The Kidney - Selective Reabsorption Flashcards

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1
Q

What structures are involved in selective reabsorption

A

Proximal Convoluted Tubule (PCT)
Distil Convoluted Tubule (DCT)

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2
Q

What is the purpose of selective reabsorption

A

Reabsorbs substances into the blood as the filtrate passes along the nephron, most importantly filtering glucose out of the proximal tubule into the bloodstream

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3
Q

Where does most reabsoprtion occur

A

Proximal convoluted tube with epithelial cells

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4
Q

How are epithelial cells adapted

A

Microvilli = increase SA
Co-transporter proteins = transports specific solute across luminal membrane
High number of mitochondria = provide energy for sodium potassium pump
Tightly packed cells = no fluid can pass between cells

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5
Q

How do the sodium ions move out of the ascending loop of henle and what does this result in for water

A

Ascending is impermeable to water. In the basal membranes of the tubules there are sodium potassium pumps that pump sodium ions out of epithelial cells and into the blood, lowering water potential in the cortex. Osmosis is moving water molecules form an area of high to low concentration so water diffuses by osmosis into the cortex back into the blood stream.

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6
Q

What is permeable to water in the loop of henle

A

The descending loop of henle is permeable to water (can leave using osmosis)
Ascending is impermeable to water

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7
Q

How does the loop of henle filter out water (simply)

A

1) Na+ actively transport out of ascending loop of Henle
2) cortex water potential drops
3) Water comes out of descending loop by osmosis to maintain the water potential gradient
4) Water diffuses out of the tubule and back into the blood stream

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8
Q

How does water leave the loop of henle

A

Water potential is higher in descending loop of henle and low in cortex (because Na+ have been actively transported out)
Water tries to reach an equilibrium due to the water potential differences and so moves via osmosis from an area of high concentration (tubule) to an area of low (cortex)

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9
Q

Where does the loop of henle extend to and from

A

From cortex to medulla

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10
Q

What is the loop of henle and collecting duct involved in

A

Osmoregulation
Loop of henle = salt gradient
Collecting duct = water retention

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11
Q

How does the proximal convoluted tubule work

A

1) Sodium potassium pumps use ATP from mitochondria (in the basement membrane of epithelial cells) to pump Na+ out of the tubule into the blood by active transport, lowering the Na+ conc
2) Na+ diffuse down a conc gradient from the lumen of the pct into the epithelial lining cells through special carrier proteins by facilitates diffusion
4) The molecules have been co-transported into the cells of the pct then diffuse into the blood

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12
Q

Adaptations of selective reabsorption

A

Many microvilli on luminal membrane = increases surface area of reabsorption
Many co-transporter proteins in luminal membrane = each type of co-transporter protein transports a specific solute across the luminal membrane
Many mitochondria = provides ATP for sodium-potassium pump
Cells packed close together = no fluid can pass between cells (has to be reabsorbed through cells)

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13
Q

How does the proximal convoluted tubule work

A

1) Sodium-potassium pumps in the basal membrane move Na+ out of the epithelial cells and into the blood using ATP from mitochondria
2) Na+ move down the conc gradient from filtrate into epithelial cells using co transporters which also bring glucose and amino acids in
3) Co transport proteins in the basal membrane allow solutes to diffuse down the conc gradient from epithelial cells (high) into the blood (low)

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14
Q

What structures do ions move through during the proximal convoluted tubule

A

1) lumen through sodium ions and transport proteins
2) Enter epithelial cell
3) Endothelium
4) Capillary

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15
Q

How do sodium ions move into the capillary during the proximal convoluted tubule selective reabsorption

A

1) Na+ in epithelial cell and tubule lumen
2) Na+ in epithelial cell move into capillary by active transport
3) Creates concentration gradient between lumen (high) and epithelial cell (low)
4) Na+ move into the epithelial cell using cotransport proteins by facilitated diffusion

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16
Q

How are other molecules transported into the capillary in the proximal convoluted tubule using Na+

A

1) Co transport proteins can transport Na+ and other molecules such as glucose, each co-transport protein in specific to a type of molecule
2) Glucose and Na+ together are transported by facilitated diffusion and co transport through co transport proteins from the lumen into the epithelial cell
3) They diffuse down the conc gradient into the capillary from the epithelial cell

17
Q

How is water affected in the proximal convoluted tubule

A

1) When Na+ and other molecules (e.g. gluose) enters the epithelial cell, the water potential gradient in the epithelial cell decreases and increases in the lumen
2) Water potential gradient therefore forms
3) ALlowing water molecules to move by osmosis from the lumen (high) to the epithelial cell (low)
4) Also moves from the epithelial cell into the capillary by osmosis in the same way

18
Q

How is water affected in the proximal convoluted tubule

A

1) When Na+ and other molecules (e.g. gluose) enters the epithelial cell, the water potential gradient in the epithelial cell decreases and increases in the lumen
2) Water potential gradient therefore forms
3) ALlowing water molecules to move by osmosis from the lumen (high) to the epithelial cell (low)
4) Also moves from the epithelial cell into the capillary by osmosis in the same way

19
Q

How does ADH increase conc of urine in the collecting duct ( 2 marker )

A

Conc rises in collecting duct because water is lost by osmosis
ADH increases permeability of walls to water

20
Q

Key words for answering questions

A

ADH increases permeability of DCT and CD
Water moves out by OSMOSIS
Water potential