(25.2) Nephrons

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24 Terms

1
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Describe the function of Nephrons

  1. The structural and functional units that form urine

  2. > 1 million/kidney

2
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Describe the structure of the Nephron

Two main parts:

  1. Renal corpuscle

  2. Renal tubule

<p>Two main parts: </p><ol><li><p><strong>Renal corpuscle</strong></p></li><li><p><strong>Renal tubule</strong></p></li></ol><p></p>
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Describe the Structure and Function of Regions of the Renal Corpuscle

  1. Glomerulus 

    • STURCTURE 

      • Tufts of capillaries composed of fenestrated endothelium 

    • FUNCTION 

      • Highly porous capillaries (fenestrated)

      • Allows for efficient filtrate formation

  2.  Glomerular capsule (Bowman’s capsule)

    • STURCTURE

      • Parietal layersimple squamous epithelium

      • Visceral layer → clings to glomerular capillaries; branching epithelial podocytes

    • FUNCTION 

      • Cup-shaped hallow structure surrounding glomerulus

<ol><li><p><strong>Glomerulus&nbsp;</strong></p><ul><li><p><span style="color: blue;"><strong><span>STURCTURE</span></strong></span><span style="color: red;"><strong><span>&nbsp;</span></strong></span></p><ul><li><p><span style="color: blue;">Tufts of capillaries</span> composed of <span style="color: purple;"><strong><em>fenestrated endothelium</em></strong></span>&nbsp;</p></li></ul></li><li><p><span style="color: red;"><strong><span>FUNCTION&nbsp;</span></strong></span></p><ul><li><p>Highly porous capillaries (fenestrated)</p></li><li><p>Allows for efficient <span style="color: purple;"><strong><span>filtrate</span></strong></span> formation</p></li></ul></li></ul></li><li><p><strong>&nbsp;Glomerular capsule </strong>(<em>Bowman’s capsule</em>)</p><ul><li><p><span style="color: blue;"><strong><span>STURCTURE</span></strong></span></p><ul><li><p><span style="color: blue;">Parietal layer</span> → <span style="color: purple;"><strong><em>simple squamous epithelium</em></strong></span></p></li><li><p><span style="color: blue;">Visceral layer</span> → clings to glomerular capillaries; branching <span style="color: purple;"><strong><em>epithelial podocytes</em></strong></span></p></li></ul></li><li><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span><strong><span>&nbsp;</span></strong></p><ul><li><p>Cup-shaped hallow structure surrounding glomerulus</p></li></ul></li></ul></li></ol><p></p>
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Role of Filtrate

Plasma-derived fluid that renal tubules process to form urine 

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Describe the structure and function of Regions of the Renal Tubule

STRUCTURE

  • 3cm (1.2 in) long

  • Single layer of epithelial cells

FUNCTION

  • Each region has its own unique histology and function

    1. Proximal Convoluted Tubule (PCT)

    2. Nephron loop

    3. Distal Convoluted Tubule (DCT)

    4. Collecting ducts

<p><span style="color: blue;"><strong>STRUCTURE </strong></span></p><ul><li><p><span style="color: green;"><strong>3cm (1.2 in) long</strong></span></p></li><li><p>Single layer of <span style="color: purple;"><strong><em>epithelial cells </em></strong></span></p></li></ul><p><span style="color: red;"><strong>FUNCTION</strong></span><span style="color: blue;"><strong> </strong></span></p><ul><li><p>Each region has its own unique histology and function</p><ol><li><p><strong>Proximal Convoluted Tubule (PCT) </strong></p></li><li><p><strong>Nephron loop </strong></p></li><li><p><strong>Distal Convoluted Tubule (DCT)  </strong></p></li><li><p><strong>Collecting ducts </strong></p></li></ol></li></ul><p></p>
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Structure and Function of Proximal Convoluted Tubule (PCT)

Region of the Renal Tubule (1/4)

STRUCTURE

  • Confined to cortex

  • Cuboidal cells with dense microvilli that form brush border

FUNCTION

  1. Increase surface area

  2. Reabsorption & secretion

<p><code>Region of the Renal Tubule (1/4) </code></p><p><span style="color: blue;"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Confined to cortex</span></mark></strong></span></p></li><li><p><span style="color: blue;"><strong><span>Cuboidal cells</span></strong></span> with dense microvilli that form brush border</p></li></ul><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span></p><ol><li><p>Increase surface area</p></li><li><p>Reabsorption &amp; secretion</p></li></ol><p></p>
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Structure and Function of Nephron loop

Region of the Renal Tubule (2/4)

Loop of Henle

STRUCTURE

  • Middle segment

  • U-shaped structure consisting of two limbs

    1. Descending limb

    2. Ascending limb

FUNCTION

  1. Plays a vital role in the kidney’s ability to form dilute or concentrated urine

<p><code>Region of the Renal Tubule (2/4) </code></p><p><strong><em>Loop of Henle</em></strong></p><p><span style="color: blue;"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Middle segment</span></mark></strong></span></p></li><li><p>U-shaped structure consisting of two limbs</p><ol><li><p><span style="color: blue;"><span>Descending limb</span></span></p></li><li><p><span style="color: blue;"><span>Ascending limb</span></span></p></li></ol></li></ul><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span></p><ol><li><p><span>Plays a vital role in the kidney’s ability to form dilute or concentrated urine</span></p></li></ol><p></p>
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Distinguish between Descending limb & Ascending limb

  • Descending limb

    • Proximal part of descending limb is continuous with proximal convoluted tubule (PCT)

    • Distal portion also called descending thin limb

  • Ascending limb

    • Thick ascending limb

<ul><li><p><strong>Descending limb</strong></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Proximal part of descending limb is continuous with proximal convoluted tubule (PCT) </mark></strong></span></p></li><li><p>Distal portion also called <span style="color: blue;">descending thin limb </span></p></li></ul></li><li><p><strong>Ascending limb </strong></p><ul><li><p><span style="color: red;">Thick ascending limb </span></p></li></ul></li></ul><p></p>
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Structure and Function of Distal Convoluted Tubule (DCT) 

Region of the Renal Tubule (3/4)
STRUCTURE

  • Confined to cortex

FUNCTION

  1. MORE SECRETION than reabsorption

<p><code>Region of the Renal Tubule (3/4)</code><br><span style="color: blue;"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Confined to cortex</span></mark></strong></span></p></li></ul><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span></p><ol><li><p>MORE SECRETION than reabsorption</p></li></ol><p></p>
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Structure and Function of Collecting Ducts

Region of the Renal Tubule (4/4)
STRUCTURE

  • Run through medullary pyramids 

FUNCTION

  1. Receive filtrate from many nephrons 

  2. Ducts fuse together to deliver urine through papillae into minor calyces 

<p><code>Region of the Renal Tubule (4/4)</code><br><span style="color: blue;"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Run through medullary pyramids&nbsp;</mark></strong></span></p></li></ul><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span></p><ol><li><p>Receive filtrate from many nephrons&nbsp;</p></li><li><p>Ducts fuse together to deliver urine through papillae into minor calyces&nbsp;</p></li></ol><p></p>
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Name the Major Groups of Nephrons

  1. Cortical nephrons

    • Make up 85%

    • Almost entirely in cortex

  2. Juxtamedullary nephrons

    • Long nephron loops deeply invade medulla

    • Ascending limbs have thick and thin segments

    • Important in production of concentrated urine

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Compare and constast Cortical vs Juxtamedullary Nephrons Structure

  • Cortical nephrons

    1. Almost entirely in cortex

    2. Short nephron loop 

    3. Glomerulus further from the cortex-medulla junction 

    4. Efferent arteriole supplies peritubular capillaries 

  • Juxtamedullary nephrons

    • Long nephron loops deeply invade medulla

    • Long nephron loop 

    • Glomerulus closer to the  cortex-medulla junction 

    • Efferent arteriole supplies vasa recta 

<ul><li><p><strong>Cortical nephrons</strong></p><ol><li><p>Almost entirely in <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>cortex</span></mark></strong></span></p></li><li><p><strong><em>Short</em></strong> nephron loop&nbsp;</p></li><li><p>Glomerulus <strong><em>further</em></strong> from the cortex-medulla junction&nbsp;</p></li><li><p>Efferent arteriole supplies <strong><em><u>peritubular capillaries&nbsp;</u></em></strong></p></li></ol></li><li><p><strong>Juxtamedullary nephrons</strong></p><ul><li><p>Long nephron loops deeply invade <span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>medulla</span></mark></strong></span></p></li><li><p><strong><em>Long</em></strong> nephron loop&nbsp;</p></li><li><p>Glomerulus <strong><em>closer</em></strong> to the&nbsp; cortex-medulla junction&nbsp;</p></li><li><p>Efferent arteriole <strong><em><u>supplies vasa recta</u></em></strong>&nbsp;</p></li></ul></li></ul><p></p>
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Name the Capillary Bed(s) associated to Cortical nephrons  

  1. Glomerulus

  2. Peritubular capillaries

<ol><li><p><strong>Glomerulus </strong></p></li><li><p><strong>Peritubular capillaries </strong></p></li></ol><p></p>
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Name the Capillary Bed(s) associated to Juxtamedullary Nephrons

  1. Glomerulus

  2. Vasa recta 

<ol><li><p><strong>Glomerulus</strong></p></li><li><p><strong>Vasa recta&nbsp;</strong></p></li></ol><p></p>
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Describe Location and Function of Glomerulus Capillaries

LOCATION 

  • Cortical & Juxtaglomerular Complex (JGC) →  Renal Corpusle

FUNCTION 

  1. Capillaries are specialized for filtration 

  2. Different from other capillary bends because they are fed and drained by arteriole 

    • Afferent arteriole enters glomerulus and leaves via efferent arteriole

<p><strong>LOCATION</strong>&nbsp;</p><ul><li><p><span style="color: purple;"><strong><u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>Cortical &amp; Juxtaglomerular Complex (JGC</span></mark></u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>)</span></mark></strong></span>&nbsp;→&nbsp;&nbsp;<span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Renal Corpusle</span></mark></strong></span></p></li></ul><p><span style="color: red;"><strong><span>FUNCTION&nbsp;</span></strong></span></p><ol><li><p>Capillaries are specialized for filtration&nbsp;</p></li><li><p>Different from other capillary bends because they are <strong><em>fed and drained</em></strong> by <span style="color: blue;"><strong><span>arteriole</span></strong></span>&nbsp;</p><ul><li><p><span style="color: blue;"><strong><span>Afferent arteriole</span></strong></span> enters <strong>glomerulus</strong> and leaves via <span style="color: blue;"><strong><span>efferent arteriole</span></strong></span></p></li></ul></li></ol><p></p>
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T/F: Blood pressure in glomerulus is low

→ FALSE

  • Blood pressure in glomerulus is HIGH → Afferent arterioles are larger in diameter than efferent arterioles

<p><strong>→ FALSE </strong></p><ul><li><p> Blood pressure in glomerulus is <strong>HIGH</strong> → Afferent arterioles are larger in diameter than efferent arterioles </p></li></ul><p></p>
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Describe Location and Function of Peritubular Capillaries 

LOCATION 

  • Cortical  Nephron →  Renal Tubule

STRUCTURE

  • Arise from efferent arterioles → Empty into venules

  • Cling to ajacent renal tubules in cortex

FUNCTION 

  1. Low-pressure, porpus capillaries adapted for absorption ot water and solutes

<p><strong>LOCATION</strong>&nbsp;</p><ul><li><p><span style="color: purple;"><strong><u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>Cortical&nbsp; Nephron</span></mark><mark data-color="purple" style="background-color: purple; color: inherit;"><span>&nbsp;</span></mark></u></strong></span>→&nbsp;&nbsp;<span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Renal Tubule</span></mark></strong></span></p></li></ul><p><span style="color: blue;"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p>Arise from efferent arterioles → Empty into venules</p></li><li><p>Cling to ajacent renal tubules in cortex</p></li></ul><p><span style="color: red;"><strong><span>FUNCTION&nbsp;</span></strong></span></p><ol><li><p>Low-pressure, porpus capillaries adapted for absorption ot water and solutes</p></li></ol><p></p>
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Describe Location and Function of Vasa recta  

LOCATION 

  • Juxtaglomerular Complex (JGC)→  Renal Tubule

STRUCTURE

  • Long, thin-walled vessels parallel to long nephron loops to Juxtamedullary Nephrons

  • Arise from efferent arterioles serving Juxtamedullary Nephrons

FUNCTION 

  1. Formation of concentrated urine 

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SUMMARY of Nephron Capillary Beds

Glomerulus

LOCATION 

  • Cortical & Juxtaglomerular Complex (JGC) →  Renal Corpusle

STRUCTURE

  • Different from other capillary bends because they are fed and drained by arteriole 

    • Afferent arteriole enters glomerulus and leaves via efferent arteriole

FUNCTION 

  • Capillaries are specialized for filtration 

Peritubular Capillaries

LOCATION 

  • Cortical  Nephron →  Renal Tubule

STRUCTURE

  • Arise from efferent arterioles → Empty into venules

  • Cling to adjacent renal tubules in cortex

FUNCTION 

  • Low-pressure, porous capillaries adapted for absorption of water and solutes

Vasa recta

LOCATION 

  • Juxtaglomerular Complex (JGC)→  Renal Tubule

STRUCTURE

  • Arise from efferent arterioles serving Juxtamedullary Nephrons

  • Long, thin-walled vessels parallel to long nephron loops to Juxtamedullary Nephrons

FUNCTION 

  • Formation of concentrated urine 

<p><code>Glomerulus</code></p><p><strong>LOCATION</strong>&nbsp;</p><ul><li><p><span style="color: purple;"><strong><u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>Cortical &amp; Juxtaglomerular Complex (JGC</span></mark></u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>)</span></mark></strong></span>&nbsp;→&nbsp;&nbsp;<span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Renal Corpusle</span></mark></strong></span></p></li></ul><p><span style="color: rgb(0, 0, 0);"><strong><span>STRUCTURE</span></strong></span></p><ul><li><p>Different from other capillary bends because they are <strong><em>fed and drained</em></strong> by <span style="color: blue;"><strong><span>arteriole</span></strong></span>&nbsp;</p><ul><li><p><span style="color: blue;"><strong><mark data-color="green" style="background-color: green; color: inherit;"><span>Afferent arteriole</span></mark></strong></span> enters <strong>glomerulus</strong> and leaves via <span style="color: blue;"><strong><mark data-color="red" style="background-color: red; color: inherit;"><span>efferent arteriole</span></mark></strong></span></p></li></ul></li></ul><p><span style="color: rgb(0, 0, 0);"><strong><span>FUNCTION&nbsp;</span></strong></span></p><ul><li><p><span style="color: red;"><strong>Capillaries are specialized for filtration&nbsp;</strong></span></p></li></ul><p><code>Peritubular Capillaries</code></p><p><strong>LOCATION</strong>&nbsp;</p><ul><li><p><span style="color: purple;"><strong><u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>Cortical&nbsp; Nephron</span></mark><mark data-color="purple" style="background-color: purple; color: inherit;"><span> </span></mark></u></strong></span>→&nbsp;&nbsp;<span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Renal Tubule</span></mark></strong></span></p></li></ul><p><strong><span>STRUCTURE</span></strong></p><ul><li><p>Arise from <span style="color: blue;"><strong><mark data-color="green" style="background-color: green; color: inherit;">efferent arterioles</mark></strong></span> → Empty into <span style="color: blue;"><strong><mark data-color="red" style="background-color: red; color: inherit;">venules</mark></strong></span></p></li><li><p>Cling to adjacent renal tubules in cortex</p></li></ul><p><strong><span>FUNCTION</span></strong><span style="color: red;"><strong><span>&nbsp;</span></strong></span></p><ul><li><p><span style="color: red;"><strong>Low-pressure, porous capillaries adapted for absorption of water and solutes</strong></span></p></li></ul><p><code>Vasa recta</code></p><p><strong>LOCATION</strong>&nbsp;</p><ul><li><p><span style="color: purple;"><strong><u><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>Juxtaglomerular Complex (JGC</span></mark></u></strong></span><strong><mark data-color="yellow" style="background-color: yellow; color: inherit;"><span>)</span></mark></strong>→&nbsp;&nbsp;<span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Renal Tubule</span></mark></strong></span></p></li></ul><p><strong><span>STRUCTURE</span></strong></p><ul><li><p>Arise from <span style="color: blue;"><strong><mark data-color="green" style="background-color: green; color: inherit;">efferent arterioles</mark></strong></span> serving Juxtamedullary Nephrons</p></li><li><p>Long, thin-walled vessels parallel to long nephron loops to&nbsp;Juxtamedullary Nephrons</p></li></ul><p><strong><span>FUNCTION</span></strong><span style="color: red;"><strong><span>&nbsp;</span></strong></span></p><ul><li><p><span style="color: red;"><strong>Formation of concentrated urine&nbsp;</strong></span></p></li></ul><p></p>
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Role of Afferent & Efferent Arteriole

  • Afferent Arteriole

    • Supplies blood to the glomerulus of a nephron.

  • Efferent Arteriole

    • Drains blood from the glomerulus of a nephron

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Explain Structure and Function of Juxtaglomerular Complex (JGC)

LOCATION 

  • Each nephron has one Juxtaglomerular Complex (JGC)

STRCTURE 

  • Involves modified portions of:

    1. Distal portion of ascending limb of nephron loop

    2. Afferent arteriole

FUNCTION 

  1. Important in regulating rate o filtrate formation and blood pressure

<p><strong>LOCATION&nbsp;</strong></p><ul><li><p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Each nephron has one</mark></strong></span>&nbsp;Juxtaglomerular Complex (JGC)</p></li></ul><p><span style="color: blue;"><strong>STRCTURE</strong></span><strong>&nbsp;</strong></p><ul><li><p>Involves modified portions of: </p><ol><li><p>Distal portion of ascending limb of <span style="color: blue;">nephron loop </span></p></li><li><p><span style="color: blue;">Afferent arteriole</span> </p></li></ol></li></ul><p><span style="color: red;"><strong>FUNCTION</strong></span><strong>&nbsp;</strong></p><ol><li><p>Important in regulating rate o filtrate formation and blood pressure</p></li></ol><p></p>
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Name the Cell Populations in JGC 

  1. Macula densa cells

  2. Granular cells 

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Explain Structure and Function of Macula densa cells

Juxtaglomerular Complex

STRUCTURE 

  • Closely packed cells of ascending limb 

FUNCTION

  1. Contain chemoreceptors that sense NaCl content of filtrate

<p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;">Juxtaglomerular Complex</mark></strong></span></p><p><span style="color: blue;"><strong>STRUCTURE&nbsp;</strong></span></p><ul><li><p>Closely packed cells of ascending limb&nbsp;</p></li></ul><p><span style="color: red;"><strong>FUNCTION</strong></span></p><ol><li><p>Contain <strong>chemoreceptors</strong> that sense NaCl content of <span style="color: purple;"><strong>filtrate</strong></span></p></li></ol><p></p>
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Explain Structure and Function of Granular cells 

Juxtaglomerular Complex

STRUCTURE 

  • Enlarged, smooth muscle cells of arteriole 

FUNCTION

  • Act as mechanoreceptors to sense BP in afferent arteriole 

  • Contain secretory granules that contain renin 

<p><span style="color: purple;"><strong><mark data-color="purple" style="background-color: purple; color: inherit;"><span>Juxtaglomerular Complex</span></mark></strong></span></p><p><span style="color: blue;"><strong><span>STRUCTURE&nbsp;</span></strong></span></p><ul><li><p>Enlarged, smooth muscle cells of arteriole&nbsp;</p></li></ul><p><span style="color: red;"><strong><span>FUNCTION</span></strong></span></p><ul><li><p>Act as <strong>mechanoreceptors</strong> to sense BP in afferent arteriole&nbsp;</p></li><li><p>Contain <strong>secretory granules</strong> that contain <span style="color: red;"><strong>renin</strong></span>&nbsp;</p></li></ul><p></p>