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what occurs within the glomerulus?
-everything except blood and proteins enter Bowmans capsule lumen (if<1.8nm allowed, if >3.6nm not allowed)
-glom also has charge selectivity-negative cannot pass
-15-25% water and solutes are removed from the plasma
has epithelial cells, basement membrane, has podocytes
-afferent arteriole→ network of capillaries→ efferent arteriole
-certain molecules secreted from interstitial fluid into proximal tubules
how do hydrostatic and oncotic pressures affect glomerular filtration?
-hydrostatic pressure-pressure from fluid on the walls: pushes fluid into lumen of Bowmans capsule
-oncotic- by plasma protein on walls : pulls fluid back into capillary
balance between the two forced impacts rate and direction of fluid movement
what is GFR and clearance?
GFR is 120ml/min
clearance- the amount of fluid cleared completely of a certain substance
how do you calculate net filtration pressure?
glom capillary pressure- intracapsular pressure
then -colloid osmotic pressure
what are some features of the juxtaglomerular apparatus
-is where afferent arterioles come into contact w the distal tubule
-JG cell sense blood pressure
-macular densa cells (at the point of contact w the distal tubule) sense Na+ conc of intertubular fluid
e.g. if bp decreases→ decreased stretch of JG cells→ renin release→ bp back to norm
e.g. filtrate decreased flow rate→ macula densa cells sense→ vasodilation of afferent arteriole & renin secretion by JG cells→ return flowrate back to normal
what do tubule epithelial cells do? how are they specialised to do this?
-have unique transport mechanisms on either side of cell to regulate ion movement
-have tight junctions to prevent paracellular transport, have certain polarity to allow some things through
PT epithelia have lots microvilli, mitochondria & large SA cause it reclaims 80% filtered fluid, (transport of Na+, Cl- out, and H+, K+ and toxins and drugs in)(e.g. cotransport of Na+ and Glucose)
Loop of henle- water conservation- reclaims 5-10% filtrate, big difference in descending and ascending limb- as diff roles
what are some differences between the ascending and descending limb of the loop of henle?
-DL is very permeable to water- no tight junctions, have no AT of ions, v. permeable to urea and ion
-AL impermeable to water, thick segment has AT of ions, impermeable to urea, permeable to ions
how does the collecting duct control base-acid balance?
-in mammal blood plasma/ primary urine: high bicarbonate ion conc. low proton conc.
-reabsorption of bicarbonate ions 80% in PT
-acidification of intertubule fluid
-alpha intercalated cells (acid secreting) and beta intercalated cells (base secreting) sense bicarbonate, CO2/ proton conc.
-depending on what is sensed- modulate expression, abundance in pm/ activity of transporters, pumps and channes
-also under hormonal control (aldosterone, angiotensin II)
describe the process of counter current multiplication?
-isosmotic fluid in PT enters DL (300mOsm)
-since Na+ conc. is high in IF, water moves out (meaning Na+ conc. in DL increases)
-AL is initially low in Na+ conc. due to AT out into IF, when high conc. Na+ from DL arrives in AL, it is AT out
-there is always a difference of 200mOsm
describe countercurrent multiplication (shitty)
-Na+ AT out of AL means IF now has is 400mOsm, and AL has 200mOsm
-now the DL is 300mOsm and the IF is 400mOsm and water moves out passively until equilibrates (so bottom part is isosmotic)
-water leaving doesn’t affect IF osmolarity but does Inc conc. of DL→ goes into AL where AT of Na+ out
-osmolarity increases the deeper you move into the medulla
-osmotic pressure increases as depth increases
-also means more conc. Na+ around CD
describe the way renin works?
renin→ angiotensinogen (liver)→ angiotensin I →Angiotensin converting enzyme→ angiotensin II→ adrenal cortex→ aldosterone→ increased Na+ reabsorption
how do the descending and ascending vasa recta differ?
-descending: increased osmolarity IF, Na+ diffuse in, lose water
-ascending: lose Na+ to more dilutes IF, gain water
how is the CD specialised?
transport proteins UT-A1 and UT-A3 aid in tranport of urea from CD to IF
-vasopressin (ADH) upregulates expression UT-A1 and UT-A3)
how does ADH work?
increased osmolarity detected by osmoreceptors/ angiotensin II detected/ baroreceptors in heart sense change in blood pressure in hypothalamus
→ posterior pituary gland releases ADH
→ upregulates translocation of AQP-2 on apical side of pm in CD (dorsolateral side always has AQP3 &4)
→more water reabsorption in IF