blood, return to blood anything to be kept and carry waste away for storage and expulsion

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9
Q

What is each nephron comprised of?

A

A glomerular capsule, renal tubules and a collecting duct

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10
Q

What is each nephron associated with?

A

A glomerulus and peritubular capillaries

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11
Q

What are glomerular capillaries specialised for?

A

Filtration

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12
Q

What is the structure of glomerular capillaries?

A

Thin walled single layer of fenestrated endothelial cells

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13
Q

What are glomerular capillaries fed and drained by?

A

Arterioles

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14
Q

What is tightly regulated at the glomerular capillaries?

A

Blood pressure

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15
Q

What are peritubular capillaries specialised for?

A

Absoprtion

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16
Q

Where are peritubular capillaries found?

A

Wrapped around the renal tubules (proximal and distal)

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17
Q

What do the peritubular capillaries receive?

A

Filtered blood from the glomerulus via efferent arterioles

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18
Q

What can pass from the peritubular capillaries into the nephron?

A

Some non-filtered solutes that need to be excreted

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19
Q

What are vasa recta?

A

Extensions that follow the nephron loop deep into the medulla

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20
Q

Where are vasa recta found?

A

Only with juxtamedullary nephrons

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21
Q

What is the renal corpuscle?

A

The glomerulus enclosed by the glomerular capsule

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22
Q

What meets at the renal corpuscle?

A

The capillary and nephron

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23
Q

What is the renal corpuscle the site of?

A

The filtration barrier

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24
Q

What is the first part of the nephron?

A

The glomerular capsule

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25
How many layers of the glomerular capsule?
Two
26
What is the layers of the glomerular capsule?
Outer parietal layer of simple squamous cells and inner visceral layer of podocytes
27
What is between the layers of the glomerular capsule?
The capsular space which receives the filtrate (primary urine)
28
Where are podocytes found?
Surrounding the glomerular capillaries
29
What is the structure of podocytes?
very branched, very specialised epithelium
30
What do the branches of podocytes form?
Intertwining foot processes called pedicels
31
What forms between pedicels?
Filtration slits
32
What goes through the filtration slits into the capsular space?
Filtered blood (filtrate)
33
Where is the filtration barrier found?
Between the blood and capsular space
34
What does the filtration barrier allow?
Passage of water and small molecules
35
What does the filtration barrier restrict?
Passage of most proteins
36
What isn't filtered into the nephron?
RBC's
37
How many layers are there to the filtration barrier?
Three
38
What are the layers of the filtration barrier?
fenestrated endothelium of glomerular capillaries, fused basement membrane and filtration slits between the pedicels of the podocytes
39
What is urine?
Waste fluid and solutes filtered from the blood
40
What happens to what is filtered?
Not everything that is filtered is excreted, some filtrate is reabsorbed and some of what wasn't filtered is secreted into the nephron
41
What does urine =?
Filtered-reabsorbed+secreted
42
What occurs at the PCT?
Bulk reabsorption
43
What is the PCT surrounded by?
Peritubular capillaries
44
What is the cells of the PCT?
Simple cuboidal epithelial
45
What is on the luminal membrane of the PCT cells?
Dense microvilli which forms a brush border to increase the surface area for reabsorption
46
How is the basolateral membrane of the PCT cells?
Highly folded
47
What does the PCT have lots of?
Mitochondria for active transport
48
How is the epithelium of the PCT?
Leaky (tight junctions aren't very tight)
49
Where does the nephron loop go?
Down into the medulla
50
Why is the length of the nephron loop important?
For production of dilute/concentrated urine
51
What is the nephron loop surrounded by?
Vasa recta in juxtamedullary nephrons
52
What are the components fo the nephron loop?
Thick descending limb, thin descending limb, thin ascending limb, thick ascending limb
53
What is the structure of the thick descending limb?
Similar to the PCT
54
What is the structure of the thin descending limb?
Simple squamous epithelium
55
What is the structure of the thin ascending limb?
Simple squamous epithelium
56
What is the structure of the thick ascending limb?
Similar to the DCT
57
What does the nephron loop have different permeabilities to?
Water and sodium
58
What happens at the DCT?
Fine tuning (regulated reabsorption)
59
What is the epithelium of the DCT?
Cuboidal but thinner than the PCT
60
What is in the structure of the DCT?
Few microvilli - no brush border, fewer mitochondria
61
What is reabsorption at the DCT influenced mainly by?
Aldosterone
62
What happens at the collecting duct?
Fine tuning - regulated reabsorption
63
What drains into a collecting duct?
Filtrate from several DCT's
64
Where does the collecting duct empty into?
The papilla
65
What is the structure of the collecting duct?
Wall of simple cuboidal epithelium, principal cells and intercalated cells
66
What is the role of principal cells?
Reabsorption
67
What is the role of intercalated cells?
Acid/base balance
68
What is reabsorption at the collecting duct influenced by?
ADH and aldosterone
69
What is the juxtaglomerular apparatus (JGA)?
A specialised zone in every nephron
70
Where is the JGA?
Where the DCT lies against the afferent arteriole
71
What are the specialised cells of the DCT at the JGA
Macula densa cells
72
What are macula densa cells?
Chemoreceptors which detect sodium levels in the filtrate in the DCT
73
What are the specialised cells of the afferent arteriole of the JGA?
Juxtaglomerular cells
74
What are juxtaglomerular cells?
Mechanoreceptors which detect blood pressure
75
What does the JGA control?
Glomerular filtration rate, ensuring the system is working at full capacity
76
What does the JGA stabilise?
Blood pressure