LOH, DCT and collecting duct Flashcards

1
Q

what are limits for the osmolarity of urine determined by

A

osmolarity of the renal medulla

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2
Q

what is the loop of henle

A

juxtamedullary nephrons drop down into the renal medulla and then return to the cortex

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3
Q

characteristics of descending limb of LOH

A

lacks ion pumps
expresses lots of aquaporins
very permeable to water

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4
Q

permeability of thick and thin ascending limb of LOH

A

not permeable to water

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5
Q

what does active transport of ions out of the thick ascending limb lead to

A

osmotic transport of water out of the descending limb

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6
Q

2 steps in the loop of henle

A

static effect
fluid flow

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7
Q

what is the static effect

A

active transport if solute out of ascending limb to make interstitial space hyperosmotic and draws water out of descending limb making filtrate more concentrated

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8
Q

what is fluid flow

A

as filtrate is continually produced, new tubular fluid enters the descending limb and pushes the fluid at higher osmolarity down the tube

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9
Q

effect on osmotic gradient as static effect and fluid flow steps repeated

A

steadily multiplies down the tube

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10
Q

what is the capillary network surrounding the juxtamedullary LOH called

A

vasa recta

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11
Q

function of the vasa recta

A

supply oxygen and nutrients to the medulla

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12
Q

where does the vasa recta run

A

parallel to the limbs of the LOH

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13
Q

blood flow in the vasa recta

A

blood flows in opposite direction to the filtrate and hairpin loop slows blood flow down

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14
Q

components of the counter-current multiplier

A

specialised peritubular capillaries (vasa recta)
loop of henle

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15
Q

what allows urea to escape the collecting duct and be recaptured by the descending LOH

A

urea channels in the medulla

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16
Q

what is responsible for 50% of the osmotic gradient

A

urea recycling

17
Q

recycling process of urea

A

antidiuretic hormone upregulates urea channels in the inner medullary collecting ducts allowing more urea to flow passively into the interstitial fluid and back into thin descending LOH

18
Q

what controls water balance

A

endocrine
ADH

19
Q

where is ADH made and packaged

A

neuron

20
Q

where is ADH stored

A

posterior pituitary

21
Q

what does ADH do

A

binds to specific membrane receptor
receptor activates cAMP 2nd messenger system
cell inserts aquaporins into apical membrane
water absorbed by osmosis into the blood

22
Q

characteristics of diluted urine

A

excessive drinking
no ADH
no aquaporins

23
Q

characteristics of concentrated urine

A

dehydration
increased ADH
increased aquaporins

24
Q

enzyme that maintains sodium-potassium gradient

A

sodium potassium ATPases

25
Q

what allows passive diffusion of ions between principle cells and filtrate

A

leak channels on apical side of principle cells

26
Q

characteristics of principle cells

A

asymmetrical arrangement of Na, K ATPase
no microvilli
impermeable to water without ADH - not linked to reabsorption of sodium

27
Q

what regulates the secretion of K and reabsorption of NA in principle cells

A

aldosterone

28
Q

what does the zona glomerulosa secrete

A

mineralocorticoids

29
Q

what hormone is released in response to decreased calcium in the blood

A

parathyroid hormone = PTH

30
Q

what does PTH decrease in the proximal tubule

A

reabsorption of phosphate

31
Q

what does PTH increase in the ascending loop of henle, distal tubule and collecting tubule

A

reabsorption of calcium