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Excretion
Process in which metabolic wastes are filtered out by the blood and removed from the body as urine.

Kidneys
Purpose
Distinctions in the parts
The kidneys are responsible for the aforementioned filtration of the blood and the preparation of a urine product for excretion
Key anatomical distinctions between the kidney cortex and the kidney medulla.

3 main Kidney Functions
Regulation of blood pressure
Regulation of pH
Stimulate the generation of red blood cells.
(liver breaks them down, and the epiphyseal are of bones makes them [erythrocytes])
![<ul><li><p>Regulation of <strong>blood pressure</strong></p></li><li><p>Regulation of <strong>pH</strong></p></li><li><p>Stimulate the generation of <strong>red blood cells. </strong></p></li></ul><p></p><p>(liver breaks them down, and the epiphyseal are of bones makes them [erythrocytes])</p><p></p>](https://assets.knowt.com/user-attachments/b0003a80-ec10-4c9f-8521-38e3eb21d6b6.png)
What is a nephron
Functional Unit of the kidney
Nephron structures
Main structures
Glomerulus
Proximal convoluted tubule
Loop of Henle
Distal convoluted tubule
Collecting duct

Structures in the Renal Corpuscle
Glomerulus
Bowman’s capsule
Bolded are the most important ones
Afferent Arteriole
Podocytes
Efferent Arteriole

Renal Corpuscle
Renal Corpuscle
The first structure of the nephron that contains the glomerulus and the bowman’s capsule.
Site for filtration within the renal cortex.
RENAL CORTEX

Bowman’s Capsule
First step of filtration, filters blodo

Glomerulus
site inside the renal corpuscle that makes up the filtering network of arterioles. BLOOD COMES IN (afferent arteriole), and we see the secretion of filtrate into the bowman’s capsule and into the system followed then BLOOD LEAVING (through the efferent arteriole)
IN THE RENAL CORTEX

Afferent Arteriole
Blood vasculature that enters the renal corpuscle
Provides nutrient-rich blood for filtration

Podocytes
Foot Like Processes that form a fenestrated filtration barrier
Used for filtration specificity.
Makes sure the right things come in (no rbc’s etc)

Efferent Arteriole
Blood vasculature that exits the renal corpuscle
Can form the peritubular capillaries or the vasa recta
Peritubular capillaries
Blood vessels surrounding the convoluted tubules
They are more toward the renal cortex

Vasa recta
Blood vessels surrounding the loop of Henle
More toward the renal medulla.

Proximal Convoluted Tubule
What is secreted?
What is absorbed?
What makes it special?
Site of the majority of reabsorption
There is reabsorption via active transport.
Reabsorbed:
Na+, Cl-
100% of reabsorbed glucose and amino acids
Secreted:
● H+
Cotransport occurs here

Loop of Henle
Def
Nephron tube that descends into the kidney medulla and exists between the convoluted tubules

Descending Loop of Henle
Descends into the medulla from the proximal convoluted tubule.
Permeable to water
Water flows out of the urine, into the blood
Urine concentration increases
INCREASES CONCENTRATION

Ascending Limb
Ascending limb: Ascends out of the medulla, connecting to the DCT
Impermeable to water
Ions and salts flow out of the urine, into the blood
Urine concentration decreases
DESCREASES CONCENTRATION
(water cannot leave)

Distal Convoluted Tubule
Reabsorption of Na+ and Cl-
Secretion of K+ and H+
Water passively follows reabsorbed salts
(water leaves the tubule)
Collecting Duct
Bulk passive reabsorption of water, secretion of K+
Urine concentration increases
Has a lot of aquaporins

Pathways of the urine AFTER nephron
Collecting Duct → renal pelvis → Ureter → Bladder → Urethra

Excretory Hormones
Def
Excretory hormones are capable of manipulating blood volume and blood
pressure as well as the relative concentrations of molecules and substrates within the blood and the filtrate

Renin - Angiotensin - Aldosterone system (RAS)
A system of hormones, tissues, and organs which together are capable of increasing blood pressure in response to detected low blood pressure

Renin - Angiotensin - Aldosterone System
Key Players
Angiotensinogen
Renin
Angiotensin I
Angiotensin II
Aldosterone
Juxtaglomerular cells
Function
What do they release
Juxtaglomerular cells (in the liver): Modified smooth muscle cells associated with the afferent arteriole
Capable of detecting changes in blood pressure and blood volume
Release renin in times of low blood pressure

Angiotensinogen
First step in the Renin - Angiotensin - Aldosterone System
Released from the liver
Gets activated by renin

Renin
An enzyme capable of converting angiotensinogen into its activated form, angiotensin I
Can also be triggered by the fight or flight response
Can be released by low bp or blood volume

Angiotensin Converting enzyme (ACE)
An enzyme that is capable of converting angiotensin I → angiotensin II
Released from the walls of blood vessels in the lungs..

Angiotensin II
Increases blood pressure and volume (is created when the lungs release ACE)
Stimulate additional aldosterone release
Increase Na+ reabsorption at the proximal tubules
Systemic vasoconstriction
Increase thirst, increasing liquid intake

Aldosterone
Where is it from
How does it act
How does it affect them?
Mineralocorticoid released from the adrenal gland (cortex) that affects the kidney
Specifically, it acts on the distal tubules and collecting ducts of nephrons
Increases water and sodium reabsorption
Increases potassium secretion

Renin-Angiotensin-Aldosterone System (RAS)
ALL STEPS
Juxtaglomerular cells sense changes in blood pressure and blood volume.
Angiotensinogen is released from the liver. It floats around in the blood stream.
Renin is released from kidneys due to a fight or flight response or low blood pressure (juxtaglomerular cell in kidney). Makes Angiotensinogen into angiotensin I
Angiotensin converting enzyme (ACE): An enzyme that is capable of converting angiotensin I into angiotensin II
Angiotesnin II increases blood pressure and volume
Stimulates additional aldosterone release
Increases Na+ reabsorption at the PROXIMAL tubules (more pressure)
Systemic Vasoconstriction
Increase thirst, increasing liquid intake.
Aldosterone is released, which increases water and sodium reabsorption and increases potassium secretion

Antidiuretic Hormone (ADH or Vasopresin)
Produced in the hypothalamus
Stored and released by the posterior pituitary gland
Capable of increasing blood volume and pressure
Effect:
Increases aquaporin channel presence within the collecting ducts
Increases water absorption

What inhibits ADH
Alcohol: Inhibitor of ADH
Less water is reabsorbed, causing increased urination
Why it is easy to get dehydrated when drinking.

Atrial Natriuretic Peptide (ANP)
Produced by the cells of the heart atrial cells in response to atrial distension caused by increased blood volume and pressure
Means of reducing blood volume and pressure:
Increasing the glomerular filtration rate (GFR)
Decreasing sodium reabsorption
Increasing sodium excretion
Inhibiting renin and the renin-angiotensin-aldosterone system

Osmoregulation
The maintenance of internal water balance by an organism
Achieved via absorption and secretion of water and solutes
Affected by water and solute concentrations of the surrounding environment
Hypotonic Solution
Swollen Cell

Isotonic Solution
Normal Cell

Hypertonic Solution
Shriveled Cell

Marine (saltwater fish) and how they undergo osmoregulation
Hypotonic to their environment
Environment has higher solute concentration
Passive water loss to environment
Maintenance adaptations:
1. Constant drinking
2. Rare urination
3. Secretion of salt through the gills

Freshwater Fish
Hypertonic to their environment
Environment has a lower solute concentration
Passive water gain from environment
Maintenance adaptations:
Rarely drink water
Constant urination
Absorption of salt through the gills

Small Substanse filtration in nephrons
Afferent Arteriole → Glomerulus → Bowmans capsule.
What is fluid and substances filtered from the blood and bowmans capsule called?
Filtrate
Four main processes in nephron
Filtratio
Reabsorption
Secretion
Excretion
What passes the bowman’s capsule and what is stopped
Passes:
Urea
Sodium
Water
Calcium
Stops:
Protein
RBC’s
What kind of pressure causes bowman’s capsules to move filtrate in?
Hydrostatic Pressure.
Aldosterone increases potassium secretion