Lecture 58 - Collecting Ducts Flashcards

1
Q

what are the 3 basic renal processes

A
  1. glomerular filtration
  2. tubular reabsorption
  3. tubular secretion
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2
Q

why is there reabsorption?

A

because it is impossible and metabolically wasteful to intake the water and electrolytes needed to replenish waste

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3
Q

glomerular capillary bed

A
  • specialized for filtration
  • produce ultrafiltrate under high blood pressure
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4
Q

peritubular capillaries

A
  • from efferent arterioles
  • associated w renal tubules
  • low-pressure and high oncotic pressure
  • reabsorption of solutes and water
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5
Q

proximal convoluted tubule

A
  • responsible for the majority of reabsorption
  • large # of mitochondria
  • microvilli increases surface area
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6
Q

how are tubular cells connected

A

via tight junction and trans-/para-cellular pathways

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7
Q

what barriers must a transcellular pathway pass between

A
  1. luminal membrane of tubular cells
  2. basolateral membrane of tubular cells
  3. endothelium of capillary
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8
Q

what is reabsorbed in the PCT

A
  1. water
  2. sodium
  3. chloride
  4. bicarb
  5. glucose
  6. amino acids
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9
Q

water reabsorption is driven by

A

starling forces

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10
Q

what stimulates water reabsorption

A
  1. high oncotic pressure
  2. low hydrostatic pressure
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11
Q

glomerulotubular balance

A

constant fraction of the filtered load is reabsorbed at the proximal tubules

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12
Q

Give examples of increased GFR

A

constriction of efferent arteriole increases the amount of blood that is filtered

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13
Q

Give examples of increased reabsorption

A

higher oncotic pressure in the blood in the peritubular capillary will increase the amount of fluid reabsorbed from filtrate to capillary

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14
Q

water moves through

A

aquaporins

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15
Q

T/F: the resting state of aquaporins can be “open” or “closed”

A

TRUE

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16
Q

where are aquaporins always open

A

proximal convoluted tubule

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17
Q

where are aquaporins always closed

A

collecting ducts

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18
Q

glucose is reabsorbed with ____ in the PCT

A

Na+

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19
Q

what 2 carrier proteins are required for glucose transport in the renal system

A
  1. SGLT-2
  2. GLUT-2
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20
Q

SGLT-2

A

Na+ and glucose
Na+ out by APTase
Glucose in due to concentration/electrical gradient

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21
Q

GLUT-2

A

glucose from cytoplasm to interstitial fluid
passively reabsorbed

22
Q

what can you give a cat with insulin-non-dependent diabetes

A

SGLT-2 inhibitor

23
Q

when glucose exceeds the renal threshold it “spills over” to

24
Q

T/F: glucose cannot change osmolarity

25
Q

chronic hyperglycemia causes

A
  1. poor wound healing
  2. recurrent infections
  3. cataracts
26
Q

Fanconi syndrome

A

disorder of the PCT where electrolytes and amino acids are not reabsorbed

increased glucose, cystine (AA), and bicarb in urine

27
Q

How is glucose reabsorbed in the PCT

A
  1. glucose is transported from the tubule lumen
  2. PCT cell via SGLT-2
  3. from PCT cell to interstitium via GLUT-2
28
Q

the descending limb is where urine is

A

concentrated

29
Q

describe reabsorption in the descending limb

A
  • only water-permeable
  • no solute movement
  • interstitial osmotic gradient drives
30
Q

describe reabsorption in the thin ascending limb

A
  • impermeable to water
  • permeable to NaCl (passive reabsorption)
31
Q

where is urine secreted into filtrate

A

thin ascending limb

32
Q

describe reabsorption in the thick ascending limb

A
  • impermeable to water
  • reabsorption of Na+ (active with symporter and anitporters)
33
Q

overall the ascending loop is where urine is

34
Q

How does the osmolality of ultrafiltrate entering the DCT compare to that in the PCT

A

ultrafiltrate in entering the DCT has a LOWER osmolality

35
Q

aldosterone regulates ___ absorption and ___ secretion

36
Q

the reabsorption of ___ and secretion of ___ is important for pH regulation

37
Q

parathyroid hormone regulates ___ absorption

38
Q

describe the DCT

A
  • macula densa
  • less reabsorption than PCT
  • fine-tuning of ultrafiltrate
39
Q

describe the collecting ducts

A
  • collect filtrate from multiple nephrons
  • final step of filtrate manipulation
  • directs filtrate to ureter
40
Q

what are the 2 major cell types in collecting ducts

A
  1. principal cells
  2. intercalated discs
41
Q

principal cells

A
  • more numerous, shorter microvilli
  • Na+/urea reabsorption and K+ secretion
42
Q

intercalated cells

A
  • longer microvilli
  • pH regulation
43
Q

describe the principal and intercalated cells regarding aldosterone

A

principal = Na+ reabsorption and P secretion

intercalated cells = Cl- reabsorption and HCO3- secretion

44
Q

why may aniamls with Addison’s have hyponatremia and hyperkalemia

A

they lack aldosterone

45
Q

T/F: the aquaporins in collecting ducts are only open with anti-diuretic hormone is present

46
Q

Anti-diuretic hormone (arginine vasopressin)

A
  • peptide hormone produced in hypothalamus and secreted from PP in response to volume or osmolality change
  • causes aquaporins to move to surface
47
Q

ADH ____ urine concentration

48
Q

what drives resorption in collecting ducts

A

interstitial osmotic gradient

49
Q

diabetes insipidus occurs for what 2 reasons

A
  1. lack of ADH (central)
  2. impaired response of kidney to ADH (nephrogenic)
50
Q

describe tubular secretion

A
  • removing substances that are protein-bound
  • removing unwanted substances that were reabsrobed
  • eliminating unwanted ions
  • controlling H+ and HCO3-
51
Q

which hormone is responsible for regulating sodium resorption/potassium secretion in the DCT

A

aldosterone