Physiology of the kidney II Flashcards

1
Q

How are organic substances secreted across the rpoximal tubule

A

Indirect active transport

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2
Q

What is secretion in nephrons

A

Transfer for molecules from ECF into lumen of nephron

Enables the enphron to enhance excretion of substance

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3
Q

Wha is diuresis

A

drugs that promote excretion of water in urine

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4
Q

Why does the apical membrane need to be not permeable to water

A

Kidney may need to reabsorb solutes but not water

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5
Q

How is the collecting duct made water permeable

A

Vasopressin vind to memrbane receptor
Receptor activates cAMP second messenger system
Cell inserts AQP2 water pores into apical membrane
Warer is absorbed by osmosis

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6
Q

What is AQP2

A

Aquaporin 2

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7
Q

What does aldosterone do in nephron

A

Target cells are principal cells found in distal nephron epithelium
Net effect is retention of Na+ and secretion of K+

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8
Q

Two primary stimuli for aldosterone release

A

Low blood pressure

Increase extracellular K+ concentration

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9
Q

Action of aldosterone

A

Aldosterone combines with cytoplasmic receptor
Hormone-receptor complex initiates transcription in the nucleus
Translation and protein synthesis makes new protein channels and pumps
Aldosterone-induced proteins modulate existing channels and pumps
Result is increased Na+ reabsorption and K+ secretion

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10
Q

Effects of angiotensin II

A

Increases ADH secretion
Stimulates thrist
Potent vasoconstrictor
Increases sympatheti output to the heart and blood vessels
Increases proximal tubule Na+ reabsorption

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