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Overview of kidney
functions
Each kidney
contains around a
million units called
nephrons
Each kidney
-
FUNCTIONAL UNIT :
NEPHRON
Proximal
convoluted tubule
Distal convoluted
tubule
Bowmann capsule
Glomerulus
Afferent
arteriole from
renal artery
Efferent arteriole
from glomerulus
Distal convoluted
tubule
Distal convoluted
tubule
Branch of vein
Loop of
Henle
Descending
limb
Collecting
duct
Ascending
limb
Vasa
Recta
A Nephron
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1. URINE FORMATION
a) Ultrafiltration
b) Reabsorption / selective reabroption
c) Secretion
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Histology of a renal
corpuscle
ULTRAFILTRATION is .
A process in which smaller molecules are filtred from the
blood in the glomerulus into the Bowman capsule
Podocyte of visceral
layer of glomerular
(Bowmans) capsule
Filtration slit
Pedicel
` FILTRATION MEMBRANE `
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Podocyte of visceral
layer of glomerular
(Bowmans) capsule
Filtration slit
Pedicel
Pedicel of podocyte
Filtration slit
Basal lamina
Lumen of glomerulus
TEM 78,000x
Fenestration (pore) of
glomerular endothelial cell
(b) Filtration membrane
FORMATION OF URINE
involves
1.
ultrafiltration
reabsorption
secretion
ULTRAFILTRATION
Afferent
arteriole
Efferent
arteriole
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Renal corpuscle of a
human
Note:
1. Interlobular artery and its
endothelial and smooth
muscle cells;
2. the vascular (top left) and
urinary (bottom) poles;
3. the capillary plexus of the
glomerulus and
Bowman's capsule;
4. the distal convoluted
tubule (above the
corpuscle).
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Selective reabsorption
As filtered fluid moves along tubule and through collecting duct,
about 99% of water and many useful solutes reabsorbed
returned to blood
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Bowmann capsule
Glomerulus
Afferent
arteriole from
renal artery
Efferent arteriole
from glomerulus
Distal convoluted
tubule
Distal convoluted
tubule
Branch of vein
Loop of
Henle
Descending
limb
Collecting
duct
Ascending
limb
Vasa
Recta
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The fitrate now only contain water, some salts & urea
passes along the loop of Henle.
About 20% of water & some salts are reabsorbed
into the blood capillaries by osmosis & active transport.
Then it continue to pass through distal convoluted tubule
and collecting duct, where some water & salts are
reabsorbed into the blood capillaries depends on blood
osmotic pressure.
the reabsorption of water regulated by ADH (antidiuretic
hormone)
the reabsorption of salts regulated by Aldosterone
hormone.
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tubular Secretion
Although urine formation occurs primarily by the filtration-reabsorption
mechanism described above, an auxiliary mechanism, called tubular
secretion, is also involved.
The cells of the tubules remove certain molecules and ions from the
blood and deposit these into the fluid within the tubules.
Example: Excess hydrogen ions (H+) are combined with ammonia (NH3)
to form ammonium ions (NH4+) and transported to the cells of the
collecting ducts. Here the NH4+ dissociates back into ammonia and H+.
Both are then secreted into the fluid within the collecting ducts (the
protons by active transport).
Tubular secretion of H+ is important in maintaining control of the pH of
the blood.When the pH of the blood starts to drop, more hydrogen ions
are secreted.
If the blood should become too alkaline, secretion of H+ is reduced.
In maintaining the pH of the blood within its normal limits of 7.37.4,
the kidney can produce a urine with a pH as low as 4.5 or as high as 8.5.
Excess potassium ions (K+) are also disposed of by tubular secretion.47
Different concentration
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44.5 ~ WATER
CONSERVATION IS A KEY TO
TERRESTRIAL
ADAPTATION
As the filtrate flows in
the collecting duct
past interstitial fluid of
increasing osmolarity,
more water moves out
of the duct by osmois,
thereby concentrating
the solutes, including
urea, that are left
behind in the filtrate.
1.
SECRETION
As filtered fluid moves along tubule and through collecting duct,
other material secreted into fluid such as wastes, drugs, and
excess ions removes substances from blood
..
SECRETION
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Definition :
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blood capillary
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PITUITARY GLAND
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Sodium
Although 97% of the sodium has already been removed, it is the
last 3% that determines the final balance of sodium and hence
water content and blood pressure in the body. The reabsorption
of sodium in the distal tubule and the collecting ducts is closely
regulated, chiefly by the action of the hormone aldosterone.
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Low BP rennin
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b) act to increases
blood
volume by
i) signaling PCT to reabsorp more
NaCl and water
ii) signaling the adrenal gland to
released aldosterone, and this
hormone will stimulates the
active reabsorption of Na+
(and Cl-) across the cells walls
of the DCT. Results in the
movement of water out of DCT
by osmosis into the blood.
ADRENAL GLAND
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Blood volume
and blood
pressure rises
Less renin
produced
Less angiostensin II
formed
Na+ falls
Na+ rises
Normal blood
sodium
concentration
Normal blood
sodium concentration
Na+ rises
Na+ falls
Blood vol.and
pressure falls
Adrenal cortex
produces less
aldosterone
More renin
produced
More angiostensin II
formed
Adrenal cortex
produces more
aldosteron
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Regulation of blood pH
Role of kidney
Reabsorption of bicarbonate and hydrogen ions
Excretion of bicarbonate and hydrogen ions
By peritubule of
kidney
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Renin
One of the functions of the kidney is to monitor blood pressure and take
corrective action if it should drop. The kidney does this by secreting the
proteolytic enzyme renin.
Renin acts on angiotensinogen, a plasma peptide, splitting off a fragment
containing 10 amino acids called
angiotensin I.
angiotensin I is cleaved by a peptidase secreted by blood vessels called
angiotensin converting enzyme (ACE) producing
angiotensin II, which contains 8 amino acids.
angiotensin II
constricts the walls of arterioles closing down capillary beds;
stimulates the proximal tubules in the kidney to reabsorb sodium ions;
stimulates the adrenal cortex to release aldosterone. Aldosterone causes the
kidneys to reclaim still more sodium and thus water [Discussion].
increases the strength of the heartbeat;
stimulates the pituitary to release the antidiuretic hormone (ADH, also known as
arginine vasopressin).
All of these actions lead to an increase in blood pressure.
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