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what does erythropoietin (EPO) do?
increase RBC production
functions of the urinary system
regulate blood volume and pressure
by adjusting volume of water lost in urine and by releasing EPO and renin
regulate plasma ion concentrations
sodium, potassium, chloride, and calcium ions
helps to stabilize blood pH
conserve valuble nutrients
assist liver to detoxify poisons
kidney coverings
renal capsule: collagen fibers cover outer surface
adipose capsule: thick layer that surrounds renal capsule
renal fascia: fibrous layer that anchors kidney to surrounding structures
hilum
point of entry for renal artery and nerves
point of exit for renal vein and ureter
renal sinus
internal cavity within the kidney
renal cortex
superficial portion of the kidney in contact with the renal capsule
renal columns
bands of tissue separating renal pyramids
renal papilla
ducts discharge urine into minor calyx
nephrons
structural and functional units of the kidney
responsible for forming urine
processes of urine formation
filtration: renal corpuscle filters the blood to form filtrate (in glomerulus)
reabsorption: water and nutrients are put back into the blood from the tubules
secretion: waste products get removed from the blood and into the tubules
filtration
hydrostatic pressure forces water through membrane pores
reabsorption and secretion
diffusion, osmosis, channel-mediated diffusion, carrier-mediated transport
main structures of the nephron
renal corpuscle and renal tubule
glomerulus
specialized capillary bed
large affferent arteriole and narrow efferent arteriole maintain high pressure
juxtaglomerular apparatus (JGA)
monitors blood
secretes EPO and renin
formed by: macula densa and juxtaglomerular cells
functions of the renal tubule
reabsorb useful organic nutrients
reabsorb more than 90% of water in filtrate
secrete waste products that failed to enter renal corpuscle through filtration
cortical nephrons
85% of all nephrons
located within superficial cortex of kidney
juxtamedullary nephrons
15% of nephrons
nephron loops extend deep into medulla
peritubular capillaries connect to vasa recta (long straight capillaries running parallel to the loop of henle)
visceral epithelium
consists of large cells (podocytes) with “feet” (pedicels) that wrap around glomerular capillaries
filtration slits
narrow gaps between adjacent pedicels
materials passing out of blood must be small enough to pass through
blood flow control
mesangial cells: special supporting cells
control diameter and rate of capillary blood flow
filtration membrane consists of
fenestrated endothelium
lamina densa/basement membrane/basil lamina
is filtration at the renal corpuscle active or passive?
passive process driven by blood pressure
HP forces water and small solutes across the filtration membrane
glomerular capillaries
fenestrated capillaries with pores that prevent passage of blood cells
allow diffusion of solutes (plasma proteins)
lamina densa/basement membrane/basil lamina
allows diffusion of only small plasma proteins, nutrients, and ions
filtration slits
finest filters that prevent passage of most small plasma proteins
picky, pickier, pickiest
fenestrae, basement membrane, podocytes
osmolarity
total number of solute particles per liter
directly related to colloid osmotic pressure (ability to draw water towards it)
glomerular filtration is governed by the balance between ____
hydrostatic pressure and colloid osmotic pressure
glomerular hydrostatic pressure (GHP)
pushes water and solute out of plasma into the filtrate
*this pressure should always be largest because the efferent arteriole is smaller than the afferent arteriole
blood colloid osmotic pressure (BCOP)
draws water out of the filtrate and into the plasma (opposing filtration)
capsular hydrostatic pressure (CsHP)
opposes GHP
pushes water and solutes out of the filtrate and into the plasma
glomerular filtration rate (GFR)
the amount of filtrate that the kidneys produce each minute
what does glomerular filtration rate depend on?
filtration pressure
3 levels of GFR control
autoregulation (local level)
hormonal regulation (initiated by kidneys)
autonomic regulation (sympathetic division of ANS)
autoregulation
maintains GFR despite changes in local blood pressure and flow
by constricting/dilating glomerular capillaries, afferent and efferent arterioles
reduced blood flow triggers what?
dilation of afferent arteriole
dilation of glomerular capillaries
constriction of efferent arterioles
rise in renal blood pressure ____?
causes smooth muscle cells to contract
constricts afferent afferent arterioles
decreases glomerular blood flow
hormones regulating GFR
hormones of the RAAS system (increase BP/BV)
ANP and BNP (decrease BP/BV)
sympathetic activation (autonomic regulation)
constricts afferent arterioles
decreases GFR
slows filtrate production
where does reabsorption occur?
at the proximal convoluted tubule (PCT)
tubular cells
absorb organic nutrients, ions, water, and plasma proteins from tubular fluid
release them into peritubular fluid and into peritubular capillary
thick descending limb
fluid flows toward renal pelvis
pumps sodium and cloride ions out of tubular fluid
thick ascending limb
fluid flows toward renal cortex
create high solute concentrations in peritubular fluid
impermeable to water
thin segments on the loop of henle
freely permeable to water but not to solutes
processes of the DCT
active secretion of ions, acids, drugs, and toxins
selective reabsorption of sodium and calcium ions from tubular fluid
aldosterone stimulates reabsorption of sodium back into the blood
PTH/calcittriol- absorption of calcium back into the blood
selective reabsorption of water
ADH brings water back into the blood
well hydrated
little ADH released- large volume of dilute urine
dehydrated
small volume of concentrated urine
what is the goal of urine production?
maintain homeostasis by regulating volume and composition of blood
3 main organic waste products
urea- breakdown of amino acids
creatine- breakdown of creatine phosphate (from cellular respiration)
uric acid- waste product during recycling of RNA
types of carrier-mediated transport
facilitated diffusion (no ATP)
follows gradient - glucose and amino acids
active transport (ATP)
can work against gradient
cotransport (2 lane one way street)
countertransport (2 lane highway)