Module 5 - Communication, Homeostasis & Energy

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82 Terms

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What are neurones?

Nerve cells that transmit electrical impulses quickly through body

<p>Nerve cells that transmit electrical impulses quickly through body</p>
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What are the key parts of a neurone? + their function

- Cell body = produces neurotransmitters

- Dendrons = carries impulses toward cell body

- Axon = carries impulses away from cell body

<p>- Cell body = produces neurotransmitters</p><p>- Dendrons = carries impulses toward cell body</p><p>- Axon = carries impulses away from cell body</p>
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Structures in cell body

Nucleus, cytoplasm, lots of endoplasmic reticulum, mitochondria

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Sensory neurone: Structure + Function

- Carries impulses from sensory receptors to the CNS

- Has an axon and dendron which lead into smaller dendrites

<p>- Carries impulses from sensory receptors to the CNS</p><p>- Has an axon and dendron which lead into smaller dendrites</p>
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Relay neurone: Structure + Function

- Carries impulses through CNS

- Connects sensory and motor neurones

- Many short axons and dendrites

<p>- Carries impulses through CNS</p><p>- Connects sensory and motor neurones</p><p>- Many short axons and dendrites</p>
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Motor neurone: Structure + Function

- Carries impulses from CNS to effectors

- Long axon (longer than sensory neurone)

- No dendrons but has dendrites

- Cell body in CNS at end of neurone

<p>- Carries impulses from CNS to effectors</p><p>- Long axon (longer than sensory neurone)</p><p>- No dendrons but has dendrites</p><p>- Cell body in CNS at end of neurone</p>
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Myelinated neurones

Neurones that have axons covered in myelin sheaths

<p>Neurones that have axons covered in myelin sheaths</p>
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What makes up the myelin sheath?

- Schwann cells which grow around the axon, forming layers of membrane

- Sheath acts as insulator that prevents movement of ions

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What are the nodes of ranvier?

Gaps in the myelin sheath

<p>Gaps in the myelin sheath</p>
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How do myelinated neurones conduct impulses?

Saltatory conduction

- Membrane can only be depolarised at the nodes of Ranvier

- This creates a longer localised circuit

- increasing rate of transmission

<p>Saltatory conduction</p><p>- Membrane can only be depolarised at the nodes of Ranvier</p><p>- This creates a longer localised circuit</p><p>- increasing rate of transmission</p>
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Sensory receptors

Specialised cells that detect stimuli from the environment

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Types of receptor cells

- Mechanoreceptors (pressure/movement)

- Thermoreceptors (temperature)

- Chemoreceptors (chemicals)

- Photoreceptors (light)

<p>- Mechanoreceptors (pressure/movement)</p><p>- Thermoreceptors (temperature)</p><p>- Chemoreceptors (chemicals)</p><p>- Photoreceptors (light)</p>
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What is a transducer?

Convert energy from one form to another

Eg; receptors convert stimulus energy into electrical impulse

<p>Convert energy from one form to another</p><p>Eg; receptors convert stimulus energy into electrical impulse</p>
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What is a Pacinian Corpuscle?

Nerve endings in the skin (pressure receptors)

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How does a Pacinian Corpuscle work?

- Pressure (stimulus) stretches membrane

- This creates gaps between phospholipids

- Stretch-mediated Na+ channels open

- Na+ diffuses into sensory neurone along electrochemical gradient

- This generates an action potential

<p>- Pressure (stimulus) stretches membrane</p><p>- This creates gaps between phospholipids</p><p>- Stretch-mediated Na+ channels open</p><p>- Na+ diffuses into sensory neurone along electrochemical gradient</p><p>- This generates an action potential</p>
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Why is the rate of transmission slower in non-myelinated neurones?

No nodes of Ranvier so impulses can't jump, making transmission much slower

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Resting potential

Potential difference across a neurone's membrane (-70mV)

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How is resting potential established?

- 3 Na+ ions actively transported out of axon

- 2K+ ions are actively transported into axon

- Via Na-K pump

- Some K+ diffuses out down the electrochemical gradient (membrane is more permeable to K+)

- Na+ channel is closed

<p>- 3 Na+ ions actively transported out of axon</p><p>- 2K+ ions are actively transported into axon</p><p>- Via Na-K pump</p><p>- Some K+ diffuses out down the electrochemical gradient (membrane is more permeable to K+)</p><p>- Na+ channel is closed</p>
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Action potential

nerve impulse

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How is an action potential established?

- Membrane is at resting potential

- Voltage-gated Na+ channels open, so more Na+ flows into the axon making the inside less negative

- Depolarisation - if threshold potential (-55 mV) is reached, more Na+ channels open causing an influx of Na+

- Repolarisation - At +30 mV, Na+ channels close and K+ channels open, so K+ flows out of the axon

- Hyperpolarisation - excess of K+ leaves the axon, dropping the potential below the -70 mV resting level

- Refractory period - Na/K pump restores the membrane back to the resting potential.

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What is the all or nothing principle?

Reaching the threshold potential always triggers a uniform action potential

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What affects frequency of action potential?

A stronger stimulus

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Why is refractory period useful?

- Ensures action potentials don't overlap

- Limits frequency that impulses are transmitted

- Guarantees impulses travel in only 1 direction

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How does refractory period work?

Na+ channels remain closed during repolarisation, preventing depolarisation.

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Why do multicellular organisms need communication systems?

- To respond to changes in internal/external environment

- To co-ordinate organ functions

<p>- To respond to changes in internal/external environment</p><p>- To co-ordinate organ functions</p>
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What is cell signalling?

Communication between cells

* Can be hormones (distant cells) or neurones (adjacent cells)

<p>Communication between cells</p><p>* Can be hormones (distant cells) or neurones (adjacent cells)</p>
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Homeostasis

Maintaining a constant internal environment within set limits of organism

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Why is homeostasis important?

- Keeps internal environment constant for metabolism

- Ensures cells function and avoid damage

- Helps organisms adapt to external changes

<p>- Keeps internal environment constant for metabolism</p><p>- Ensures cells function and avoid damage</p><p>- Helps organisms adapt to external changes</p>
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Role of receptors and effectors (Homeostasis)

* Receptors - detect stimuli and send signals to the brain about changes in the internal environment

* Effectors - muscles/glands that act on signals and cause responses

<p>* Receptors - detect stimuli and send signals to the brain about changes in the internal environment</p><p>* Effectors - muscles/glands that act on signals and cause responses</p>
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Negative feedback

Process that counteracts change

*Ensures optimum internal conditions are maintained

<p>Process that counteracts change</p><p>*Ensures optimum internal conditions are maintained</p>
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Positive feedback

Process where change is magnifed

- Not used in homeostasis bc doesn't keep environment constant

<p>Process where change is magnifed</p><p>- Not used in homeostasis bc doesn't keep environment constant</p>
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Thermoregulation

Maintaining constant core body temperature

<p>Maintaining constant core body temperature</p>
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Ectotherm

Animal that can't control its own body temperature (cold blooded)

- Their activity and internal temp depends on the external temperature

- Eg; reptiles, fish

<p>Animal that can't control its own body temperature (cold blooded)</p><p>- Their activity and internal temp depends on the external temperature</p><p>- Eg; reptiles, fish</p>
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Endotherm

Animal which controls its own body temperature (warm blooded)

- Their activity and internal temp is independent of external temperature

- Eg; mammals, birds

<p>Animal which controls its own body temperature (warm blooded)</p><p>- Their activity and internal temp is independent of external temperature</p><p>- Eg; mammals, birds</p>
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How do mammals increase their body temperature?

- Shivering - skeletal muscles contract

- Hairs stand up - pili muscles contract (traps layer of warm air)

- Vasoconstriction - arterioles constrict

- Releasing adrenaline and thyroxine - speeds up metabolism

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How do mammals reduce their body temperature?

- Sweating - sweat evaporates and cools

- Vasodilation - arterioles dilate

- Hairs lie flat - pili muscles relax (less warm air trapped)

<p>- Sweating - sweat evaporates and cools</p><p>- Vasodilation - arterioles dilate</p><p>- Hairs lie flat - pili muscles relax (less warm air trapped)</p>
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Advantages and disadvantages of Ectotherms

A: Need less food (less respiration)

A: More energy used for growth

D: Activity depends on external temperature

D: Can't live in wide range of climates

<p>A: Need less food (less respiration)</p><p>A: More energy used for growth</p><p>D: Activity depends on external temperature</p><p>D: Can't live in wide range of climates</p>
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Advantages and disadvantages of Endotherms

A: Constant temp (maintains enzyme activity)

A: Can live in colder environments

D: Lots of energy used to maintain body temp

D: More food required

<p>A: Constant temp (maintains enzyme activity)</p><p>A: Can live in colder environments</p><p>D: Lots of energy used to maintain body temp</p><p>D: More food required</p>
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Role of the Hypothalamus (thermoregulation)

- Hypothalamus receives info about body temperature from thermoreceptors

- Hypothalamus receptors = detects internal temp

- Skin receptors = detects external temp

- Hypothalamus sends signals to effectors

- Effectors respond to restore optimum temp

<p>- Hypothalamus receives info about body temperature from thermoreceptors</p><p>- Hypothalamus receptors = detects internal temp</p><p>- Skin receptors = detects external temp</p><p>- Hypothalamus sends signals to effectors</p><p>- Effectors respond to restore optimum temp</p>
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Excretion

Removing metabolic waste from cells

<p>Removing metabolic waste from cells</p>
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How does the liver break down amino acids?

1) Deamination: amine groups are removed (producing toxic ammonia and organic acids)

2) Organic acids are used to produce ATP or stored as glycogen

3) Ammonia reacts with CO₂ to form urea via the ornithine cycle

4) Urea is excreted from liver + enters the blood

5) Urea is filtered out the body via the kidneys in urine

<p>1) Deamination: amine groups are removed (producing toxic ammonia and organic acids)</p><p>2) Organic acids are used to produce ATP or stored as glycogen</p><p>3) Ammonia reacts with CO₂ to form urea via the ornithine cycle</p><p>4) Urea is excreted from liver + enters the blood</p><p>5) Urea is filtered out the body via the kidneys in urine</p>
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What other substances does the liver detoxify?

* Alcohol - alcohol dehydrogenase converts ethanol to ethanal

* Hydrogen peroxide - catalase breaks it into O₂ and H₂O

* Paracetamol - broken down to prevent toxicity

* Insulin - metabolised to regulate blood glucose concentration

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How does the liver help regulate blood glucose levels?

- Converts excess glucose into glycogen - for storage (when levels are high)

- Releases glucose into the bloodstream by breaking down glycogen (when levels are low)

<p>- Converts excess glucose into glycogen - for storage (when levels are high)</p><p>- Releases glucose into the bloodstream by breaking down glycogen (when levels are low)</p>
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Gross structure of the liver (veins, arteries etc.)

Liver lobules are connected to:

Hepatic artery (supplies oxygenated blood)

Hepatic vein (carries away deoxygenated blood)

Hepatic portal vein (brings nutrient-rich blood from the intestines)

Bile duct (transports bile to gallbladder)

<p>Liver lobules are connected to:</p><p>Hepatic artery (supplies oxygenated blood)</p><p>Hepatic vein (carries away deoxygenated blood)</p><p>Hepatic portal vein (brings nutrient-rich blood from the intestines)</p><p>Bile duct (transports bile to gallbladder)</p>
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Microscope view of liver

knowt flashcard image
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Structure of liver lobules

- Made of hepatocytes

- Has central vein attached to the hepatic vein (to remove deoxygenated blood)

- Sinusoids act as capillaries

- Kupffer cells ingest pathogens (protect against disease)

- Bile canaliculus connects bile duct to central vein

<p>- Made of hepatocytes</p><p>- Has central vein attached to the hepatic vein (to remove deoxygenated blood)</p><p>- Sinusoids act as capillaries</p><p>- Kupffer cells ingest pathogens (protect against disease)</p><p>- Bile canaliculus connects bile duct to central vein</p>
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Structure of kidneys

* Fibrous capsule - outer membrane that surrounds and protects kidney

* Renal cortex - outer region containing Bowman's capsules, convoluted tubules, and blood vessels

* Renal medulla - inner region containing loops of Henle, collecting ducts, and blood vessels

* Renal pelvis - cavity that collects urine into ureters

<p>* Fibrous capsule - outer membrane that surrounds and protects kidney</p><p>* Renal cortex - outer region containing Bowman's capsules, convoluted tubules, and blood vessels</p><p>* Renal medulla - inner region containing loops of Henle, collecting ducts, and blood vessels</p><p>* Renal pelvis - cavity that collects urine into ureters</p>
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Structure of the nephrons

Bowman's capsule

Proximal convoluted tubule (PCT)

Loop of Henle

Distal convoluted tubule (DCT)

Collecting duct

<p>Bowman's capsule</p><p>Proximal convoluted tubule (PCT)</p><p>Loop of Henle</p><p>Distal convoluted tubule (DCT)</p><p>Collecting duct</p>
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Bowman's capsule

Surrounds glomerulus (where filtrate is formed) and contains podocytes in its inner layer

<p>Surrounds glomerulus (where filtrate is formed) and contains podocytes in its inner layer</p>
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Proximal convoluted tubule (PCT)

Reabsorbs useful substances (eg water, glucose, salts) into surrounding capillaries

* Contains microvilli to increase surface area

<p>Reabsorbs useful substances (eg water, glucose, salts) into surrounding capillaries</p><p>* Contains microvilli to increase surface area</p>
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Loop of Henle

Loop that creates a high solute gradient in the medulla, helping with reabsorption

<p>Loop that creates a high solute gradient in the medulla, helping with reabsorption</p>
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Distal convoluted tubule (DCT)

Reabsorbs water into blood + influenced by ADH

- Surrounded by fewer capillaries than the PCT

<p>Reabsorbs water into blood + influenced by ADH</p><p>- Surrounded by fewer capillaries than the PCT</p>
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Collecting duct

Collects filtrate from nephrons and further alters the water balance, before the urine is passed to the bladder

<p>Collects filtrate from nephrons and further alters the water balance, before the urine is passed to the bladder</p>
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Role of the blood vessels associated with the nephron

* Afferent arteriole - supplies glomerulus with blood

* Glomerulus - fluid is forced out of the blood inside glomerulus into the Bowman's capsule through ultrafiltration

* Efferent arteriole - carries blood away from glomerulus

<p>* Afferent arteriole - supplies glomerulus with blood</p><p>* Glomerulus - fluid is forced out of the blood inside glomerulus into the Bowman's capsule through ultrafiltration</p><p>* Efferent arteriole - carries blood away from glomerulus</p>
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What is ultrafiltration?

Filtering small molecules (eg; H₂O, glucose, urea) out of the blood and into the Bowman's capsule to form glomerular filtrate

<p>Filtering small molecules (eg; H₂O, glucose, urea) out of the blood and into the Bowman's capsule to form glomerular filtrate</p>
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Steps of Ultrafiltration

- Blood enters glomerulus via afferent arteriole

- Afferent arteriole is wider than efferent arteriole (creating a high hydrostatic pressure)

- Pressure forces molecules (eg urea) out of the blood

- These molecules pass through three filtration layers:

* Capillary endothelium (with pores)

* Basement membrane (main filter; stops large proteins)

* Podocytes (with filtration slits)

- Filtered fluid (glomerular filtrate) enters Bowman's capsule

- Large molecules (proteins) remain in blood

<p>- Blood enters glomerulus via afferent arteriole</p><p>- Afferent arteriole is wider than efferent arteriole (creating a high hydrostatic pressure)</p><p>- Pressure forces molecules (eg urea) out of the blood</p><p>- These molecules pass through three filtration layers:</p><p>* Capillary endothelium (with pores)</p><p>* Basement membrane (main filter; stops large proteins)</p><p>* Podocytes (with filtration slits)</p><p>- Filtered fluid (glomerular filtrate) enters Bowman's capsule</p><p>- Large molecules (proteins) remain in blood</p>
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How does the kidney produce urine?

By filtration of the blood and selective reabsorption of useful substances (eg glucose)

<p>By filtration of the blood and selective reabsorption of useful substances (eg glucose)</p>
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How is the proximal convoluted tubule (PCT) adapted for reabsorption?

Basal infoldings + Microvilli - Increases surface area

Mitochondria - provides ATP for active transport

Co transporter proteins - allows co-transport of substances from filtrate into epithelial cells

<p>Basal infoldings + Microvilli - Increases surface area</p><p>Mitochondria - provides ATP for active transport</p><p>Co transporter proteins - allows co-transport of substances from filtrate into epithelial cells</p>
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Selective reabsorption

- Na⁺ ions are actively transported into blood

- This reduces Na⁺ conc. in epithelial cells lining the PCT

- Na⁺ moves from PCT lumen into epithelial cells, down concentration gradient

- Na⁺ is co-transported with substances (eg glucose) into epithelial cells

- These substances diffuse into blood capillaries

<p>- Na⁺ ions are actively transported into blood</p><p>- This reduces Na⁺ conc. in epithelial cells lining the PCT</p><p>- Na⁺ moves from PCT lumen into epithelial cells, down concentration gradient</p><p>- Na⁺ is co-transported with substances (eg glucose) into epithelial cells</p><p>- These substances diffuse into blood capillaries</p>
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Loop of Henle - Descending limb

- Narrow

- High water permeability

- Impermeable to ions

<p>- Narrow</p><p>- High water permeability</p><p>- Impermeable to ions</p>
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Loop of Henle - Ascending limb

- Wider

- Impermeable to water

- Permeable to ions

<p>- Wider</p><p>- Impermeable to water</p><p>- Permeable to ions</p>
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How does the Loop of Henle control water reabsorption?

(Descending Limb)

- As filtrate travels down, solute conc. of medulla increases

- Water leaves filtrate into medulla by osmosis

- Filtrate becomes more concentrated

(Ascending Limb)

- Lower part: Na⁺ and Cl⁻ diffuse into the medulla

- Upper part: ions are actively transported into the medulla

This maintains a high salt concentration in the medulla

<p>(Descending Limb)</p><p>- As filtrate travels down, solute conc. of medulla increases</p><p>- Water leaves filtrate into medulla by osmosis</p><p>- Filtrate becomes more concentrated</p><p>(Ascending Limb)</p><p>- Lower part: Na⁺ and Cl⁻ diffuse into the medulla</p><p>- Upper part: ions are actively transported into the medulla</p><p>This maintains a high salt concentration in the medulla</p>
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How does the Loop of Henle act as a countercurrent multiplier?

- As filtrate moves down the collecting duct, it loses water, decreasing its water potential.

- However, the water potential of the medulla is even lower than the collecting duct (due to high ion concentration at ascending limb)

- This allows water to continue to move out of filtrate down the whole length of the collecting duct

- This allows urine to be concentrated and ensures there's always a water potential gradient drawing water out of the collecting duct

<p>- As filtrate moves down the collecting duct, it loses water, decreasing its water potential.</p><p>- However, the water potential of the medulla is even lower than the collecting duct (due to high ion concentration at ascending limb)</p><p>- This allows water to continue to move out of filtrate down the whole length of the collecting duct</p><p>- This allows urine to be concentrated and ensures there's always a water potential gradient drawing water out of the collecting duct</p>
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Role of distal convoluted tube (DCT)

Reabsorption of water and ions through active transport

<p>Reabsorption of water and ions through active transport</p>
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Osmoregulation

Homeostatic control of the water potential of the blood

<p>Homeostatic control of the water potential of the blood</p>
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Why is osmoregulation important?

Prevents cells bursting or shrinking during osmosis

<p>Prevents cells bursting or shrinking during osmosis</p>
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Key features of ADH

- Produced in hypothalamus

- Stored in posterior pituitary gland

- Its target cells: cells lining the DCTs and collecting ducts (in kidneys)

- Controlled by negative feedback

<p>- Produced in hypothalamus</p><p>- Stored in posterior pituitary gland</p><p>- Its target cells: cells lining the DCTs and collecting ducts (in kidneys)</p><p>- Controlled by negative feedback</p>
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What happens when blood has low water potential?

- Osmoreceptors in the hypothalamus detect decrease in water

- More ADH is released from the pituitary gland

- Increased permeability of collecting duct walls and DCTs

- More water reabsorbed into blood

- Smaller volume of more concentrated urine produced

<p>- Osmoreceptors in the hypothalamus detect decrease in water</p><p>- More ADH is released from the pituitary gland</p><p>- Increased permeability of collecting duct walls and DCTs</p><p>- More water reabsorbed into blood</p><p>- Smaller volume of more concentrated urine produced</p>
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What happens when blood has high water potential?

- Osmoreceptors in the hypothalamus detect increase in water

- Less ADH is released from the pituitary gland

- Decreased permeability of collecting duct walls and DCTs

- Less water reabsorbed into blood

- Larger volume of less concentrated urine produced

<p>- Osmoreceptors in the hypothalamus detect increase in water</p><p>- Less ADH is released from the pituitary gland</p><p>- Decreased permeability of collecting duct walls and DCTs</p><p>- Less water reabsorbed into blood</p><p>- Larger volume of less concentrated urine produced</p>
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How can urine be used to diagnose?

- Glucose in urine suggests diabetes

- High creatinine levels in urine suggests muscle/kidney damage

- Blood/proteins in urine suggests kidney disorders

<p>- Glucose in urine suggests diabetes</p><p>- High creatinine levels in urine suggests muscle/kidney damage</p><p>- Blood/proteins in urine suggests kidney disorders</p>
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Monoclonal antibodies

Antibodies from a single clone of cells that are produced to target particular body cells

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How do pregnancy tests work?

- Antibodies are attached to blue beads

- As urine passes through reaction zone, antibodies bind to any hCG

- In results zone, immobilised antibodies bind to any hCG (if test is positive - blue line appears)

- Other antibodies which don't attach to the hCG bind to antibodies in control zone

- Blue line always appears in control zone, but blue line in result zone means positive test

<p>- Antibodies are attached to blue beads</p><p>- As urine passes through reaction zone, antibodies bind to any hCG</p><p>- In results zone, immobilised antibodies bind to any hCG (if test is positive - blue line appears)</p><p>- Other antibodies which don't attach to the hCG bind to antibodies in control zone</p><p>- Blue line always appears in control zone, but blue line in result zone means positive test</p>
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How can urine be used to test for drugs?

Using gas chromatography

<p>Using gas chromatography</p>
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What are some causes of kidney failure?

- Kidney infections

- High blood pressure (hypertension)

- Diabetes

<p>- Kidney infections</p><p>- High blood pressure (hypertension)</p><p>- Diabetes</p>
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Glomerular filtration rate (GFR)

Measure of how much blood is filtered in the Bowman's capsules

<p>Measure of how much blood is filtered in the Bowman's capsules</p>
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How can GFR be used to detect kidney failure?

- Low GFR indicates less effective blood filtration

- Creatinine level in the blood is used to estimate the GFR

- High creatinine level indicates kidney disease

<p>- Low GFR indicates less effective blood filtration</p><p>- Creatinine level in the blood is used to estimate the GFR</p><p>- High creatinine level indicates kidney disease</p>
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Effects of kidney failure

* Mineral ions buildup - causes electrolyte + osmotic imbalance

* Toxic waste buildup - poisons cells

* High blood pressure - causes heart problems

* Anaemia - causes fatigue

<p>* Mineral ions buildup - causes electrolyte + osmotic imbalance</p><p>* Toxic waste buildup - poisons cells</p><p>* High blood pressure - causes heart problems</p><p>* Anaemia - causes fatigue</p>
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How does dialysis work?

- Blood and dialysis fluid are seperated by a semi-permeable membrane

- Dialysis fluid has normal levels of ions + glucose

- Ions and glucose diffuse across membrane into blood until normal levels are present

- Urea diffuses from blood into the dialysis fluid

- Larger molecules (RBC, proteins) remain in the blood because they're too big to pass membrane

<p>- Blood and dialysis fluid are seperated by a semi-permeable membrane</p><p>- Dialysis fluid has normal levels of ions + glucose</p><p>- Ions and glucose diffuse across membrane into blood until normal levels are present</p><p>- Urea diffuses from blood into the dialysis fluid</p><p>- Larger molecules (RBC, proteins) remain in the blood because they're too big to pass membrane</p>
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What are the 2 types of dialysis?

* Haemodialysis = blood leaves patient's body and flows into a dialysis machine

* Peritoneal dialysis = dialysis fluid is injected into body and then drained out (happens within the body)

<p>* Haemodialysis = blood leaves patient's body and flows into a dialysis machine</p><p>* Peritoneal dialysis = dialysis fluid is injected into body and then drained out (happens within the body)</p>
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Adv and Disadv of Haemodialysis

A: Lower infection risk

A: Required less often

D: Must be done in hospital

D: Requires specialist equipment

<p>A: Lower infection risk</p><p>A: Required less often</p><p>D: Must be done in hospital</p><p>D: Requires specialist equipment</p>
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Adv and Disadv of Peritoneal dialysis

A: Can be done at home

A: Can be mobile during it

D: Infection risk

D: Required often

<p>A: Can be done at home</p><p>A: Can be mobile during it</p><p>D: Infection risk</p><p>D: Required often</p>
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Adv and Disadv of Kidney transplants

A: One off - no dialysis sessions

A: No diet monitoring

A: Improved QOL

D: Rejection risk

D: Donor shortage

D: Must take immunosuppressants

<p>A: One off - no dialysis sessions</p><p>A: No diet monitoring</p><p>A: Improved QOL</p><p>D: Rejection risk</p><p>D: Donor shortage</p><p>D: Must take immunosuppressants</p>