Tubular Reabsorption and Tubular Secretion Flashcards
tubular reabsorption
returns filtered water and filtered solutes back to the bloodstream
interstitial fluid pressure
helps drive water back into peritubular capillaries
blood hydrostatic pressure
relatively low in the peritubular capillaries, which reduces resistance to reabsorption
plasma proteins are not filtered
which raises blood colloid osmotic pressure in peritubular capillaries
total plasma volume filters through the renal tubules every
22 minutes
substances can be reabsorbed from the filtrate along
one of two possible routes
transcellular route
allows substances to pass from filtrate across epithelial cells of tubule through cytoplasm, into interstitial fluid
paracellular route
allows substances to “leak” out of filtrate through “tight” junctions between epithelial cells
substances that get reabsorbed from the filtrate
are taken into the peritubular capillaries
blood retains its plasma proteins
so water gets drawn into capillaries by osmosis
solvent drag
occurs when dissolved solutes enter capillaries by following water
primary active transport
uses ATP energy to pump substances into capillaries
secondary active transport
uses energy from ionic electrochemical gradient to pump substances into capillaries
symporters
can move two or more substances across a membrane in same direction
antiporters
can move two or more substances across a membrane in opposite directions
transport maximum (Tmax)
describes the reabsorption limit of a renal tubule due to the number of transport proteins that are available
each particular solute has its own Tmax when
all of its transporters are occupied
Tmax is high for glucose and
other substances that body needs to retain
tubular secretion
removes substances form the peritubular capillaries and adds them to the filtrate
most tubular reabsorption occurs in the
proximal convoluted tubule
sodium reabsorption creates an
osmotic gradient and an electrical gradient to drive the reabsorption of water and other solutes
sodium ions reabsorbed by symporters
in first portion of PCT along with glucose, amino acids, phosphate ions
sodium ions reabsorbed by antiporters
that transport hydrogen ions out
most abundant cations in filtrate
sodium ions
chloride ions get reabsrobed
because they follow sodium ions due to electrical attraction
water reabsorption
raises chloride concentration in tubular fluid and creates a chloride gradient
bicarbonate ions seem to be
reabsorbed from the filtrate, but they really aren’t
bicarbonate ions are filtered out of the blood
but urine is usually free of bicarbonate ions because they do not cross membrane of proximal convoluted tubule
bicarbonate ions combine with hydrogen ions
present in tubular fluid to form carbonic acid; dissociates into water and carbon dioxide
carbon dioxide
enters tubule cells and combines with water to again form carbonic acid; dissociates into bicarbnate and hydrogen ions
bicarbonate ions are pumped
into the blood, and hydrogen ions are pumped back into tubular fluid
one bicarbonate ion disappears from the tubular fluid as
another appears in the blood
glucose is co-transported with sodium ions by
sodium-glucose transport proteins
glycosuria
occurs when excess glucose remains in urine because glucose is not reabsorbed fast enough by symporters
nitrogenous wastes
are reabsorbed into the capillaries
urea
40% to 60% of urea formed gets reabsorbed along with water
uric acid
almost all uric acid gets reabsorbed, but some will be secreted back into tubular fluid later
creatinine
not reabsorbed at all because it is too lareg
water gets reabsorbed into the peritubular capillaries by
obligatory water reabsorption
about 2/3 of water
is reabsorbed through aquaporins in PCT
reabsorption of sodium ions and chloride ions and other solutes makes
tissue fluid hypertonic to tubular fluid
because the PCT reabsorbs proportionate amounts of water and solutes
osmolarity of tubular fluid remains relatively constant
tubular secretion in the PCT
extracts urea, uric acid, ammonia, and other wastes from the blood and transfer them into the tubular fluid
secretion of uric acid
compensates for its reabsorption and accounts for its presence in urine
aspirin, penicillin, and other drugs are
secreted into tubular fluid and cleared from the blood
bicarbonate ions and hydrogen ions are
secreted into tubular fluid to regulate pH of body fluids
primary function of the Nephron Loop (of Henle)
to create a gradient for urine concentration and water conservation
tubular fluid in the nephron loop
quite different from glomerular filtrate and blood plasma, because glucose and other solutes have been reabsorbed
the descending limb of the nephron loop
will reabsorb about 15% of the water present in the glomerular filtrate
the thick ascending limb of the nephron loop
has symporters that will reabsorb one sodium ion, one potassium ion, and two chloride ions from the tubular fluid
potassium ions
re-enter tubular fluid, but sodium ions and chloride ions remain in tissue fluid of renal medulla
ascending limb
is impermeable to water; osmolarity of tubular fluid decreases as tubular fluid flows through it toward distal convoluted tubule
sodium ions and chloride ions get reabsorbed by ___________, but the _________ _____________ __________ is relatively impermeable to water
symporters; distal convoluted tubule
principal cells in the collecting duct
reaborb sodium ions and secrete potassium ions
intercalated cells in the collecting duct
reabsorb potassium ions and bicarbonate ions, but secrete hydrogen ions
“proton pumps”
so effective at secreting hydrogen ions that urine can be 1000 times more acidic than blood, thereby maintaining pH of body fluids
aldosterone
secreted by the adrenal cortex when blood levels of sodium fall or when blood levels or potassium rise, causing the DCT and the collecting duct to reabsrobe more sodium ions and secrete more potassium ions
chloride ions and water
follow sodium ions, which reduces urine volume; salt balance is maintained
aldosterone targets principal cells
causing them to open so very little sodium leaves urine
the increase in blood pressure that results from increased blood volume
triggers the release of atrial natriuretic peptide form the heart
effects of ANP (atrial natriuretic peptide)
- increases glomerular filtration rate,
- suppresses the release of ADH by pituitary gland,
- suppresses release of aldosterone by counteracting effects of angiotensin II
- inhibits reabsorption of sodium ions by collecting ducts in renal medulla
antidiuretic hormone
makes the collecting ducts more permeable to water, thereby increasing the reabsorption of water into the tissue fluid and the bloodstream
ADH inserts
aquaporins into the membranes of principal cells in the collecting ducts