1What is the Kidneys function?
H20 balance (osmolarity affects cell volume, and plasma volume affects blood pressure)
Regulates electrolyte concentration in ECF
Regulate Acid-Base Balance
Excrete waste product
Produces Erythropoietin
Produces Renin
2What is Erythropoietin?
A glycoprotein hormone produced by peritubular cells, stimulates production of red blood cells
3What is Renin?
Enzyme that is made by the kidneys and aids in salt conservation
4What are the 2 components of the nephron?
Vascular and Tubular component
5Nephron
Functional unit of the kidney that filters blood
6What does the vascular component consist of?
Renal artery
Afferent arteriole
Glomerulus
Efferent arteriole
Peritubular capillaries
Venules
Renal vein
7What does the tubular component consist of?
Bowmans capsule
Proximal tubule
Loop of Henle
Distal tubule
Collecting duct
8What does the combination component consist of?
JGA (Juxtaglomerular apparatus)
Distal tubule, contains macula densa cells
Afferent and efferent arterioles, contain granular cells
9What is the glomerulus?
Ball-like tuft of capillaries
Water and solutes are filtered through the glomerulus as blood passes through it
10What are the peritubular capillaries?
Surround the tubular part of the nephron, involved with tubular exchanges
11What is bowman's capsule?
Encapsulates the glomerulus and collects filtrate from glomerulus.
12What is proximal tubule?
Lies entirely in the cortex
Where most reabsorption occurs
Reabsorption of water, Na+, glucose, and amino acids
13What is loop of henle?
Descending and ascending limb
Reabsorption of Na+(ascending)
Reabsorption of water (descending)
14What does the Distal tubule reabsorb?
Na+ and water
15What does Collecting duct reabsorb?
Na+, water, urea
16What are 3 ways urine formation (Kidney Function) can occur?
Glomerular filtration, Tubular reabsorption, Tubular secretion
17Explain glomerular filtration:
Fluid from blood goes into the lumen of nephron
Nonspecific protein free plasma is filtered from the glomerulus into the bowman's capsule
18Explain tubular reabsorption:
Filtrate moves from inside of tubular part of nephron into the blood of peritubular capillaries.
19Explain tubular secretion:
Specific process by which substances from the peritubular capillaries enter the nephron tubule.
20What are the 3 barriers filtrate passes through in glomerular membrane and into bowman's capsule?
Endothelium of glomerular capillaries, basement membrane, inner layer of bowman's capsule
21Glomerular capillary endothelium
More permeable, fenestrated, blood cells and plasma proteins are not filtered
22Basement membrane
Gelatinous layer composed of collagen and glycoproteins, negative charge of glycoproteins repel small filtered proteins.
23Inner layer of bowmans capsule
Contains podocytes that encircle the glomerulus tuft, filtration slits
24What forces drive glomerular filtration? What makes them unique?
Hydrostatic pressure of capillaries,
The capillaries have high permeability
Hydrostatic pressure continues along the entire length of the capillary.
Hydrostatic pressure is determined by blood pressure
25What is the formula for glomerular filtration rate (GFR)?
Filtration pressure * filtration coefficient
26What are some unregulated influences on GFR?
Plasma colloid osmotic pressure and bowmans capsule hydrostatic pressure.
27What regulates hydrostatic pressure?
Afferent arteriole radius
28What does intrinsic autoregulation and extrinsic sympathetic stimulation do for GFR?
Intrinsic autoregulation prevents spontaneous changes
Extrinsic sympathetic is used for long term regulation
29What are the 2 mechanisms of intrinsic autoregulation? Explain them...
Myogenic control - smooth muscle response to stretch
Tubuloglomerular feedback mechanisms - juxtaglomerular apparatus
30Function of macula densa cells?
Macula densa cells will secrete paracrine signals (adenosine).
Adenosine = Vasoconstriction = Decrease in GFR
31Function of granular cells?
Secrete renin to increase sodium reabsorption
32What are the 2 mechanisms of extrinsic regulation? Explain them...
Hormones and autonomic neurons also influence GFR.
Changes resistance in arterioles, altering the filtration coefficient.
Sympathetic nervous system, causes vasoconstriction, overrides intrinsic mechanisms.
33Where does constant versus variable sodium reabsorption occur in the nephron?
Constant - Proximal tubule and ascending loop of henle
Variable - Distal tubule and collecting duct
34What are the 4 functions of Angiotensin 2?
Thirst, Vasoconstriction, Aldosterone release, ADH (vasopressin) release
35How does ADH work?
Increases H2O reabsorption
Adds more aquaporins to the Distal tubule and Collecting duct
36How does Aldosterone work?
Stimulates reabsorption of Na+ in DT and CD
Adds Na+/K+ pumps on the basolateral membrane of the DT and CD cells.
Adds Na+ channels to the apical membrane of the DT and CD cells.
37What does ANP do?
Lowers blood pressure
Inhibits Na+ reabsorption and promotes water loss.
Inhibits renin and aldosterone release