Physiology of the kidney II Flashcards
How are organic substances secreted across the rpoximal tubule
Indirect active transport
What is secretion in nephrons
Transfer for molecules from ECF into lumen of nephron
Enables the enphron to enhance excretion of substance
Wha is diuresis
drugs that promote excretion of water in urine
Why does the apical membrane need to be not permeable to water
Kidney may need to reabsorb solutes but not water
How is the collecting duct made water permeable
Vasopressin vind to memrbane receptor
Receptor activates cAMP second messenger system
Cell inserts AQP2 water pores into apical membrane
Warer is absorbed by osmosis
What is AQP2
Aquaporin 2
What does aldosterone do in nephron
Target cells are principal cells found in distal nephron epithelium
Net effect is retention of Na+ and secretion of K+
Two primary stimuli for aldosterone release
Low blood pressure
Increase extracellular K+ concentration
Action of aldosterone
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
Effects of angiotensin II
Increases ADH secretion
Stimulates thrist
Potent vasoconstrictor
Increases sympatheti output to the heart and blood vessels
Increases proximal tubule Na+ reabsorption