water and ion balance 2 Flashcards

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1
Q

What is the fish gill composed of? Which cells likely carry out transport?

*not for walter final

A

Chloride cells (PNA+ with many mitochondria) and Pavement cells (some with many mitochondria others with very little, both PNA-). Transport likely done by the mitochondria rich cells

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2
Q

What type of capillaries are found in the glomerulus of each nephron?

A

Fenestrated capillaries for leakage of molecules and fluid

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3
Q

What path do molecules follow as they pass through the nephron and get excreted?

A

Blood > Afferent Arteriole > Glomerulus > Bowman’s capsule > PCT > Loop of Henle > DCT > Collecting duct > Minor calyx > Major calyx > Ureter > Bladder > Urethra

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4
Q

What is the purpose of the Renin-Angiotensin-Aldosterone (RAA) pathway? How is this achieved?

A

To cause the juxtaglomerular cells to secrete Renin when either blood pressure or glomerular filtration rate is lower than usual. This in turn causes the production of angiotensin I from inactive angiotensinogen in the blood, which is then converted to angiotensin II by ACE on the vessel epithelia.

Angiotensin II is a potent vasoconstrictor (raises blood pressure) and causes the release of vasopressin and aldosterone

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5
Q

What is the purpose of the Macula densa?

*Not for Walter final exam

A

To stimulate the juxtaglomerular cells next the the afferent arteriole via paracrine signalling (when Na+ concentration in the DCT is low)

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6
Q

What is the function of the osmotic gradient in the nephron?

A

Acts as a “countercurrent multiplier” to improve water reabsorption. Filtrate becomes more and more concentrated the deeper into the renal medulla it gets.

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7
Q

What is the difference between transcellular transport and paracellular transport?

A

Transcellular: solute moves through the cell by transporters and channels in the membrane
Paracellular: Solute passes between the cell junctions which are loose enough to allow leakage

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8
Q

What is the “renal threshold”?

A

The system gets saturated if Na+ and glucose levels are elevated, therefore less and less gets reabsorbed

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9
Q

What is a podocyte?

A

Cells in the bowman’s capsule that wrap around the capillaries of the glomerules, restrict the passage of large macromolecules

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10
Q

What is a nephron? What is it composed of?

A

The functional unit of the kidney

Composed of…

Vasculature, Glomerulus, ball of capillaries, surrounded by bowman’s capsule, capillary beds surrounding renal tubule, renal tubule and lined with transport epithelium

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11
Q

What is a mesangial cell?

A

Between the capillaries in the glomerulus. Like smooth muscle, capable of contracting to restrict blood flow

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12
Q

What are the 4 functional processes of the nephron?

A
  1. Filtration: at the glomerulus (7.5 L/hr in humans)
  2. Reabsorption: ~99% of filtrate reabsorbed
  3. Secretion: some molecules removed from the blood and added to the filtrate. Ex: K+, H+, NH4+, pharmaceuticals
  4. Excretion: 1% of everything that is filtered is expelled from the body (no proteins ever excreted!)
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13
Q

How much fluid does the kidney excrete per hour? What percentage of total fluid is this?

A

7.5 mL/hour, approximately 1%.

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14
Q

In the nephron, what is the function of the proximal convoluted tubule?

A

Does most of the solute and water reabsorption, also does secretion of organic anions, organic cations, drugs, and toxins

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15
Q

In the nephron, what is the function of the Loop of Henle? (Ascending vs Descending)

A

Descending limb: water reabsorption, concentrates urine to form gradient
Ascending limb: ion reabsorption, impermeable to water, dilutes urine to restore gradient

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16
Q

In the nephron, what is the function of the distal convoluted tubule?

A

Completes reabsorption for most solutes and water, also the site of hormonal regulation by parathormone (Ca2+ uptake increased), aldosterone (increase K+ out and Na+ in), and vasopressin (increase water absorption)

17
Q

In the nephron, what is the function of the collecting duct?

A

Regulates the final composition of urine, drains multiple nephrons, carries urine to the renal pelvis

18
Q

How are the roles of the different nephron regions differentiated?

A

By variations in the epithelial tissues along the tubules

19
Q

What 3 main “pressures” affect glomerular filtration rate (GFR)

A
  1. Glomerular capillary hydrostatic pressure
  2. Bowman’s capsule hydrostatic pressure
  3. Oncotic pressure (osmotic pressure due to [protein] in the blood)
20
Q

The Kidney roles

A

Ion Balance

Osmotic Balance

Blood Pressure

pH balance

Excretion of metabolic wastes and toxins

Hormone Production