Kidneys continuously regulate chemical composition of blood to maintain homeostasis.
Molecules/Ions move passively from high concentration to low concentration (down a concentration gradient).
Osmosis: Water moves from hypotonic (high water concentration) to hypertonic (low water concentration) through a semi-permeable membrane.
Solutes: Move from hypertonic (high solute concentration) to hypotonic (low solute concentration) areas.
Water follows salt solution.
Solutions with equal concentrations are isotonic.
Active Transport: Molecules move against concentration gradient with energy, combining with a carrier molecule.
Maintains balance between water and solute content in body fluids.
Primarily controlled by kidneys and skin.
Vital constants for cell functions:
Amount of Water:
Too little water leads to dehydration of cells.
Too much water causes cells to burst.
Concentration of Solutes (e.g., glucose, salts):
Determines osmolarity (osmotic pressure) of body fluids.
Higher solute concentration increases osmolarity, affecting water movement by osmosis.
Osmolarity: Number of solute particles in one liter of water.
99% of body's water is reabsorbed from kidneys into bloodstream.
Normal conditions: Most water reabsorbed in proximal tubule and descending limb of the loop of Henle.
When fluid intake is low, kidneys conserve water by forming concentrated urine:
Sodium ions actively pumped out of the loop of Henle, creating hypertonic tissue fluid in the medulla.
Results in steep concentration gradient between hypotonic filtrate in distal and collecting ducts and hypertonic tissue fluid.
Water moves by osmosis from filtrate into the blood, conserving water and reducing urine.
Antidiuretic Hormone (ADH): Secreted by hypothalamus and stored in posterior pituitary.
Anti: Opposed to or preventing.
Diuretic: Causes increased output of urine.
Osmoreceptors in hypothalamus monitor blood osmolarity.
Stimulation occurs when osmolarity increases due to dehydration:
Activates thirst center in hypothalamus (resulting in increased fluid intake).
Stimulates pituitary gland to release ADH.
ADH dissolves in blood plasma, carried throughout the body.
At kidneys (target organ), ADH:
Enlarges pores of collecting ducts, increasing water permeability.
Results in:
More water reabsorbed by osmosis from filtrate into blood.
Normalization of blood volume and composition.
Production of less but more concentrated urine.
When osmolarity decreases, hypothalamic receptors deactivate, reducing ADH secretion; kidneys then excrete more urine.
This mechanism exemplifies a negative feedback system.
Increase in water can occur due to:
Cold conditions (low sweating)
High fluid intake.
Hypothalamus detects the increase:
Sends message to pituitary to slow/stopped ADH release.
Less ADH leads to kidneys conserving less water, producing large volumes of dilute urine, returning water levels to normal.
Decrease can occur due to:
Insufficient fluid intake
Excessive sweating.
Hypothalamus detects low water levels:
Sends signal to pituitary gland to release ADH.
ADH travels to kidneys for increased water reabsorption.
Results in smaller volume of more concentrated urine, restoring water levels.
Thirst center may also stimulate increased fluid intake.
Aldosterone is secreted from adrenal glands to regulate sodium and potassium ions in blood.
Adrenal glands secrete aldosterone:
Sodium reabsorbed from distal convoluted tubules and collecting ducts.
Increases sodium in blood and decreases in urine.
Adrenal glands secrete less aldosterone:
Less sodium reabsorbed; higher sodium in urine.
Increased potassium leads to aldosterone release from adrenal cortex, targeting kidneys.
This causes increased sodium reabsorption and decreased potassium in blood, normalizing levels.
Homeostasis depends on the delicate balance of water and electrolytes in the blood, regulated by hormones like ADH and aldosterone.
Proper functioning of kidneys is essential in maintaining this balance through reabsorption mechanisms.