Lecture 4: Tubular Transport Flashcards

1
Q

why is the rate of reabsorption and secretion of substances variable throughout the tubular system

A

b/c of differences in permeability and transporters / channels

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2
Q

what facilitates transport across tubular epithelial cells

A

an enlarged surface area on the apical side (brush border) and basolateral side (micropedici)

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3
Q

epithelial cells are connected to eachother by _____ ?

A

tight junctions. they limit paracellular transport

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4
Q

what portion of the tubule system reabsorbs 80% of water

A

Proximal tubule and descending limb of the LoH

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5
Q

what part of the tubular system has thick ascending limbs and reabsorbs 30% of the NaCl filtered by the glomerulus

A

Ascending limb of the LoH and early distal tubule

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6
Q

how do NaCl and K enter the cell

A

via NKCC-2

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7
Q

what is the function of the distal convoluted tubule

A

reabsorbing NaCl via NCC

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8
Q

what does the collecting duct have a role in

A

adjusting the final urine composition

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9
Q

where does glucose and amino acid reabsorption occur

A

the proximal tubule

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10
Q

what transporters are present in the apical membrane of the PT

A

sodium dependent transporters (SGLT1 & SGLT2) for glucose and EAAT3, SIT1 for amino acids

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11
Q

what type of transport is utilized in the reabsorption of glucose from the lumen of the nephron back into the cells of the PT

A

secondary active transport, linked to sodium ions

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12
Q

Once back inside the PT cells how does glucose diffuse into the interstitial space

A

via facilitated diffusion proteins located in the basal membrane of PT cells

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13
Q

what drives small glucose molecules to diffuse into peritubular capillaries

A

protein oncotic pressure

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14
Q

what is tubular maximum (mg/min)

A

the max rate of reabsorption that is reached when all membrane transport proteins are saturated

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15
Q

below tubular maximum, what happens to the filtered load

A

it is all reabsorbed

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16
Q

what happens to the filtered load when TM is exceeded

A

it is excreted

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17
Q

where are tubular maximum primarily found

A

PT

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18
Q

where does the reabsorption of bicarbonate take place

A

PT

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19
Q

CO2 can move into epithelial cells via what methods

A

via transmembrane diffusion or AQP1

20
Q

where are sodium dependent transporters (NHE3) that remove protons during the reabsorption of bicarbonate found

A

in the apical membrane of the proximal tubule

21
Q

what transporters are present in the proximal tubule that help effectively reabsorb glucose?

22
Q

what is the difference b/w carrier-mediated transport of glucose vs simple diffusion of glucose

A

carrier-mediated transport can max out (b/c it is sodium-dependent) whereas transport by simple diffusion doesn’t really max out, but is somewhat dependent on available SA

23
Q

why is glucose usually not present in urine

A

b/c transport rate is not maxed out
– as long as max rate (TM) isn’t reached, glucose is able to be fully reabsorbed

24
Q

what happens when tubular max is reached

A

glucose appears in urine

25
since bicarbonate cannot be directly absorbed through the apical membrane, what is required to convert it into CO2 (a form that can cross membrane)
carbonic anhydrase
26
unlike at the apical membrane, bicarbonate can be directly transferred from inside the cell across the basolateral membrane by what transporter
Na/K ATPase pump
27
where does reabsorption of bicarbonate occur
proximal tubule
28
the reabsorption of bicarbonate via the Na/H exchanger (NHE3) depends on the activity of what enzyme
carbonic anhydrase
29
the reabsorption of sodium occurs in what parts of the tubule system
PT LoH DCT CD
30
what regulates the secretion of potassium secretion
K+ homeostasis
31
where does potassium secretion occur mainly and how
in the collecting duct via apical K+ channels (ROMK< BK)
32
where does potassium absorption occur
DCT and CD K is reabsorbed in exchange for H by an ATP dependent pump, the H/K ATPase
33
where does reabsorption of chloride occur and through what mechanisms
in all segments of the nephron - via paracellular pathway (through tight junctions) - via transcellular mechanisms (chloride couples transporters and chloride channels such as pendrin, NCC, NKCC-2)
34
what factors upregulate phosphate transporter expression
dietary phosphate deficiency, TH, IGF
35
what factors downregulate phosphate transporter expression
PTH (secreted in response to low blood Ca levels) dietary potassium deficiency, metabolic acidosis, high phosphate diet, estrogen, glucocorticoids
36
where does reabsorption of urea occur and how
in the PT and LoH via simple diffusion in the CD by urea transporter
37
where does urea accumulate
in the inner medulla *establishes high tonicity in the medulla that allows for water reabsorption
38
what limb of the LoH is impermeable to water
thick ascending limb
39
the proximal tubule has what transporters for glucose and amino acid uptake
SGLT1 and SGLT2 for glucose and EAAT3, SIT1 for amino acids
40
water reabsorption in the collecting duct is dependent on what
the presence of vasopressin (ADH) (hormone)
41
what is the method of Na absorption in the PT
Na+ dependent solute transporter and Na/H exchanger
42
what is the method of Na absorption in the LoH
NKCC-2 co-transporter in the apical membrane
43
what is the method of Na absorption in the DCT
NCC co-transporter
44
what is the method of Na absorption in the CD
ENac promotes sodium uptake
45
what segments of the tubular system are impermeable to water
LoH, TAL, DCT