Renal anat 2 - nephron, filtration system, renal corpuscle, juxtoglomerular apparatus Flashcards

1
Q

what is the structure of the nephron? (4 main parts)

A

Renal corpuscle

proximal convoluted tubule

loop of henle (thick and thin loops)

distal convolute tubule

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2
Q

what is the renal corpuscle

A

the filtration system of the kidneys

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3
Q

describe the components of the renal corpuscle

A

consists of the glomerulus and bowman’s capsule

Bowman’s capsule: parietal layer (outer) and visceral (inner) layer

pressure in Bowman’s space drives filtration –> fluid is forced into this space

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4
Q

Explain the structure of podocytes in the filtration membrane (include primary, secondary processes and nephrin)

A

Filtration membrane = glomerulus and podocytes

podocytes: nucleus & organelles
- have primary processes –> give rise to secondary foot processes which interdigitate with neighbouring pedicles
- gaps between secondary process are filtration slits – single layer of protein called nephrin

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5
Q

Role of endothelial cells in glomerular

A

endothelial cells on the inner surface (podocytes on basal lamina)

porous/leaky –> allows fluid to move out freely where it then gets filtered by the basement membrane

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6
Q

What is the role of the filtration membrane?

A

allows fluid to go through but not RBC’s and other cells (depends on size etc.)

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7
Q

what goes through the filtration membrane?

A

water, electrolytes, and small molecules (glucose) and small proteins

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8
Q

Role of mesangial cells in relation to blood pressure?

A

within the glomerulus

regulate blood flow/pressure in the glomerulus

  • move pressure force fluid into the Bowman’s space
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9
Q

Explain the proximal convoluted tubule (PCT) in relation to the filtration system

A

PCT secrete variety of organic ions

  • creatinine (blood creatine rises with kidney damage)
  • adrenaline
  • penicillin

simple cuboidal epithelium

brush border of microvilli (> surface area)

many mitochondria (very metabolically active)

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10
Q

what is the primary role of the loop of henle?

A

water reabsorption (control saltiness)

  • cells are pumping salt into the inner medulla by thin descending limb – allows water to then be pulled out of limb into the space therefore urine become more concentrated as it moves through the loop of henle
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11
Q

what are the 4 parts of the loop of henle?

A

thick descending limb

thin descending limb

thin ascending limb

thick ascending limb

  • descending loop transition from cuboidal to squamous epithelium (hence epithelium gets thinner)
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12
Q

loop of henle: what limbs are in the outer and inner stripe

A

outer: thick ascending and descending limb
inner: thin descending and thick ascending

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13
Q

Distal convoluted tubule - compare to PCT

A

larger lumen (no BB)

less metabolically active with mitochondria

paler cytoplasm

no brush border

cuboidal cells little smaller than PCT

controls Na+, H+ and K+ ions under control of aldosterone (blood pressure control)

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14
Q

Two main cell types of collecting ducts:

A

principal cells

intercalated cells

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15
Q

Compare principal and intercalate cells of collecting ducts

A

principal:
- pale, few organelles
- short microvilli
- reabsorb Na+ & water, secrete K+

Intercalated:

  • darker, more mitochondria and vesicles
  • some microvilli
  • secrete H+ reabsorb HCO3-
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16
Q

*what is the juxtaglomerular apparatus?

A

blood pressure regulation

produce hormone: renin – influences aldosterone (control sodium conservation in kidneys) caused by decrease in blood pressure

erythroprotein: hormone released when low oxygen in blood –> increases blood pressure

17
Q

what makes up the juxtaglomerular apparatus?

A

DCT, afferent arteriole (specialised cells) and extra-glomerular mesangial cells form juxtaglomerular apparatus

18
Q

What are macula densa cells

A

in DCT

specialised epithelial cells

no sodium pumping

thin basement membrane

19
Q

extraglomerular mesenglial cells (lacis cells)

A

‘messenger cells’

talk to increase/decrease blood pressure

sodium to increase blood pressure, or dump sodium in filtrate to decrease blood pressure

20
Q

?? Find what cell this is

A

modified SM cells

measure blood pressure in afferent arteriole

release renin (influences aldosterone)