Test 2: Wk5: 1 Introduction to renal structure and function - Mangiarua Flashcards
Balance Concept
amounts ingested and produced must equal the amounts excreted and catabolized
7 Functions of the Kidneys
- water and electrolyte balance
- BP and ECF Vol Regulation
- Excretion
- RBC production Regulation
- Acid-Base Balance
- VitD production Calcium and Phosphate balance
- Gluconeogenesis
The kidney consists of a — and — substance and a — that connects it with the ureter
cortical
medullary
pelvis
the medulla is subdivided into
inner and outer section
what is the functional unit of the kidney
the nephron
how many nephrons per kidney in adult human
1 million
Bowman’s capsule
expanded blind end of the uriniferous tubule
Bowman’s Space
area receiving filtrate of blood
tuft of capillaries which nearly fills bowman’s capsule
Glomerulus
two types of glomerular mesangial cells
Phagocytic and nonphagocytic
Phagocytic glomerular mesangial cells do what
keep glomerular membranes clean and functional
Nonphagocytic glomerular mesangial cells do what
function as contractile cells to regulate surface areas and filtration
3 layers of glomerular membranes
1 endothelium
2 basement membrane
3 epithelium
Glomerular Endothelium structure
fenestrated capillary that is freely permeable to large molecules
Glomerular Endothelium function
screens out cells creating filtrate
Glomerular Basement Membrane function
barrier to large proteins and lipids
Glomerular Epithelium is composed of
podocytes
Glomerular Epithelium - Foot Processes
attached to basement membrane
Glomerular Epithelium - adjacent pedicels are separated by — bridged by pores
filtration slits
The proteins that make up the slit diaphragm between to adjacent foot processes do what
interact with intracellular proteins to facilitate filtration
Glomerulonephritis -
renal dz with bilateral inflammatory changes in glomeruli
Glomerulonephritis is characterized by (3)
1 decreased production of urine
2 Blood and Protein in urine
3 Edema
Nephrotic Syndrome is a
nonspecific disorder
Nephrotic Syndrome is Characterized by (4)
- severe proteinuria
- Hypoalbuminemia
- Hyperlipidemia
- Generalized edema
Nephrotic Syndrome is cased by various disorders that —. Mutations in several genes that encode for —
damage glomeruli
slit diaphragm proteins
Nephritic Syndrome is not a specific disorder and is clinically characterized by (6)
- edema
- hypertension
- hematuria
- elevated serum creatinine
- azotemia
- oliguria
azotemia -
increased blood urea nitrogen BUN
Increased Urea
oliguria -
low urine output
The tubule is made of —
— Junctions are present btwn adjacent cells
single layer epithelial cells
tight
Proximal tubule is connected to
Bowman’s capsule
what is the major site of reabsorption of filtered fluid
Proximal Tubule
The proximal tubule is distinguished by its
large surface area
the apical membrane of the proximal tubule has
extensive non-motile brush border of microvilli
the basolateral membrane of the proximal tubule has — and —
multiple infoldings of cell membrane and basal projections
proximal tubule basolateral membrane structure allows for
large lateral intracellular spaces/ channels
the proximal tubule has a lot of — which line the —
mitochondria
basolateral membrane
Henle’s Loop configuration results in
countercurrent flow of the tubular fluid
Loops are close together and can influence
electrolyte and water transport in each other
Distal Tubule returns to the cortex and makes contact with — and — of the renal corpuscle
afferent and efferent arterioles
Distal Tubule is the site of the
Juxtaglomerular Apparatus
JGA
JGA 3 cell types
- Macula Densa
- Granular
- Extraglomerular mesangial cells
Macula Densa Cells are specialized — cells located in
epithelial; late thick ascending Loop of Henle/ early distal tubule
Macula Densa Cells provide information on (3)
- volume
- flow
- NaCl conc.
Macula Densa Cells interdigitate with
the other 2 JGA cell types
Granular cells are differentiated — in the walls of the — and —
SMCs
afferent and efferent arterioles
Granular Cells secrete what hormone
Renin
Extraglomerular Mesangial Cells exhibit
phagocytic activity
Extraglomerular Mesangial Cells are similar to and continuous with
interglomerular mesangial cells
Extraglomerular Mesangial Cells communicate with — via —
granular cells via gap junctions
In the JGA the distal tubule is — than the proximal tubule
shorter
The JGA is — to water
impermeable
Collecting tubule system consists of (4)
- connecting tubule
- initial portion of cortical collecting duct
- cortical duct
- medullary collecting duct
Collecting tubule system receives — fluid from — on its course from the — to the —
tubular fluid from distal tubules
cortex to the inner medulla
several collecting ducts fuse together near the tip of papillae to form — which can drain — nephrons
papillary ducts of Bellini
3000
— is the site of “fine tuning” tubular fluid composition which result in fine control of —
Collecting Tubule System
ECF composition
Collecting Tubule System principal cells respond to (3 hormones)
ADH
ANP
Aldosterone
Collecting Tubule System intercalated cells (2 types and their function)
alpha - H+ secretion
Beta - Bicarb secretion
Does the kidney have vagal nerve supply
no
the SNS innervates (3)
- SM of efferent and afferent arterioles
- Granular cells in afferent arteriole
- Basement membrane of proximal tubule, loop of Henle, distal tubule, and collecting duct
SNS stimulation of SM of efferent and afferent arterioles causes
vasocontriction
SNS stimulation of Granular cells in afferent arteriole causes
increased release of renin
SNS stimulation of Basement membrane of proximal tubule, loop of Henle, distal tubule, and collecting duct causes
increased Na reabsorption
The lymphatic network drains the — and is not seen in the — and —
cortex
medulla and papillae
Blood Flow through the kidney
see slide 21
Glomerular capillaries are located between
2 arterioles
Glomerular Filtration -
the bulk flow of essentially protein free plasma from the glomerular capillaries into bowman’s capsule
Glomerular Filtration (4 functions)
- occurs only in glomerulus
- no active transport
- sieving blood
- permeability selective
Tubular Secretion
transfer of materials from the peritubular- capillary plasma to the tubular lumen
Tubular Secretion (3 functions)
- highly selective
- active and passive transport
- occurs throughout nephron
Tubular Reabsorbtion
transfer of materials from lumen of the tubule to the peritubular capillary
Tubular Reabsorption (3 functions)
- highly selective
- active and passive transport
- occurs throughout nephron
Water:
Filtered per day
Amount Excreted
% Reabsorbed
180 L
1.8L
99%
Sodium:
Filtered per day
Amount Excreted
% Reabsorbed
630g
- 2g
- 5%
Glucoes:
Filtered per day
Amount Excreted
% Reabsorbed
180g
0
100%
Urea:
Filtered per day
Amount Excreted
% Reabsorbed
56g
28g
50%