Week 12 Flashcards
Tubular reabsorption
- The kidneys control reabsorption of each substance separately to regulate excretion
- Transport occurs across tubular epithelium into interstitial space then across peritubular capillaries into blood
Paracellular path of reabsorption
Path between cells
Transcellular path of reabsorption
Path through cells
Reabsorption transport mechanism for sodium
- Primary active transport through ATPase
- Some through leaky junctions
Why does the bulk flow in the peritubular capillaries favor reabsorption
- Much lower capillary pressure because its the second capillary bed
- Interstitial pressure higher because tubule pushing out
Reabsorption in the proximal tubule
- Majority of filtered sodium, chloride and water reabsorbed
- High transport capacity due to brush boarder, transport proteins and mitochondria, and cell junctions are leaky
- High water permeability allows osmosis to keep pace with sodium and chloride
- Nutrients and bicarbonate rapidly absorbed
- Secretion of organic acids and bases occurs
Proximal Tubule Transport Mechanisms for amino acids and glucose
- Sodium-glucose co-transporter (SGLT): Uses Na to pull glucose into cell through secondary active transport against concentration gradient - amino acids transported into tubular cells
- Amino acids transfuse out of cell
- Glucose transporter (GLUT) transports glucose out of cell
Proximal tubule transport mechanisms for calcium
- Moved through paracellular pathway pulled by water moving by osmosis causing solutes to be pulled through bulk flow
- move down gradient into cell and then uses primary active transport to transport out of the cell
Solute and water transport in the loop of henle
- Descending segment is highly permeable to H2O, but does not transport ions
- Ascending segments are H2O impermeable, but thick segment actively reabsorbs ions (25% of filtered Na and Cl)
Transport in distal tubule and cortical collecting duct
- early distal tubule is similar to thick ascending loop (reabsorbs 5% of filtered Na and Cl)
- Late distal tubule and cortical collecting duct have similar characteristics - reabsorb Na and secrete K and secrete or reabsorb H+, HCO3- and K+
What are the two distinct cell types that the late distal tubule and cortical collecting duct are composed of and what are their functions?
Principle Cells: reabsorb Na+ and secrete K+
Intercalated Cells: secrete or reabsorb H+, HCO3- and K+
Secretion Mechanisms in intercalated cells
Two types with opposite functions, which are regulated based on K+ needs and pH homeostasis
Type A:
- Secrete H+ and reabsorb K+
- CO2 flows into cell and reacts with water, HCO3- is reabsorbed using secondary transport with Cl- and H+ is secreted using active transport
- Cl- excreted through diffusion
Type B:
- Secrete K+ and Bicarbonate
- Opposite direction of mechanisms occurs
Medullary Collecting Duct
- Reabsorbs 5% of filtered water, sodium and chloride
- Water permeability is regulated to determine the final urine volume and concentration
- Some urea is reabsorbed into the interstitium via urea transporters to help raise the osmolarity of the medulla
Glomerulotubular Balance
The proximal tubule and think ascending loop of Henle have intrinsic ability to increase reabsorption in response to increases in glomerular filtration rate (partially in response to mechanical forces on tubule)
Aldosterone (Site of action and effect)
- Collecting tubule and duct
- NaCl, H2O reabsorption, K+ secretion and H+ secretion