Ultrafiltration

Key components of urine

  • water

    • drinks

    • food

    • metabolic reactions

    • reabsorption controlled by hydration

  • urea

    • formed in the liver from deamination of amino acids

    • key nitrogenous waste product

  • glucose

    • from digested carbs

    • urine presence indicates diabetes

  • creatine

    • from breakdown of creatine in phosphate in muscles

    • used to clinically assess kidney function

Ultrafiltration

  • blood enters the glomerulus through the afferent arteriole

  • blood leaves the glomerulus via the smaller efferent arteriole 

    • maintaining a high hydrostatic pressure (smaller lumen)

  • this high pressure forces molecules out of the blood through pores in the capillary endothelium

    • water and small solutes

  • the molecules move through the basement membrane

    • has collagen fibres that act as a selective filter 

    • prevents large molecules an blood cells from passing into the Bowman’s capsule

  • the molecules moved through the Bowman’s capsule epithelium

    • has specialised cells called podocytes with extensions called pedicels that wrap around capillaries to help filter blood

  • filter fluid collects in Bowman’s capsule

ultrafiltration

Factors affecting filtration rate

  • blood pressure

    • higher pressure increases glomerular filtration rate (GFR)

    • hypertension damages filtration structures

  • arteriole diameter

    • constriction of afferent arteriole reduces GFR

    • efferent constriction can increase GFR

  • water potential

    • filtration depends on effective filtration pressure

    • the balance of hydrostatic and osmotic forces

Glomerular filtrate formation

Substances filtered into glomerular filtrate

Substances that remain in blood

water

blood cells

salts (ions)

platelets

glucose

proteins

urea