Physiology - The Loop of Henle Flashcards

1
Q

what is the function of the loop of henle?

A

generates the cortico medullary solute concentration gradient

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2
Q

what does the corticomedullary solute concentration gradient allow?

A

the formation of hypertonic urine

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3
Q

what are the two parts of the loop of henle?

A

ascending limb

descending limb

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4
Q

what happens to NaCl in the ascending limb?

A

they are reabsorbed

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5
Q

how is reabsorption of NaCl achieved in the ascending limb?

A

thick AL = active transport

thin AL = passive

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6
Q

what happens to water in the ascending limb?

A

nothing - relatively impermeable

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7
Q

what happens to salt in the descending limb?

A

nothing - not reabsorbed

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8
Q

what happens to water in the descending limb?

A

reabsorbed - highly permeable to water

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9
Q

what is expressed by the cells in the wall of the ascending loop of henle?

A

the TALH triple co-transporter

on the luminal membrane

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10
Q

what does the triple co-transporter transport into the cells of the loop of henle?

A

sodium
potassium
two chloride ions

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11
Q

what is found on both membranes of the cells of the thick AL?

A

potassium ion channels

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12
Q

what two transporters are found on the basolateral membrane of the thick AL?

A

potassium chloride co transporter

sodium potassium pump

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13
Q

what drugs block the triple co transporter in the thick AL?

A

loop diuretics

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14
Q

what effect does solute leaving the AL have on the fluid in the DL?

A

concentrates it

solute leaves AL = increased osmolality of tubular fluid = water leaves DL = increased concentration

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15
Q

what is the tonicity of the fluid leaving the loop of henle?

A

hypotonic

hypoosmotic - lower osmolality than tubular fluid

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16
Q

what is the corticomedullary solute concentration gradient?

A

the progressive increase in tubular fluid osmolality as you move from the cortex down into the medulla

17
Q

what is the tonicity of the fluid entering the loop of henle?

A

isotonic

same osmolality as the tubular fluid

18
Q

what two ions help set up the corticomedullary osmotic gradient and what is this known as?

A

sodium and urea

“the two solute hypothesis”

19
Q

what is the purpose of counter current multiplication?

A

concentrates the medullary interstitial fluid