Structural basis of the kidney function Flashcards

1
Q

general process of filtration

A

under high pressure - force subsatnces out
don’t want cells to leave
afferent high pressure - bigger vessel than efferent - pressure gradient, squeeze fluid out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

how is the glomerulus organised for filtration

A

specialised basement membrane
fenestrated endothelium capillaries
podocytes with individual feet - feet interlock = filter
many capillaries = high surface area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

blood flow and pressure for the kidney

A

arterioles come of the aorta
short distance
high pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

composition of filter from the glomerulus

A

isotonic - same conc as plasma minus the cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

where does the filtrate go from the glomerulus

A

from urinary pole of corpuscle

to the PCT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

components of the renal corpuscle

A

bowmans capsule
glomerulus
podocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

where is the blood supply of the renal corpuscle

A

vascular pole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is filtered out in the glomerulus

A

ions and molecules <50000 molecular weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the bowman’s capsule

A

where the filtrate is collected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

summary of reabsorption

A
material to be absorbed is retained in PCT 
ions 
glucose
AA
small proteins 
water
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

structure of the PCT

A
vesicles - to absorb 
brush border - increase SA 
lots of mt
cuboidal epithelium 
tight junctions
interdigitations of lateral membrane - increase SA 
aquaporins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

functions of PCT

A
reabsorption of 70% glomerular filtrate 
Na uptake - basolateral Na pump 
water and anions follow Na
glucose uptake by Na/glucose co-transporter - requires energy 
aa by Na/aa co transporter 
protein by endocytosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

summary of creating a hyper-osmotic ECF

A
function of loop of henle and vasa recta 
counter current mechanism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Henle’s loop

A

gets thin
different lengths - different concentrations of ions in the medulla
vasa recta - capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

descending limb of the loop of henle

A

passive osmotic equilibrium
thin
simple squamous epithelium
few mt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

ascending limb

A
Na and Cl actively pumped out - many mt 
V water impermeable TJ- don't want water to enter 
no aquaporins - no permeability 
= hyperosmotic ECF 
cuboidal epithelium
17
Q

vasa recta

A

blood vessels are arranged in loop
blood in rapid equilibrium with ECF
loop structure stabilises hyperosmotic
allow fluid to be taken away from the area

18
Q

adjustment of ion content of urine

A

principally a function of DCT

control levels of Na, K, H, NH4

19
Q

distal convoluted tubule structure

A
invaginations 
no brush border 
some mt 
shorter that pct 
in invag - Na, K, NH4 pump and mt 
cuboidal epithelium 
few microvilli
20
Q

function of the DCT

A

osmotic re-equilibration - by vasopressin

adjustment of Na+/K+/H+/NH4+ - aldosterone

21
Q

anti-hypertensive drug

A

sprionolactone
interfere with osmotic re-equilibration
excrete more Na and control Bp

22
Q

concentration of urine

A

collecting duct
movement of water down osmotic gradient into ECF
controlled by vasopressin
ECF is hyperosmotic fluid - used to concentrate urine
depends on aquaporin 2 in apical membrane
rapidly reabsorbed through the base - aquaporin 3
control by ADh
little active pumping - fewer mt
drains into minor calyx at pailla of medullary pyramid
minor and major calyces, and pelvis have urinary epithelium

23
Q

kidney and bp

A

near aorta - detect bp

make bp controlling hormone - aldoseterone

24
Q

structure of the cells of the collecting duct

A

TJ - don’t want movement of fluid - got urea and creatine etc in

25
Q

juxtaglomerular cells

A

can detect BP

packed with prorenin - can release it if signalled to

26
Q

macular densa cells

A

endocrine cells

27
Q

action of increased bp

A
reduce renin 
reduce ANG 1
reduce ANG2 
reduce aldosterone form adrenal glands 
reduced vasoconstriction 
reduced NaCl/H2O reabsorption
28
Q

Juxtaglomerular apparatus

A

senses stretch in arteriole wall and tubule

made of macular densa in convoluted tubule and juxtaglomerular cells of afferent arteriole