tructure and function of the human kidney. Flashcards

1
Q

Describe the formation of glomerular filtrate

A
  1. High hydrostatic pressure in glomerulus
    ○ As diameter of afferent arteriole (in) is wider than efferent arteriole (out)
  2. Small substances eg. water, glucose, ions, urea forced into glomerular filtrate, filtered by:
    a. Pores / fenestrations between capillary endothelial cells
    b. Capillary basement membrane
    c. Podocytes
  3. Large proteins / blood cells remain in blood
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2
Q

Describe the reabsorption of glucose
by the proximal convoluted tubule

A
  1. Na+ actively transported out of epithelial cells to capillary
  2. Na+ moves by facilitated diffusion into epithelial cells down a concentration gradient, bringing
    glucose against its concentration gradient
  3. Glucose moves into capillary by facilitated
    diffusion down its concentration gradient
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3
Q

water reabsorp by pct

A

● Glucose etc. in capillaries lower water potential
● Water moves by osmosis down a water potential
gradient

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4
Q

Describe and explain how features of the cells in the PCT allow the rapid reabsorption of glucose into the blood

A

● Microvilli / folded cell-surface membrane → provides a large surface area
● Many channel / carrier proteins → for facilitated diffusion / co-transport
● Many carrier proteins → for active transport
● Many mitochondria → produce ATP for active transport
● Many ribosomes → produce carrier / channel proteins

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5
Q
A
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6
Q

Suggest why glucose is found in the urine of an untreated diabetic person

A

Blood glucose concentration is too high so not all glucose is reabsorbed at the PCT
● As glucose carrier / cotransporter proteins are saturated / working at maximum rate

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7
Q

Explain the importance of maintaining a gradient of sodium ions in the medulla (concentration increases further down)

A

● So water potential decreases down the medulla (compared to filtrate in collecting duct)
● So a water potential gradient is maintained between the collecting duct and medulla
● To maximise reabsorption of water by osmosis from filtrate

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8
Q

Describe the role of the loop of Henle in maintaining a gradient of sodium ions in the medulla

A

In the ascending limb:
○ Na+ actively transported out (so filtrate concentration decreases)
○ Water remains as ascending limb is impermeable to water
○ This increases concentration of Na+ in the medulla, lowering water potential
2. In the descending limb:
○ Water moves out by osmosis then reabsorbed by capillaries (so filtrate concentration increases)
○ Na+ ‘recycled’ → diffuses back in

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9
Q

Suggest why animals needing to conserve water have long loops of Henl

A

● More Na+ moved out → Na+ gradient is maintained for longer in medulla / higher Na+ concentration
● So water potential gradient is maintained for longer
● So more water can be reabsorbed from collecting duct by osmosis

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10
Q

Describe the reabsorption of water by the distal convoluted tubule and collecting ducts

A

● Water moves out of distal convoluted tubule & collecting duct by osmosis down a water potential gradient
● Controlled by ADH which increases their permeability

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11
Q

Osmoregulation

A

Control of water potential of the blood (by negative feedback)

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12
Q

Describe the role of the hypothalamus in osmoregulation

A
  1. Contains osmoreceptors which detect increase OR decrease in blood water potential
  2. Produces more ADH when water potential is low OR less ADH when water potential is high
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13
Q

Describe the role of the posterior pituitary gland in osmoregulation

A

Secretes (more / less) ADH into blood due to signals from the hypothalamus

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14
Q

Role of adh in osmoreg

A
  1. Attaches to receptors on collecting duct (and distal convoluted tubule)
  2. Stimulating addition of channel proteins (aquaporins) into cell-surface membranes
  3. So increases permeability of cells of collecting duct and DCT to water
  4. So increases water reabsorption from collecting duct / DCT (back into blood) by osmosis
  5. So decreases volume and increases concentration of urine produced
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